scholarly journals Benchmarking hospital safety and identifying determinants of hospital-acquired complication: the case of Queensland cardiac linkage longitudinal cohort

2021 ◽  
pp. 100198
Author(s):  
Son Nghiem ◽  
Clifford Afoakwah ◽  
Joshua Byrnes ◽  
Paul Scuffham
Keyword(s):  
Longitudinal Cohort ◽  
Hospital Safety ◽  
Hospital Acquired ◽  
Hospital Acquired Complication

scholarly journals Study of a multisite prospective adverse event surveillance system

2019 ◽  
Vol 29 (4) ◽  
pp. 277-285 ◽  
Author(s):  
Alan J Forster ◽  
Allen Huang ◽  
Todd C Lee ◽  
Alison Jennings ◽  
Omer Choudhri ◽  
...  
Keyword(s):  
Adverse Event ◽  
Prospective Observational Study ◽  
General Medicine ◽  
Surveillance Period ◽  
Expert Review ◽  
Clinical Procedures ◽  
Hospital Safety ◽  
Surveillance Method ◽  
Hospital Acquired ◽  
Rule Out

BackgroundWe have designed a prospective adverse event (AE) surveillance method. We performed this study to evaluate this method’s performance in several hospitals simultaneously.ObjectivesTo compare AE rates obtained by prospective AE surveillance in different hospitals and to evaluate measurement factors explaining observed variation.MethodsWe conducted a multicentre prospective observational study. Prospective AE surveillance was implemented for 8 weeks on the general medicine wards of five hospitals. To determine if population factors may have influenced results, we performed mixed-effects logistic regression. To determine if surveillance factors may have influenced results, we reassigned observers to different hospitals midway through surveillance period and reallocated a random sample of events to different expert review teams.ResultsDuring 3560 patient days of observation of 1159 patient encounters, we identified 356 AEs (AE risk per encounter=22%). AE risk varied between hospitals ranging from 9.9% of encounters in Hospital D to 35.8% of encounters in Hospital A. AE types and severity were similar between hospitals—the most common types were related to clinical procedures (45%), hospital-acquired infections (21%) and medications (19%). Adjusting for age and comorbid status, we observed an association between hospital and AE risk. We observed variation in observer behaviour and moderate agreement between clinical reviewers, which could have influenced the observed rate difference.ConclusionThis study demonstrated that it is possible to implement prospective surveillance in different settings. Such surveillance appears to be better suited to evaluating hospital safety concerns within rather than between hospitals as we could not definitively rule out whether the observed variation in AE risk was due to population or surveillance factors.

In‐patient hypoglycaemia as a reportable hospital‐acquired complication

2021 ◽  
Vol 51 (9) ◽  
pp. 1557-1558
Author(s):  
Yuhan Alfred Goh ◽  
Laura Hoskin ◽  
Catherine Li ◽  
P. Gerry Fegan
Keyword(s):  
Hospital Acquired ◽  
Hospital Acquired Complication

Clinical evaluation of the national hospital acquired complication program

2021 ◽  
Author(s):  
J Graeme Duke ◽  
Daniel Loughnan ◽  
Maria De Frietas ◽  
Eliza De Bont ◽  
David Braude ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
National Hospital ◽  
Hospital Acquired ◽  
Hospital Acquired Complication

Performance of the Hospital-Acquired Complication (HAC) algorithm for detecting hospital-onset bloodstream infections

2019 ◽  
Vol 24 ◽  
pp. S6-S7
Author(s):  
Stephanie J. Curtis ◽  
Leon J. Worth ◽  
Rhonda L. Stuart ◽  
Caroline Marshall ◽  
Paul D.R. Johnson ◽  
...  
Keyword(s):  
Bloodstream Infections ◽  
Hospital Acquired ◽  
Hospital Acquired Complication

scholarly journals Compliance with safety measures and risk of COVID-19 transmission among healthcare workers

2021 ◽  
Author(s):  
Nawaf J Shatnawi ◽  
Zaid Mesmar ◽  
Gaith A Al-Omari ◽  
Wesam AL-Sheyab ◽  
Nabil A AlZoubi ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Demographic Data ◽  
Direct Care ◽  
University Hospital ◽  
Past Infection ◽  
Safety Measures ◽  
Hospital Safety ◽  
Low Prevalence ◽  
Hospital Acquired

Aim: This study aimed to determine the compliance of healthcare workers (HCWs) with the hospital safety measures and the prevalence of hospital-acquired COVID-19 infection among them. Methodology: HCWs at King Abdullah University Hospital (KAUH) assigned for COVID-19 patients between 18 March and 10 June 2020 were tested for past infection using total anti-SARS-CoV-2 immunoglobulin assay, demographic data and compliance with safety measures were assessed using a questionnaire. Results: A total of 340 HCWs participated in the study, 260 were close direct care. Three HCWs tested positive for total anti-SARS-CoV-2 immunoglobulin. Close direct care were more compliant with personal protective guidelines than those providing direct care. Conclusion: HCWs compliance with personal protective guidelines might explain the low prevalence of COVID-19 infection in hospital settings.

scholarly journals Atypical Salmonellosis in a Horse: Implications for Hospital Safety

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Kristina L. Rothers ◽  
Eileen S. Hackett ◽  
Gary L. Mason ◽  
Brad B. Nelson
Keyword(s):  
Large Volume ◽  
Perceived Risk ◽  
Clinical Signs ◽  
Infectious Agent ◽  
Aerobic Culture ◽  
Hospital Safety ◽  
Quarter Horse ◽  
Gastric Reflux ◽  
Small Intestinal ◽  
Hospital Acquired

A 17-year-old Quarter Horse mare was evaluated for colic of 24-hour duration. Clinical signs and diagnostic evaluation were consistent with duodenitis-proximal jejunitis. The horse’s clinical condition deteriorated despite medical treatment and was euthanized. Aerobic culture collected from small intestinal ingesta was positive for Salmonella enterica subsp. enterica serovar Hadar. Salmonella sp. is commonly implicated in nosocomial infections in equine veterinary hospitals usually through feces containing the organism. Considering Salmonella sp. was cultured from the jejunal luminal contents and the large volume of nasogastric reflux that was evacuated in this case, a perceived risk of Salmonella sp. transmission from infected gastric reflux to other hospitalized cases was realized. Infectious agent biosecurity precautions should be undertaken in horses with nasogastric reflux to prevent hospital-acquired transmission.

scholarly journals Minimize Risk of Intra-Hospital Acquired Transmission to Confront Pandemic COVID-19 in Taiwan

2021 ◽  
Vol 6 (2) ◽  
pp. 44-47
Author(s):  
Ting Wan Tan ◽  
Han Ling Tan ◽  
Man Na Chang ◽  
Wen Shu Lin ◽  
Chih Ming Chang
Keyword(s):  
Intensive Care Unit ◽  
Emergency Department ◽  
Early Stage ◽  
Health Care Facilities ◽  
Quick Response ◽  
Hospital Safety ◽  
Care Facilities ◽  
Major Emergencies ◽  
Hospital Acquired ◽  
Case Number

Since December 2019, the COVID-19 confirmed case number has increased rapidly in China. Subsequently has spread globally. Since late January 2020, Taiwan CDC and government have took measures early and quick response to Covid-19, take action to develop strategies to manage epidemic crisis and community spread in early stage. Taiwan has aware importance of design of isolation route from emergency department, outpatient, intensive care unit, ordinary ward and isolation rooms in health care facilities. For yearly hospital evaluation has been assessed elements that related functional capacity of hospital safety, which aims to examine the level of preparedness of hospital staffs for major emergencies or disaster.

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