Using an Obstetric Patient Safety Program to Standardize Postpartum Hemorrhage Care Across a Health Care System

2021 ◽  
Vol 50 (5) ◽  
pp. S19-S20
Author(s):  
Amy Dempsey ◽  
Cyndy Krening
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care System ◽  
Postpartum Hemorrhage ◽  
Safety Program ◽  
Obstetric Patient ◽  
Care System

Patient Safety Monitoring in Acute Care in a Decentralized National Health Care System

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Labella Barbara ◽  
De Blasi Roberta ◽  
Raho Vanda ◽  
Tozzi Quinto ◽  
Caracci Giovanni ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Acute Care ◽  
Health Care System ◽  
National Health ◽  
Safety Monitoring ◽  
National Health Care ◽  
National Health Care System ◽  
Care System

scholarly journals Patient Safety, Risk Reduction, and the Law

2018 ◽  
Author(s):  
Larry I. Palmer
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health System ◽  
Systems Thinking ◽  
Health Care System ◽  
Error Reduction ◽  
Medical Liability ◽  
Starting Point ◽  
Care System

36 Houston Law Review 1609 (1999)"Patient safety" has come of age. With the publication of several empirical studies of medical injuries and the recent Institute of Medicine Report, To Err is Human: Building a Safe Health System, scholars from a variety of disciplines are advocating "systems thinking" as a way of preventing medical accidents. These scholars have been influenced by efforts to reduce accidents in other high risk industries such as aviation and scholarship in law proposing "no fault systems" for compensating medical accident victims. This article proposes that in order to incorporate "systems thinking" about medical error reduction, legal scholarship on the health care system must move beyond its preoccupation with the medical liability system. To develop a new framework for the role of law in enhancing patient safety, this article proposes that law's interaction with the public health system is the appropriate starting point for framing the legal analysis of patient safety. This framing of the issues acknowledges that the liability system may have a role to play in error reduction in medicine, but determining what this role is requires more empirical study of legal institutions as part of the emerging system of patient safety. To discover the appropriate role of law in the prevention of medical errors, this article encourages legal scholars to learn to pose empirical questions about how various institutions interact with the health care system.

scholarly journals Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System

10.7249/tr725 ◽  
2009 ◽  
Author(s):  
Donna Farley ◽  
M. Ridgely ◽  
Peter Mendel ◽  
Stephanie Teleki ◽  
Cheryl Damberg ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care System ◽  
Safety Practices ◽  
The U.S ◽  
Care System

scholarly journals A Conceptual Model for Disclosure of Medical Errors

2006 ◽  
Vol 92 (3) ◽  
pp. 20-27
Author(s):  
Stephanie Fein ◽  
Lee Hilborne ◽  
Margie Kagawa-Singer ◽  
Eugene Spiritus ◽  
Craig Keenan ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Focus Groups ◽  
Conceptual Model ◽  
Health Care System ◽  
Medical Errors ◽  
Patient Factors ◽  
Quality Patient Care ◽  
Software Codes ◽  
Care System

ABSTRACT Objective Patient safety is fundamental to high-quality patient care. Critical steps toward improving the safety of the health care system include ensuring the system is aware of its errors so effective remedies can be applied, and enhancing the trustworthiness of the health care system for patients by disclosing errors that are meaningful to them. This study aimed to construct a conceptual model of the factors that facilitate or hinder disclosure of medical errors. Methods We conducted 25 separate focus groups with attending physicians, nurses, residents, patients and hospital administrators at five academic medical centers in a university health care system. The protocol probed the ethical perceptions of participants and the details of disclosure expectations. Audiotapes of the focus groups were transcribed and analyzed using Atlas.ti software. Codes were assigned to the text in an iterative fashion. Themes were identified and assembled into a model of disclosure. Results All groups believed that errors should be disclosed. Important influences on whether disclosure would occur fell into four categories: provider factors, patient factors, error factors and institutional culture. Provider issues included perceived professional responsibility, fears and training. Patient factors included their desire for information, level of health care sophistication and rapport with their provider. Error factors included level of harm and whether patients and others were aware of the error and the harm. Perceived tolerance for error and a supportive infrastructure were institutional factors that influenced disclosure. Conclusion This grounded model of error disclosure delineates areas for interventions to increase disclosure as a step toward improving patient safety.

scholarly journals GRANDMULTIPARAS

2015 ◽  
Vol 22 (04) ◽  
pp. 395-400
Author(s):  
Saadia Bano ◽  
Tasneem Azhar ◽  
Iram Aslam
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care System ◽  
Postpartum Hemorrhage ◽  
Placental Abruption ◽  
Fetal Outcome ◽  
Health Care Facilities ◽  
Chronic Hypertension ◽  
A Prospective Study ◽  
Care System

Intrapartum complications that are classically associated with grandmultiparasinclude fetal malpresentation, dysfunctional labour, chronic hypertension, abruptio placentae,postpartum haemorrhage and macrosomic babies. Excellent maternal and fetal outcome ispossible in grandmultiparas with improvement in health care system and free provision of healthfacilities to all pregnant women. Objectives: The objective of the study was: to find the frequencyof hypertension, placental abruption and primary postpartum hemorrhage in grandmultiparas.Study Design: It was a prospective study with descriptive pattern. Setting: Gynaecologyand Obstetric unit-I of Allied Hospital, Punjab Medical College Faisalabad. Period: January toJune 2006. Methods: Eighty patients were included in the study. Eighty grandmultiparas wererandomly selected for the study. Detailed evaluation of all patients was done by thorough history,examination and investigation. Patients were analyzed for complications during pregnancy,labour and delivery, especially hypertension, placental abruption and primary post partumhaemorrhage. Results: Hypertensive disorders found to be in 32 (33.8%), placental abruptionin 7(8.8%) and postpartum hemorrhage in 19( 23.8%) of grandmultiparas. Conclusions: It wasconcluded from the result of my study that grandmultiparity is still a major obstetric hazard indeveloping countries like Pakistan with higher incidence of complications. Safe maternal andperinatal outcome is possible in grandmultiparas with improvement in health care system andfree provision of health care facilities to all pregnant women.

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