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BMJ Open Quality Apr 2024Examine how Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) can be used to manage patient safety and improve the standard of care for...
BACKGROUND
Examine how Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) can be used to manage patient safety and improve the standard of care for patients.
METHODS
In order to improve key medical training in areas like surgical safety management, blood transfusion closed-loop management, drug safety management and identity recognition, we apply the TeamSTEPPS teaching methodology. We then examine the effects of this implementation on changes in pertinent indicators.
RESULTS
Our hospital's perioperative death rate dropped to 0.019%, unscheduled reoperations dropped to 0.11%, and defined daily doses fell to 24.85. Antibiotic usage among hospitalised patients declined to 40.59%, while the percentage of antibacterial medicine prescriptions for outpatient patients decreased to 13.26%. Identity recognition requirements were implemented at a rate of 94.5%, and the low-risk group's death rate dropped to 0.01%. Critical transfusion episodes were less common, with an incidence of 0.01%. The physician's TeamSTEPPS Teamwork Perceptions Questionnaire and Teamwork Attitudes Questionnaire scores dramatically improved following the TeamSTEPPS team instruction course.
CONCLUSION
An evidence-based team collaboration training programme called TeamSTEPPS combines clinical practice with team collaboration skills to enhance team performance in the healthcare industry and raise standards for medical quality, safety, and effectiveness.
Topics: Humans; Patient Safety; Patient Care Team; Surveys and Questionnaires; Quality Improvement; Safety Management
PubMed: 38670556
DOI: 10.1136/bmjoq-2023-002669 -
Journal of Neuro-ophthalmology : the... Sep 2017
Topics: History, 20th Century; History, 21st Century; Humans; Neurology; Ophthalmology; Patient Safety
PubMed: 28806313
DOI: 10.1097/WNO.0000000000000559 -
Nursing Forum Jan 2021In spite of two decades of the patient safety movement in the United States, healthcare safety remains a significant problem. The paucity of empirical literature related... (Review)
Review
BACKGROUND
In spite of two decades of the patient safety movement in the United States, healthcare safety remains a significant problem. The paucity of empirical literature related to Just Culture in healthcare indicates a need for this concept to be examined and operationalized.
PURPOSE
The purpose was to appraise the literature regarding the use and application of Just Culture in healthcare.
METHODS
Using Whittemore and Knafl's framework for integrative reviews, a review of the literature was conducted using Cumulative Index to Nursing and Allied Health Literature, PubMed, PsychInfo, and Cochrane Review to identify peer-reviewed literature published between 2010 and 2020. The following search terms were used: "Just Culture" AND "healthcare system" OR "health care" OR "healthcare."
RESULTS
After screening for inclusion and exclusion criteria, a set of 10 articles were included in the review. Four main themes were identified: Error Management, Balance, Leadership and Staff, and Systems Leadership for Change.
CONCLUSION
There is a paucity of empirical research and quality improvement projects focusing on Just Culture. The themes identified in this integrative review provide the direction and focus for additional research and quality improvement efforts that will promote the adoption of Just Culture and improvement in patient safety.
Topics: Humans; Leadership; Organizational Culture; Patient Safety; Research Design
PubMed: 33231884
DOI: 10.1111/nuf.12525 -
Journal of Reconstructive Microsurgery Nov 2019Patient safety is defined as freedom from accidental or preventable harm produced by medical care. The identification of patient- and procedure-related risk factors... (Review)
Review
Patient safety is defined as freedom from accidental or preventable harm produced by medical care. The identification of patient- and procedure-related risk factors enables the surgical team to carry out prophylactic measures to reduce the rate of complications and adverse events.The purpose of this review is to identify the characteristics of patients, practitioners, and microvascular surgical procedures that place patients at risk for preventable harm, and to discuss evidence-based prevention practices that can potentially help to generate a culture of patient safety.
Topics: Humans; Microsurgery; Patient Safety; Surgery, Plastic; Vascular Surgical Procedures
PubMed: 31327160
DOI: 10.1055/s-0039-1693142 -
Lancet (London, England) Mar 2016
Topics: Disclosure; Humans; Medical Errors; Patient Safety; Safety Management
PubMed: 27025315
DOI: 10.1016/S0140-6736(16)30003-4 -
Journal of Nursing Management Oct 2014
Topics: Humans; Patient Care; Patient Safety; Treatment Outcome
PubMed: 25298048
DOI: 10.1111/jonm.12263 -
American Family Physician Jun 2020
Topics: Editorial Policies; Family Practice; Patient Advocacy; Patient Participation; Patient Safety
PubMed: 32538601
DOI: No ID Found -
Otolaryngologic Clinics of North America Feb 2019Surgeons can use simulation to improve the safety of the systems they work within, around, because of, and despite. Health care is a complex adaptive system that can... (Review)
Review
Surgeons can use simulation to improve the safety of the systems they work within, around, because of, and despite. Health care is a complex adaptive system that can never be completely knowable; simulation can expose aspects of patient care delivery that are not necessarily evident prospectively, during planning, or retrospectively, during investigations or audits. The constraints of patient care processes and adaptive capacity of health care providers may become most evident during simulations conducted "in situ" using real teams and real equipment, in actual patient care locations.
Topics: Clinical Competence; Humans; Patient Care Team; Patient Safety; Quality Improvement; Simulation Training
PubMed: 30249446
DOI: 10.1016/j.otc.2018.08.005 -
FP Essentials Dec 2017
Topics: Family Practice; Humans; Medical Errors; Organizational Culture; Patient Safety; Practice Management, Medical; Quality Improvement
PubMed: 29210553
DOI: No ID Found -
Lancet (London, England) Oct 2018
Topics: Female; Humans; Patient Safety; Practice Guidelines as Topic; Surgical Mesh; Vagina
PubMed: 30343841
DOI: 10.1016/S0140-6736(18)32480-2