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Journal of Nursing Care Quality 2017Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies... (Review)
Review
Workplace bullying is strongly associated with negative nursing outcomes, such as work dissatisfaction, turnover, and intent to leave; however, results of studies examining associations with specific patient safety outcomes are limited or nonspecific. This integrative review explores and synthesizes the published articles that address the impact of workplace nurse bullying on patient safety.
Topics: Accidental Falls; Bullying; Humans; Interprofessional Relations; Nurses; Patient Safety; Patient Satisfaction; Workplace
PubMed: 27482870
DOI: 10.1097/NCQ.0000000000000209 -
International Journal of Health Care... Apr 2018Purpose Patient safety programmes aim to make healthcare safe for both patients and health professionals. The purpose of this paper is to explore the UK's patient safety... (Review)
Review
Purpose Patient safety programmes aim to make healthcare safe for both patients and health professionals. The purpose of this paper is to explore the UK's patient safety improvement programmes over the past 15 years and explore what lessons can be learnt to improve Libyan healthcare patient safety. Design/methodology/approach Publications focusing on UK patient safety were searched in academic databases and content analysed. Findings Several initiatives have been undertaken over the past 15 years to improve British healthcare patient safety. Many stakeholders are involved, including regulatory and professional bodies, educational providers and non-governmental organisations. Lessons can be learnt from the British journey. Practical implications Developing a national patient safety strategy for Libya, which reflects context and needs is paramount. Above all, Libyan patient safety programmes should reference internationally approved guidelines, evidence, policy and learning from Britain's unique experience. Originality/value This review examines patient safety improvement strategies adopted in Britain to help developing country managers to progress local strategies based on lessons learnt from Britain's unique experience.
Topics: Humans; Inservice Training; Libya; Organizational Culture; Patient Participation; Patient Safety; Quality Improvement; Safety Management; United Kingdom
PubMed: 29687755
DOI: 10.1108/IJHCQA-09-2016-0133 -
Journal of Allied Health 2013In response to evidence that adverse medical events are widespread, patient safety programs have emerged and proliferated worldwide in recent years. Patient safety may... (Review)
Review
In response to evidence that adverse medical events are widespread, patient safety programs have emerged and proliferated worldwide in recent years. Patient safety may be considered a new and distinct healthcare discipline. It emphasizes the reporting, analysis, and prevention of medical errors that can lead to adverse healthcare events. While this is a useful generic definition, it takes on different meanings for each healthcare discipline. When patient safety programs were studied, it was found that many are generic and may be inappropriately focused and researched. In planning a patient safety program, the basis of patient safety programs for all disciplines will have similarities. But each discipline will require nuances specific to the discipline since the goals, objectives, and requirements of each are unique. Furthermore, each discipline will have its own preferred outcomes that may change over time as new data become available and service providers become more knowledgeable of ways to increase the likelihood of desired outcomes.
Topics: Data Collection; Humans; Medical Errors; Patient Safety; Quality of Health Care; United States
PubMed: 24013250
DOI: No ID Found -
Annals of Surgery May 2018
Review
Topics: Education, Medical, Graduate; Humans; Internship and Residency; Patient Safety; Training Support
PubMed: 29166357
DOI: 10.1097/SLA.0000000000002599 -
Lancet (London, England) Mar 2016
Topics: Disclosure; Humans; Medical Errors; Patient Safety; Safety Management
PubMed: 27025315
DOI: 10.1016/S0140-6736(16)30003-4 -
Current Opinion in Anaesthesiology Dec 2012Office-based anesthesia is a new and growing subspecialty within ambulatory anesthesia. We examine major developments in office-based anesthesia and how patient safety... (Review)
Review
PURPOSE OF REVIEW
Office-based anesthesia is a new and growing subspecialty within ambulatory anesthesia. We examine major developments in office-based anesthesia and how patient safety can be maintained.
RECENT FINDINGS
The emergence of office-based anesthesia as a subspecialty of ambulatory anesthesia is a result of economic and social factors, and is also due to the development of better surgical techniques and anesthestic drugs. There is still a dearth of primary literature that addresses patient safety in the office-based setting. Some existing literature points to increased risk in the office, although others suggest that proper provider credentialing, qualifications, and appropriate facility accreditation can improve patient outcomes compared to surgicenters and inpatient facilities. There is a lack of state and federal oversight of office-based facilities. Increased regulation and standardization of care, such as the use of check lists and professional society guidelines, can help promote safer practices.
SUMMARY
There is no uniform standard of care for performing procedures in the office-based setting. Healthcare providers are facing the challenge of creating a safer, efficient, cost-effective and patient-centered environment. Available data show that the office-based practice can be as safe as any ambulatory surgicenter or hospital, as long as patients, regulators, and physicians become educated advocates of safer practices. In addition, procedures can be performed safely with general anesthesia or conscious sedation, provided that there are properly trained personnel and adequate equipment and facilities. Moreover, physicians should be credentialed to perform the same procedure in a hospital that they perform in an office.
Topics: Accreditation; Ambulatory Surgical Procedures; Anesthesia; Databases, Factual; Humans; Insurance Claim Review; Patient Safety; Quality Improvement; Safety Management; United States
PubMed: 23026805
DOI: 10.1097/ACO.0b013e3283593094 -
Revista Brasileira de Enfermagem 2020to reflect on aspects related to homeless patients' safety.
OBJECTIVES
to reflect on aspects related to homeless patients' safety.
METHODS
this is a reflective theoretical essay based on patient safety theories.
RESULTS
the patient safety culture has developed in the hospital care context and seeks to reduce adverse events in specific hospital settings. On the streets, there is evidence that many people suffer damage related to lack of access to health services, which contributes to undiagnosed or untreated diseases. To build the safety culture it is necessary to identify risks and errors in this scenario since health safety should not start only when hospitalizing an individual.
FINAL CONSIDERATIONS
public policies for this population group need to be effective, as this issue should be a priority concern in health care to prevent harm and adverse events during care delivery.
Topics: Ill-Housed Persons; Humans; Patient Safety; Quality of Health Care
PubMed: 32609211
DOI: 10.1590/0034-7167-2019-0114 -
Journal of Patient Safety Sep 2020Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.
OBJECTIVE
Major gaps remain in our understanding of primary care patient safety. We describe a toolkit for measuring patient safety in family practices.
METHODS
Six tools were used in 46 practices. These tools were as follows: National Health Service Education for Scotland Trigger Tool, National Health Service Education for Scotland Medicines Reconciliation Tool, Primary Care Safequest, Prescribing Safety Indicators, Patient Reported Experiences and Outcomes of Safety in Primary Care, and Concise Safe Systems Checklist.
RESULTS
Primary Care Safequest showed that most practices had a well-developed safety climate. However, the trigger tool revealed that a quarter of events identified were associated with moderate or substantial harm, with a third originating in primary care and avoidable. Although medicines reconciliation was undertaken within 2 days in more than 70% of cases, necessary discussions with a patient/carer did not always occur. The prescribing safety indicators identified 1435 instances of potentially hazardous prescribing or lack of recommended monitoring (from 92,649 patients). The Concise Safe Systems Checklist found that 25% of staff thought that their practice provided inadequate follow-up for vulnerable patients discharged from hospital and inadequate monitoring of noncollection of prescriptions. Most patients had a positive perception of the safety of their practice although 45% identified at least one safety problem in the past year.
CONCLUSIONS
Patient safety is complex and multidimensional. The Patient Safety Toolkit is easy to use and hosted on a single platform with a collection of tools generating practical and actionable information. It enables family practices to identify safety deficits that they can review and change procedures to improve their patient safety across a key sets of patient safety issues.
Topics: Family Practice; Female; Humans; Male; Patient Safety; Primary Health Care
PubMed: 29461334
DOI: 10.1097/PTS.0000000000000471 -
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 -
BMJ Open Feb 2017To explore the status of patient safety culture in Arab countries based on the findings of the Hospital Survey on Patient Safety Culture (HSPSC). (Review)
Review
OBJECTIVES
To explore the status of patient safety culture in Arab countries based on the findings of the Hospital Survey on Patient Safety Culture (HSPSC).
DESIGN
Systematic review.
METHODS
We performed electronic searches of the MEDLINE, EMBASE, CINAHL, ProQuest and PsychINFO, Google Scholar and PubMed databases, with manual searches of bibliographies of included articles and key journals. We included studies that were conducted in the Arab countries that were focused on patient safety culture. 2 reviewers independently verified that the studies met the inclusion criteria and critically assessed the quality of the studies.
RESULTS
18 studies met our inclusion criteria. The review identified that non-punitive response to error is seen as a serious issue which needs to be improved. Healthcare professionals in the Arab countries tend to think that a 'culture of blame' still exists that prevents them from reporting incidents. We found an overall similarity between the reported composite score for dimension of teamwork within units in all of the reviewed studies. Teamwork within units was found to be better than teamwork across hospital units. All of the reviewed studies reported that organisational learning and continuous improvement was satisfactory as the average score of this dimension for all studies was 73.2%. Moreover, the review found that communication openness seems to be a concerning issue for healthcare professionals in the Arab countries.
CONCLUSIONS
There is a need to promote patient safety culture as a strategy for improving the patient safety in the Arab world. Improving patient safety culture should include all stakeholders, like policymakers, healthcare providers and those responsible for medical education. This review was limited only to English language publications. The varied settings in which the HSPSC was used may have influenced the areas of strengths and weaknesses as healthcare workers' perception of safety culture may differ.
Topics: Attitude of Health Personnel; Communication; Humans; Middle East; Organizational Culture; Patient Safety; Quality Improvement; Stakeholder Participation
PubMed: 28237956
DOI: 10.1136/bmjopen-2016-013487