Continuous Monitoring of Adverse Events: Influence on the Quality of Care and the Incidence of Errors in General Surgery

2008 ◽  
Vol 33 (2) ◽  
pp. 191-198 ◽  
Author(s):  
Pere Rebasa ◽  
Laura Mora ◽  
Alexis Luna ◽  
Sandra Montmany ◽  
Helena Vallverdú ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Adverse Events ◽  
General Surgery ◽  
Continuous Monitoring

scholarly journals Avaliação do transporte crítico de pacientes: Uma revisão sistemática

2019 ◽  
Vol 19 (1) ◽  
pp. 615-647
Author(s):  
Leonardo Nogueira Melo ◽  
Vera Lúcia Freitas ◽  
Emanuel Pereira dos Santos ◽  
Raphael Dias de Mello Pereira ◽  
Vanessa Silva De Oliveira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Adverse Events ◽  
Care Practice ◽  
Transportation Of Patients ◽  
Time Space ◽  
Revisión Sistemática ◽  
Trabajo En Equipo ◽  
Main Factors

Objetivo: Evaluar, según la literatura, cuáles son los principales factores considerados facilitadores y/o agravantes en la realización del transporte de pacientes en estado crítico.Método: Este estudio se trata de una revisión sistemática realizada con el método PICOResultado: Los periódicos seleccionados comprendían un espacio temporal en los últimos diez años, donde 6 periódicos fueron elegibles, basado en los criterios establecidos. Los resultados relatan que los temas encontrados en esta revisión demuestran una alineación entre la práctica asistencial y la literatura, pero para que el transporte sea realizado sin eventos adversos, es necesario que haya unión entre la gestión y los profesionales involucrados.Conclusión: Aunque los hallazgos demuestren una gran preocupación en relación a la calidad en la asistencia y en la preparación del equipo, los autores creen que más estudios deben ser fomentados una vez que el trabajo en equipo, a pesar de ser complejo, es la clave para la realización de los procedimientos con efectividad. Objective: To evaluate, according to the literature, the main factors considered facilitators and/or aggravating in the transportation of patients in critical condition.Method: This study is a systematic review performed using the PICO method.Results: The selected journals comprised a time space in the last 10 years, with six journals eligible, based on the established criteria. The results report that the themes found in this review demonstrate an alignment between care practice and literature, but, for a transportation without adverse events, there must be a union between the management and the professionals involved.Conclusion: Although the findings demonstrate a great concern regarding the quality of care and team preparation, the authors believe that more studies should be encouraged since teamwork, despite being complex, is the key to performing the procedures with effectiveness. Objetivo: Avaliar segundo a literatura quais são os principais fatores que são considerados facilitadores e/ou agravantes na realização do transporte de pacientes em estado crítico.Método: Este estudo trata-se de uma revisão sistemática realizada com método PICOResultado: Os periódicos selecionados compreendiam um espaço temporal nos últimos dez anos, onde 6 periódicos foram elegíveis, baseado nos critérios estabelecidos. Os resultados relatam que os temas encontrados nesta revisão demonstram um alinhamento entre a prática assistencial e a literatura, porém para que o transporte seja realizado sem eventos adversos, é necessário que haja união entre a gestão e os profissionais envolvidos.Conclusão: Embora os achados demonstrem uma grande preocupação em relação à qualidade na assistência e no preparo da equipe, os autores acreditam que mais estudos devem ser fomentados uma vez que o trabalho em equipe apesar de ser complexo, é a chave para a realização dos procedimentos com efetividade.

Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care: A Multilevel Analysis

2018 ◽  
Vol 50 (4) ◽  
pp. 432-440 ◽  
Author(s):  
Seung Eun Lee ◽  
Catherine Vincent ◽  
V. Susan Dahinten ◽  
Linda D. Scott ◽  
Chang Gi Park ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Adverse Events ◽  
Multilevel Analysis ◽  
Hospital Characteristics

Variation in Quality of Care after Emergency General Surgery Procedures in the Elderly

2011 ◽  
Vol 212 (6) ◽  
pp. 1039-1048 ◽  
Author(s):  
Angela M. Ingraham ◽  
Mark E. Cohen ◽  
Mehul V. Raval ◽  
Clifford Y. Ko ◽  
Avery B. Nathens
Keyword(s):  
Quality Of Care ◽  
General Surgery ◽  
The Elderly ◽  
Emergency General Surgery

scholarly journals Evaluating mortality outlier hospitals to improve the quality of care in emergency general surgery

2019 ◽  
Vol 87 (2) ◽  
pp. 297-306 ◽  
Author(s):  
Robert D. Becher ◽  
Michael P. DeWane ◽  
Nitin Sukumar ◽  
Marilyn J. Stolar ◽  
Thomas M. Gill ◽  
...  
Keyword(s):  
Quality Of Care ◽  
General Surgery ◽  
Emergency General Surgery

scholarly journals Nurses’ Perceptions on the Implementation of a Safe Drug Administration Protocol and Its Effect on Error Notification

2021 ◽  
Vol 18 (7) ◽  
pp. 3718
Author(s):  
Francisco Miguel Escandell-Rico ◽  
Juana Perpiñá-Galvañ ◽  
Lucía Pérez-Fernández ◽  
Ángela Sanjuán-Quiles ◽  
Piedras Albas Gómez-Beltrán ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Adverse Events ◽  
Intervention Group ◽  
Surgical Units ◽  
Event Notification ◽  
The Mean ◽  
Nurses Perceptions ◽  
Administration Protocol

Patient safety and quality of care are fundamental pillars in the health policies of various governments and international organizations. The purpose of this study is to evaluate nurses’ perceptions on the degree of implementation of a protocol for the standardization of care and to measure its influence on notification of adverse events related to the administration of medications. This comparative study used data obtained from questionnaires completed by 180 nurses from medical and surgical units. Our analyses included analysis of variance and regression models. We observe that the responses changed unevenly over time in each group, finding significant differences in all comparisons. The mean response rating was increased at 6 months in the intervention group, and this level was maintained at 12 months. With the new protocol, a total of 246 adverse events and 481 incidents without harm was reported. Thus, actions such as the use of protocols and event notification systems should be implemented to improve quality of care and patient safety.

scholarly journals Setting up district audit meetings in psychiatry

1991 ◽  
Vol 15 (7) ◽  
pp. 417-418 ◽  
Author(s):  
David Roy
Keyword(s):  
Quality Of Care ◽  
Length Of Stay ◽  
Adverse Events ◽  
Medical Profession ◽  
Medical Audit ◽  
Day Hospital ◽  
Process Of Care ◽  
Face To Face ◽  
Record Review

Charles Shaw, in a number of articles and his Hospital Handbook (Shaw, 1989, 1990) has played a key role in outlining the principles of medical audit. He arbitrarily divides the process of medical audit into four phases. The philosophical phase which seems to have been negotiated, is whether the medical profession should be involved; the organisational phase; who should lead the process, and the resources required; the practical phase, what should be audited and the methods used; and the invasive phase, how the general concepts and the details of audit are communicated through publication. He goes on to describe a variety of methods of audit including the review of adverse events and general statistics, the assessment of randomly selected records, and finally the review of a topic (which includes medical record review). Another approach in planning audit is through understanding of the organisation itself (Donabedian, 1966) and evaluating quality of care in terms of the structure of the organisation (bricks and mortar, staffing, beds, technology etc.), the process of care, and this may include length of stay, broad out-patients statistics, and perhaps more controversially, face to face contact, group interaction, home visits, day hospital attendance and so on. Finally, and most complex, is outcome.

Evaluation of teamwork in operating rooms in a Tunisian university hospital

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Lamine ◽  
O Ammar ◽  
W Mrabet ◽  
M A Tlili ◽  
W Aouicha ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Adverse Events ◽  
Situation Awareness ◽  
Assessment Tool ◽  
Operating Rooms ◽  
University Hospital ◽  
Quality Level ◽  
Cross Sectional ◽  
The University

Abstract Background Teamwork is fundamental to ensuring the quality of care and patient safety in operating rooms. It has been shown that the occurrence of adverse events is closely linked to a poor quality of teamwork in these settings. Thus, this study aimed to assess teamwork in different operating rooms of the university hospital of Sahloul Sousse (Tunisia). Methods It is a descriptive cross-sectional study with convenience sampling, conducted in operating rooms of the university hospital of Sahloul Sousse (Tunisia) between February and April 2018. The measuring instrument was the validated observation grid 'Communication and Teamwork Skills Assessment Tool (CATS) '. Teamwork is assessed through 4 domains (Situation awareness, Coordination, Communication, Cooperation). Behaviors are marked in rows each time they occur and are rated for quality in columns labeled “Observed and Good,” “Variation in Quality” (meaning incomplete or of variable quality), and “Expected but not Observed.” Results A total of 51 interventions were observed. Good coordination between the team members was noted, as well as good cooperation within the teams. A variation of quality level of communication with the patient was noted in 31.4% of cases, also communication about the context, the situation and recommendation among caregivers is not quite good with a percentage of 39.2%. Moreover, the work environment was rated as good in 84.3% of cases. Conclusions Some failures in teamwork were noted, hence it is important to take corrective measures for better practice and better patient management in such a complex environment, the operating rooms, where there is a strong need for team coordination. Key messages There is a direct relationship between the quality of care and the effectiveness of teamwork. It is necessary to eliminate the barriers to communication, in order to prevent adverse events.

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