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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 -
Frontiers in Public Health 2022Surgical activity is an important aspect for the management of health and safety processes and from an organizational perspective is one of the most complex activities...
Surgical activity is an important aspect for the management of health and safety processes and from an organizational perspective is one of the most complex activities performed in hospitals. It is often a defining and high value feature for any healthcare facility while being one of the most high-risk procedures for patients with the highest number of avoidable adverse events. To ensure effective management of surgical pathways, they need to be considered from the perspective of clinical governance which takes a global approach to planning and management with the goal of improving safety and quality for patients. This paper contains the main features of this objective outlined within the document issued subsequent to the State-Regional Italian Government conference. This regulatory effort includes effective recommendations to make surgical pathways safer and more efficient with particular reference to lean management, patient blood management and patient safety.
Topics: Hospitals; Humans; Italy; Patient Safety
PubMed: 35462846
DOI: 10.3389/fpubh.2022.869607 -
Journal of Health Organization and... Aug 2019The purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings. (Review)
Review
PURPOSE
The purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings.
DESIGN/METHODOLOGY/APPROACH
This scoping review was conducted and reported in accordance with the PRISMA. The review followed the four stages of conducting scoping review as defined by Arskey and O'Malley (2005).
FINDINGS
Initially, 978 articles were identified through database search from which only 24 studies were considered relevant and included in the final review. Overall, eight types of non-clinical rounds were identified (death rounds, grand rounds, morbidity and mortality conferences, multidisciplinary rounds, patient safety rounds, patient safety huddles, walkarounds and Schwartz rounds) that independently of their format, goal, participants and type of outcomes aimed to enhance patient safety and improve quality of healthcare delivery in hospital settings, either by focusing on physician, patient or organizational system.
ORIGINALITY/VALUE
To the authors' knowledge this is the first review that aims to provide a comprehensive summary to the types of non-clinical rounds that has been applied in clinical settings.
Topics: Hospitals; Patient Safety; Teaching Rounds
PubMed: 31483207
DOI: 10.1108/JHOM-09-2018-0244 -
BMC Health Services Research Mar 2016There is widespread recognition of the problem of unsafe care and extensive efforts have been made over the last 15 years to improve patient safety. In Sweden, a new...
BACKGROUND
There is widespread recognition of the problem of unsafe care and extensive efforts have been made over the last 15 years to improve patient safety. In Sweden, a new patient safety law obliges the 21 county councils to assemble a yearly patient safety report (PSR). The aim of this study was to describe the patient safety work carried out in Sweden by analysing the PSRs with regard to the structure, process and result elements reported, and to investigate the perceived usefulness of the PSRs as a tool to achieve improved patient safety.
METHODS
The study was based on two sources of data: patient safety reports obtained from county councils in Sweden published in 2014 and a survey of health care practitioners with strategic positions in patient safety work, acting as key informants for their county councils. Answers to open-ended questions were analysed using conventional content analysis.
RESULTS
A total of 14 structure elements, 31 process elements and 23 outcome elements were identified. The most frequently reported structure elements were groups devoted to working with antibiotics issues and electronic incident reporting systems. The PSRs were perceived to provide a structure for patient safety work, enhance the focus on patient safety and contribute to learning about patient safety.
CONCLUSION
Patient safety work carried out in Sweden, as described in annual PSRs, features a wide range of structure, process and result elements. According to health care practitioners with strategic positions in the county councils' patient safety work, the PSRs are perceived as useful at various system levels.
Topics: Documentation; Humans; Patient Safety; Qualitative Research; Quality Improvement; Risk Management; Surveys and Questionnaires; Sweden
PubMed: 27001079
DOI: 10.1186/s12913-016-1350-5 -
Biochemia Medica 2014Quality indicators (QIs) measure the extent to which set targets are attained and provide a quantitative basis for achieving improvement in care and, in particular,... (Review)
Review
Quality indicators (QIs) measure the extent to which set targets are attained and provide a quantitative basis for achieving improvement in care and, in particular, laboratory services. A body of evidence collected in recent years has demonstrated that most errors fall outside the analytical phase, while the pre- and post-analytical steps have been found to be more vulnerable to the risk of error. However, the current lack of attention to extra-laboratory factors and related QIs prevent clinical laboratories from effectively improving total quality and reducing errors. Errors in the pre-analytical phase, which account for 50% to 75% of all laboratory errors, have long been included in the 'identification and sample problems' category. However, according to the International Standard for medical laboratory accreditation and a patient-centered view, some additional QIs are needed. In particular, there is a need to measure the appropriateness of all test request and request forms, as well as the quality of sample transportation. The QIs model developed by a working group of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) is a valuable starting point for promoting the harmonization of available QIs, but further efforts should be made to achieve a consensus on the road map for harmonization.
Topics: Humans; Laboratories; Medical Errors; Patient Safety; Quality Indicators, Health Care
PubMed: 24627719
DOI: 10.11613/BM.2014.012 -
Quality & Safety in Health Care Aug 2010
Topics: Biomedical Technology; Educational Technology; Humans; Patient Safety; World Health Organization
PubMed: 20693211
DOI: 10.1136/qshc.2010.044792 -
The Surgical Clinics of North America Feb 2021"The focus on patient safety offers a new framework not only for delivering health care but also for training physicians. Medical school and surgical graduate medical... (Review)
Review
"The focus on patient safety offers a new framework not only for delivering health care but also for training physicians. Medical school and surgical graduate medical education must transition to a more holistic approach by teaching technical and nontechnical skills. Formalized safety curricula can be developed by adopting recommended guidelines and content from national and international organizations, existing validated practices of training programs, frequent simulation exercises, and objective evaluation tools."
Topics: Humans; Internship and Residency; Patient Safety; Surgical Procedures, Operative
PubMed: 33212075
DOI: 10.1016/j.suc.2020.09.007 -
The British Journal of General Practice... Dec 2015
Topics: Education; Evidence-Based Medicine; General Practice; Humans; Patient Safety
PubMed: 26622008
DOI: 10.3399/bjgp15X687685 -
Archivos Argentinos de Pediatria Dec 2019Patient safety is one of the dimensions of care. Medical advances have made assistance processes more and more complex, and there is usually a combination of...
Patient safety is one of the dimensions of care. Medical advances have made assistance processes more and more complex, and there is usually a combination of circumstances that converge for errors to occur. Adverse events constitute a serious public health problem, causing damages of varying degrees to the patient and his family, which also leads to an increase in the cost of the care process and hospital stay. Most of the adverse events occur in hospitals because their complexity is subject to a greater risk associated with care. That is why we present this consensus with the aim of offering tools whose implementation can contribute to provide a safer healthcare.
Topics: Delivery of Health Care; Goals; Hospitals; Humans; Internationality; Length of Stay; Medical Errors; Patient Safety; Public Health
PubMed: 31758897
DOI: 10.5546/aap.2019.S277 -
Systematic Reviews Dec 2019There is a widespread belief that information technologies will improve diagnosis, treatment and care. Evidence about their effectiveness in health care is, however,...
BACKGROUND
There is a widespread belief that information technologies will improve diagnosis, treatment and care. Evidence about their effectiveness in health care is, however, mixed. It is not clear why this is the case, given the remarkable advances in hardware and software over the last 20 years. This review focuses on interoperable information technologies, which governments are currently advocating and funding. These link organisations across a health economy, with a view to enabling health and care professionals to coordinate their work with one another and to access patient data wherever it is stored. Given the mixed evidence about information technologies in general, and current policies and funding, there is a need to establish the value of investments in this class of system. The aim of this review is to establish how, why and in what circumstances interoperable systems affect patient safety.
METHODS
A realist synthesis will be undertaken, to understand how and why inter-organisational systems reduce patients' clinical risks, or fail to do so. The review will follow the steps in most published realist syntheses, including (1) clarifying the scope of the review and identifying candidate programme and mid-range theories to evaluate, (2) searching for evidence, (3) appraising primary studies in terms of their rigour and relevance and extracting evidence, (4) synthesising evidence, (5) identifying recommendations, based on assessment of the extent to which findings can be generalised to other settings.
DISCUSSION
The findings of this realist synthesis will shed light on how and why an important class of systems, that span organisations in a health economy, will contribute to changes in patients' clinical risks. We anticipate that the findings will be generalizable, in two ways. First, a refined mid-range theory will contribute to our understanding of the underlying mechanisms that, for a range of information technologies, lead to changes in clinical practices and hence patients' risks (or not). Second, many governments are funding and implementing cross-organisational IT networks. The findings can inform policies on their design and implementation.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42017073004.
Topics: Humans; Information Services; Information Technology; Patient Safety; Research Design; Review Literature as Topic
PubMed: 31806015
DOI: 10.1186/s13643-019-1223-1