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Revista Brasileira de Enfermagem 2019To evaluate thepatient safety culturein thePrimary Health Care (PHC).
OBJECTIVE
To evaluate thepatient safety culturein thePrimary Health Care (PHC).
METHOD
A cross-sectional study with 349 health professionals and PHC managers from a city of Rio Grande do Sul, Brazil. The tool used was Safety Attitudes Questionnaire Ambulatory Version. Data-independent double typing and descriptive and inferential statistical analysis were performed.
RESULTS
The total score varied between 3.4 and 8.4 with mean (7.0 ± 1.3), positive evaluation in the "Patient Safety" domain (8.2 ± 2.0). Working on the Family Health Strategy and having five to 12 years of work was significant for positive culture. The recommendations to improve the safety culture were: Implementation of protocols, training, communication improvement and resolvability.
CONCLUSION
The patient safety culture prevailed. Establishing a constructive safety culture with safe behaviors represents factors for improving patient safety in Primary Care settings.
Topics: Adult; Brazil; Cross-Sectional Studies; Female; Humans; Male; Patient Safety; Primary Health Care; Psychometrics; Safety Management; Surveys and Questionnaires
PubMed: 30916264
DOI: 10.1590/0034-7167-2017-0647 -
BMJ (Clinical Research Ed.) Oct 2018
Topics: Female; Humans; Patient Safety; Pelvic Organ Prolapse; Registries; Surgical Mesh; Urinary Incontinence, Stress
PubMed: 30305286
DOI: 10.1136/bmj.k4231 -
Journal of Neuro-ophthalmology : the... Sep 2017
Topics: History, 20th Century; History, 21st Century; Humans; Neurology; Ophthalmology; Patient Safety
PubMed: 28806313
DOI: 10.1097/WNO.0000000000000559 -
The Journal of Small Animal Practice Aug 2014
Topics: Animals; Humans; Patient Safety; Veterinary Medicine
PubMed: 25065423
DOI: 10.1111/jsap.12252 -
Annals of Surgery Dec 2014
Review
Topics: Clinical Competence; Humans; Medical Errors; Patient Safety; Quality Assurance, Health Care; Surgical Procedures, Operative; United States
PubMed: 25033225
DOI: 10.1097/SLA.0000000000000731 -
Journal For Healthcare Quality :... 2017The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSI) with the goal of detecting and preventing adverse events using... (Review)
Review
The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSI) with the goal of detecting and preventing adverse events using administrative data. Use of PSIs to measure safety and quality of care raises questions since they rely heavily on coded data. The goal of this paper is to review literature on AHRQ PSIs, specifically their accuracy in detecting adverse events, and how recent coding changes affect the accuracy of these estimates. The Healthcare Utilization Project (HCUP) National Inpatient Sample (NIS) contains data on more than seven million hospital stays yearly. Trending these estimates over time indicate there has been a decrease in rates for the majority of PSIs, with Accidental Puncture or Laceration, Central Venous Catheter Blood Stream Infections, Iatrogenic Pneumothorax, and Deaths from complications decreasing significantly each year from 2008-2012. Birth Trauma, Retained Foreign Bodies, Post-op Sepsis and Post-Op Respiratory Failure PSIs show no improvement from 2008-2012. A literature review on accuracy of PSIs and the affect of the Present on Admission (POA) indicator on PSI estimates reveals mixed results. PSIs serve as a useful tool in identifying problem areas in quality of care but should be used cautiously in determining hospital performance.
Topics: Health Status Indicators; Humans; Patient Safety; Quality Indicators, Health Care; United States; United States Agency for Healthcare Research and Quality
PubMed: 28658091
DOI: 10.1097/JHQ.0000000000000088 -
The Surgical Clinics of North America Feb 2021The literature overwhelmingly supports standardized, evidence-based care to improve patient safety in the surgical setting, including checklists and enhanced recovery... (Review)
Review
The literature overwhelmingly supports standardized, evidence-based care to improve patient safety in the surgical setting, including checklists and enhanced recovery programs. Although local culture, patient complexity, and hospital setting can represent barriers to implanting standardized practices, they can be overcome with thoughtful strategies.
Topics: Critical Pathways; Humans; Patient Safety; Surgical Procedures, Operative
PubMed: 33212079
DOI: 10.1016/j.suc.2020.08.011 -
Transfusion and Apheresis Science :... Aug 2020The present work aims to analyze the impact - from legal and medical perspective - of the recent Italian legislative provisions on the subject of healthcare safety, and... (Review)
Review
The present work aims to analyze the impact - from legal and medical perspective - of the recent Italian legislative provisions on the subject of healthcare safety, and how these affect current transfusion practices, also in light of the accumulation of evidence deriving from the implementation of the Patient Blood Management (PBM) program. The scientific evidence shows that PBM is a bundle of care that improves patient outcomes including mortality and morbidity, improves the quality of life of patients and the population, reduces healthcare costs and decreases consumption of blood components. These aspects should be largely sufficient to carry out an urgent implementation of PBM in Italian hospitals. However, it is now also possible to indicate a further incentive for implementation which is made up of medico-legal aspects and is characterized by the need to decrease the intrinsic risks of the use of blood products so as to protect doctors and hospitals from possible future medico-legal disputes regarding adverse transfusion events that could be effectively avoided.
Topics: Blood Transfusion; Humans; Italy; Patient Safety
PubMed: 32444279
DOI: 10.1016/j.transci.2020.102811 -
Cardiovascular and Interventional... Apr 2012Interventional radiology (IR) is an invasive speciality with the potential for complications as with other invasive specialities. The World Health Organization (WHO)... (Review)
Review
Interventional radiology (IR) is an invasive speciality with the potential for complications as with other invasive specialities. The World Health Organization (WHO) produced a surgical safety checklist to decrease the morbidity and mortality associated with surgery. The Cardiovascular and Interventional Society of Europe (CIRSE) set up a task force to produce a checklist for IR. Use of the checklist will, we hope, reduce the incidence of complications after IR procedures. It has been modified from the WHO surgical safety checklist and the RAD PASS from Holland.
Topics: Checklist; Humans; Patient Safety; Planning Techniques; Radiology, Interventional; World Health Organization
PubMed: 22011783
DOI: 10.1007/s00270-011-0289-5 -
The Surgical Clinics of North America Feb 2021Implementation science is the study of the translation of evidence-based practices to real-world clinical environments. Implementation is measured with specific outcomes... (Review)
Review
Implementation science is the study of the translation of evidence-based practices to real-world clinical environments. Implementation is measured with specific outcomes including acceptability, adoption, appropriateness, feasibility, fidelity, penetration, sustainability, and implementation cost. There are defined frameworks and models that outline implementation strategies and assist researchers in identifying barriers and facilitators to achieve implementation and conduct implementation research using methods such as qualitative analysis, parallel group, pre-/postintervention, interrupted time series, and cluster or stepped-wedge randomized trials. Deimplementation is the study of how to remove ineffective or unnecessary practices from the clinical setting and is an equally important component of implementation science.
Topics: Humans; Implementation Science; Patient Safety; Surgical Procedures, Operative
PubMed: 33212082
DOI: 10.1016/j.suc.2020.09.009