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American Journal of Medical Quality :... 2012The literature on patient safety measures derived from routinely collected hospital data was reviewed to inform indicator development. MEDLINE and Embase databases and... (Review)
Review
The literature on patient safety measures derived from routinely collected hospital data was reviewed to inform indicator development. MEDLINE and Embase databases and Web sites were searched. Of 1738 citations, 124 studies describing the application, evaluation, or validation of hospital-based medical error or complication of care measures were reviewed. Studies were frequently conducted in the United States (n = 88) between 2005 and 2009 (n = 77) using Agency for Healthcare Research and Quality patient safety indicators (PSIs; n = 79). The most frequently cited indicators included "postoperative hemorrhage or hematoma" and "accidental puncture and laceration." Indicator refinement is supported by international coding algorithm translations but is hampered by data issues, including coding inconsistencies. The validity of PSIs and similar adverse event screens beyond internal measurement and the effects of organizational factors on patient harm remain uncertain. Development of PSIs in ambulatory care settings, including general practice and psychiatric care, needs consideration.
Topics: Hospitals; Humans; Medical Errors; Patient Safety; Quality Indicators, Health Care
PubMed: 21896785
DOI: 10.1177/1062860611414697 -
Radiology Management 2015Patient safety is a focal point in healthcare because of recent changes issued by CMS. Hospital reimbursement rates have fallen, and these reimbursement rates are... (Review)
Review
Patient safety is a focal point in healthcare because of recent changes issued by CMS. Hospital reimbursement rates have fallen, and these reimbursement rates are governed by CMS mandates regarding patient safety procedures. Reimbursement changes are reflected in the National Patient Safety Goals (NPSGs) administered annually by The Joint Commission. Medical imaging departments have multiple areas of patient safety concerns including effective handoff communication, proper patient identification, and safe medication/contrast administration. This literature review examines those areas of patient safety within the medical imaging department and reveals the need for continued protocol and policy changes to keep patients safe.
Topics: Patient Safety; Quality Improvement; Radiology Department, Hospital; Safety Management
PubMed: 26480594
DOI: No ID Found -
Ugeskrift For Laeger Nov 2012
Topics: Denmark; Humans; Patient Safety
PubMed: 23137380
DOI: No ID Found -
Indian Journal of Pharmacology 2015
Topics: Curriculum; Education, Medical; Patient Safety
PubMed: 25878369
DOI: 10.4103/0253-7613.153417 -
The Mount Sinai Journal of Medicine,... 2011
Topics: Education, Medical; Humans; Medical Errors; Patient Safety; Quality Improvement
PubMed: 22069203
DOI: 10.1002/msj.20305 -
American Family Physician Jun 2020
Topics: Editorial Policies; Family Practice; Patient Advocacy; Patient Participation; Patient Safety
PubMed: 32538601
DOI: No ID Found -
Journal of Preventive Medicine and... Nov 2020The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses.
OBJECTIVES
The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses.
METHODS
In the current cross-sectional study, the occupational safety climate, patient safety climate, and safety performance of nurses were measured using several questionnaires. Structural equation modeling was applied to test the relationships among occupational safety climate, patient safety climate, and safety performance.
RESULTS
A total of 211 nurses participated in this study. Over half of them were female (57.0%). The age of the participants tended to be between 20 years and 30 years old (55.5%), and slightly more than half had less than 5 years of work experience (51.5%). The maximum and minimum scores of occupational safety climate dimensions were found for reporting of errors and cumulative fatigue, respectively. Among the dimensions of patient safety climate, non-punitive response to errors had the highest mean score, and manager expectations and actions promoting patient safety had the lowest mean score. The correlation coefficient for the relationship between occupational safety climate and patient safety climate was 0.63 (p<0.05). Occupational safety climate and patient safety climate also showed significant correlations with safety performance.
CONCLUSIONS
Close correlations were found among occupational safety climate, patient safety climate, and nurses' safety performance. Therefore, improving both the occupational and patient safety climate can improve nurses' safety performance, consequently decreasing occupational and patient-related adverse outcomes in healthcare units.
Topics: Adult; Attitude of Health Personnel; Cross-Sectional Studies; Female; Humans; Latent Class Analysis; Male; Middle Aged; Occupational Health; Patient Safety; Safety Management; Surveys and Questionnaires
PubMed: 33296585
DOI: 10.3961/jpmph.20.350 -
Paediatric Anaesthesia Oct 2012
Topics: Anesthesia; Checklist; Child; Humans; International Cooperation; Medical Errors; Organizational Culture; Patient Safety; United States
PubMed: 22967150
DOI: 10.1111/pan.12012 -
Journal of Pediatric Urology May 2019
Topics: Child; Humans; Patient Safety; Periodicals as Topic; Quality Improvement; Urology
PubMed: 31221398
DOI: 10.1016/j.jpurol.2019.05.035 -
BMJ Open Quality May 2024Patient safety and healthcare quality are considered integral parts of the healthcare system that are driven by a dynamic combination of human and non-human factors.... (Review)
Review
BACKGROUND
Patient safety and healthcare quality are considered integral parts of the healthcare system that are driven by a dynamic combination of human and non-human factors. This review article provides an insight into the two major human factors that impact patient safety and quality including compassion and leadership. It also discusses how compassion is different from empathy and explores the impact of both compassion and leadership on patient safety and healthcare quality. In addition, this review also provides strategies for the improvement of patient safety and healthcare quality through compassion and effective leadership.
METHODS
This narrative review explores the existing literature on compassion and leadership and their combined impact on patient safety and healthcare quality. The literature for this purpose was gathered from published research articles, reports, recommendations and guidelines.
RESULTS
The findings from the literature suggest that both compassion and transformational leadership can create a positive culture where healthcare professionals (HCPs) prioritise patient safety and quality. Leaders who exhibit compassion are more likely to inspire their teams to deliver patient-centred care and focus on error prevention.
CONCLUSION
Compassion can become an antidote for the burnout of HCPs. Compassion is a behaviour that is not only inherited but can also be learnt. Both compassionate care and transformational leadership improve organisational culture, patient experience, patient engagement, outcomes and overall healthcare excellence. We propose that transformational leadership that reinforces compassion remarkably improves patient safety, patient engagement and quality.
Topics: Humans; Leadership; Empathy; Patient Safety; Quality of Health Care; Organizational Culture; Delivery of Health Care
PubMed: 38719520
DOI: 10.1136/bmjoq-2023-002651