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Journal of Clinical Anesthesia Aug 2024
Topics: Humans; Patient Safety; Professionalism; Anesthesiology
PubMed: 38447258
DOI: 10.1016/j.jclinane.2024.111427 -
AORN Journal Dec 2023
Topics: Checklist; Operating Rooms; Patient Safety
PubMed: 38011054
DOI: 10.1002/aorn.14037 -
Journal of Minimally Invasive Gynecology May 2022
Topics: Humans; Patient Care; Patient Safety
PubMed: 35283322
DOI: 10.1016/j.jmig.2022.03.003 -
JAMA Jun 2023US hospitals report data on many health care quality metrics to government and independent health care rating organizations, but the annual cost to acute care hospitals...
IMPORTANCE
US hospitals report data on many health care quality metrics to government and independent health care rating organizations, but the annual cost to acute care hospitals of measuring and reporting quality metric data, independent of resources spent on quality interventions, is not well known.
OBJECTIVE
To evaluate externally reported inpatient quality metrics for adult patients and estimate the cost of data collection and reporting, independent of quality-improvement efforts.
DESIGN, SETTING, AND PARTICIPANTS
Retrospective time-driven activity-based costing study at the Johns Hopkins Hospital (Baltimore, Maryland) with hospital personnel involved in quality metric reporting processes interviewed between January 1, 2019, and June 30, 2019, about quality reporting activities in the 2018 calendar year.
MAIN OUTCOMES AND MEASURES
Outcomes included the number of metrics, annual person-hours per metric type, and annual personnel cost per metric type.
RESULTS
A total of 162 unique metrics were identified, of which 96 (59.3%) were claims-based, 107 (66.0%) were outcome metrics, and 101 (62.3%) were related to patient safety. Preparing and reporting data for these metrics required an estimated 108 478 person-hours, with an estimated personnel cost of $5 038 218.28 (2022 USD) plus an additional $602 730.66 in vendor fees. Claims-based (96 metrics; $37 553.58 per metric per year) and chart-abstracted (26 metrics; $33 871.30 per metric per year) metrics used the most resources per metric, while electronic metrics consumed far less (4 metrics; $1901.58 per metric per year).
CONCLUSIONS AND RELEVANCE
Significant resources are expended exclusively for quality reporting, and some methods of quality assessment are far more expensive than others. Claims-based metrics were unexpectedly found to be the most resource intensive of all metric types. Policy makers should consider reducing the number of metrics and shifting to electronic metrics, when possible, to optimize resources spent in the overall pursuit of higher quality.
Topics: Humans; Delivery of Health Care; Hospitals; Quality Improvement; Quality of Health Care; Retrospective Studies; Adult; United States; Insurance Claim Review; Patient Safety; Public Reporting of Healthcare Data; Economics, Hospital
PubMed: 37278813
DOI: 10.1001/jama.2023.7271 -
BMC Health Services Research May 2024Strong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and...
BACKGROUND
Strong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and patients. However, there is currently minimal published empirical evidence about the relationship between the perceptions of providers and staff on workplace safety culture and patient safety culture.
METHODS
This study examined cross-sectional relationships between the core Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey 2.0 patient safety culture measures and supplemental workplace safety culture measures. We used data from a pilot test in 2021 of the Workplace Safety Supplemental Item Set, which consisted of 6,684 respondents from 28 hospitals in 16 states. We performed multiple regressions to examine the relationships between the 11 patient safety culture measures and the 10 workplace safety culture measures.
RESULTS
Sixty-nine (69) of 110 associations were statistically significant (mean standardized β = 0.5; 0.58 < standardized β < 0.95). The largest number of associations for the workplace safety culture measures with the patient safety culture measures were: (1) overall support from hospital leaders to ensure workplace safety; (2) being able to report workplace safety problems without negative consequences; and, (3) overall rating on workplace safety. The two associations with the strongest magnitude were between the overall rating on workplace safety and hospital management support for patient safety (standardized β = 0.95) and hospital management support for workplace safety and hospital management support for patient safety (standardized β = 0.93).
CONCLUSIONS
Study results provide evidence that workplace safety culture and patient safety culture are fundamentally linked and both are vital to a strong and healthy culture of safety.
Topics: Humans; Patient Safety; Organizational Culture; Cross-Sectional Studies; Safety Management; Workplace; Surveys and Questionnaires; Female; Male; United States; Hospitals; Adult; Attitude of Health Personnel
PubMed: 38698405
DOI: 10.1186/s12913-024-10984-3 -
Journal of Nursing Management Jul 2021To evaluate the mechanism through which nursing leadership impacts patient safety. (Review)
Review
AIMS
To evaluate the mechanism through which nursing leadership impacts patient safety.
BACKGROUND
Patient safety has received considerable attention among policymakers, governments and public sectors with the emphasis in health care settings on minimizing the risk to patients. Claims are made leadership plays a crucial role in patient safety. However, the incidents of adverse events are consistently high in hospitals.
EVALUATION
Published English-only research articles that examine the mechanism by which nursing leadership impacts patient safety were selected from seven electronic databases and manual searches. Data extraction, quality assessments and analysis were completed for ten research studies.
KEY ISSUES
There is evidence of significant mediating effects between nursing leadership and decreased adverse patient outcomes specifically with regard to workplace empowerment, leader-nurse relationship and the quality of the care environment.
CONCLUSION
The findings suggest that nursing leadership has a significant indirect impact on patient safety outcomes. From a person-centred perspective, the care environment requires workplace empowerment and effective relationships between leaders and nurses.
IMPLICATIONS FOR NURSING MANAGEMENT
To improve patient safety outcomes, managers must strive to emphasize workplace empowerment, leader-nurse relationship and the quality of the care environment. Managers must consider these domains as part of an effective workplace culture.
Topics: Humans; Leadership; Patient Safety; Workplace
PubMed: 33283350
DOI: 10.1111/jonm.13226 -
Journal of Patient Safety Oct 2023
Topics: Humans; Patient Safety
PubMed: 37283559
DOI: 10.1097/PTS.0000000000001140 -
Clinical Obstetrics and Gynecology Sep 2019Patient safety bundles and checklists have been shown to improve outcomes in medicine, surgery, and obstetrics. Until recently, there has been less study into their use...
Patient safety bundles and checklists have been shown to improve outcomes in medicine, surgery, and obstetrics. Until recently, there has been less study into their use in the gynecology setting. Here, we review the available evidence and examples of successful checklist and bundle implementation in gynecology and encourage more robust implementation and standardization in our field going forward.
Topics: Checklist; Female; Gynecology; Humans; Patient Care Bundles; Patient Safety
PubMed: 31145114
DOI: 10.1097/GRF.0000000000000463 -
Journal of Health Organization and... Aug 2019The purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings. (Review)
Review
PURPOSE
The purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings.
DESIGN/METHODOLOGY/APPROACH
This scoping review was conducted and reported in accordance with the PRISMA. The review followed the four stages of conducting scoping review as defined by Arskey and O'Malley (2005).
FINDINGS
Initially, 978 articles were identified through database search from which only 24 studies were considered relevant and included in the final review. Overall, eight types of non-clinical rounds were identified (death rounds, grand rounds, morbidity and mortality conferences, multidisciplinary rounds, patient safety rounds, patient safety huddles, walkarounds and Schwartz rounds) that independently of their format, goal, participants and type of outcomes aimed to enhance patient safety and improve quality of healthcare delivery in hospital settings, either by focusing on physician, patient or organizational system.
ORIGINALITY/VALUE
To the authors' knowledge this is the first review that aims to provide a comprehensive summary to the types of non-clinical rounds that has been applied in clinical settings.
Topics: Hospitals; Patient Safety; Teaching Rounds
PubMed: 31483207
DOI: 10.1108/JHOM-09-2018-0244 -
Contemporary Nurse Apr 2023
Topics: Humans; Patient Safety
PubMed: 37015901
DOI: 10.1080/10376178.2023.2200015