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Journal of Postgraduate Medicine 2021
Topics: Humans; Medical Errors; Patient Safety; Safety Management
PubMed: 33533744
DOI: 10.4103/jpgm.JPGM_1376_20 -
British Journal of Anaesthesia Jun 2019
Topics: Climate; Organizational Culture; Patient Safety
PubMed: 30975383
DOI: 10.1016/j.bja.2019.03.003 -
Journal of General Internal Medicine Apr 2021
Topics: Circadian Rhythm; Humans; Patient Safety; Time
PubMed: 33506392
DOI: 10.1007/s11606-021-06599-7 -
The Journal of Thoracic and... Dec 2014
Topics: Airway Extubation; Cardiac Surgical Procedures; Cost Savings; Female; Hospital Costs; Humans; Male; Operating Rooms; Patient Safety
PubMed: 25173114
DOI: 10.1016/j.jtcvs.2014.07.045 -
PloS One 2021Patient safety is an important healthcare issue worldwide, and patient accidents in the operating room can lead to serious problems. Accordingly, we investigated the...
Patient safety is an important healthcare issue worldwide, and patient accidents in the operating room can lead to serious problems. Accordingly, we investigated the explanatory ability of a modified theory of planned behavior to improve patient safety activities in the operating room. Questionnaires were distributed to perioperative nurses working in 12 large hospitals in Korea. The modified theory of planned behavior data from a total of 330 nurses were analyzed. The conceptual model was based on the theory of planned behavior data, with two additional organizational factors-job factors and safety management system. Individual factors included attitude, subjective norms, perceived behavioral control, behavioral intention, and patient safety management activities. Results indicated that job factors were negatively associated with perceived behavioral control. The patient safety management system was positively associated with attitude, subjective norm, and perceived behavioral control. Attitude, subjective norm, and perceived behavioral control were positively associated with behavioral intention. Behavioral intention was positively associated with patient safety management activities. The modified theory of planned behavior effectively explained patient safety management activities in the operating room. Both organizations and individuals are required to improve patient safety management activities.
Topics: Adult; Attitude; Behavior Control; Cross-Sectional Studies; Female; Humans; Intention; Male; Models, Theoretical; Nursing Staff, Hospital; Operating Rooms; Patient Safety; Perioperative Period; Safety Management; Surveys and Questionnaires
PubMed: 34170919
DOI: 10.1371/journal.pone.0252648 -
International Journal For Quality in... Nov 2023Patient harm is a leading cause of global disease burden with considerable morbidity, mortality, and economic impacts for individuals, families, and wider society. Large...
Patient harm is a leading cause of global disease burden with considerable morbidity, mortality, and economic impacts for individuals, families, and wider society. Large bodies of evidence exist for strategies to improve safety and reduce harm. However, it is not clear which patient safety issues are being addressed globally, and which factors are the most (or least) important contributors to patient safety improvements. We aimed to explore the perspectives of international patient safety experts to identify: (1) the nature and range of patient safety issues being addressed, and (2) aspects of patient safety governance and systems that are perceived to provide value (or not) in improving patient outcomes. English-speaking Fellows and Experts of the International Society for Quality in Healthcare participated in a web-based survey and in-depth semistructured interview, discussing their experience in implementing interventions to improve patient safety. Data collection focused on understanding the elements of patient safety governance that influence outcomes. Demographic survey data were analysed descriptively. Qualitative data were coded, analysed thematically (inductive approach), and mapped deductively to the System-Theoretic Accident Model and Processes framework. Findings are presented as themes and a patient safety governance model. The study was approved by the University of South Australia Human Research Ethics Committee. Twenty-seven experts (59% female) participated. Most hailed from Africa (n = 6, 22%), Australasia, and the Middle East (n = 5, 19% each). The majority were employed in hospital settings (n = 23, 85%), and reported blended experience across healthcare improvement (89%), accreditation (76%), organizational operations (64%), and policy (60%). The number and range of patient safety issues within our sample varied widely with 14 topics being addressed. Thematically, 532 textual segments were grouped into 90 codes (n = 44 barriers, n = 46 facilitators) and used to identify and arrange key patient safety governance actors and factors as a 'system' within the System-Theoretic Accident Model and Processes framework. Four themes for improved patient safety governance were identified: (1) 'safety culture' in healthcare organizations, (2) 'policies and procedures' to investigate, implement, and demonstrate impact from patient safety initiatives, (3) 'supporting staff' to upskill and share learnings, and (4) 'patient engagement, experiences, and expectations'. For sustainable patient safety governance, experts highlighted the importance of safety culture in healthcare organizations, national patient safety policies and regulatory standards, continuing education for staff, and meaningful patient engagement approaches. Our proposed 'patient safety governance model' provides policymakers and researchers with a framework to develop data-driven patient safety policy.
Topics: Humans; Female; Male; Patient Safety; Delivery of Health Care; Hospitals; Australia
PubMed: 37978851
DOI: 10.1093/intqhc/mzad088 -
British Journal of Anaesthesia Jan 2018Clinical indicators assess healthcare structures, processes, and outcomes. While used widely, the exact number and level of scientific evidence of these indicators...
BACKGROUND
Clinical indicators assess healthcare structures, processes, and outcomes. While used widely, the exact number and level of scientific evidence of these indicators remains unclear. The aim of this study was to evaluate the number, type, and evidence base of clinical process and structure indicators currently available for quality and safety measurement in perioperative care.
METHODS
We performed a systematic review searching Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane, Google Scholar, and System for Information in Grey Literature in Europe databases for English language human studies in adults (age >18) published in the past 10 years (January 2005-January 2016). We also included professional and governmental body publications and guidelines describing the development, validation, and use of structure and process indicators in perioperative care.
RESULTS
We identified 43 860 journal articles and 43 relevant indicator program publications. From these, we identified a total of 1282 clinical indicators, split into structure (36%, n=463) and process indicators (64%, n=819). The dimensions of quality most frequently addressed were effectiveness (38%, n=475) and patient safety (29%, n=363). The majority of indicators (53%, n=675) did not have a level of evidence ascribed in their literature. Patient-centred metrics accounted for the fewest published clinical indicators.
CONCLUSIONS
Despite widespread use, the majority of clinical indicators are not based on a strong level of scientific evidence. There may be scope in setting standards for the development and validation process of clinical indicators. Most indicators focus on the effectiveness, safety, and efficiency of care.
PROSPERO DATABASE
CRD4201501277.
Topics: Evidence-Based Medicine; Humans; Patient Safety; Perioperative Care; Quality Assurance, Health Care
PubMed: 29397138
DOI: 10.1016/j.bja.2017.10.001 -
BMC Health Services Research Nov 2019Patient safety is a key target in public health, health services and medicine. Communication between all parties involved in gynecology and obstetrics (clinical...
BACKGROUND
Patient safety is a key target in public health, health services and medicine. Communication between all parties involved in gynecology and obstetrics (clinical staff/professionals, expectant mothers/patients and their partners, close relatives or friends providing social support) should be improved to ensure patient safety, including the avoidance of preventable adverse events (pAEs). Therefore, interventions including an app will be developed in this project through a participatory approach integrating two theoretical models. The interventions will be designed to support participants in their communication with each other and to overcome difficulties in everyday hospital life. The aim is to foster effective communication in order to reduce the frequency of pAEs. If communication is improved, clinical staff should show an increase in work satisfaction and patients should show an increase in patient satisfaction.
METHODS
The study will take place in two maternity clinics in Germany. In line with previous studies of complex interventions, it is divided into three interdependent phases. Each phase provides its own methods and data. Phase 1: Needs assessment and a training for staff (n = 140) tested in a pre-experimental study with a pre/post-design. Phase 2: Assessment of communication training for patients and their social support providers (n = 423) in a randomized controlled study. Phase 3: Assessment of an app supporting the communication between staff, patients, and their social support providers (n = 423) in a case-control study. The primary outcome is improvement of communication competencies. A range of other implementation outcomes will also be assessed (i.e. pAEs, patient/treatment satisfaction, work satisfaction, safety culture, training-related outcomes).
DISCUSSION
This is the first large intervention study on communication and patient safety in gynecology and obstetrics integrating two theoretical models that have not been applied to this setting. It is expected that the interventions, including the app, will improve communication practice which is linked to a lower probability of pAEs. The app will offer an effective and inexpensive way to promote effective communication independent of users' motivation. Insights gained from this study can inform other patient safety interventions and health policy developments.
TRIAL REGISTRATION
ClinicalTrials.gov Identifier: NCT03855735; date of registration: February 27, 2019.
Topics: Clinical Protocols; Communication; Female; Gynecology; Health Care Surveys; Humans; Obstetrics; Patient Safety; Patient Satisfaction; Pregnancy
PubMed: 31779620
DOI: 10.1186/s12913-019-4579-y -
Indian Journal of Pharmacology 2015
Topics: Curriculum; Education, Medical; Patient Safety
PubMed: 25878369
DOI: 10.4103/0253-7613.153417 -
Revista Brasileira de Enfermagem 2020to assess the patient safety culture of the health team working in three maternity hospitals. (Observational Study)
Observational Study
OBJECTIVES
to assess the patient safety culture of the health team working in three maternity hospitals.
METHODS
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
RESULTS
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
CONCLUSIONS
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
Topics: Adult; Brazil; Cross-Sectional Studies; Female; Humans; Obstetrics and Gynecology Department, Hospital; Organizational Culture; Patient Safety; Safety Management; Surveys and Questionnaires
PubMed: 32667406
DOI: 10.1590/0034-7167-2019-0576