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British Journal of Nursing (Mark Allen... Sep 2023
Topics: Humans; Patient Safety
PubMed: 37682764
DOI: 10.12968/bjon.2023.32.16.773 -
BMJ Quality & Safety Jul 2023
Topics: Humans; Patient Safety; Emotions; Patient-Centered Care
PubMed: 36732064
DOI: 10.1136/bmjqs-2022-015573 -
Anesthesiology Clinics Dec 2023Clinician well-being and patient safety are intricately linked. We propose that organizational factors (ie, elements of the perioperative work environment and culture)... (Review)
Review
Clinician well-being and patient safety are intricately linked. We propose that organizational factors (ie, elements of the perioperative work environment and culture) affect both, as opposed to a bidirectional causal relationship. Threats to patient safety and clinician well-being include clinician mental health issues, negative work environments, poor teamwork and communication, and staffing shortages. Opportunities to mitigate these threats include the normalization of mental health care, peer support, psychological safety, just culture, teamwork and communication training, and creative staffing approaches.
Topics: Humans; Patient Safety; Communication; Patient Care Team
PubMed: 37838381
DOI: 10.1016/j.anclin.2023.05.003 -
La Tunisie Medicale Jul 2023Given the potential risks involved in childbirth, patient safety is of utmost importance in maternity care. (Observational Study)
Observational Study
INTRODUCTION
Given the potential risks involved in childbirth, patient safety is of utmost importance in maternity care.
AIM
To compare the level of patient safety culture between physicians and paramedics in public maternity care structures in Sousse, Tunisia.
METHODS
An observational descriptive and cross-sectional study was conducted among health professionals working in all public health maternities of Sousse, Tunisia. A valid Hospital Survey On Patient Safety Culture (HSOPSC) questionnaire was used to gather data, and a score was calculated for each dimension by taking the average of the positive response proportions per item.
RESULTS
The global response rate was 86.4%. Paramedics had a higher response rate compared to physicians (90.6% versus 62.1%). The overall scores for the ten dimensions of patient safety culture showed significantly higher scores for physicians compared to paramedics for the dimensions of "Expectations and actions of superiors regarding care safety" and "healthcare professional-patient relationship and safety culture" (88.43% versus 63.73%; p=0.027 and 75.38% versus 65.73%; p=0.041 respectively). Conversely, a significant difference was found in favor of paramedics compared to physicians regarding the dimension of "Management support for care safety" (37.3% versus 13%; p=0.019).
CONCLUSION
Significant differences in patient safety culture scores among healthcare professionals. It suggest that efforts should be made to improve management support for care safety for physicians, while paramedics could benefit from increased attention to expectations and actions of superiors regarding care safety and healthcare professional-patient relationship.
Topics: Female; Pregnancy; Humans; Patient Safety; Cross-Sectional Studies; Maternal Health Services; Inpatients; Health Personnel
PubMed: 38445426
DOI: No ID Found -
Journal of Advanced Nursing Feb 2024To identify and characterize the thematic foci, structure and evolution of nursing research on surveillance and patient safety. (Review)
Review
AIMS
To identify and characterize the thematic foci, structure and evolution of nursing research on surveillance and patient safety.
DESIGN
Bibliometric analysis.
METHODS
Bibliometric methods were employed to analyse 1145 articles, using Bibliometrix and VOSviewer software.
DATA SOURCE
The Scopus bibliographic database was searched on April 7, 2023.
RESULTS
A keyword co-occurrence analysis found the most frequently occurring keywords to be: patient safety, nursing, nurses, adverse events, monitoring, critical care, quality improvement, vital signs, safety, alarm fatigue, education, nursing care, surveillance, clinical alarms, failure to rescue, evidence-based practice, acute care, clinical deterioration, communication, intensive care. Network mapping, clustering and time-tracking of the keywords revealed the focal themes, structure and evolution of the research field.
CONCLUSION
By assessing critical areas of the nursing research field, this study extends and enriches the current discourse on surveillance and patient safety for nursing researchers and practitioners. Critical challenges still have to be met by nurses, however, including the failure to rescue deteriorating patients. Further knowledge and understanding of surveillance and patient safety must be successfully translated from research to practice.
IMPLICATIONS FOR THE PROFESSION
This study highlights the gaps in nursing knowledge with regard to surveillance and patient safety and encourages nursing professionals to turn to evidence-based surveillance practices.
IMPACT
In addressing the problem of surveillance and its effect on patient safety, this study found that, in most clinical care settings, preventing failures to rescue and adverse patient outcomes still remains a challenge for the nursing profession. This study should have an impact on nursing academics' future research themes and on nursing professionals' future clinical practices.
REPORTING METHOD
Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.
Topics: Humans; Patient Safety; Nursing Research; Nursing Care; Critical Care; Bibliometrics
PubMed: 37458320
DOI: 10.1111/jan.15793 -
Critical Care Clinics Jul 2024The hospital rapid response system (RRS) is a patient safety and quality intervention that responds quickly to clinical deteriorations on general wards with the goal of... (Review)
Review
The hospital rapid response system (RRS) is a patient safety and quality intervention that responds quickly to clinical deteriorations on general wards with the goal of preventing cardiopulmonary arrests, reducing hospital mortality, and facilitating triage and level of care escalations. The RRS is one of the first organized, and systematic, elements of the "ICU without walls" model. RRSs have been shown to be effective in preventing deterioration to cardiopulmonary arrest on general hospital wards and reducing total and unexpected hospital mortality. Recent studies have demonstrated that this benefit can be enhanced through targeted improvements and modifications of existing RRSs.
Topics: Humans; Hospital Rapid Response Team; Heart Arrest; Hospital Mortality; Intensive Care Units; Patient Safety; Triage
PubMed: 38796229
DOI: 10.1016/j.ccc.2024.03.008 -
BMJ (Clinical Research Ed.) Aug 2023
Topics: Humans; Whistleblowing; Patient Safety
PubMed: 37643769
DOI: 10.1136/bmj.p1972 -
BMJ Quality & Safety May 2024
Topics: Artificial Intelligence; Humans; Patient Safety; Quality of Health Care
PubMed: 38760073
DOI: 10.1136/bmjqs-2024-017382 -
Anesthesiology Clinics Dec 2023
Topics: Humans; Patient Safety; Pandemics
PubMed: 37838391
DOI: 10.1016/j.anclin.2023.07.001 -
British Journal of Nursing (Mark Allen... Oct 2023, Lecturer in Law, Birmingham Law School, University of Birmingham, and reflect on the reasons for the introduction of Martha's Rule.
, Lecturer in Law, Birmingham Law School, University of Birmingham, and reflect on the reasons for the introduction of Martha's Rule.
Topics: Humans; Patient Safety; State Medicine; Schools; United Kingdom
PubMed: 37830851
DOI: 10.12968/bjon.2023.32.18.908