scholarly journals Potential value of patient record review to assess and improve patient safety in general practice: A systematic review

2018 ◽  
Vol 24 (1) ◽  
pp. 192-201 ◽  
Author(s):  
Caoimhe Madden ◽  
Sinéad Lydon ◽  
Ciara Curran ◽  
Andrew W. Murphy ◽  
Paul O’Connor
Keyword(s):  
Systematic Review ◽  
General Practice ◽  
Patient Safety ◽  
Improve Patient Safety ◽  
Patient Record ◽  
Potential Value ◽  
Record Review ◽  
Improve Patient

scholarly journals Adverse Drug Event Reporting From Clinical Care: Mixed-Methods Analysis for a Minimum Required Dataset (Preprint)

2018 ◽  
Author(s):  
David Peddie ◽  
Serena S Small ◽  
Katherin Badke ◽  
Chantelle Bailey ◽  
Ellen Balka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Mixed Methods ◽  
Adverse Drug Event ◽  
Improve Patient Safety ◽  
Clinical Care ◽  
Drug Event ◽  
Care Providers ◽  
Event Reporting ◽  
Improve Patient

BACKGROUND Patients commonly transition between health care settings, requiring care providers to transfer medication utilization information. Yet, information sharing about adverse drug events (ADEs) remains nonstandardized. OBJECTIVE The objective of our study was to describe a minimum required dataset for clinicians to document and communicate ADEs to support clinical decision making and improve patient safety. METHODS We used mixed-methods analysis to design a minimum required dataset for ADE documentation and communication. First, we completed a systematic review of the existing ADE reporting systems. After synthesizing reporting concepts and data fields, we conducted fieldwork to inform the design of a preliminary reporting form. We presented this information to clinician end-user groups to establish a recommended dataset. Finally, we pilot-tested and refined the dataset in a paper-based format. RESULTS We evaluated a total of 1782 unique data fields identified in our systematic review that describe the reporter, patient, ADE, and suspect and concomitant drugs. Of these, clinicians requested that 26 data fields be integrated into the dataset. Avoiding the need to report information already available electronically, reliance on prospective rather than retrospective causality assessments, and omitting fields deemed irrelevant to clinical care were key considerations. CONCLUSIONS By attending to the information needs of clinicians, we developed a standardized dataset for adverse drug event reporting. This dataset can be used to support communication between care providers and integrated into electronic systems to improve patient safety. If anonymized, these standardized data may be used for enhanced pharmacovigilance and research activities.

scholarly journals THE IMPACT OF BARCODE MEDICATION ADMINISTRATION ON PATIENT SAFETY: A SYSTEMATIC REVIEW

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Seham Sahal Aloufi
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Medication Error ◽  
Medication Errors ◽  
Improve Patient Safety ◽  
Hospital Setting ◽  
Medication Administration ◽  
Bar Code ◽  
The Impact ◽  
Improve Patient

Patient safety is considered as an essential feature of healthcare system. Many trials have been conducted in order to find ways to improve patient safety, and many reports indicate that medication errors pose a threat to patient safety. Thus, some studies have investigated the impact of bar code medication administration (BCMA) system on medication error reduction during the medication administration procedure. This systematic review (SR) reports the impact of BCMA system on reducing medication errors to improve patient safety; it also compares traditional medication administration with the BCMA system. The review concentrates on the effectiveness of BCMA technology on medication administration errors, and on the accuracy of medication administration. This review also focused on different designs of quantitative studies, as they are more effective at investigating the impact of the intervention than qualitative studies. The findings from this systematic review show various results depending on the nature of the hospital setting. Most of the studies agree that the BCMA system enhances compliance with the 'five rights’' requirement (right drug, right patient, right dose, right time and right route) of medication administration. In addition, BCMA technology identified medication error types that could not be identified with the traditional approach which is applying the 'five rights' of medication administration. The findings of this systematic review also confirm the impact of BCMA system in reducing medication error, preventing adverse events and increasing the accuracy of the medication administration rate. However, BCMA technology did not consistently reduce the overall errors of medication administration. Keyword: Patient Safety, Impact, BCMA, eMAR

scholarly journals A systematic review on the importance of genotyping and phenotyping in fluoropyrimidine treatment

2020 ◽  
Author(s):  
Andrada-Larisa Deac ◽  
Claudia Cristina Burz ◽  
Horea Florin Bocșe ◽  
Ioana Corina Bocșan ◽  
Anca-Dana Buzoianu
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Clinical Practice ◽  
Adverse Effects ◽  
Improve Patient Safety ◽  
Improve Patient

Fluoropyrimidines, after more than 50 years of their discovery, are still the treatment of many types of cancer, and annually is estimated that two million patients use fluoropyrimidine treatment. The toxicity associated with fluoropyrimidines affects 30-40% of patients and some adverse effects can be lethal. Dihydroypyrimidine dehydrogenase is the main enzyme in the catabolism of 5-FU and DPD activity deficiency can cause important toxicity. There is an important reason for determinate DPD activity in order to improve patient safety and to limit potential life-threating toxicity. Now, are available multiple phenotypic and genotypic methods to determinate DPD activity, some of this methods have proven their usefulness in practice, but yet there are not routinely recommended in clinical practice. This review is another statement of the importance of determination DPD status, the phenotypic and genotypic methods that are available and can be used.

Electronic nursing documentation interventions to promote or improve patient safety and quality care: A systematic review

2018 ◽  
Vol 27 (3) ◽  
pp. 491-501 ◽  
Author(s):  
Bridie McCarthy ◽  
Serena Fitzgerald ◽  
Maria O’Shea ◽  
Carol Condon ◽  
Gerardina Hartnett-Collins ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Improve Patient Safety ◽  
Quality Care ◽  
Nursing Documentation ◽  
Improve Patient

Interventions to Engage Patients and Families in Patient Safety: A Systematic Review

2020 ◽  
pp. 019394592098077
Author(s):  
Miseon Lee ◽  
Nam-Ju Lee ◽  
Hyun-Ju Seo ◽  
Haena Jang ◽  
Seong Min Kim
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Improve Patient Safety ◽  
Intervention Strategies ◽  
Inclusion Criteria ◽  
Effective Interventions ◽  
Safety Perception ◽  
Registration Number ◽  
Improve Patient

The involvement of patients and families is essential for improving patient safety. However, the role of patients and caregivers in patient safety has recently been receiving attention, and programs and interventions have been implemented for patients and caregivers. The objective of this systematic review was to identify the types of interventions to improve patient safety that focused on engaging patients and their families, and the effectiveness of these interventions. Searching four electronic databases, 2019 articles were obtained; of these, 15 articles met the inclusion criteria. The studies used intervention strategies at the “information” and “involvement” engagement levels. Interventions with strategies only at the information level mostly measured safety perception and were mostly found to be effective. Interventions with both information and involvement strategies measured more diverse outcomes, but their effectiveness was inconsistent. Further studies using a range of intervention strategies and outcomes with more rigorous methodologies are needed. PROSPERO registration number CRD42018096162.

scholarly journals Does classroom-based Crew Resource Management training improve patient safety culture? A systematic review

2014 ◽  
Vol 2 ◽  
pp. 205031211452956 ◽  
Author(s):  
Inge Verbeek-van Noord ◽  
Martine C de Bruijne ◽  
Nicolien C Zwijnenberg ◽  
Elise P Jansma ◽  
Cathy van Dyck ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Resource Management ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Crew Resource Management ◽  
Management Training ◽  
Patient Safety Culture ◽  
Crew Resource Management Training ◽  
Improve Patient
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