scholarly journals High mortality in coronavirus disease 2019 (COVID-19)–suspect unit: Lessons learned for patient safety

2021 ◽  
pp. 1-2
Author(s):  
Anucha Apisarnthanarak ◽  
Surachai Chaononghin ◽  
Panipak Katawethiwong ◽  
David K. Warren
Keyword(s):  
Patient Safety ◽  
High Mortality ◽  
Lessons Learned

The Patient in Patient Safety: Contemporary Issues, From COVID-19 to Citizen Science

2021 ◽  
Vol 10 (1) ◽  
pp. 301-303
Author(s):  
Elizabeth Lerner Papautsky ◽  
Richard J. Holden ◽  
Rupa S. Valdez ◽  
Jordan Hill ◽  
Janetta Brown
Keyword(s):  
Social Media ◽  
Patient Safety ◽  
Citizen Science ◽  
Human Subjects ◽  
Lessons Learned ◽  
Human Subjects Research ◽  
Research Strategies ◽  
Face To Face

In the 4th panel on the topic of The Patient in Patient Safety, we highlighted topics of current relevance and facilitated a reflection session. The objective was to highlight the ways in which the COVID-19 pandemic has impacted patient ergonomics research and work, with particular focus on safety. After a topic overview, panelists presented their work on overcoming challenges to human subjects research created by the suspension of face-to-face activities during the COVID-19 pandemic. A facilitated reflection and brainstorming session using Miro followed. We used questions to elicit examples of patient and caregiver roles in safety during the pandemic and research strategies and challenges. These questions were also distributed on social media prior to the event. The panel served as an opportunity to share lessons learned.

scholarly journals Leveraging massive open online courses to expand quality of healthcare education to health practitioners in Rwanda

2019 ◽  
Vol 8 (4) ◽  
pp. e000532 ◽  
Author(s):  
Kirstin Woody Scott ◽  
Theophile Dushime ◽  
Vincent Rusanganwa ◽  
Liana Woskie ◽  
Clint Attebery ◽  
...  
Keyword(s):  
Patient Safety ◽  
Global Health ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Lessons Learned ◽  
Online Course ◽  
Massive Open Online ◽  
District Hospitals

Improving the quality of healthcare delivery is increasingly a global health priority. However, quality improvement training opportunities that provide theoretical foundations and basic skills for patient safety and other quality initiatives have been limited or historically out of reach, especially in low-and-middle income countries (LMICs). To address this gap, the Harvard Initiative on Global Health Quality (HIGHQ) created and launched a massive open online course (MOOC) in 2014 focused on patient safety and quality of care using the edX platform. More than 30 000 students from across 195 countries registered for the online course. This paper summarises an innovative educational partnership between the course team and one of these countries, Rwanda, to develop a blended-learning model to bolster participation in this new course among Rwandan healthcare professionals. Although a small country, Rwanda was among the top performing countries for attracting course registrants and was the leading country for the proportion of enrollees who ultimately completed the course. Further, half (21 of 42) of Rwanda’s district hospitals opted to appoint a PH555x course facilitator at their site to help lead regular meetings and discussions about the course content at their facility. The majority of Rwandan enrollees were health professionals (63%) and 81% reported that PH555x was their first experience taking an online course. Among those participating in the ‘flipped’ component at hospital sites, 94% reported that the course helped them to think of specific ways to improve healthcare quality at their facility. In this paper, we describe this innovative public–private educational model, challenges to implementation and lessons learned that may be helpful for future MOOC developers who wish to augment learning opportunities among healthcare professionals in LMICs.

scholarly journals Emergency bedside cesarean delivery: lessons learned in teamwork and patient safety

2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Michelle A O Kinney ◽  
Carl H Rose ◽  
Kyle D Traynor ◽  
Eric Deutsch ◽  
Hafsa U Memon ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cesarean Delivery ◽  
Lessons Learned

Identifying Latent Design Issues in Mobile Products to Prevent Patient Harm

2014 ◽  
Vol 3 (1) ◽  
pp. 222-229 ◽  
Author(s):  
Scott D. Wood ◽  
Roger Chapman ◽  
Lesley Taylor ◽  
Pamela Wright ◽  
Jeanie Scott
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Mobile Health ◽  
Lessons Learned ◽  
Safety Engineering ◽  
Patient Harm ◽  
Design Issues ◽  
Mobile Health Care ◽  
Software Applications ◽  
Application Analysis

This paper describes a rigorous yet practical process for evaluating mobile health care products (native and webbased software applications) to identify design issues that present a risk to patients. The process uses a model-based approach to application analysis, combining techniques from human factors, human-computer interaction, safety engineering and patient safety. Examples from mobile products in development are used to illustrate how the process facilitates detection of common design issues. Lessons learned from developing and applying the process also are discussed.

scholarly journals Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals

2013 ◽  
Vol 23 (2) ◽  
pp. 136-146 ◽  
Author(s):  
Angus I G Ramsay ◽  
Simon Turner ◽  
Gillian Cavell ◽  
C Alice Oborne ◽  
Rebecca E Thomas ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Medication Safety ◽  
Lessons Learned ◽  
Mixed Methods Evaluation ◽  
Ward Level

scholarly journals Tailoring an educational program on the AHRQ Patient Safety Indicators to meet stakeholder needs: lessons learned in the VA

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Marlena H. Shin ◽  
Peter E. Rivard ◽  
Michael Shwartz ◽  
Ann Borzecki ◽  
Enzo Yaksic ◽  
...  
Keyword(s):  
Patient Safety ◽  
Educational Program ◽  
Lessons Learned ◽  
Patient Safety Indicators ◽  
Stakeholder Needs

scholarly journals Simulation: A Training Resource for Quality Care and Improving Patient Safety

2020 ◽  
Author(s):  
Eliana Escudero ◽  
Marlova Silva ◽  
Marcia Corvetto
Keyword(s):  
Patient Safety ◽  
Quality Care ◽  
Lessons Learned ◽  
Care Process ◽  
Curricular Integration ◽  
Training Plan ◽  
Simulation Based ◽  
Patients At Risk ◽  
Healthcare Interventions ◽  
Patient Care Process

Patient safety is an ever-present topic in the discussion of educators. It has been 20 years since the publication of To Err Is Human, and there are lessons learned, although there is still much to be done. Healthcare systems are becoming increasingly complex, putting the safety of patients at risk. In this context, there is a greater exposure of healthcare professionals to medical-legal liability issues and to becoming victims of situations that are often preventable. Nurses and medical doctors are especially exposed to these situations, since they are visible during procedures, or do so during the points of greater risk during the patient care process. This chapter will review the contribution provided by the curricular integration of simulation-based education as a tool to train technical and nontechnical issues and how this work can be done for the safety of patients through a standardized training plan, under controlled and evaluated processes. We will discuss how resources and elements allow to perform healthcare interventions in a more safely manner. Finally, we will review the existing literature, some experiences, and the available evidence on this topic.

scholarly journals Resilience of Cardiac Care through Virtualized Services during COVID-19: A Case Study of a Heart Function Clinic (Preprint)

2020 ◽  
Author(s):  
Amika Shah ◽  
Milena Guessi ◽  
Sahr Wali ◽  
Patrick Ware ◽  
Michael McDonald ◽  
...  
Keyword(s):  
Patient Safety ◽  
Health Systems ◽  
Heart Function ◽  
Single Case ◽  
Lessons Learned ◽  
Barriers And Facilitators ◽  
Cardiac Care ◽  
Semantic Level ◽  
Virtual Care

BACKGROUND Virtual care has historically faced barriers to widespread adoption. However, the COVID-19 pandemic has necessitated the rapid adoption and expansion of virtual care technologies. Although the intense and prolonged nature of the COVID-19 pandemic has renewed interest in health systems resilience, including how services adapt or transform in response to shocks, evidence documenting the role of virtual care technologies in health systems resilience is scarce. OBJECTIVE At Toronto General Hospital in Ontario, Canada, the rapid virtualization of cardiac care began on March 9, 2020 as a response to the pandemic. The objective of this study was to understand the experiences, barriers, and facilitators of the rapid virtualization and expansion of cardiac care due to the pandemic. METHODS A single-case study was conducted with three embedded units of analysis. Patients, clinicians, and staff were recruited purposively from an existing mobile phone-based telemonitoring program at a Heart Function Clinic in Toronto, Canada. Individual semi-structured phone interviews were conducted by two researchers and transcribed verbatim. An inductive thematic analysis at the semantic level was used to analyze transcripts and develop themes. RESULTS A total of 29 participants were interviewed, spanning patients (n=16), clinicians (n=9), and staff (n=4). Five themes were identified: (1) patient safety as a catalyst for virtual care adoption; (2) piecemeal virtual care solutions; (3) confronting new roles and workloads; (4) missing pieces to virtual care; and (5) the inequity paradox. A motivation to protect patient safety and a piecemeal approach to virtual care adoption facilitated absorptive and adaptive resilience of cardiac care during COVID-19, while ad hoc changes to clinic roles and workflows, challenges building relationships virtually, and widened inequities were barriers threatening virtual care sustainment. CONCLUSIONS We contend that sustaining virtual care hinges upon transformative, rather than adaptive actions, to strengthen health systems to face the dynamic and emergent challenges associated with COVID-19 and other shocks. Based on the barriers and facilitators identified, we present lessons learned and recommended transformations to sustain virtual care during and beyond COVID-19.

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