-
BMJ Open Quality Jul 2020Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important...
BACKGROUND
Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important role in education; however, the patient safety content taught at the point of care is not well studied. We studied, both quantitatively and qualitatively, the number and nature of patient safety messages delivered by attending physicians to determine what is taught at the point of care and how well this is recognised and recalled by attending physicians, residents and medical students.
METHODS
This prospective mixed methods study was conducted on the medicine teaching service. Clinical rounds were audio-recorded. Immediately after rounds, attending physicians, residents and students completed a short survey card identifying the number and type of educational messages they immediately recalled teaching or hearing. Independent t-test was used to compare differences in the number of messages delivered by attendings and recalled by trainees. One-way analysis of variance was used to compare differences in messages delivered by attending physicians compared with trainees. Recordings were transcribed and analysed qualitatively for patient safety content.
RESULTS
Trainees recalled more educational messages than attendings recalled teaching in all educational domains. Safety messages comprised 17.5% of educational messages. The average number of patient safety messages recalled per session was 1.08 per attending physicians, 1.84 per resident and 2.50 per student. Residents recalled 56.4% of safety messages delivered; students recalled 76.7% of safety messages.
CONCLUSION
Patient safety is a focus of teaching during clinical rounds and provides meaningful opportunities to train students and residents to practice safe patient care.
Topics: Attitude of Health Personnel; Clinical Competence; Cross-Sectional Studies; Humans; Patient Safety; Prospective Studies; Qualitative Research; Students, Medical; Surveys and Questionnaires; Teaching Rounds
PubMed: 32719084
DOI: 10.1136/bmjoq-2019-000869 -
Western Journal of Nursing Research Jan 2020This study aims to examine the associations between nurses' perceptions of patient safety culture, patient safety competency, and adverse events. Using convenience...
This study aims to examine the associations between nurses' perceptions of patient safety culture, patient safety competency, and adverse events. Using convenience sampling, we conducted a cross-sectional study from February to May 2018 in two university hospitals. Furthermore, we performed multiple logistic regression to examine associations between patient safety culture, patient safety competency, and adverse events. Higher mean scores for "communication openness" in patient safety culture were significantly correlated with lower rates for pressure ulcers and falls; furthermore, higher mean scores for "working in teams with other health professionals" in patient safety competency were significantly correlated with reductions in ventilator-associated pneumonia. We recommend that a well-structured hospital culture emphasizing patient safety and continuation of in-service education programs for nurses to provide high-quality, clinically safe care is required. Moreover, further research is required to identify interventions to improve patient safety culture and competency and reduce the occurrence of adverse events.
Topics: Adult; Clinical Competence; Cross-Sectional Studies; Female; Humans; Male; Medical Errors; Patient Safety; Safety Management
PubMed: 30915918
DOI: 10.1177/0193945919838990 -
Joint Commission Journal on Quality and... Mar 2024
Topics: Humans; Anniversaries and Special Events; Patient Safety
PubMed: 38246836
DOI: 10.1016/j.jcjq.2024.01.004 -
Bundesgesundheitsblatt,... Jan 2023Improving patient safety is key to better health and nursing care. The Association for the Continuous Development of the National Health Target Process,...
Improving patient safety is key to better health and nursing care. The Association for the Continuous Development of the National Health Target Process, health-targets.de (gesundheitsziele.de), has defined two focus areas, each with six goals, to jointly initiate significant progress in patient safety in Germany and achieve the health target of the same name. It is based on the "Global Patient Safety Action Plan 2021-2030" of the World Health Organization (WHO) and contributes to its implementation on a national level.The national health target addresses all players in healthcare and highlights the role of patients. Strengthening patient safety culture and expanding patient safety competence are at the center of the target process.For patient safety culture, a systemic approach is crucial. Individual-related factors as well as structural and process-oriented variables are looked at. A cooperation that focusses on the wellbeing of patients is essential.Patient safety competence spotlights knowledge on security related aspects in healthcare. At the same time, it focuses on the ability of all those involved to influence care in a positive way-thereby being open to the capabilities of patients.
Topics: Humans; Germany; Patient Safety; Delivery of Health Care; National Health Programs
PubMed: 36481870
DOI: 10.1007/s00103-022-03636-6 -
Journal of Pediatric Urology Oct 2019
Topics: Child; Humans; Patient Safety; Quality Improvement; Surgical Procedures, Operative
PubMed: 31477415
DOI: 10.1016/j.jpurol.2019.07.019 -
Journal of Patient Safety Jan 2021As we approach the 20th anniversary of the Institute of Medicine's report To Err Is Human: Building a Safer Health System, it is important to assess the progress we have...
OBJECTIVES
As we approach the 20th anniversary of the Institute of Medicine's report To Err Is Human: Building a Safer Health System, it is important to assess the progress we have made with respect to patient safety thus far. This study reviews all the existing master's-level degree programs worldwide and assesses them to determine trends and disagreements.
METHODS
Web-based searches were performed using phrases such as "masters," "education," "patient safety," and "healthcare quality." Communication with programs representatives was used to obtain pertinent data not represented on the programs' webpages.
RESULTS
Twenty-five programs exist worldwide, 17 of which within North America. These programs are predominantly taught in a part-time format, with many providing an online setting for learning and requiring various forms of scholarship.
CONCLUSIONS
Programs varied widely in credit hour structure and duration, as well as primary competencies. This highlights the need for the development of program standards to ensure the quality of such programs, as have been developed in other professional fields. Information pertaining to these programs including similarities, differences, trends, and characteristics is detailed in this section. The existence and development of these programs are paramount to future progression in health care, to prevent future errors by studying previous ones, thus improving health care.
Topics: Education, Medical, Graduate; Humans; Patient Safety; Quality of Health Care
PubMed: 32740135
DOI: 10.1097/PTS.0000000000000762 -
Community Health Equity Research &... Jan 2022Patient safety is influenced by a set of factors in various levels of the healthcare system. One of the factors affecting patient safety is safety competencies of the...
Patient safety is influenced by a set of factors in various levels of the healthcare system. One of the factors affecting patient safety is safety competencies of the nursing students. The current study aimed to evaluate the effect of patient safety education on patient safety competencies of the nursing students. This quasi-experimental study was conducted with a pretest-posttest deign. The levels of patient safety competencies of 50 nursing students were investigated in a nursing school affiliated to large university of medical sciences in the south of Iran in 2019. Data were collected using Health Professional Education in Patient Safety Survey (H-PEPSS). The data were analyzed in SPSS 21 using descriptive statistics and repeated measures ANOVA. The three investigated intervals were significantly different in terms of the total H-PEPSS dimensions, while the lowest was attributed to the dimension "managing safety". Mean scores of "how broader patient safety issues are addressed in health professional education" and "comfort speaking up about patient safety" significantly increased during the follow-up periods. The educational intervention was partially effective in improving patient safety competencies of the nursing students over long term.
Topics: Curriculum; Education, Nursing, Baccalaureate; Humans; Patient Safety; Schools, Nursing; Students, Nursing
PubMed: 33241983
DOI: 10.1177/0272684X20974214 -
The Surgical Clinics of North America Feb 2021This article explores the role of human factors engineering in patient safety in surgery. The authors discuss the history and evolution of human factors and the role of... (Review)
Review
This article explores the role of human factors engineering in patient safety in surgery. The authors discuss the history and evolution of human factors and the role of human factors in patient safety and provide a description of human factors methods used to study and improve patient safety.
Topics: Ergonomics; Humans; Patient Safety; Surgical Procedures, Operative
PubMed: 33212071
DOI: 10.1016/j.suc.2020.09.006 -
Current Opinion in Anaesthesiology Dec 2023The evolution of the patient safety perspectives, the technological age, the human factor age and the safety management age, have no clear cut and coexist. The current...
The evolution of the patient safety perspectives, the technological age, the human factor age and the safety management age, have no clear cut and coexist. The current edition of the Current Opinion in Anesthesiology Technology, Education and Safety section presents an eclectic compendium of articles addressing these views from the technological improvements, human factor developments and organizational safety management impacting patient safety. Every solution, every patch to fill the cheese hole, holding the domino piece to fall, opens a new disruption elsewhere that needs to be addressed following the zero-preventable harm path.
Topics: Humans; Patient Safety; Safety Management
PubMed: 37871297
DOI: 10.1097/ACO.0000000000001313 -
Clinical & Translational Oncology :... May 2020The Working Group on Patient Safety and Quality of the Spanish Society of Radiation Oncology, revised the most relevant national and international recommendations,... (Review)
Review
PURPOSE
The Working Group on Patient Safety and Quality of the Spanish Society of Radiation Oncology, revised the most relevant national and international recommendations, selecting a series of important aspects for patient safety, evaluating whether they are included in Spanish legislation MATERIALS AND METHODS: We have considered a concept as relevant to the patient safety in radiotherapy if so defined in at least 8 of the 16 documents reviewed.
RESULTS
12 subjects were selected: training and qualification, human resources, protocols, safety culture, communication, peer review, accreditation: audits, checklists, areas without interruptions, maps of processes and risks, prospective risk analysis, notification, registration and incident learning, and quality control of the equipment.
CONCLUSIONS
At the legislative level, as well as the professional organizations and the health center directorates, the implementation of safety culture must continue to be fostered. Only in this environment will the tools and measures to increase patient safety be effective. The current Spanish legislation must be revised and updated, in accordance with directive 2013/59/EURATOM and the Patient Safety Strategy 2015-2020 of the Spanish National Health System, introducing the obligation to perform risk analysis and incidents management. Audits and accreditations must be carried out, thus raising the general level of practice of the specialty. In this process, the Spanish Society of Radiation Oncology must continue playing its fundamental role, collaborating with the institutions and the rest of the scientific societies involved in the radiotherapy process, issuing recommendations on patient safety and disseminating the safety culture in our specialty.
Topics: Humans; Neoplasms; Patient Safety; Practice Guidelines as Topic; Radiation Oncology; Spain
PubMed: 31325036
DOI: 10.1007/s12094-019-02184-x