Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery

Background:This paper explores the opportunities and challenges for integrating patient safety education in undergraduate nursing curriculum.Methods:Four dimensions of undergraduate nursing education are examined: National accreditation of nursing programs, building a competency-based nursing education, a model of nursing education and building faculty capacity in patient safety education and research.Results:Incorporating patient safety in a nursing curriculum can be “institutionalized” by making it a pre-requisite for granting program accreditation. At the operational level, transforming undergraduate nursing education to incorporate inquiry-based learning and moving toward competency-based patient safety education are two key requirements for engaging the students with patient safety science. Building faculty capacity who are experts in both patient safety teaching and research remains a key challenge that needs to be addressed to enable a shift in the patient safety “mindset” for future nursing workforce.Conclusion:Efforts to introduce patient safety in nursing education are both necessary and timely, and should accommodate students’ unique needs and cultural context.

Download Full-text

Acuity-Adaptable Nursing Care: Exploring Its Place in Designing the Future Patient Room

HERD Health Environments Research & Design Journal ◽

10.1177/193758671100500108 ◽

2011 ◽

Vol 5 (1) ◽

pp. 77-93 ◽

Cited By ~ 5

Author(s):

Melissa A. Kwan

Keyword(s):

Patient Safety ◽

Care Delivery ◽

Outcome Data ◽

Patient Room ◽

Patient Transfers ◽

Delivery Model ◽

Care Delivery Model ◽

Original Definition ◽

The Future ◽

Original Concept

Aim: To substantiate the anticipated benefits of the original acuity-adaptable care delivery model as defined by innovator Ann Hendrich. Background: In today's conveyor belt approach to healthcare, upon admission and through discharge, patients are commonly transferred based on changing acuity needs. Wasted time and money and inefficiencies in hospital operations often result—in addition to jeopardizing patient safety. In the last decade, a handful of hospitals pioneered the implementation of the acuity-adaptable care delivery model. Built on the concept of eliminating patient transfers, the projected outcomes of acuity-adaptable units—decreased average lengths of stay, increased patient safety and satisfaction, and increased nurses' satisfaction from reduced walking distances—make a good case for a model patient room. Conclusion: Although some hospitals experienced the projected benefits of the acuity-adaptable care delivery model, sustaining the outcomes proved to be difficult; hence, the original definition of acuity-adaptable units has not fared well. Variations on the original concept demonstrate that eliminating patient transfers has not been completely abandoned in healthcare redesign and construction initiatives. Terms such as flex-up, flex-down, universal room, and single-stay unit have since emerged. These variations convolute the search for empirical evidence to support the anticipated benefits of the original concept. To determine the future of this concept and its variants, a significant amount of outcome data must be generated by piloting the concept in different hospital settings. As further refinements and adjustments to the concept emerge, the acuity-adaptable room may find a place in future hospitals.

Download Full-text

Patient safety education using an arts and health approach in Japanese university hospitals: a pilot study

Arts & Health ◽

10.1080/17533015.2017.1422273 ◽

2018 ◽

Vol 11 (2) ◽

pp. 163-173

Author(s):

Etsuko Nakagami-Yamaguchi ◽

Hitoshi Murao ◽

Toshiyuki Itoi ◽

Satoshi Murakami ◽

Takehito Yui ◽

...

Keyword(s):

Patient Safety ◽

Pilot Study ◽

Safety Education ◽

University Hospitals ◽

Japanese University ◽

Arts And Health ◽

Patient Safety Education

Download Full-text

The Timing of Simulation-Based Scenario Implementation in Patient Safety Education: The Example of the Operating Room

Clinical Simulation in Nursing ◽

10.1016/j.ecns.2020.08.012 ◽

2020 ◽

Vol 48 ◽

pp. 80-88

Author(s):

Nermin Ocaktan ◽

Yasemin Uslu ◽

Merve Kanıg ◽

Vesile Unver ◽

Ukke Karabacak

Keyword(s):

Patient Safety ◽

Operating Room ◽

Safety Education ◽

Simulation Based ◽

Patient Safety Education

Download Full-text

Shedding the Light on the Off-Hours Problem in Radiology

American Journal of Medical Quality ◽

10.1177/1062860620907154 ◽

2020 ◽

Vol 35 (5) ◽

pp. 419-426

Author(s):

Christopher G. Roth ◽

Gilda Boroumand ◽

Jaydev K. Dave

Keyword(s):

Patient Safety ◽

Diagnostic Error ◽

Time Frame ◽

Operational Efficiency ◽

X Rays ◽

Safety Education ◽

Survey Results ◽

Diagnostic Delays ◽

Patient Safety Education ◽

Improvement Effort

Diagnostic error and diagnostic delays in health care are widespread. This article outlines an improvement effort targeting weekday evening inpatient radiology delays through staffing changes replacing trainees with faculty-trainee team coverage, pushing faculty coverage from 4 pm to 8 pm. Order-report turnaround times (TATs), critical findings TATs for pneumothorax and intracranial hemorrhage (ICH), and percentage meeting target were compared pre and post implementation for the 4 to 8 pm time frame using the Mann-Whitney U and χ2 tests, respectively. Stakeholder surveys assessed patient safety, morale, education, and operational efficiency. Median TATs (minutes) improved: X-rays 906 to 112, computed tomography 994 to 84, magnetic resonance imaging 1172 to 233, and ultrasound 88 to 58. Median critical findings TATs (minutes) improved from 853 to 30 and 112 to 22 for pneumothorax and ICH, respectively, and the percentage meeting target improved from 45% to 65%. Survey results reported perceived improvement in patient safety, education, and operational efficiency and no impact on morale.

Download Full-text