scholarly journals Prolonged mental health sequelae among doctors and nurses involved in patient safety incidents with formal complaints and lawsuits

2019 ◽  
Vol 30 (4) ◽  
pp. 777-779
Author(s):  
Gerda Zeeman ◽  
Loes Schouten ◽  
Deborah Seys ◽  
Ellen Coeckelberghs ◽  
Philomeen Weijenborg ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Safety ◽  
Related Disorder ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Formal Complaint ◽  
The Impact ◽  
Patient Safety Incidents ◽  
Doctors And Nurses

Abstract We evaluated the presence of prolonged mental health sequelae in the aftermath of a patient safety incident and the impact of a formal complaint or lawsuit on these mental health sequelae in 19 hospitals and 2635 nurses and doctors. Of 2635 respondents, 983 (37.3%) reported a complaint and 190 (7.2%) reported a lawsuit. In both doctors and nurses prolonged mental health sequelae reflecting a stressor-related disorder were highly prevalent, each well over 20% overall. They were consistently more prevalent in case of a formal complaint or lawsuit. Lawsuits showed 2-, 3- and 4-fold increases in prevalence of mental health sequelae.

scholarly journals Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis

2019 ◽  
pp. bmjspcare-2019-001824
Author(s):  
Toby Dinnen ◽  
Huw Williams ◽  
Sarah Yardley ◽  
Simon Noble ◽  
Adrian Edwards ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Advance Care Planning ◽  
Learning System ◽  
Care Planning ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Advance Care ◽  
National Analysis ◽  
Patient Safety Incidents

ObjectivesAdvance care planning (ACP) is essential for patient-centred care in the last phase of life. There is little evidence available on the safety of ACP. This study characterises and explores patient safety incidents arising from ACP processes in the last phase of life.MethodsThe National Reporting and Learning System collates patient safety incident reports across England and Wales. We performed a keyword search and manual review to identify relevant reports, April 2005–December 2015. Mixed-methods, combining structured data coding, exploratory and thematic analyses were undertaken to describe incidents, underlying causes and outcomes, and identify areas for improvement.ResultsWe identified 70 reports in which ACP caused a patient safety incident across three error categories: (1) ACP not completed despite being appropriate (23%, n=16). (2) ACP completed but not accessible or miscommunicated between professionals (40%, n=28). (3) ACP completed and accessible but not followed (37%, n=26). Themes included staff lacking the knowledge, confidence, competence or belief in trustworthiness of prior documentation to create or enact ACP. Adverse outcomes included cardiopulmonary resuscitation attempts contrary to ACP, other inappropriate treatment and/or transfer or admission.ConclusionThis national analysis identifies priority concerns and questions whether it is possible to develop strong system interventions to ensure safety and quality in ACP without significant improvement in human-dependent issues in social programmes such as ACP. Human-dependent issues (ie, varying patient, carer and professional understanding, and confidence in enacting prior ACP when required) should be explored in local contexts alongside systems development for ACP documentation.

scholarly journals An analysis of electronic health record–related patient safety incidents

2016 ◽  
Vol 23 (2) ◽  
pp. 134-145 ◽  
Author(s):  
Sari Palojoki ◽  
Matti Mäkelä ◽  
Lasse Lehtonen ◽  
Kaija Saranto
Keyword(s):  
Patient Safety ◽  
Electronic Health Record ◽  
Health Record ◽  
Similar Data ◽  
Safety Risks ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
International Data ◽  
Electronic Health ◽  
Patient Safety Incidents

The aim of this study was to analyse electronic health record–related patient safety incidents in the patient safety incident reporting database in fully digital hospitals in Finland. We compare Finnish data to similar international data and discuss their content with regard to the literature. We analysed the types of electronic health record–related patient safety incidents that occurred at 23 hospitals during a 2-year period. A procedure of taxonomy mapping served to allow comparisons. This study represents a rare examination of patient safety risks in a fully digital environment. The proportion of electronic health record–related incidents was markedly higher in our study than in previous studies with similar data. Human–computer interaction problems were the most frequently reported. The results show the possibility of error arising from the complex interaction between clinicians and computers.

scholarly journals Analisis Faktor yang Mempengaruhi Pelaporan Insiden Keselamatan Pasien pada Perawat

2020 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Maria Yuventa Wanda ◽  
Nursalam Nursalam ◽  
Andri Setiya Wahyudi
Keyword(s):  
Patient Safety ◽  
Work Experience ◽  
Care Facility ◽  
Incident Reporting ◽  
Cross Sectional ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Experience Education ◽  
Patient Safety Incidents ◽  
Safety Incident Reporting

Introduction: Patient Safety Incident Report hereinafter referred to as incident reporting, is a system of documenting patient safety incident reports, analyzing and obtaining recommendations and solutions from the health care facility patient safety team. This study aims to analyze the factors of work experience, education, perceptions, attitudes, motivation, leadership towards reporting patient safety incidents to nurses in the inpatient room of Prof. Dr. W. Z. Johannes Kupang.Method: The design of this study was cross-sectional. The sample size of the study was 143 respondents who met the inclusion criteria. The dependent variable is the reporting of patient safety incidents, while the independent variables are work experience, education, perception, attitude, motivation,  leadership. Data were collected using a questionnaire and observation on nurses. Data were then analyzed using multiple logistic regression with a significant value < 0.05.Results:  The results show that there is a perception effect on patient safety incident reporting (p = 0.05) and leadership influence on patient safety incident reporting (p = 0.02).Conclusion: The concludes is that there is an influence of perception and leadership on reporting patient safety incidents. Further researchers are advised to research the effect of training on improving patient safety incident reporting.

scholarly journals Implementasi Patient Safety di Pelayanan Anak Rumah Sakit Umum Haji Medan Tahun 2019

2020 ◽  
Vol 8 (3) ◽  
pp. 188-196
Author(s):  
Verawaty Sari Simamora ◽  
Zulfendri Zulfendri ◽  
Roymond H Simamora ◽  
Puteri Citra Cinta Asyura Nasution
Keyword(s):  
Patient Safety ◽  
Child Care ◽  
Health Workers ◽  
Safety System ◽  
Children's Services ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Children’S Services ◽  
Patient Safety Incidents

The complexity of diversity, relationships, variety and specialization can provide more opportunities for mistakes, one of which is in the children's hospital services. Based on patient safety incident report data at Rumah Sakit Umum Haji Medan in January 2018 to October 2018, it is known that child care is the unit with the highest number of patient safety incidents compared to other units at 37 incidents. Implementation of patient safety by officers in children's services is the main focus that must be considered its role to prevent the occurrence of patient safety incidents. This research is a qualitative research that aims to see the extent of the implementation of patient safety in child care at Rumah Sakit Umum Haji Medan from the description of the role of health workers involved in child care, namely the role of the head of a child's SMF, the role of a pediatrician, and the role of a child nurse. Data collection was carried out by in-depth interviews with 7 informants and through observation. The results showed the implementation of patient safety in children's services has not been running optimally. This is because not all health workers in child services, namely the head of the child's SMF, pediatricians and child nurses do their part in the patient safety system. The roles carried out are still focused on the standards of each profession. It is expected that routine socialization on the implementation of patient safety, the implementation of special meetings and discussions to study the patient safety system and the existence of patient safety drivers in child care designated as the person responsible for moving every officer to implement patient safety. Keywords: Implementation, Children's Services, Patient Safety

scholarly journals What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study

2018 ◽  
Vol 27 (9) ◽  
pp. 673-682 ◽  
Author(s):  
Jane K O’Hara ◽  
Caroline Reynolds ◽  
Sally Moore ◽  
Gerry Armitage ◽  
Laura Sheard ◽  
...  
Keyword(s):  
Patient Safety ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Survey Study ◽  
Safety Concerns ◽  
Safety Incident ◽  
Patient Reported ◽  
Patient Safety Incident ◽  
Incident Reports ◽  
Patient Safety Incidents

BackgroundPatient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. We sought to understand the incidence and nature of patient-reported safety concerns in hospital.MethodsFeedback about the experience of safety within hospital was gathered from 2471 inpatients as part of a multicentre, waitlist cluster randomised controlled trial of an intervention, undertaken within 33 wards across three English NHS Trusts, between May 2013 and September 2014. Patient volunteers, supported by researchers, developed a classification framework of patient-reported safety concerns from a random sample of 231 reports. All reports were then classified using the patient-developed categories. Following this, all patient-reported safety concerns underwent a two-stage clinical review process for identification of patient safety incidents.ResultsOf the 2471 inpatients recruited, 579 provided 1155 patient-reported incident reports. 14 categories were developed for classification of reports, with communication the most frequently occurring (22%), followed by staffing issues (13%) and problems with the care environment (12%). 406 of the total 1155 patient incident reports (35%) were classified by clinicians as a patient safety incident according to the standard definition. 1 in 10 patients (264 patients) identified a patient safety incident, with medication errors the most frequently reported incident.ConclusionsOur findings suggest that patients can provide insight about safety that complements existing patient safety measurement, with a frequency of reported patient safety incidents that is similar to those obtained via case note review. However, patients provide a unique perspective about hospital safety which differs from and adds to current definitions of patient safety incidents.Trial registration numberISRCTN07689702; pre-results.

An analysis of general practitioners’ perspectives on patient safety incidents using critical incident technique interviews

2019 ◽  
Vol 36 (6) ◽  
pp. 736-742 ◽  
Author(s):  
Ciara Curran ◽  
Sinéad Lydon ◽  
Maureen E Kelly ◽  
Andrew W Murphy ◽  
Paul O’Connor
Keyword(s):  
Patient Safety ◽  
General Practitioners ◽  
Critical Incident ◽  
Improve Patient Safety ◽  
Critical Incident Technique ◽  
Contributory Factor ◽  
Contributory Factors ◽  
Safety Incident ◽  
The Impact ◽  
Patient Safety Incidents

Abstract Background General practitioners report difficulty in knowing how to improve patient safety. Objectives To analyse general practitioners’ perspectives of contributing factors to patient safety incidents by collecting accounts of incidents, identifying the contributory factors to these incidents, assessing the impact and likelihood of occurrence of these incidents and examining whether certain categories of contributory factors were associated with the occurrence of high-risk incidents. Methods Critical incident technique interviews were carried out with 30 general practitioners in Ireland about a patient safety incident they had experienced. The Yorkshire Contributory Factors Framework was used to classify the contributory factors to incidents. Seven subject matter experts rated the impact and likelihood of occurrence of each incident. Results A total of 26 interviews were analysed. Almost two-thirds of the patient safety incidents were rated as having a major-to-extreme impact on the patient, and over a third were judged as having at least a bimonthly likelihood of occurrence. The most commonly described active failures were ‘Medication Error’ (34.6%) and ‘Diagnostic Error’ (30.8%). ‘Situational Domain’ was identified as a contributory domain in all patient safety incidents. ‘Communication’ breakdown at both practice and other healthcare-provider interfaces (69.2%) was also a commonly cited contributory factor. There were no significant differences in the levels of risk associated with the contributory factors. Conclusions Critical incident technique interviews support the identification of contributory factors to patient safety incidents. There is a need to explore the use of the resulting data for quality and safety improvement in general practice.

scholarly journals BARRIERS TO REPORTING PATIENT SAFETY INCIDENT IN HEALTHCARE WORKERS: INTEGRATIVE LITERATURE REVIEW

2021 ◽  
Vol 9 (2) ◽  
pp. 210
Author(s):  
Deasy Amelia Nurdin ◽  
Adik Wibowo
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Literature Review ◽  
Reporting Rate ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Care Workers ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Patient Safety Incidents

Background: The patient safety incident reporting systems is designed to improve the health care by learning from mistakes to minimize the recurrence mistakes, however the reporting rate is low.Aims: Integrative literature review was chosen to identify and analyze the barriers of reporting patient safety incidents by Health Care Workers (HCWs) in hospital.Methods: Searching for articles in electronic database consisting of Medline, CINAHL and Scopus resulted in 11 relevant articles originating from 9 countries.Results: There are differences but similar in barriers to reporting patient safety incident among HCWs. The barriers that occur are the existence of shaming and blaming culture, lack of time to report, lack of knowledge of the reporting system, and lack of support from the management.Conclusion: Each hospital has different barriers in reporting incident and the interventions carried out must be in accordance with the existing barriers.Keywords: barrier of reporting, incident reporting, patient safety incident

scholarly journals Analisis Insiden Keselamatan Pasien di Rumah Sakit Berdasarkan Pendekatan Beban Kerja dan Komunikasi

2021 ◽  
Vol 9 (3) ◽  
pp. 183-190
Author(s):  
Agus Aan Adriansyah, S.KM., M.Kes. ◽  
Budhi Setianto ◽  
Nikmatus Sa'adah ◽  
Pinky Ayu Marsela Arindis ◽  
Wahyu Eka Kurniawan ◽  
...  
Keyword(s):  
Patient Safety ◽  
Information Disclosure ◽  
Measurement Tool ◽  
Transfer Of Knowledge ◽  
Work Unit ◽  
Safety Incident ◽  
High Workload ◽  
Patient Safety Incident ◽  
Work Units ◽  
Patient Safety Incidents

Patient safety incidents at Ahmad Yani Islamic Hospital Surabaya increased by 0.3% in 2019. If not addressed immediately, these problems can give a negative image to hospitals and patients. An error that appears and has an impact on increasing patient safety incidents, stems from a high workload and poor communication. The purpose of this study was to analyze the role of workload and communication on the occurrence of patient safety incidents in hospitals. This study uses a unit of analysis as many as 18 work units that directly provide services to patients. Participants include the head of the work unit, the person in charge of the work unit and the person in charge of the quality of the work unit with a total of 90 people. The data was obtained primarily using the instrument contained in the google form. The communication measurement tool uses the Communication Openness Measurement (COM) and the workload uses the WISN calculation. Patient safety incident data was obtained from the PMKP RS team. The analysis was carried out by means of a simple cross tabulation with interpretation using the Pareto concept. The results showed that most work units (83.3%) had a low workload, most of the work unit communication (61.1%) was not good and 33.3% of work units had a high patient safety incident rate. In the Pareto concept, the results showed that workload had no effect on patient safety incidents, while communication influenced the number of patient safety incidents. Therefore, hospitals need to fix the pattern and flow of communication as well as the need for information disclosure so that the flow of information becomes more adequate, transfer of knowledge becomes better and employee understanding of the importance of patient safety in hospitals becomes better.

scholarly journals Supervisi Klinik Berbasis 4S (Structure, Skills, Support, and Sustainable) terhadap Penerapan Keselamatan Pasien

2020 ◽  
Vol 20 (2) ◽  
pp. 556
Author(s):  
Tri Asih Oktariani ◽  
Yulastri Arif ◽  
Dewi Murni
Keyword(s):  
Patient Safety ◽  
Clinical Supervision ◽  
Intervention Group ◽  
Routine Activity ◽  
Control Group ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Group A ◽  
Vital Matter ◽  
The Impact

Patient safety is a vital matter of a hospital. Reports related to Patient Safety Incident (IKP) continue to increase from 2018 to 2019 in two hospitals namely Abdul Manap Hospital and Raden Mattaher Hospital Jambi. The research aims to analyse the impact of the 4S-based clinical supervision clinic on patient safety implementation of nurse’s practiceat the Jambi Municipal public hospital in 2019. This type of research is quasy experiment with a pre-post approach test design with control group. A sample of implementing nurses amounted to 66 people. Sampling with proportional random sampling. There is a significant influence on the clinical 4S-based clinica lsupervision on the implementation of patient safety by the implementing nurses in the intervention group in the hospital of Raden Mattaher Jambi (0.012) and there is no influence on the application of safety of patients conducted by the implementing nurses in hospital Abdul Manap Jambi City (0.083). Hopefully, the hospital can make the 4S-based clinical supervision to be a routine activity that by making careful planning about the supervision activities performed so that supervision can work to objectives that have been determined.

Sign in / Sign up

Export Citation Format

Share Document