scholarly journals Human factors application for healthcare teams in low- and medium-income countries (LMIC) to help improve patient safety and performance

Author(s):  
Sukhpreet Singh Dubb ◽  
Rachel S. Oeppen ◽  
Tomas Svoboda ◽  
Peter A. Brennan
10.12788/3305 ◽  
2019 ◽  
Vol 15 (6) ◽  
pp. 378-380
Author(s):  
Philip A Hagedorn ◽  
Amit Singh ◽  
Brooke Luo ◽  
Christopher Bonafide ◽  
Jeffrey M Simmons

Over the past two decades, physicians and nurses practicing in hospital settings have faced an onslaught of challenges in communication, an area frequently cited as critical to providing safe and effective care to patients.1-3 Communication needs have increased significantly as hospitalized patients have become more acute, complex, and technology-dependent, requiring larger healthcare teams comprising subspecialists across multiple disciplines spread across increasingly larger inpatient facilities.4 During this same period, the evolution of mobile phones has led to dramatic shifts in personal communication patterns, with asynchronous text messaging replacing verbal communication.5-7


Author(s):  
Barbara Streimelweger ◽  
Katarzyna Wac ◽  
Wolfgang Seiringer

‘Patient Safety' tries to increase safety and transparency within healthcare systems for both patients and professionals. Within the healthcare sector, workflows become more and more complex, while time and money become scarce. As a consequence, the risk awareness, fault management and quality aspects become more important. One of the most well established risk assessment method is Failure Mode and Effect Analysis (FMEA) – a reliability analysis and risk assessment tool widely used in various industries. The traditional FMEA is using a Risk Priority Number (RPN) ranking system to evaluate and identify the risk level of failures, and to prioritize actions. However, there are several shortcomings in obtaining a quality estimate of the failure ratings with FMEA, especially when human factors play an important role. Thus, a new risk assessment method called HFdFMEA (Human Factor dependent FMEA) based on the dependency of used parameters and the observation of human factors, is proposed to address the drawbacks. The opportunity to improve patient safety is discussed as result of HFdFMEA.


2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Kamila Sikora ◽  
Phillips Perera ◽  
Thomas Mailhot ◽  
Diku Mandavia

Objective. To review the use of ultrasound for the detection of pleural effusions and guidance of the thoracentesis procedure. Methods. Two clinical cases will be presented in which ultrasound proved beneficial in guiding the diagnosis and management of patients with pleural effusions and respiratory distress. The ultrasound techniques for the evaluation of pleural effusions and performance of the thoracentesis procedure are discussed. A review of the most current literature follows to present the known diagnostic and safety benefits of ultrasound guidance for thoracentesis. Conclusions. Ultrasound improves the diagnostic accuracy for the detection of pleural effusions over standard chest radiographs. Ultrasound can also diagnose a complicated pleural effusion that may be at higher risk for an adverse outcome during a thoracentesis. Optimally, thoracentesis should be performed under direct ultrasound guidance to decrease the complication rate and improve patient safety.


Author(s):  
Carrie Reale ◽  
Jason J. Saleem ◽  
Emily S. Patterson ◽  
Aaron Zachary Hettinger ◽  
Shilo Anders ◽  
...  

Medication management is a complex and mentally demanding endeavor performed by multiple individuals in diverse settings and at variable points in time. Achieving the goal of safe care delivery with optimized patient outcomes requires ongoing communication, coordination, and interaction between an array of technologies and roles across the health care continuum. Human factors principles and methods have the potential to substantially improve patient safety throughout this high-risk cycle. The purpose of this interactive discussion panel is to explore the medication management process from a sociotechnical perspective to identify specific challenges and vulnerabilities, and recommend strategies that leverage human factors processes and design principles to efficiently and effectively address safety critical issues.


Author(s):  
Michael A. Noble

AbstractLaboratory accreditation and External Quality Assessment (also called proficiency testing) are mainstays of laboratory quality assessment and performance. Both practices are associated with examples of improved laboratory performance. The relationship between laboratory performance and improved patient safety is more difficult to assess because of the many variables that are involved with patient outcome. Despite this difficulty, the argument to continue external evaluation of laboratories is too compelling to consider the alternative.Clin Chem Lab Med 2007;45:753–5.


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