How Cognitive Artifact Support of Acute Care Distributed Cognition Affects Patient Safety

Author(s):  
Christopher P. Nemeth ◽  
Richard I. Cook ◽  
Michael O’Connor ◽  
P. Allan Klock
2017 ◽  
Vol 30 (1) ◽  
pp. 16-24 ◽  
Author(s):  
Dick E. Zoutman ◽  
B. Douglas Ford

Purpose The purpose of this paper is to examine quality improvement (QI) initiatives in acute care hospitals, the factors associated with success, and the impacts on patient care and safety. Design/methodology/approach An extensive online survey was completed by senior managers responsible for QI. The survey assessed QI project types, QI methods, staff engagement, and barriers and factors in the success of QI initiatives. Findings The response rate was 37 percent, 46 surveys were completed from 125 acute care hospitals. QI initiatives had positive impacts on patient safety and care. Staff in all hospitals reported conducting past or present hand-hygiene QI projects and C. difficile and surgical site infection were the next most frequent foci. Hospital staff not having time and problems with staff prioritizing QI with other duties were identified as important QI barriers. All respondents reported hospital leadership support, data utilization and internal champions as important QI facilitators. Multiple regression models identified nurses’ active involvement and medical staff engagement in QI with improved patient care and physicians’ active involvement and medical staff engagement with greater patient safety. Practical implications There is the need to study how best to support and encourage physicians and nurses to become more engaged in QI. Originality/value QI initiatives were shown to have positive impacts on patient safety and patient care and barriers and facilitating factors were identified. The results indicated patient care and safety would benefit from increased physician and nurse engagement in QI initiatives.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Labella Barbara ◽  
De Blasi Roberta ◽  
Raho Vanda ◽  
Tozzi Quinto ◽  
Caracci Giovanni ◽  
...  

PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e86167 ◽  
Author(s):  
Enrique Castro-Sánchez ◽  
Esmita Charani ◽  
Lydia N. Drumright ◽  
Nick Sevdalis ◽  
Nisha Shah ◽  
...  

2015 ◽  
Vol 40 (1) ◽  
pp. 13-23 ◽  
Author(s):  
Shahram Zaheer ◽  
Liane Ginsburg ◽  
You-Ta Chuang ◽  
Sherry L. Grace

2021 ◽  
pp. 54-56
Author(s):  
Shawn Kepner

In our recent article summarizing 2020 data from acute care facilities in Pennsylvania, reporting rates and fall rates were provided for Q1 and Q2 2020 based on the latest data we had available at the time of publication. Given that 2020 was an unpredictable year in healthcare, any forecasting of rates for Q3 and Q4 2020 would have been unreliable. Therefore, this data snapshot serves to complete reporting rates for 2020 now that all hospital patient days and surgical encounters data from 2020 have been made available for rate calculations.


2008 ◽  
Vol 29 (S1) ◽  
pp. S3-S11 ◽  
Author(s):  
Deborah S. Yokoe ◽  
David Classen

Many healthcare organizations, professional associations, government and accrediting agencies, legislators, regulators, payers, and consumer advocacy groups have advanced the prevention of healthcare-associated infections as a national imperative, stimulating the creation of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in this supplement. In this introduction, we provide background and context and discuss the major issues that shaped the recommendations included in the compendium.


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