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Revista Gaucha de Enfermagem Nov 2023
Topics: Humans; Patient Safety; Nursing Staff, Hospital
PubMed: 37971112
DOI: 10.1590/1983-1447.2023.20230194.en -
American Journal of Medical Quality :... 2020
Topics: Communicable Disease Control; Humans; Leadership; Masks; Patient Safety; Public Health
PubMed: 32672470
DOI: 10.1177/1062860620940290 -
Primary Dental Journal Mar 2021Patient safety should be at the heart of any healthcare service. Systems, teams, individuals and environments must work in tandem to strive for safety and quality.... (Review)
Review
Patient safety should be at the heart of any healthcare service. Systems, teams, individuals and environments must work in tandem to strive for safety and quality. Research into patient safety in dentistry is still in the early stages. The vast majority of the research in this area has originated from the secondary care and academic fields. Approximately 95% of dental care is provided in the primary care sector. In this paper, we provide an overview of the evidence base for patient safety in dentistry and discuss the following aspects of patient safety: human factors; best practice; the second victim concept; potential for over-regulation and creating a patient safety culture. Through discussion of these concepts, we hope to provide the reader with the necessary tools to develop a patient safety culture in their practice.
Topics: Dental Care; Humans; Patient Safety; Primary Health Care; Safety Management
PubMed: 33722142
DOI: 10.1177/2050168420980990 -
Eye (London, England) Oct 2019
Topics: Cataract Extraction; Diagnostic Tests, Routine; Humans; Patient Safety
PubMed: 31289354
DOI: 10.1038/s41433-019-0526-8 -
Journal of Patient Safety Dec 2021The past 20 years have seen the emergence of a national movement to improve hospital-based healthcare safety in the United States. However, much of the foundational work...
OBJECTIVES
The past 20 years have seen the emergence of a national movement to improve hospital-based healthcare safety in the United States. However, much of the foundational work and subsequent research have neglected inpatient psychiatry. The aim of this article was to advance a comprehensive approach for conceptualizing patient safety in inpatient psychiatry as framed by an application of the Institute of Medicine patient safety framework.
METHODS
This article develops a framework for characterizing patient safety in hospital-based mental health care. We discuss some of the conceptual and methodological issues related to defining what constitutes a patient safety event in inpatient psychiatry and then enumerate a comprehensive set of definitions of the types of safety events that occur in this setting.
RESULTS
Patient safety events in inpatient psychiatry are broadly categorized as adverse events and medical errors. Adverse events are composed of adverse drug events and nondrug adverse events, including self-harm or injury to self, assault, sexual contact, patient falls, and other injuries. Medical errors include medication errors and nonmedication errors, such as elopement and contraband. We have developed clear definitions that would be appropriate for use in epidemiological studies of inpatient mental health treatment.
CONCLUSIONS
Psychiatry has not been an integral part of the national safety movement. As a first step toward breaching this chasm, we have considered how psychiatric events fit into the safety framework adopted across much of medicine. Patient safety should become a key part of inpatient psychiatry's mission and pursued rigorously as the subject of research and intervention efforts.
Topics: Drug-Related Side Effects and Adverse Reactions; Humans; Inpatients; Medication Errors; Patient Safety; Psychiatry; United States
PubMed: 30020194
DOI: 10.1097/PTS.0000000000000520 -
Journal of Patient Safety Sep 2022Electronic health records (EHRs) have become ubiquitous in medicine and continue to grow in informational content. Little has been documented regarding patient safety... (Review)
Review
BACKGROUND AND OBJECTIVE
Electronic health records (EHRs) have become ubiquitous in medicine and continue to grow in informational content. Little has been documented regarding patient safety from the resultant information overload. The objective of this literature review is to better understand how information overload in EHR affects patient safety.
METHODS
A literature search was performed using the Transparent Reporting of Systematic Reviews and Meta-Analyses standards for literature review. PubMed and Web of Science were searched and articles selected that were relevant to EHR information overload based on keywords.
RESULTS
The literature search yielded 28 articles meeting the criteria for the study. Information overload was found to increase physician cognitive load and error rates in clinical simulations. Overabundance of clinically irrelevant information, poor data display, and excessive alerting were consistently identified as issues that may lead to information overload.
CONCLUSIONS
Information overload in EHRs may result in higher error rates and negatively impact patient safety. Further studies are necessary to define the role of EHR in adverse patient safety events and to determine methods to mitigate these errors. Changes focused on the usability of EHR should be considered with the end user (physician) in mind. Federal agencies have a role to play in encouraging faster adoption of improved EHR interfaces.
Topics: Electronic Health Records; Humans; Patient Safety; Physicians; Systematic Reviews as Topic
PubMed: 35985047
DOI: 10.1097/PTS.0000000000001002 -
Nursing Open Dec 2023To analyse the perception of patient safety culture among nursing students and to compare patient safety outcomes between the different year nursing groups.
AIM
To analyse the perception of patient safety culture among nursing students and to compare patient safety outcomes between the different year nursing groups.
DESIGN
A cross-sectional descriptive study was conducted with nursing students (n = 266) between first and fourth years from one university in Spain.
METHODS
The project was conducted during the 2020/21 academic year. The data were collected using a translated and adapted version of the "Hospital Survey on Patient Safety" developed by the Agency of Healthcare Quality (AHQR).
RESULTS
Significant differences were found between the year of study of the nursing degree and whether or not specific training in patient safety culture had been received. The nursing students who had received specific training gave scores lower than anyone else in all questionnaire items, but only the indicators of "good practice" (p = 0.00) and "frequency of reported events" (p = 0.0012) showed significant differences. In some cases, fourth-year students had lower significant mean scores in their "perception of patient safety within unit/sector," "indicators of good practice" and "total score."
PUBLIC CONTRIBUTION
Adverse events related to clinical practice continue to be a global problem. Improvements in patient safety require an increase in the patient safety culture of professionals and the promotion of development facilitators. Clinical practice and specific theoretical training foster greater awareness and demand related to patient safety, which is of interest when it comes to the development of new programmes that combine both methodologies and improve their effectiveness. Patient safety will continue to be a focus for all healthcare systems. The patient safety culture of future healthcare professionals should be developed at the university level in order to avoid unnecessary adverse events.
Topics: Humans; Cross-Sectional Studies; Patient Safety; Students, Nursing; Safety Management; Perception
PubMed: 37859574
DOI: 10.1002/nop2.1995 -
International Journal of Environmental... Mar 2021Patient safety is considered an important issue in the field of healthcare, and most advanced countries.
BACKGROUND
Patient safety is considered an important issue in the field of healthcare, and most advanced countries.
PURPOSE
This study was designed to evaluate a patient safety education program among hospitalized patients. Of the 69 participants, 33 completed the patient safety education program while the 36 remaining participants were given educational booklets. The program was used to measure knowledge about patient safety, patient safety perception, and willingness to participate in patient safety.
METHODS
Patient safety education was developed by the analysis-design-development-implementation-evaluation model considering expert advice, patient needs, and an extensive literature review. Data were collected from 20 July to 13 November 2020. Data were analyzed using SPSS statistical program. The effectiveness of the experimental and control groups before and after education was analyzed using paired -tests, and the difference in the amount of increase in the measured variables for each group was analyzed using independent -tests.
RESULTS
The experimental group had significantly higher patient safety scores ( = 2.52, = 0.014) and patient safety perception ( = 2.09, = 0.040) than those of the control group. However, there was no significant difference between the two groups regarding the willingness to participate in patient safety.
CONCLUSION
The patient safety education program developed using mobile tablet PCs could be an effective tool to enhance patient involvement in preventing events that may threaten the safety of patients. Further studies are recommended to develop a variety of educational interventions to increase patient safety knowledge and perceptions of patients and caregivers.
Topics: Caregivers; Humans; Inpatients; Patient Participation; Patient Safety
PubMed: 33809882
DOI: 10.3390/ijerph18063262 -
Health Expectations : An International... Feb 2023Patient safety problems stemming from healthcare delivery constitute a global public health concern and represent a pervasive barrier to improving care quality and... (Review)
Review
INTRODUCTION
Patient safety problems stemming from healthcare delivery constitute a global public health concern and represent a pervasive barrier to improving care quality and clinical outcomes. However, evidence generation into safety in mental health care, particularly regarding community-based mental health services, has long fallen behind that of physical health care, forming the focus of fewer research publications and developed largely in isolation from the wider improvement science discipline. We aimed to investigate the state of the field, along with key conceptual and empirical challenges to understanding patient safety in community-based mental health care.
METHODS
A narrative review surveyed the literature to appraise the conceptual obstacles to advancing the science of patient safety in community-based mental health services. Sources were identified through a combination of a systematic search strategy and targeted searches of theoretical and empirical evidence from the fields of mental health care, patient safety and improvement science.
RESULTS
Amongst available evidence, challenges in defining safety in the context of community mental health care, evaluating safety in long-term care journeys and establishing what constitutes a 'preventable' safety problem, were identified. A dominant risk management approach to safety in mental health care, positioning service users as the origin of risk, has seemingly prevented a focus on proactive safety promotion, considering iatrogenic harm and latent system hazards.
CONCLUSION
We propose a wider conceptualization of safety and discuss the next steps for the integration and mobilization of disparate sources of 'safety intelligence', to advance how safety is conceived and addressed within community mental health care.
PATIENT AND PUBLIC CONTRIBUTION
This paper was part of a larger research project aimed at understanding and improving patient safety in community-based mental health care. Although service users, carers and healthcare professionals were not involved as part of this narrative review, the views of these stakeholder groups were central to shaping the wider research project. For a qualitative interview and focus group study conducted alongside this review, interview topic guides were informed by this narrative analysis, designed jointly and piloted with a consultation group of service users and carers with experience of community-based mental health services for working-age adults, who advised on key questioning priorities.
Topics: Adult; Humans; Community Health Services; Community Mental Health Services; Delivery of Health Care; Patient Safety; Quality of Health Care
PubMed: 36370458
DOI: 10.1111/hex.13660 -
Cadernos de Saude Publica 2020Adverse events pose a serious problem for quality of healthcare. Dental practice is eminently invasive and involves close and routine contact with secretions; as such,... (Review)
Review
Adverse events pose a serious problem for quality of healthcare. Dental practice is eminently invasive and involves close and routine contact with secretions; as such, it is potentially prone to the occurrence of adverse events. Various patient safety studies have been developed in the last two decades, but mostly in the hospital setting due to the organizational complexity, severity of the cases, and diversity and specificity of the procedures. The objective was to identify and explore studies on patient safety in Dentistry. An integrative literature review was performed in MEDLINE via PubMed, Scopus via Portal Capes, and the Regional Portal of the Virtual Health Library, using the terms patient safety and dentistry in English, Spanish, and Portuguese, starting in 2000. The research cycle in patient safety was used, as proposed by the World Health Organization to classify studies. We analyzed 91 articles. The most common adverse events were allergies, infections, diagnostic delay or failure, and technical error. Measures to mitigate the problem highlight the need to improve communications, encourage reporting, and search for tools to assist the management of care. The authors found a lack of studies on implementation and assessment of the impact of proposals for improvement. Dentistry has made progress in patient safety but still needs to transpose the results into practice, where efforts are crucial to prevent adverse events.
Topics: Brazil; Communication; Delayed Diagnosis; Dental Care; Humans; Patient Safety
PubMed: 33084835
DOI: 10.1590/0102-311X00197819