scholarly journals Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis

2016 ◽  
Vol 28 (4) ◽  
pp. 447-455 ◽  
Author(s):  
David A. Snowdon ◽  
Raphael Hau ◽  
Sandra G. Leggat ◽  
Nicholas F. Taylor
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Clinical Supervision ◽  
Health Professionals ◽  
Improve Patient Safety ◽  
Meta Analysis ◽  
Improve Patient

scholarly journals Adverse Drug Event Reporting From Clinical Care: Mixed-Methods Analysis for a Minimum Required Dataset (Preprint)

2018 ◽  
Author(s):  
David Peddie ◽  
Serena S Small ◽  
Katherin Badke ◽  
Chantelle Bailey ◽  
Ellen Balka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Mixed Methods ◽  
Adverse Drug Event ◽  
Improve Patient Safety ◽  
Clinical Care ◽  
Drug Event ◽  
Care Providers ◽  
Event Reporting ◽  
Improve Patient

BACKGROUND Patients commonly transition between health care settings, requiring care providers to transfer medication utilization information. Yet, information sharing about adverse drug events (ADEs) remains nonstandardized. OBJECTIVE The objective of our study was to describe a minimum required dataset for clinicians to document and communicate ADEs to support clinical decision making and improve patient safety. METHODS We used mixed-methods analysis to design a minimum required dataset for ADE documentation and communication. First, we completed a systematic review of the existing ADE reporting systems. After synthesizing reporting concepts and data fields, we conducted fieldwork to inform the design of a preliminary reporting form. We presented this information to clinician end-user groups to establish a recommended dataset. Finally, we pilot-tested and refined the dataset in a paper-based format. RESULTS We evaluated a total of 1782 unique data fields identified in our systematic review that describe the reporter, patient, ADE, and suspect and concomitant drugs. Of these, clinicians requested that 26 data fields be integrated into the dataset. Avoiding the need to report information already available electronically, reliance on prospective rather than retrospective causality assessments, and omitting fields deemed irrelevant to clinical care were key considerations. CONCLUSIONS By attending to the information needs of clinicians, we developed a standardized dataset for adverse drug event reporting. This dataset can be used to support communication between care providers and integrated into electronic systems to improve patient safety. If anonymized, these standardized data may be used for enhanced pharmacovigilance and research activities.

scholarly journals THE IMPACT OF BARCODE MEDICATION ADMINISTRATION ON PATIENT SAFETY: A SYSTEMATIC REVIEW

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Seham Sahal Aloufi
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Medication Error ◽  
Medication Errors ◽  
Improve Patient Safety ◽  
Hospital Setting ◽  
Medication Administration ◽  
Bar Code ◽  
The Impact ◽  
Improve Patient

Patient safety is considered as an essential feature of healthcare system. Many trials have been conducted in order to find ways to improve patient safety, and many reports indicate that medication errors pose a threat to patient safety. Thus, some studies have investigated the impact of bar code medication administration (BCMA) system on medication error reduction during the medication administration procedure. This systematic review (SR) reports the impact of BCMA system on reducing medication errors to improve patient safety; it also compares traditional medication administration with the BCMA system. The review concentrates on the effectiveness of BCMA technology on medication administration errors, and on the accuracy of medication administration. This review also focused on different designs of quantitative studies, as they are more effective at investigating the impact of the intervention than qualitative studies. The findings from this systematic review show various results depending on the nature of the hospital setting. Most of the studies agree that the BCMA system enhances compliance with the 'five rights’' requirement (right drug, right patient, right dose, right time and right route) of medication administration. In addition, BCMA technology identified medication error types that could not be identified with the traditional approach which is applying the 'five rights' of medication administration. The findings of this systematic review also confirm the impact of BCMA system in reducing medication error, preventing adverse events and increasing the accuracy of the medication administration rate. However, BCMA technology did not consistently reduce the overall errors of medication administration. Keyword: Patient Safety, Impact, BCMA, eMAR

scholarly journals A systematic review on the importance of genotyping and phenotyping in fluoropyrimidine treatment

2020 ◽  
Author(s):  
Andrada-Larisa Deac ◽  
Claudia Cristina Burz ◽  
Horea Florin Bocșe ◽  
Ioana Corina Bocșan ◽  
Anca-Dana Buzoianu
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Clinical Practice ◽  
Adverse Effects ◽  
Improve Patient Safety ◽  
Improve Patient

Fluoropyrimidines, after more than 50 years of their discovery, are still the treatment of many types of cancer, and annually is estimated that two million patients use fluoropyrimidine treatment. The toxicity associated with fluoropyrimidines affects 30-40% of patients and some adverse effects can be lethal. Dihydroypyrimidine dehydrogenase is the main enzyme in the catabolism of 5-FU and DPD activity deficiency can cause important toxicity. There is an important reason for determinate DPD activity in order to improve patient safety and to limit potential life-threating toxicity. Now, are available multiple phenotypic and genotypic methods to determinate DPD activity, some of this methods have proven their usefulness in practice, but yet there are not routinely recommended in clinical practice. This review is another statement of the importance of determination DPD status, the phenotypic and genotypic methods that are available and can be used.

scholarly journals SURGICAL CHEKLIST SEBAGAI UPAYA MENINGKATKAN PATIENT SAFETY

2017 ◽  
Vol 1 (2) ◽  
pp. 40-48
Author(s):  
Nurisda Eva Irmawati ◽  
Anggorowati Anggorowati
Keyword(s):  
Patient Safety ◽  
Health Professionals ◽  
Research Method ◽  
Health Personnel ◽  
Improve Patient Safety ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Health Team ◽  
Professional Health ◽  
Improve Patient

Abstract: The purpose of this research is to study Literature review to determine whether the Surgical Safety Checklist can improve patient safety in the hospital in collaboration with other health team. This research method is the publication of the article searches on Google Scholar, PubMed, Ebscho with selected keywords ie Surgical Safety Checkliat, collaboration, Patient Safety. The search was performed by limiting the issue of 2006-2015. Results of literature search showed that the IPE can effectively build the ability of nurses to collaborate with other health professionals. IPE expected implementation can be implemented on an ongoing basis with the preparation over the maximum again, considering the health institution is a major provider of professional health personnel candidates.Keywords: surgical safety checklist, collaboration, patient safety

Electronic nursing documentation interventions to promote or improve patient safety and quality care: A systematic review

2018 ◽  
Vol 27 (3) ◽  
pp. 491-501 ◽  
Author(s):  
Bridie McCarthy ◽  
Serena Fitzgerald ◽  
Maria O’Shea ◽  
Carol Condon ◽  
Gerardina Hartnett-Collins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Improve Patient Safety ◽  
Quality Care ◽  
Nursing Documentation ◽  
Improve Patient

scholarly journals Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 553 ◽  
Author(s):  
Cíntia Garcia ◽  
Luiz Abreu ◽  
José Ramos ◽  
Caroline Castro ◽  
Fabiana Smiderle ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Interpersonal Relationships ◽  
Health Professionals ◽  
Safety Management ◽  
Meta Analysis ◽  
Burn Out ◽  
High Workload ◽  
Compromise Patient Safety ◽  
The Relationship

Background and Objectives: Several factors can compromise patient safety, such as ineffective teamwork, failed organizational processes, and the physical and psychological overload of health professionals. Studies about associations between burn out and patient safety have shown different outcomes. Objective: To analyze the relationship between burnout and patient safety. Materials and Methods: A systematic review with a meta-analysis performed using PubMed and Web of Science databases during January 2018. Two searches were conducted with the following descriptors: (i) patient safety AND burnout professional safety AND organizational culture, and (ii) patient safety AND burnout professional safety AND safety management. Results: Twenty-one studies were analyzed, most of them demonstrating an association between the existence of burnout and the worsening of patient safety. High levels of burnout is more common among physicians and nurses, and it is associated with external factors such as: high workload, long journeys, and ineffective interpersonal relationships. Good patient safety practices are influenced by organized workflows that generate autonomy for health professionals. Through meta-analysis, we found a relationship between the development of burnout and patient safety actions with a probability of superiority of 66.4%. Conclusion: There is a relationship between high levels of burnout and worsening patient safety.

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