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Anesthesiology Apr 2023
Topics: Clinical Alarms; Monitoring, Physiologic; Patient Safety
PubMed: 36729394
DOI: 10.1097/ALN.0000000000004499 -
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 -
American Family Physician Jun 2020
Topics: Editorial Policies; Family Practice; Patient Advocacy; Patient Participation; Patient Safety
PubMed: 32538601
DOI: No ID Found -
Ugeskrift For Laeger Nov 2023
Topics: Humans; Patient Safety; Technology
PubMed: 38018733
DOI: No ID Found -
Health Informatics Journal Dec 2020The use of novel health information technology provides avenues for potentially significant patient benefit. However, it is also timely to take a step back and to...
The use of novel health information technology provides avenues for potentially significant patient benefit. However, it is also timely to take a step back and to consider whether the use of these technologies is safe - or more precisely what the current evidence for their safety is, and what kinds of evidence we should be looking for in order to create a convincing argument for patient safety. This special issue on patient safety includes eight papers that demonstrate an increasing focus on qualitative approaches and a growing recognition that the sociotechnical lens of examining health information technology-associated change is important. We encourage a balanced approach to technology adoption that embraces innovation, but nonetheless insists upon suitable concerns for safety and evaluation of outcomes.
Topics: Humans; Medical Informatics; Patient Safety; Technology
PubMed: 31581891
DOI: 10.1177/1460458219876183 -
Anaesthesia Dec 2021
Topics: Health Personnel; Humans; Medical Errors; Models, Statistical; Patient Safety; Work Performance; Workload
PubMed: 33858027
DOI: 10.1111/anae.15481 -
Revista Brasileira de Enfermagem 2021to analyze the contents on patient safety in the training of nursing technicians.
OBJECTIVES
to analyze the contents on patient safety in the training of nursing technicians.
METHODS
a documentary study, conducted in three technical nursing courses at a public university in northeastern Brazil, based on the Multi-Professional Patient Safety Curriculum Guide, published by the World Health Organization.
RESULTS
we found that, of the 26 subjects in each course, the tracking terms were found in 22 subjects in the A/C courses, 23 in the B course. The topics of the guide with the highest number of terms were the improvement in medication safety, with 85 terms (22.6%), and Infection prevention and control, with 75 terms (20%). The contents do not express the comprehensiveness of patient safety education; some subjects had this focus, while others did not.
CONCLUSIONS
the documents revealed gaps in the contents related to patient safety and demonstrated that they are addressed only in the course syllabus and discipline plans.
Topics: Brazil; Curriculum; Educational Measurement; Humans; Patient Safety; Universities
PubMed: 34586199
DOI: 10.1590/0034-7167-2020-1364 -
BMJ Open Quality Sep 2020In the USA over 30% of medication errors occur at the point of administration. Among non-surgical patients in US hospitals exposed to opioids, 0.6% experience a severe...
INTRODUCTION
In the USA over 30% of medication errors occur at the point of administration. Among non-surgical patients in US hospitals exposed to opioids, 0.6% experience a severe opioid-related adverse event. In September 2018, Sierra View Medical Center identified two areas of opportunity for quality improvement: bedside bar code medication administration (BCMA) and pain reassessments. At baseline (April 2018 to September 2018) only 81% of medications were scanned prior to administration with pain reassessments completed only 41% of the time 1 hour postopioid administration.
OBJECTIVE
To improve BCMA scanning rates (goal ≥95%) and pain reassessments within 1 hour postopioid administration (goal ≥90%).
METHODS
Implementation methods included data transparency, weekly dashboards, education and plan-do-study-act (PDSA) cycles informed by feedback from key stakeholders.
RESULTS
Following a series of PDSA cycle implementations, barcode medication administration (BCMA) scanning rates improved by 14% (from 81% to 95%) and pain reassessments improved by 50% (from 41% to 91%), sustained 17 months postproject implementation (October 2018 to February 2019). The number of adverse drug events (ADEs) related to administration errors decreased by 17% (estimated annual cost savings of $120 750-239 725 per year) and opioid-related ADEs decreased by 2.6% (estimated annual cost savings of $72 855-80 928 per year).
CONCLUSION
Adopting John Kotter's model for change, developing performance dashboards and sustaining engagement among stakeholders on a weekly basis improved bar code medication scanning rates and pain reassessment compliance. The stakeholders created momentum for change in both practice and culture resulting in improved patient safety with a favourable financial impact.
Topics: Electronic Data Processing; Hospitals, Community; Humans; Medication Errors; Medication Systems; Medication Systems, Hospital; Pain Measurement; Patient Safety
PubMed: 32958472
DOI: 10.1136/bmjoq-2020-000987 -
Revista Brasileira de Enfermagem May 2018To analyze curricular integration between teaching of patient safety and good infection prevention and control practices. (Review)
Review
OBJECTIVE
To analyze curricular integration between teaching of patient safety and good infection prevention and control practices.
METHOD
Integrative review, designed to answer the question: "How does curricular integration of content about 'patient safety teaching' and content about 'infection prevention and control practices' occur in undergraduate courses in the health field?". The following databases were searched for primary studies: CINAHL, LILACS, ScienceDirect, Web of Science, Scopus, Europe PMC and MEDLINE.
RESULTS
The final sample consisted of 13 studies. After content analysis, primary studies were grouped into two subject categories: "Innovative teaching practices" and "Curricular evaluation.
CONCLUSION
Patient safety related to infection prevention and control practices is present in the curriculum of health undergraduate courses, but is not coordinated with other themes, is taught sporadically, and focuses mainly on hand hygiene.
Topics: Curriculum; Education, Nursing, Baccalaureate; Humans; Infection Control; Patient Safety
PubMed: 29924159
DOI: 10.1590/0034-7167-2017-0314 -
Journal of the American Medical... Jul 2021
Topics: Humans; Medical Informatics; Patient Safety; Quality of Health Care
PubMed: 34329435
DOI: 10.1093/jamia/ocab141