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Frontiers in Public Health 2022
Topics: Humans; Malpractice; Patient Safety; Risk Management
PubMed: 36133929
DOI: 10.3389/fpubh.2022.970258 -
JAMA Feb 2017
Topics: Health Services Misuse; Humans; Patient Safety
PubMed: 28245304
DOI: 10.1001/jama.2017.0896 -
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 -
Perspectives on Medical Education Dec 2021Theory plays an important role in education programming and research. However, its use in quality improvement and patient safety education has yet to be fully... (Review)
Review
INTRODUCTION
Theory plays an important role in education programming and research. However, its use in quality improvement and patient safety education has yet to be fully characterized. The authors undertook a scoping review to examine the use of theory in quality improvement and patient safety education.
METHODS
Eligible articles used theory to inform the design or study of a quality improvement or patient safety curriculum. The authors followed scoping review methodology and searched articles referenced in 20 systematic reviews of quality improvement and patient safety education, or articles citing one of these reviews, and hand searched eligible article references. Data analysis involved descriptive and interpretive summaries of theories used and the perspectives the theories offered.
RESULTS
Eligibility criteria were met by 28 articles, and 102 articles made superficial mention of theory. Eligible articles varied in professional group, learning stage and journal type. Theories fell into two broad categories: learning theories (n = 20) and social science theories (n = 11). Theory was used in the design (n = 12) or study (n = 17) of quality improvement and patient safety education. The range of theories shows the opportunity afforded by using more than one type of theory.
DISCUSSION
Theory can guide decisions regarding quality improvement and patient safety education practices or play a role in selecting a methodology or lens through which to study educational processes and outcomes. Educators and researchers should make deliberate choices around the use of theory that relates to aspects of an educational program that they seek to illuminate.
Topics: Curriculum; Humans; Learning; Patient Safety; Quality Improvement
PubMed: 34609733
DOI: 10.1007/s40037-021-00686-5 -
Journal of the American Society of... 2022Patient safety and quality improvement initiatives are integral parts of every cytopathology laboratory. The need to revisit our approaches to patient safety are... (Review)
Review
Patient safety and quality improvement initiatives are integral parts of every cytopathology laboratory. The need to revisit our approaches to patient safety are essential in light of the expanding test menu, ancillary studies, comprehensive diagnostic reports, and emergence of new technologies for augmenting cytologic diagnosis. Our interview with Drs. Yael Heher, Adam Seegmiller, and Paul VanderLaan explores recent developments that have shaped their perspectives in patient safety, test usage, and laboratory quality. The practical strategies presented provide tools for enhanced patient safety and improved outcomes in a new era of ancillary and molecular testing and standardized reporting in the cytopathology laboratory.
Topics: Humans; Laboratories; Patient Safety; Quality Improvement
PubMed: 34996748
DOI: 10.1016/j.jasc.2021.12.001 -
Journal For Healthcare Quality :...Although most patient-clinician interactions occur in ambulatory care, little research has addressed measuring ambulatory patient safety or how primary care redesign...
Although most patient-clinician interactions occur in ambulatory care, little research has addressed measuring ambulatory patient safety or how primary care redesign such as the patient-centered medical home (PCMH) addresses patient safety. Our objectives were to identify PCMH standards relevant to patient safety, construct a measure of patient safety activity implementation, and examine differences in adoptions of these activities by practice and community characteristics. Using a consensus process, we selected elements among a widely adopted, nationally representative PCMH program representing activities that, according to a physician panel, represented patient safety overall and in four domains (diagnosis, treatment delays, medications, and communication and coordination) and generated a score for each. We then evaluated this score among 5,007 practices with the highest PCMH recognition level. Implementation of patient safety activities varied; the few military practices (2.4%) had the highest, and community clinics the lowest, patient safety score, both overall (82.0 and 72.0, respectively, p < .001) and across specific domains. Other practice and community characteristics were not associated with the patient safety score. Understanding better what factors are associated with implementation of patient safety activities may be a key step in improving ambulatory patient safety.
Topics: Ambulatory Care; Ambulatory Care Facilities; Humans; Patient Safety; Patient-Centered Care; Primary Health Care
PubMed: 34117174
DOI: 10.1097/JHQ.0000000000000312 -
Anesthesiology Nov 2017
Topics: Humans; Patient Safety; Quality of Health Care
PubMed: 28885447
DOI: 10.1097/ALN.0000000000001876 -
Nursing Open Jul 2022This study identified and evaluated tested patient safety educational interventions. This study also described the content, curricular structures and teaching strategies... (Review)
Review
AIM
This study identified and evaluated tested patient safety educational interventions. This study also described the content, curricular structures and teaching strategies of the educational interventions and determined the methods used for evaluating patient safety learning outcomes.
DESIGN
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines directed this review.
METHODS
Searches for articles describing and evaluating patient safety educational interventions were conducted using four scholarly databases. Study quality was assessed using the McMaster Critical Review Form.
RESULTS
Seven studies met the inclusion criteria. Educational interventions were either presented as stand-alone courses or as lessons embedded in an existing course. All studies employed a mixture of various teaching modalities and several evaluation methods and outcomes. Mixed results were observed in terms of the effects of educational interventions. Future researchers should continue to develop patient safety curricula and examine their effect on student competencies with stronger methodological rigour.
Topics: Curriculum; Education, Nursing; Faculty, Nursing; Humans; Patient Safety
PubMed: 34047058
DOI: 10.1002/nop2.955 -
Journal of the Royal Society of Medicine Nov 2019Locum doctors are often perceived to present greater risks of causing harm to patients than permanent doctors. After eligibility and quality assessment, eight empirical... (Review)
Review
Locum doctors are often perceived to present greater risks of causing harm to patients than permanent doctors. After eligibility and quality assessment, eight empirical and 34 non-empirical papers were included in a narrative synthesis to establish what was known about the quality and safety of locum medical practice. Empirical literature was limited and weak methodologically. Locums enabled healthcare organisations to maintain appropriate staffing levels and allowed staffing flexibility, but they also gave rise to concerns about continuity of care, patient safety, team function and cost. There was some evidence to suggest that the way locum doctors are recruited, employed and used by organisations, may result in a higher risk of harm to patients. A better understanding of the quality and safety of locum working is needed to improve the use of locum doctors and the quality and safety of patient care that they provide.
Topics: Career Choice; Family Practice; Humans; Job Satisfaction; Patient Safety; Personnel Staffing and Scheduling; Physicians
PubMed: 31710823
DOI: 10.1177/0141076819877539 -
British Journal of Anaesthesia Aug 2017
Topics: Checklist; Cognition; Humans; Patient Safety
PubMed: 28655180
DOI: 10.1093/bja/aex193