The Future of Patient Safety

2019 ◽  
pp. 211-226
Author(s):  
Robert L. Wears ◽  
Kathleen M. Sutcliffe
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Technological Innovation ◽  
Social Problems ◽  
Economic Resources ◽  
Reform Movement ◽  
Dominant Position ◽  
The Future

Patient safety has been evolving and changing since its conception, and this evolution will inevitably continue as it competes for attention with other social problems and as healthcare struggles with conflicts among increasing workloads, performance and production pressures, technological innovation, and increasingly limited human and economic resources. Patient safety is, at present, a reform movement becalmed, captured by the industry it set out to reform. The authors see four possible futures: congealing into bureaucracy (already in progress), rebranding as something else (similar to quality improvement rebranding itself as patient safety), simply dying out, or fundamental reform. Fundamental reform is unfortunately the least likely possibility. It will require healthcare to relinquish its dominant position in patient safety and to develop substantive, equal partnerships with safety sciences.

A patient safety and quality improvement curriculum for child and adolescent psychiatry fellows using the Learning from Defect Tool

2021 ◽  
pp. 251604352110449
Author(s):  
Elizabeth K Reynolds ◽  
Cheryl Connors ◽  
J Lynn Taylor ◽  
Roma A Vasa
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Adolescent Psychiatry ◽  
Curriculum Evaluation ◽  
Clinical Work ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
The Future ◽  
Intention To Participate ◽  
Safety Event

The purpose of this article is to describe the development and evaluation of an 11-session patient safety and quality improvement curriculum for first-year child and adolescent psychiatry fellows. The curriculum uses the Learning from Defects tool which teaches fellows how to conduct an analysis of a safety event they have encountered in their clinical work. The Learning from Defects tool provides a structured approach to address adverse clinical events and identify system failures by providing a framework to determine what happened, examine why it happened, implement interventions to reduce the probability that a similar event will recur, and evaluate whether the interventions were effective. Six fellows participated in the curriculum during their protected didactics time. Curriculum evaluation included an assessment of fellows’ knowledge, skills, and attitudes toward patient safety and quality improvement before and immediately after the curriculum, and 6-months later. Immediately upon completion of the curriculum, fellows reported more confidence and comfort with patient safety and quality improvement-related tasks in their clinical practice. Fellows reported a positive perception of the curriculum related to their learning objectives and utility in the future career. At the 6-month follow-up, the majority of fellows continued to work on their Learning from Defects project and endorsed the intention to participate in patient safety and quality improvement work in the future. This study provides preliminary support for implementing this patient safety and quality improvement curriculum utilizing the Learning from Defects tool in child and adolescent psychiatry fellowship programs. The Learning from Defects tool offers a practical way to teach patient safety and quality improvement skills that potentially can be generalized to future clinical work.

Developing a Quality Improvement and Patient Safety Toolbox: The Curriculum

MedEdPORTAL ◽  
2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Patricia Keefer ◽  
Kelly Orringer ◽  
Jennifer Vredeveld ◽  
Kavita Warrier ◽  
Heather Burrows
Keyword(s):  
Patient Safety ◽  
Quality Improvement

The Future Ain’t What It Used to Be

2018 ◽  
Author(s):  
Ashoka Mody
Keyword(s):  
Financial Markets ◽  
Social Problems ◽  
Financial Integration ◽  
Fiscal Rules ◽  
Fiscal Discipline ◽  
European Project ◽  
The Future ◽  
The Right

This chapter describes two scenarios, the two possible ways in which the final act of the European project plays out. In the first scenario, European authorities remain confident that they have essentially been on the right track and they continue to make modest course corrections, which they believe will ensure a brighter European future. However, the elusive and frustrating pursuit of deeper economic and financial integration causes more economic and political damage. Setbacks and crises recur to test the euro and its accompanying political vision. In the second scenario, the pro-European vision, European authorities recognize the important truth that “more Europe” will not solve Europe's most pressing economic and social problems. They dismantle the economically counterproductive and politically corrosive system of fiscal rules and rely more on financial markets to enforce fiscal discipline. Paradoxically, the euro survives, not because it adds value but because it becomes largely irrelevant.

scholarly journals Attitudes of pharmacy students towards patient safety: a cross-sectional study from six developing countries

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e039459
Author(s):  
Abdallah Y Naser ◽  
Zahra Khalil Alsairafi ◽  
Ahmed Awaisu ◽  
Hassan Alwafi ◽  
Oriana Awwad ◽  
...  
Keyword(s):  
Developing Countries ◽  
Saudi Arabia ◽  
Patient Safety ◽  
Quality Improvement ◽  
Core Competencies ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveTo evaluate the attitudes of undergraduate pharmacy students towards patient safety in six developing countries.DesignA cross-sectional study.SettingParticipants were enrolled from the participating universities in six countries.ParticipantsUndergraduate pharmacy students from the participating universities in six developing countries (Jordan, Saudi Arabia, Kuwait, Qatar, India and Indonesia) were invited to participate in the study between October 2018 and September 2019.Primary outcomeAttitudes towards patient safety was measured using 14-item questionnaire that contained five subscales: being quality-improvement focused, internalising errors regardless of harm, value of contextual learning, acceptability of questioning more senior healthcare professionals’ behaviour and attitude towards open disclosure. Multiple-linear regression analysis was used to identify predictors of positive attitudes towards patient safety.ResultsA total of 2595 students participated in this study (1044 from Jordan, 514 from Saudi Arabia, 134 from Kuwait, 61 from Qatar, 416 from India and 429 from Indonesia). Overall, the pharmacy students reported a positive attitude towards patient safety with a mean score of 37.4 (SD=7.0) out of 56 (66.8%). The ‘being quality-improvement focused’ subscale had the highest score, 75.6%. The subscale with the lowest score was ‘internalising errors regardless of harm’, 49.2%. Female students had significantly better attitudes towards patient safety scores compared with male students (p=0.001). Being at a higher level of study and involvement in or witnessing harm to patients while practising were important predictors of negative attitudes towards patient safety (p<0.001).ConclusionPatient safety content should be covered comprehensively in pharmacy curricula and reinforced in each year of study. This should be more focused on students in their final year of study and who have started their training. This will ensure that the next generation of pharmacists are equipped with the requisite knowledge, core competencies and attitudes to ensure optimal patient safety when they practice.

Quality improvement and outcomes in the future of professional psychology: Opportunities and challenges.

2012 ◽  
Vol 43 (6) ◽  
pp. 551-559 ◽  
Author(s):  
Bruce L. Bobbitt ◽  
Rebecca A. Cate ◽  
Scott D. Beardsley ◽  
Francisca Azocar ◽  
Joyce McCulloch
Keyword(s):  
Quality Improvement ◽  
Professional Psychology ◽  
The Future

Quality Improvement and Patient Safety

2020 ◽  
Vol 102 (6) ◽  
pp. e25
Author(s):  
Julie Balch Samora ◽  
Kevin G. Shea ◽  
Antonia F. Chen ◽  
Philip Turner ◽  
Steven L. Frick
Keyword(s):  
Patient Safety ◽  
Quality Improvement

Patient Safety/Quality Improvement Primer, Part III: The Role of Simulation

2021 ◽  
pp. 019459982110133
Author(s):  
Ellen S. Deutsch ◽  
Sonya Malekzadeh ◽  
Cecelia E. Schmalbach
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Control Charts ◽  
Neck Surgery ◽  
Resident Training ◽  
Statistical Process ◽  
Ensure Patient Safety ◽  
Statistical Process Control Charts ◽  
The Individual ◽  
The Impact

Simulation training has taken a prominent role in otolaryngology–head and neck surgery (OTO-HNS) as a means to ensure patient safety and quality improvement (PS/QI). While it is often equated to resident training, this tool has value in lifelong learning and extends beyond the individual otolaryngologists to include simulation-based learning for teams and health systems processes. Part III of this PS/QI primer provides an overview of simulation in medicine and specific applications within the field of OTO-HNS. The impact of simulation on PS/QI will be presented in an evidence-based fashion to include the use of run and statistical process control charts to assess the impact of simulation-guided initiatives. Last, steps in developing a simulation program focused on PS/QI will be outlined with future opportunities for OTO-HNS simulation.

Sign in / Sign up

Export Citation Format

Share Document