-
Journal of Continuing Education in... Jul 2016This article describes how redesigning the TeamSTEPPS strategy of the "brief" was implemented to assist in improving communication and patient safety. The acronym BRIEFS...
This article describes how redesigning the TeamSTEPPS strategy of the "brief" was implemented to assist in improving communication and patient safety. The acronym BRIEFS was created to cluster safety elements and standardize the way unit briefs are conducted. J Contin Educ Nurs. 2016;47(7):296-298.
Topics: Communication; Curriculum; Education, Nursing, Continuing; Humans; Patient Safety; Safety Management; United States
PubMed: 27351259
DOI: 10.3928/00220124-20160616-03 -
Otolaryngologic Clinics of North America Feb 2019Beyond educational and institutional requirements, there is a need for trainees (residents and fellows) to learn patient safety and quality improvement skills in order... (Review)
Review
Beyond educational and institutional requirements, there is a need for trainees (residents and fellows) to learn patient safety and quality improvement skills in order to achieve the ultimate goal of providing better patient care. Key steps to engagement include creating a safety and quality culture, supporting faculty development, and selecting appropriate curricular resources. Efforts to align the goals and processes of the graduate medical education institution and teaching hospital can foster a unified mission. Faculty must be prepared to teach and reinforce these topics on a regular basis. Both didactic instruction and experiential learning are necessary components for trainee education.
Topics: Fellowships and Scholarships; Humans; Internship and Residency; Organizational Culture; Otolaryngology; Patient Safety; Quality Improvement; Work Engagement
PubMed: 30241763
DOI: 10.1016/j.otc.2018.08.010 -
Journal of Patient Safety Mar 2019Mortality and morbidity (M&M) meetings present a forum to discuss and review in-hospital deaths and complications to improve patient care. However, it remains an... (Review)
Review
INTRODUCTION
Mortality and morbidity (M&M) meetings present a forum to discuss and review in-hospital deaths and complications to improve patient care. However, it remains an untapped resource to improve the exposure of the trainees to the principles of patient safety METHODS: We modified the departmental M&M meetings to enhance the delivery of patient safety education. The meeting started with a 5-minute overview of general patient safety principles, followed by a trainee-led discussion of a recent patient safety incident where opinions were sought about key learning points and ways to prevent the incident from happening in future. The discussion concluded with a patient safety presentation summarizing the salient points that were mapped to the WHO Patient Safety Curriculum. The suggestions from the meeting were noted, and the changes were instituted in the department over the next month and were reported back in the next meeting.
RESULTS
From January to August 2012, seven enhanced M&M meetings were organized and attended by orthopaedic specialty trainees in a postgraduate Deanery. We explored the early impact of these monthly discussions by using the Junior Doctors' Patient Safety Attitudes and Climate Questionnaire as an assessment tool. The questionnaire reports an early impact on patient safety knowledge, awareness, and attitudes to patient safety; however, more work is needed to improve the workplace safety climate.
CONCLUSIONS
We recommend immediate introduction of the enhanced M&M meetings focusing on patient safety in the other disciplines and postgraduate deaneries.
Topics: Humans; Medical Staff, Hospital; Morbidity; Patient Safety; Surveys and Questionnaires; Survival Analysis
PubMed: 26102000
DOI: 10.1097/PTS.0000000000000208 -
Health Affairs (Project Hope) Apr 2019
Topics: Delivery of Health Care; Female; Health Priorities; Humans; Male; Outcome Assessment, Health Care; Patient Safety; United States
PubMed: 30933602
DOI: 10.1377/hlthaff.2019.00121 -
Nursing Education Perspectives 2014
Topics: Delivery of Health Care; Education, Nursing; Humans; Models, Educational; Patient Safety
PubMed: 25158413
DOI: 10.5480/1536-5026-35.4.211 -
Lancet (London, England) Sep 2019
Topics: Humans; Medical Errors; Patient Safety; Quality of Health Care; World Health Organization
PubMed: 31526719
DOI: 10.1016/S0140-6736(19)32080-X -
International Journal of Health Policy... Dec 2017In response to a weight of evidence that patients are frequently harmed as a result of their care, there have been concerted efforts to make healthcare safer, with...
In response to a weight of evidence that patients are frequently harmed as a result of their care, there have been concerted efforts to make healthcare safer, with health systems across the globe investing significant resources in policies and programmes designed to reduce adverse events. Yet, despite extensive efforts, improvements in safety have proved difficult to sustain and spread, with studies confirming there has been no measurable, systems-level improvement in the overall rates of preventable harm. Here, we highlight the limitations of the thinking which underpins current efforts to make healthcare systems safer and point to new and emerging approaches to understanding and addressing patient safety in complex, dynamic health systems.
Topics: Comprehension; Delivery of Health Care; Humans; Patient Harm; Patient Safety; Quality Improvement; Research
PubMed: 29172374
DOI: 10.15171/ijhpm.2017.115 -
Clinical Obstetrics and Gynecology Sep 2019There is no single framework for a successful obstetric patient safety program. However, there are ample resources for the important components needed to create a... (Review)
Review
There is no single framework for a successful obstetric patient safety program. However, there are ample resources for the important components needed to create a patient safety program. All labor and delivery units should formulate their own quality and safety program that is individualized to the patients and staff that they serve. Here we will lay out the infrastructure as has been supported by the literature and reinforced in our experience.
Topics: Delivery, Obstetric; Female; Humans; Patient Safety; Pregnancy; Program Development; Quality Improvement
PubMed: 31169555
DOI: 10.1097/GRF.0000000000000468 -
Journal of Nursing Care Quality 2017Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies... (Review)
Review
Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies examining associations with specific patient safety outcomes are limited or nonspecific. This integrative review explores and synthesizes the published articles that address the impact of workplace nurse bullying on patient safety.
Topics: Accidental Falls; Bullying; Humans; Interprofessional Relations; Nurses; Patient Safety; Patient Satisfaction; Workplace
PubMed: 27482870
DOI: 10.1097/NCQ.0000000000000209 -
Western Journal of Nursing Research Mar 2018Situation awareness (SA) refers to the conscious awareness of the current situation in relation to one's environment. In nursing, loss or failure to achieve high levels... (Review)
Review
Situation awareness (SA) refers to the conscious awareness of the current situation in relation to one's environment. In nursing, loss or failure to achieve high levels of SA is linked with adverse patient outcomes. The purpose of this integrative review is to examine various instruments and techniques used to measure SA among nurses across academic and clinical settings. Computerized database and ancestry search strategies resulted in 40 empirical research reports. Of the reports included in the review, 24 measured SA among teams that included nurses and 16 measured SA solely in nurses. Methods used to evaluate SA included direct and indirect methods. Direct methods included the Situation Awareness Global Assessment Technique and questionnaires. Indirect methods included observer rating instruments and performance outcome measures. To have a better understanding of how nurses' make decisions in complex work environments, reliable and valid measures of SA is crucial.
Topics: Awareness; Health Personnel; Humans; Patient Safety
PubMed: 28367725
DOI: 10.1177/0193945917697230