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Lancet (London, England) Sep 2019
Topics: Humans; Medical Errors; Patient Safety; Quality of Health Care; World Health Organization
PubMed: 31526719
DOI: 10.1016/S0140-6736(19)32080-X -
Clinical Obstetrics and Gynecology Sep 2019There is no single framework for a successful obstetric patient safety program. However, there are ample resources for the important components needed to create a... (Review)
Review
There is no single framework for a successful obstetric patient safety program. However, there are ample resources for the important components needed to create a patient safety program. All labor and delivery units should formulate their own quality and safety program that is individualized to the patients and staff that they serve. Here we will lay out the infrastructure as has been supported by the literature and reinforced in our experience.
Topics: Delivery, Obstetric; Female; Humans; Patient Safety; Pregnancy; Program Development; Quality Improvement
PubMed: 31169555
DOI: 10.1097/GRF.0000000000000468 -
Journal of Pediatric Urology Oct 2022
Topics: Humans; Patient Safety; Quality Improvement
PubMed: 36244900
DOI: 10.1016/j.jpurol.2021.08.026 -
The International Journal of Risk &... 2020
Topics: Humans; Patient Safety; Periodicals as Topic; Risk Factors; Safety Management
PubMed: 32176658
DOI: 10.3233/JRS-201001 -
Clinical Obstetrics and Gynecology Sep 2019This article will review the basic principles of risk management, the role of the risk manager, and the importance of risk management in the patient safety movement as... (Review)
Review
This article will review the basic principles of risk management, the role of the risk manager, and the importance of risk management in the patient safety movement as it pertains to obstetrics and gynecology. Several tools that are used by risk managers including risk assessments and root cause analyses will be used to illustrate positive patient safety measures that can be initiated to decrease adverse outcomes and reduced risk to an organization. The dramatic reduction in adverse outcomes and claims after the introduction of patient safety initiatives in a major obstetrical service will be reviewed.
Topics: Female; Gynecology; Humans; Obstetrics; Patient Safety; Pregnancy; Risk Management
PubMed: 31259840
DOI: 10.1097/GRF.0000000000000473 -
Journal of Clinical Nursing Jun 2024To summarize existing studies that focused on improving hospitalized patient safety through patient and family engagement interventions to identify priorities and gaps. (Review)
Review
AIM
To summarize existing studies that focused on improving hospitalized patient safety through patient and family engagement interventions to identify priorities and gaps.
DESIGN
A scoping review.
METHODS
Eight databases and citations of important reviews were searched on 30 September 2022. Two researchers independently screened the records. Then, two researchers extracted the data and cross-checked. The results were synthesized narratively, and a comparison was performed for studies from China and those from other countries.
RESULTS
Ninety-eight studies were included. The results indicated that patient and family engagement interventions were applied to decrease the incidence of patient safety incidents, and to improve the healthcare providers' and patients' knowledge, attitude or practice of patient safety. Most studies only engaged patients and families at the direct care level, and the engagement strategies at the organization and health system levels were insufficient. For stakeholders, many studies failed to consider patients' perspectives in intervention design and report taking staff training as a supportive strategy. Healthcare providers, especially nurses, were the main implementers of current interventions. Certain differences were observed between studies from China and those from other countries in the above aspects.
CONCLUSIONS
International interest in engaging patient and family for patient safety is growing. Future studies should enhance the patient and family engagement as a partner in various patient safety at the direct care level, and further explore the engagement at the organization and health system levels.
RELEVANCE TO CLINICAL PRACTICE
Nurses, as the main formal caregivers for patients, should promote patient and family engagement in patient safety, especially at direct care level. Nurse should also incorporate the perspectives of patients in the design and implementation of interventions.
REPORTING METHOD
PRISMA-ScR Checklist.
Topics: Female; Humans; Male; China; Family; Hospitalization; Patient Participation; Patient Safety
PubMed: 38323678
DOI: 10.1111/jocn.17022 -
Western Journal of Nursing Research Oct 2021The involvement of patients and families is essential for improving patient safety. However, the role of patients and caregivers in patient safety has recently been...
The involvement of patients and families is essential for improving patient safety. However, the role of patients and caregivers in patient safety has recently been receiving attention, and programs and interventions have been implemented for patients and caregivers. The objective of this systematic review was to identify the types of interventions to improve patient safety that focused on engaging patients and their families, and the effectiveness of these interventions. Searching four electronic databases, 2019 articles were obtained; of these, 15 articles met the inclusion criteria. The studies used intervention strategies at the "information" and "involvement" engagement levels. Interventions with strategies only at the information level mostly measured safety perception and were mostly found to be effective. Interventions with both information and involvement strategies measured more diverse outcomes, but their effectiveness was inconsistent. Further studies using a range of intervention strategies and outcomes with more rigorous methodologies are needed.PROSPERO registration number CRD42018096162.
Topics: Caregivers; Humans; Patient Safety
PubMed: 33353509
DOI: 10.1177/0193945920980770 -
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 -
Journal of Patient Safety Mar 2020This article is part of the To the Point Series prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee.... (Review)
Review
This article is part of the To the Point Series prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee. Principles and education in patient safety have been well integrated into academic obstetrics and gynecology practices, although progress in safety profiles has been frustratingly slow. Medical students have not been included in the majority of these ambulatory practice or hospital-based initiatives. Both the Association of American Medical Colleges and Accreditation Council for Graduate Medical Education have recommended incorporating students into safe practices. The Accreditation Council for Graduate Medical Education milestone 1 for entering interns includes competencies in patient safety. We present data and initiatives in patient safety, which have been successfully used in undergraduate and graduate medical education. In addition, this article demonstrates how using student feedback to assess sentinel events can enhance safe practice and quality improvement programs. Resources and implementation tools will be discussed to provide a template for incorporation into educational programs and institutions. Medical student involvement in the culture of safety is necessary for the delivery of both high-quality education and high-quality patient care. It is essential to incorporate students into the ongoing development of patient safety curricula in obstetrics and gynecology.
Topics: Curriculum; Education, Medical, Undergraduate; Gynecology; Humans; Obstetrics; Patient Safety
PubMed: 27465297
DOI: 10.1097/PTS.0000000000000250 -
Annals of the Royal College of Surgeons... Feb 2024
Topics: Humans; Patient Safety; Operating Rooms; Patient Care Team
PubMed: 38295841
DOI: 10.1308/rcsann.2024.0007