scholarly journals ISQUA16-2875THE BRAZILIAN PATIENT SAFETY PROGRAM - BUILDING A NETWORK TO HELP BRAZILIAN HOSPITALS TO IMPROVE QUALITY OF CARE OFFERED TO THE POPULATION

2016 ◽  
Vol 28 (suppl 1) ◽  
pp. 29.1-29
Author(s):  
T. Sotto Mayor ◽  
F. Folco ◽  
M. Damasceno ◽  
M. Machado
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Improve Quality ◽  
Safety Program ◽  
Brazilian Patient

Improving patient safety: Utilization of standardized radiation oncology simulation templates.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 259-259
Author(s):  
Ashlyn S. Everett ◽  
Ginna Blalock ◽  
Drexell Hunter Boggs
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Radiation Oncology ◽  
Treatment Guidelines ◽  
Error Rates ◽  
Cancer Site ◽  
Improve Quality ◽  
Clinic Efficiency ◽  
Ct Simulation

259 Background: Increasing patient volume and treatment complexity in the field of radiation oncology has resulted in increased number of errors possibly affecting patient safety. Effective methods of mitigating these errors include automation, computerization, simplification, and standardization. To improve quality of care and patient safety, our institution established consensus standardized treatment guidelines for each cancer site. However, physician orders for computed tomography (CT) simulation for radiation treatment planning continued to have extreme variability, with error rates of 31%. Therefore, a team was assembled to devise standardized orders to reduce error, improve patient safety, and improve quality of care in the CT simulation order process. Methods: For this study, we investigated 3 commonly treated sites at our institution: breast (14%), prostate (7%), and brain metastases treated with radiosurgery (14%). A standardized template CT simulation order was defined for each disease site using the consensus treatment guidelines. These orders were integrated into the electronic medical record (EMR) on March 5, 2018. To evaluate the efficacy of the intervention, CT simulation order data were queried for the two-month period before and after implementation of standardized template orders. Orders with variation from the treatment guidelines were counted to calculate error rates with and without standardized simulation orders. Results: In the two-months prior to implementation of the standardized order templates, 48 of 151 (31%) CT simulation orders for the three selected sites had variation from the consensus standardized orders. After implementation of the EMR standardized template, 17 of 129 simulation orders (13%) in the three selected sites had variations from the standard during this two-month period. Standardization of CT simulation orders using an EMR template reduced error rates from 31% to 13% (18% absolute reduction; 42% relative reduction). Conclusions: Simplification and standardization of CT simulation orders decreased error rates by 42%, thereby improving clinic efficiency and appropriate patient treatment.

scholarly journals Prescription for antibiotics at drug shops and strategies to improve quality of care and patient safety: a cross-sectional survey in the private sector in Uganda

BMJ Open ◽  
2016 ◽  
Vol 6 (3) ◽  
pp. e010632 ◽  
Author(s):  
Anthony K Mbonye ◽  
Esther Buregyeya ◽  
Elizeus Rutebemberwa ◽  
Siân E Clarke ◽  
Sham Lal ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Private Sector ◽  
Improve Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Drug Shops

scholarly journals Integrating Patient-Generated Health Data in an Electronic Medical Record: Stakeholders’ Perspectives

2020 ◽  
Author(s):  
Katherine Blondon ◽  
Frederic Ehrler
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Focus Group ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Data ◽  
Improve Quality

Patient-generated health data (PGHD), when shared with the provider, provides potential as an approach to improve quality of care. Based on interviews and a focus group with stakeholders involved in PGHD integration in the electronic medical record (EMR), we explore the benefits, barriers and possible risks. We propose solutions to address liability concerns, such as clarifying patient and provider expectations for the analyses of PGHD and emphasize considerations for future steps, which include the need to screen PGHD for patient safety.

scholarly journals Legal Mechanisms to Improve Quality of Care in Canadian Hospitals

2017 ◽  
Author(s):  
Lorian Hardcastle
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Health Professionals ◽  
Improve Quality ◽  
Hospital Governance ◽  
Individual Health ◽  
Legal Relationship ◽  
Governance Practices ◽  
The Law

Tens of thousands of Canadians die each year as a result of preventable injuries sustained in hospitals. The patient safety literature suggests that we must implement systems and processes designed to prevent errors, rather than focusing on the mistakes of individual health professionals. Although the law tends to reinforce the provider-centric approach to errors, several law reforms have the potential to catalyze a systems-centric approach that finds support in the patient safety literature: shifting some liability from physicians to hospitals, reforming hospital governance practices, and reconsidering the legal relationship between physicians and hospitals.

Understanding normal work to improve quality of care and patient safety in a Spine Center

2018 ◽  
pp. 118-130
Author(s):  
Jeanette Hounsgaard ◽  
Bente Thomsen ◽  
Ulla Nissen ◽  
Ida Bhanderi
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Improve Quality ◽  
Normal Work

Rethinking Patient Surveillance on Hospital Wards

2021 ◽  
Author(s):  
Frederic Michard ◽  
Cor J. Kalkman
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Early Detection ◽  
Vital Signs ◽  
Clinical Deterioration ◽  
Improve Quality ◽  
Mobile Monitoring ◽  
Hospital Wards

Continuous and mobile monitoring of vital signs may soon become a reality on hospital wards. By enabling the early detection of clinical deterioration, it may improve quality of care and patient safety.

scholarly journals We Can Do This: The Institute for Healthcare Adverse Drug

2021 ◽  
pp. 69-87
Author(s):  
Lucian L. Leape
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Medical Error ◽  
Improve Quality ◽  
Policy Makers ◽  
New Approach ◽  
Healthcare Improvement ◽  
New Information

AbstractRewind to 1995, before Annenberg and the NPSF. “Patient safety” was not on many agendas, but methods to change systems to improve quality of care were beginning to be developed. Policy-makers and the healthcare establishment were slow to respond to the new information on the extent of medical error and our calls for a new approach, but one person instantly recognized the challenge: Don Berwick of the Institute for Healthcare Improvement (IHI).

scholarly journals A Narrative Review of Clinical Decision Support for Inpatient Clinical Pharmacists

2021 ◽  
Vol 12 (02) ◽  
pp. 199-207
Author(s):  
Liang Yan ◽  
Thomas Reese ◽  
Scott D. Nelson
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Controlled Trials ◽  
Clinical Pharmacists ◽  
Randomized Controlled ◽  
The Impact

Abstract Objective Increasingly, pharmacists provide team-based care that impacts patient care; however, the extent of recent clinical decision support (CDS), targeted to support the evolving roles of pharmacists, is unknown. Our objective was to evaluate the literature to understand the impact of clinical pharmacists using CDS. Methods We searched MEDLINE, EMBASE, and Cochrane Central for randomized controlled trials, nonrandomized trials, and quasi-experimental studies which evaluated CDS tools that were developed for inpatient pharmacists as a target user. The primary outcome of our analysis was the impact of CDS on patient safety, quality use of medication, and quality of care. Outcomes were scored as positive, negative, or neutral. The secondary outcome was the proportion of CDS developed for tasks other than medication order verification. Study quality was assessed using the Newcastle–Ottawa Scale. Results Of 4,365 potentially relevant articles, 15 were included. Five studies were randomized controlled trials. All included studies were rated as good quality. Of the studies evaluating inpatient pharmacists using a CDS tool, four showed significantly improved quality use of medications, four showed significantly improved patient safety, and three showed significantly improved quality of care. Six studies (40%) supported expanded roles of clinical pharmacists. Conclusion These results suggest that CDS can support clinical inpatient pharmacists in preventing medication errors and optimizing pharmacotherapy. Moreover, an increasing number of CDS tools have been developed for pharmacists' roles outside of order verification, whereby further supporting and establishing pharmacists as leaders in safe and effective pharmacotherapy.

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