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BMJ Quality & Safety Nov 2021
Review
Topics: Humans; Patient Safety; Quality Improvement
PubMed: 34039748
DOI: 10.1136/bmjqs-2020-012538 -
Irish Journal of Medical Science Feb 2023Maintaining the highest levels of patient safety is a priority of healthcare organisations. However, although considerable resources are invested in improving safety,... (Review)
Review
Maintaining the highest levels of patient safety is a priority of healthcare organisations. However, although considerable resources are invested in improving safety, patients still suffer avoidable harm. The aims of this study are: (1) to examine the extent, range, and nature of patient safety research activities carried out in the Republic of Ireland (RoI); (2) make recommendations for future research; and (3) consider how these recommendations align with the Health Service Executive's (HSE) patient safety strategy. A five-stage scoping review methodology was used to synthesise the published research literature on patient safety carried out in the RoI: (1) identify the research question; (2) identify relevant studies; (3) study selection; (4) chart the data; and (5) collate, summarise, and report the results. Electronic searches were conducted across five electronic databases. A total of 31 papers met the inclusion criteria. Of the 24 papers concerned with measuring and monitoring safety, 12 (50%) assessed past harm, 4 (16.7%) the reliability of safety systems, 4 (16.7%) sensitivity to operations, 9 (37.5%) anticipation and preparedness, and 2 (8.3%) integration and learning. Of the six intervention papers, three (50%) were concerned with education and training, two (33.3%) with simplification and standardisation, and one (16.7%) with checklists. One paper was concerned with identifying potential safety interventions. There is a modest, but growing, body of patient safety research conducted in the RoI. It is hoped that this review will provide direction to researchers, healthcare practitioners, and health service managers, in how to build upon existing research in order to improve patient safety.
Topics: Humans; Patient Safety; Ireland; Reproducibility of Results; Delivery of Health Care; Learning
PubMed: 35122620
DOI: 10.1007/s11845-022-02930-1 -
Studies in Health Technology and... Jun 2022The fourth industrial revolution is based on cyber-physical systems and the connectivity of devices. It is currently unclear what the consequences are for patient safety...
The fourth industrial revolution is based on cyber-physical systems and the connectivity of devices. It is currently unclear what the consequences are for patient safety as existing digital health technologies become ubiquitous with increasing pace and interact in unforeseen ways. In this paper, we describe the output from a workshop focused on identifying the patient safety challenges associated with emerging digital health technologies. We discuss six challenges identified in the workshop and present recommendations to address the patient safety concerns posed by them. A key implication of considering the challenges and opportunities for Patient Safety Informatics is the interdisciplinary contribution required to study digital health technologies within their embedded context. The principles underlying our recommendations are those of proactive and systems approaches that relate the social, technical and regulatory facets underpinning patient safety informatics theory and practice.
Topics: Humans; Interdisciplinary Studies; Medical Informatics; Patient Safety
PubMed: 35673036
DOI: 10.3233/SHTI220097 -
Korean Journal of Anesthesiology Feb 2024
Topics: Humans; Patient Safety; Practice Guidelines as Topic
PubMed: 38228394
DOI: 10.4097/kja.24033 -
Revista Brasileira de Enfermagem 2022to describe scientific evidence on the involvement of companions in patient safety, from their own perspective and health professionals' perspective in neonatal and...
OBJECTIVES
to describe scientific evidence on the involvement of companions in patient safety, from their own perspective and health professionals' perspective in neonatal and pediatric units.
METHODS
scoping review carried out according to The Joanna Briggs Institute's recommendations, in eight databases, following the Preferred Reporting Items checklist for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist, between 2011 and 2021.
RESULTS
the 13 studies included highlighted the importance of companions' involvement in patient safety and the prevention of adverse events. However, they pointed out failures in communication and weakness in the training of professionals, which were obstacles to their involvement. The strengthening of health education, multidisciplinary rounds and educational technologies were highlighted as strategies to expand the involvement of companions.
FINAL CONSIDERATIONS
this study directs elements for health professionals and managers to rethink the companions' role in patient safety and development of collective strategies.
Topics: Child; Communication; Friends; Health Personnel; Humans; Infant, Newborn; Patient Safety
PubMed: 35137890
DOI: 10.1590/0034-7167-2021-0504 -
Tidsskrift For Den Norske Laegeforening... Nov 2021
Topics: Humans; Organizational Culture; Patient Safety; Safety Management; Surveys and Questionnaires
PubMed: 34758591
DOI: 10.4045/tidsskr.21.0494 -
Joint Commission Journal on Quality and... Sep 2023Occupational fatigue is a characteristic of excessive workload and depicts the limited capacity to complete demands. The impact of occupational fatigue has been studied...
INTRODUCTION TO THE PROBLEM
Occupational fatigue is a characteristic of excessive workload and depicts the limited capacity to complete demands. The impact of occupational fatigue has been studied outside of health care in fields such as transportation and heavy industry. Research in health care professionals such as physicians, medical residents, and nurses has demonstrated the potential for occupational fatigue to affect patient, employee, and organizational outcomes. A conceptual framework of occupational fatigue that is informed by a sociotechnical systems approach is needed to (1) describe the multidimensional facets of occupational fatigue, (2) explore individual and work system factors that may affect occupational fatigue, and (3) anticipate downstream implications of occupational fatigue on employee well-being, patient safety, and organizational outcomes.
CONCEPTUAL FRAMEWORK OF OCCUPATIONAL FATIGUE
The health care professional occupational fatigue conceptual framework is outlined following the Systems Engineering Initiative for Patient Safety (SEIPS) model and adapted from the Conceptual Model of Occupational Fatigue in Nursing. Future research may apply this conceptual framework to health care professionals as a tool to describe occupational fatigue, identify the causes, and generate solutions. Interventions to mitigate and resolve occupational fatigue must address the entire sociotechnical system, not just individual or employee changes.
Topics: Humans; Fatigue; Workload; Patient Safety
PubMed: 37407330
DOI: 10.1016/j.jcjq.2023.05.007 -
Antimicrobial Resistance and Infection... May 2023The Asia Pacific Society of Infection Control launched the Infection Prevention and Control Guidelines in July 2022. This document describes the guidelines and... (Review)
Review
BACKGROUND
The Asia Pacific Society of Infection Control launched the Infection Prevention and Control Guidelines in July 2022. This document describes the guidelines and recommendations for safe practices in dental setting. It aims to highlight practical recommendations in a concise format designed to assist dental facilities at Asia Pacific region in achieving high standards in infection prevention and control practices, staff and patient safety.
METHOD
The guidelines were developed by an appointed workgroup comprising experts in the Asia Pacific region, following reviews of previously published international guidelines and recommendations relevant to each section.
RESULTS
It recommends standard precautions as a minimal set of preventive measures to protect staff and prevent cross transmission. Surgical aseptic technique is recommended when procedures are technically complex and longer in duration. Only trained staff are eligible to conduct reprocessing of dental instruments. The design, layout of the dental facility are important factors for successful infection prevention. The facility should also have a Pandemic Preparedness Plan.
CONCLUSIONS
Dental facilities should aim for excellence in infection prevention and control practices as this is part of patient safety. The guidelines that come with a checklist help dental facilities to identify gaps for improvement to reach this goal.
Topics: Humans; Infection Control; Patient Safety; Asia
PubMed: 37254208
DOI: 10.1186/s13756-023-01252-w -
Anaesthesia Nov 2021
Topics: Disaster Planning; Fires; Guidelines as Topic; Intensive Care Units; Patient Safety; Rescue Work; Safety Management
PubMed: 34309007
DOI: 10.1111/anae.15547 -
Atencion Primaria Dec 2021
Topics: Humans; Patient Safety; Primary Health Care
PubMed: 34961586
DOI: 10.1016/j.aprim.2021.102229