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The British Journal of General Practice... Dec 2015
Topics: Education; Evidence-Based Medicine; General Practice; Humans; Patient Safety
PubMed: 26622008
DOI: 10.3399/bjgp15X687685 -
Circulation Feb 2016
Review
Topics: Health Policy; Humans; Liability, Legal; Patient Safety; Physician's Role
PubMed: 26884621
DOI: 10.1161/CIRCULATIONAHA.115.015880 -
The Surgical Clinics of North America Feb 2021This article explores the role of human factors engineering in patient safety in surgery. The authors discuss the history and evolution of human factors and the role of... (Review)
Review
This article explores the role of human factors engineering in patient safety in surgery. The authors discuss the history and evolution of human factors and the role of human factors in patient safety and provide a description of human factors methods used to study and improve patient safety.
Topics: Ergonomics; Humans; Patient Safety; Surgical Procedures, Operative
PubMed: 33212071
DOI: 10.1016/j.suc.2020.09.006 -
Clinical & Translational Oncology :... May 2020The Working Group on Patient Safety and Quality of the Spanish Society of Radiation Oncology, revised the most relevant national and international recommendations,... (Review)
Review
PURPOSE
The Working Group on Patient Safety and Quality of the Spanish Society of Radiation Oncology, revised the most relevant national and international recommendations, selecting a series of important aspects for patient safety, evaluating whether they are included in Spanish legislation MATERIALS AND METHODS: We have considered a concept as relevant to the patient safety in radiotherapy if so defined in at least 8 of the 16 documents reviewed.
RESULTS
12 subjects were selected: training and qualification, human resources, protocols, safety culture, communication, peer review, accreditation: audits, checklists, areas without interruptions, maps of processes and risks, prospective risk analysis, notification, registration and incident learning, and quality control of the equipment.
CONCLUSIONS
At the legislative level, as well as the professional organizations and the health center directorates, the implementation of safety culture must continue to be fostered. Only in this environment will the tools and measures to increase patient safety be effective. The current Spanish legislation must be revised and updated, in accordance with directive 2013/59/EURATOM and the Patient Safety Strategy 2015-2020 of the Spanish National Health System, introducing the obligation to perform risk analysis and incidents management. Audits and accreditations must be carried out, thus raising the general level of practice of the specialty. In this process, the Spanish Society of Radiation Oncology must continue playing its fundamental role, collaborating with the institutions and the rest of the scientific societies involved in the radiotherapy process, issuing recommendations on patient safety and disseminating the safety culture in our specialty.
Topics: Humans; Neoplasms; Patient Safety; Practice Guidelines as Topic; Radiation Oncology; Spain
PubMed: 31325036
DOI: 10.1007/s12094-019-02184-x -
BMJ Quality & Safety Apr 2020
Topics: Humans; Patient Safety; Quality Assurance, Health Care; Reference Standards; Safety Management
PubMed: 32066571
DOI: 10.1136/bmjqs-2019-009731 -
Anaesthesia Nov 2021
Topics: Disaster Planning; Fires; Guidelines as Topic; Intensive Care Units; Patient Safety; Rescue Work; Safety Management
PubMed: 34309007
DOI: 10.1111/anae.15547 -
Journal of Patient Safety Sep 2020Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.
OBJECTIVE
Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.
METHODS
Six tools were used in 46 practices. These tools were as follows: National Health Service Education for Scotland Trigger Tool, National Health Service Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, Patient Reported Experiences and Outcomes of Safety in Primary Care, and Concise Safe Systems Checklist.
RESULTS
Primary Care Safequest showed that most practices had a well-developed safety climate. However, the trigger tool revealed that a quarter of events identified were associated with moderate or substantial harm, with a third originating in primary care and avoidable. Although medicines reconciliation was undertaken within 2 days in more than 70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1435 instances of potentially hazardous prescribing or lack of recommended monitoring (from 92,649 patients). The Concise Safe Systems Checklist found that 25% of staff thought that their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of noncollection of prescriptions. Most patients had a positive perception of the safety of their practice although 45% identified at least one safety problem in the past year.
CONCLUSIONS
Patient safety is complex and multidimensional. The Patient Safety Toolkit is easy to use and hosted on a single platform with a collection of tools generating practical and actionable information. It enables family practices to identify safety deficits that they can review and change procedures to improve their patient safety across a key sets of patient safety issues.
Topics: Family Practice; Female; Humans; Male; Patient Safety; Primary Health Care
PubMed: 29461334
DOI: 10.1097/PTS.0000000000000471 -
Journal For Healthcare Quality :... 2017The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSI) with the goal of detecting and preventing adverse events using... (Review)
Review
The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSI) with the goal of detecting and preventing adverse events using administrative data. Use of PSIs to measure safety and quality of care raises questions since they rely heavily on coded data. The goal of this paper is to review literature on AHRQ PSIs, specifically their accuracy in detecting adverse events, and how recent coding changes affect the accuracy of these estimates. The Healthcare Utilization Project (HCUP) National Inpatient Sample (NIS) contains data on more than seven million hospital stays yearly. Trending these estimates over time indicate there has been a decrease in rates for the majority of PSIs, with Accidental Puncture or Laceration, Central Venous Catheter Blood Stream Infections, Iatrogenic Pneumothorax, and Deaths from complications decreasing significantly each year from 2008-2012. Birth Trauma, Retained Foreign Bodies, Post-op Sepsis and Post-Op Respiratory Failure PSIs show no improvement from 2008-2012. A literature review on accuracy of PSIs and the affect of the Present on Admission (POA) indicator on PSI estimates reveals mixed results. PSIs serve as a useful tool in identifying problem areas in quality of care but should be used cautiously in determining hospital performance.
Topics: Health Status Indicators; Humans; Patient Safety; Quality Indicators, Health Care; United States; United States Agency for Healthcare Research and Quality
PubMed: 28658091
DOI: 10.1097/JHQ.0000000000000088 -
Current Opinion in Anaesthesiology Dec 2019Office-based anesthesia (OBA) is rapidly growing across the world. Availability of less invasive interventions has facilitated the opportunity of offering new procedures... (Review)
Review
PURPOSE OF REVIEW
Office-based anesthesia (OBA) is rapidly growing across the world. Availability of less invasive interventions has facilitated the opportunity of offering new procedures in office-based settings to patient populations that would not have been considered in the past. This article provides a practical approach to discuss and analyze newest literature supporting different practices in the field of OBA. In addition, an update of the most recent guidelines and practice management directives is included.
RECENT FINDINGS
Selected procedures may be performed in the office-based scenario with exceedingly low complication rates, when the right patient population is selected, and adequate safety protocols are followed. Current regulations are focused on reducing surgical risk through the implementation of patient safety protocols and practice standardization. Strategies include cognitive aids for emergencies, safety checklists, facility accreditation standards among other.
SUMMARY
New evidence exists supporting procedures in the office-based scenario in areas such as plastic and cosmetic surgery, dental and oral surgery, ophthalmology, endovascular procedures and otolaryngology. Different systematic approaches have been developed (guidelines and position statements) to promote standardization of safe practices through emergency protocols, safety checklists, medication management and surgical risk reduction. New regulations and accreditation measures have been developed to homogenize practice and promote high safety standards.
Topics: Accreditation; Ambulatory Surgical Procedures; Anesthesia; Humans; Patient Safety
PubMed: 31503034
DOI: 10.1097/ACO.0000000000000794 -
Journal of Nursing Management Jan 2019To study how internal medicine patients experienced patient safety during their recent periods of care and to identify explanatory factors for patient participation.
AIMS
To study how internal medicine patients experienced patient safety during their recent periods of care and to identify explanatory factors for patient participation.
BACKGROUND
Patient participation is recognized as one of the main factors promoting quality and safety and the identification of effective interventions that encourage safe care.
METHODS
A cross-sectional survey of patients (n = 462) in the internal medicine wards (n = 18) of all five Finnish university hospitals. Data were analysed using principal component analysis and multiple linear regression.
RESULTS
Most patients (78%) assessed the level of patient safety on their ward as "very good" or "excellent," 20% of patients assessed it as acceptable or worse. The following were considered to be the most important factors explaining higher patient participation: informing patients about the research and encouraging them to participate (β = 0.378, p < 0.001), providing necessary information promptly and comprehensibly (β = 0.393, p < 0.001), and enhancing patients' ability to identify patient safety incident(s) (β = 0.186, p < 0.001).
CONCLUSIONS
Healthcare workers must improve by encouraging patient participation and providing relevant information to patients.
IMPLICATION FOR NURSING MANAGEMENT
Nursing leaders must be competent to support, lead, and allocate resources for the creation of an environment where patient participation can occur and is valued by health care workers.
Topics: Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Female; Finland; Hospitals, University; Humans; Male; Middle Aged; Patient Participation; Patient Safety; Patients' Rooms; Surveys and Questionnaires
PubMed: 30129073
DOI: 10.1111/jonm.12651