Health systems dedicated to improving patient safety are beginning their journey and need a roadmap to prioritize initiatives

2007 ◽  
Keyword(s):  
Patient Safety ◽  
Health Systems

scholarly journals Application of electronic trigger tools to identify targets for improving diagnostic safety

2018 ◽  
Vol 28 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Daniel R Murphy ◽  
Ashley ND Meyer ◽  
Dean F Sittig ◽  
Derek W Meeks ◽  
Eric J Thomas ◽  
...  
Keyword(s):  
Adverse Event ◽  
Patient Safety ◽  
High Risk ◽  
Health Systems ◽  
Language Processing ◽  
Diagnostic Errors ◽  
Diagnostic Process ◽  
Future Research ◽  
Implementation Challenges ◽  
Preventable Harm

Progress in reducing diagnostic errors remains slow partly due to poorly defined methods to identify errors, high-risk situations, and adverse events. Electronic trigger (e-trigger) tools, which mine vast amounts of patient data to identify signals indicative of a likely error or adverse event, offer a promising method to efficiently identify errors. The increasing amounts of longitudinal electronic data and maturing data warehousing techniques and infrastructure offer an unprecedented opportunity to implement new types of e-trigger tools that use algorithms to identify risks and events related to the diagnostic process. We present a knowledge discovery framework, the Safer Dx Trigger Tools Framework, that enables health systems to develop and implement e-trigger tools to identify and measure diagnostic errors using comprehensive electronic health record (EHR) data. Safer Dx e-trigger tools detect potential diagnostic events, allowing health systems to monitor event rates, study contributory factors and identify targets for improving diagnostic safety. In addition to promoting organisational learning, some e-triggers can monitor data prospectively and help identify patients at high-risk for a future adverse event, enabling clinicians, patients or safety personnel to take preventive actions proactively. Successful application of electronic algorithms requires health systems to invest in clinical informaticists, information technology professionals, patient safety professionals and clinicians, all of who work closely together to overcome development and implementation challenges. We outline key future research, including advances in natural language processing and machine learning, needed to improve effectiveness of e-triggers. Integrating diagnostic safety e-triggers in institutional patient safety strategies can accelerate progress in reducing preventable harm from diagnostic errors.

Get Smart: Effective Use of Smart Pump Technology

2009 ◽  
Vol 44 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Michael Sanborn ◽  
Tammy Cohen
Keyword(s):  
Patient Safety ◽  
Health Systems ◽  
Technology Implementation ◽  
Patient Centered ◽  
Pharmacy Technology ◽  
Specific Goal ◽  
Effective Use ◽  
Pharmacy Leaders ◽  
Effective Integration ◽  
Smart Pump

The Director's Forum series is written and edited by Michael Sanborn and Robert Weber and is designed for guiding pharmacy leaders in establishing patient-centered services in hospitals and health systems. Another specific goal of this column is addressing many of the key challenges that pharmacy directors currently face, while also providing information that will foster growth in pharmacy leadership and patient safety. Previous Director's Forum articles have discussed various aspects of pharmacy technology implementation and utilization. This feature focuses on the effective integration of smart pump technology to maximize patient safety benefits.

scholarly journals Comparative Studies on Patient Safety Culture to Strengthen Health Systems Among Southeast Asian Countries

2021 ◽  
Vol 8 ◽  
Author(s):  
Sunjoo Kang ◽  
Trang Thi Thuy Ho ◽  
Nam-Ju Lee
Keyword(s):  
Sustainable Development ◽  
Developing Countries ◽  
Patient Safety ◽  
Health Systems ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Developed Countries ◽  
Southeast Asian ◽  
Asian Countries ◽  
Southeast Asian Countries

Patient safety is an important issue in health systems worldwide. A systematic review of previous studies on patient safety culture in Southeast Asian countries is necessary for South Korea's partnership with these countries, especially given South Korea's assistance in strengthening the health systems of these developing countries. Studies on patient safety culture in Southeast Asian countries, published in English and Thai languages, were retrieved from computerized databases using keywords through a manual search. Data extraction, quality assessment, and analyses were performed using several tools. The review included 21 studies conducted in Indonesia (n = 8), Thailand (n = 5), Malaysia (n = 3), Vietnam (n = 2), Singapore (n = 1), and the Philippines (n = 1). They were analyzed and categorized into 12 dimensions of safety culture, and differences in response rate or scores were identified compared to the mean of the dimensions. The heterogeneous of safety culture's situation among Southeast Asian countries, both in practice and in research, can be explained since patient safety policy and its application are not prioritized as much as they are in developed countries in the priority compared to the developed countries. However, Vietnam, Cambodia, Myanmar, and Laos are the priority countries for South Korea's official healthcare development assistance in the Southeast Asia region. Vietnam, for instance, is an economically transitioning country; therefore, consolidated patient safety improvement by inducing patient safety culture in the provincial and central health system as well as strengthening project formulation to contribute to health policy formation are needed for sustainable development of the partner countries' health systems. It is recommended that more evidence-based proactive project planning and implementation be conducted to integrate patient safety culture into the health systems of developing countries, toward health policy on patient safety and quality service for the attainment of sustainable development goals in South Korea's development cooperation.

scholarly journals Patient Safety in Cross-border Care

2015 ◽  
Vol 8 (1) ◽  
pp. 77-83
Author(s):  
Eva Turk ◽  
Stephen Leyshon ◽  
Morten Pytte
Keyword(s):  
European Union ◽  
Quality Assurance ◽  
Patient Safety ◽  
Adverse Events ◽  
Health Systems ◽  
Medical Errors ◽  
The State ◽  
The European Union ◽  
Cross Border

Patient safety is a right and it raises particular issues in the context of cross-border care. Patients should be able to have trust and confidence in the healthcare structure as a whole; they must be protected from the harm caused by poorly functioning health systems, medical errors and adverse events. This paper addresses the state of cross-border healthcare in the European Union, the state of patient safety, the question of quality assurance and the role of accreditation as a risk based approach.

A Pharmacy Director's Primer on the American Recovery and Reinvestment Act of 2009

2009 ◽  
Vol 44 (9) ◽  
pp. 813-818
Author(s):  
Lindsey R. Kelley ◽  
Shelby L. Corman ◽  
Robert J. Weber
Keyword(s):  
Patient Safety ◽  
Health Systems ◽  
Hospital Pharmacy ◽  
Patient Centered ◽  
Leadership Challenges ◽  
Specific Goal ◽  
Pharmacy Management ◽  
The Many ◽  
The Impact ◽  
Pharmacy Leaders

The Director's Forum series is written and edited by Michael Sanborn and Robert Weber and is designed for guiding pharmacy leaders in establishing patient-centered services in hospitals and health systems. Another specific goal of this column is addressing many of the key challenges that pharmacy directors currently face, while also providing information that will foster growth in pharmacy leadership and patient safety. Previous articles in this series have discussed the many different aspects of pharmacy management and leadership challenges. This feature addresses the impact of the American Recovery and Reinvestment Act (the Stimulus Program) on hospital pharmacy practices.

scholarly journals Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e044941
Author(s):  
Edmond Li ◽  
Jonathan Clarke ◽  
Ana Luisa Neves ◽  
Hutan Ashrafian ◽  
Ara Darzi
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Electronic Health Records ◽  
Health Systems ◽  
Risk Of Bias ◽  
High Income ◽  
The Body ◽  
Health Records ◽  
Electronic Health ◽  
The Impact

IntroductionThe availability and routine use of electronic health records (EHRs) have become commonplace in healthcare systems of many high-income countries. While there is an ever-growing body of literature pertaining to their use, evidence surrounding the importance of EHR interoperability and its impact on patient safety remains less clear. There is, therefore, a need and opportunity to evaluate the evidence available regarding this relationship so as to better inform health informatics development and policies in the years to come. This systematic review aims to evaluate the impact of EHR interoperability on patient safety in health systems of high-income countries.Methods and analysisA systematic literature review will be conducted via a computerised search through four databases: PubMed, Embase, Health Management Information Consortium and PsycInfo for relevant articles published between 2010 and 2020. Outcomes of interest will include impact on patient safety and the broader effects on health systems. Quality of the randomised quantitative studies will be assessed using Cochrane Risk of Bias Tool. Non-randomised papers will be evaluated with the Risk of Bias In Non-Randomised Studies—of Interventions tool. Drummond’s Checklist will be used for publications pertaining to economic evaluation. The National Institute for Health and Care Excellence quality appraisal checklist will be used to assess qualitative studies. A narrative synthesis will be conducted for included studies, and the body of evidence will be summarised in a summary of findings table.Ethics and disseminationThis review will summarise published studies with non-identifiable data and, thus, does not require ethical approval. Findings will be disseminated through preprints, open access peer-reviewed publications, and conference presentations.PROSPERO registration numberCRD42020209285.

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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