Attention to detail

2021 ◽  
pp. 337-345
Author(s):  
Harold Thimbleby
Keyword(s):  
Patient Safety ◽  
Poor Quality ◽  
Attention To Detail

Why is poor quality software so widespread? Simple bugs might seem trivial, but they are very common and don’t help patient safety — they make everyone inefficient and error-prone if nothing else. Health would improve if we paid attention to digital details.

Perspectives on healthcare quality and safety

2020 ◽  
pp. 135-157
Author(s):  
Stephanie Russ ◽  
Nick Sevdalis
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Quality Care ◽  
Healthcare Delivery ◽  
Poor Quality ◽  
Health Science ◽  
Process Implementation ◽  
Health Related ◽  
New Research ◽  
Patient Safety Incidents

This chapter offers an introduction to the recently developed applied health science fields of patient safety, improvement, and implementation sciences. Healthcare is a high-risk activity because of the complexity of its systems and processes. Errors arise frequently and these can impact negatively on patients by causing adverse events. Errors and adverse events are generally attributable to defective systems for organizing care, which create conditions in which errors arise. This represents a failure of risk management. Patient safety science takes a scientific approach to understanding why errors occur and how to prevent their occurrence or minimize their impact. Learning from analysis of patient safety incidents, through root-cause analysis, enables an organization or service to learn and avoid repeating similar failures in the future. Patient safety incidents represent one aspect of the wider problem of poor-quality care. Improvement science offers standardized tools and measurements that can be used to monitor and improve healthcare delivery. The Model for Improvement employs repeated Plan–Do–Study–Act (PDSA) cycles to quantify problems and to develop and test potential solutions. Engagement with stakeholders is an essential part of this process. Implementation science can contribute by providing methods to promote the uptake of new research evidence into healthcare practice. It can address the second translational gap by facilitating the widespread adoption of strategies for improving health-related processes and outcomes, and advancing knowledge on how best to replicate intervention effects from trials into real-world settings. These new scientific fields provide well-established approaches to addressing some of the key problems arising in healthcare. Modern public health needs to reap the benefits of these newly emerged sciences to address the burden of adverse events and harm that arises in the delivery of healthcare and to promote evidence-based practice.

scholarly journals Use of the Hospital Survey of Patient Safety Culture in Norwegian Hospitals: A Systematic Review

2021 ◽  
Vol 18 (12) ◽  
pp. 6518
Author(s):  
Espen Olsen ◽  
Ann-Chatrin Linqvist Leonardsen
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Intervention Studies ◽  
Improve Patient Safety ◽  
Empirical Studies ◽  
Patient Safety Culture ◽  
Poor Quality ◽  
Research Field ◽  
Improvement Programs ◽  
Improve Patient

This review aims to provide an overview of empirical studies using the HSOPSC in Norway and to develop recommendations for further research on patient safety culture. Oria, an online catalogue of scientific databases, was searched for patient safety culture in February 2021. In addition, three articles were identified via Google Scholar searches. Out of 113 retrieved articles, a total of 20 articles were included in our review. These were divided into three categories: seven perception studies, six intervention studies, and seven reliability and validation studies. The first study conducted in Norway indicated a need to improve patient safety culture. Only one intervention study was able to substantially improve patient safety culture. The validity of HSOPSC is supported in most studies. However, one study indicated poor quality in relation to the testing of criteria related to validity. This review is limited to Norwegian healthcare but has several relevant implications across the research field, namely that intervention studies should (1) validate dimensions more carefully, (2) avoid pitfalls related to both factor analysis methods and criteria validity testing, (3) consider integrating structural models into multilevel improvement programs, and (4) benefit from applying different, new versions of HSOPSC developed in Norway.

scholarly journals PENGARUH BUDAYA ORGANISASI TERHADAP KINERJA TIM DALAM PENERAPAN PATIENT SAFETY

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Lukman Bima ◽  
Indahwaty Sidin ◽  
Ridwan Amiruddin
Keyword(s):  
Patient Safety ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Outcome Orientation ◽  
Team Orientation ◽  
Attention To Detail

Budaya organisasi merupakan interaksi yang kompleks atas kinerja sejumlah individu dalam sebuah organisasi.Penelitian ini bertujuan untuk mengetahui pengaruh budaya organisasi terhadap kinerja tim dalam penerapankeselamatan pasien di Rumah Sakit Ibnu Sina Makassar. Penelitian ini adalah metode penelitian kuantitatifdengan menggunakan desain cross sectional study. Pengumpulan data dengan wawancara menggunakankuesioner. Sampel penelitian adalah semua perawat di Instalasi Rawat Inap RS.Ibnu Sina sebanyak 107 orang.Data dianalisis menggunakan uji Chi-Square dan uji regresi linear berganda untuk melihat pengaruh variabelindependen terhadap variabel dependen. Hasil penelitian menunjukkan bahwa variabel innovation & risk takingberpengaruh signifikan terhadap kinerja tim (p 0.009 < 0.05) dan besar nilai koefisien regresi adalah 0.089(positif). variabel attention to detail tidak berpengaruh signifikan terhadap kinerja tim (p 0.204 > 0.05) dan nilaikoefisien regresi (β) adalah -0.045 (negatif). Variabel outcome orientation berpengaruh signifikan terhadapkinerja tim (p 0.00 < 0.05) dan besar nilai koefisien regresi (β) adalah 0.293 (positif). Variabel peopleorientation berpengaruh signifikan terhadap kinerja tim (p 0.00 < 0.05) dan nilai koefisien regresi (β) adalah0.210 (positif). Variabel team orientation tidak berpengaruh signifikan terhadap kinerja tim (p 0.564 > 0.05) danbesar nilai koefisien regresi (β) adalah 0.031 (positif). Variabel aggressiveness tidak berpengaruh signifikanterhadap kinerja tim (p 0.564 > 0.05) dan besar nilai koefisien regresi (β) adalah 0.031 (positif). Variabelstability berpengaruh signifikan terhadap kinerja tim (p 0.000 < 0.05) dan besar nilai koefisien regresi (β) adalah0.281 (positif).

scholarly journals Optimal design and ensuring the stable functioning the pretreatment systems and obtaining high-quality permeate for HD/HDF

2020 ◽  
pp. 58-64
Author(s):  
B. Tkachuk ◽  
V. Lisovyi ◽  
M. Kolesnyk ◽  
E. Sokol ◽  
R. Tomashevskyi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Optimal Design ◽  
Poor Quality ◽  
Medical Sciences ◽  
High Quality ◽  
State Institute ◽  
Biomedical Electronics

Since 2011, at the Department of Industrial and Biomedical Electronics, NTU "KHPI" together with KNPE of KRC "RMCCUN n. a. V. I. Shapoval” with the participation of State Institute “Institute of Nephrology of the National Academy of Medical Sciences of Ukraine” is carrying out research aimed at improving patient safety the hemodialysis (HD)or hemodiafiltration (HDF) procedure. Especially prepared water ensures the safety and quality of the HD or HDF procedure. For the carrying-out, one HD session is necessary more than 150 liters of permeate. Poor quality permeates causes various complications, even can lead to fatal consequences. Therefore a constantly guaranteed qualitative permeate is an important component of safe HD or HDF.

Parasite defense mechanisms in bees: behavior, immunity, antimicrobials, and symbionts

2019 ◽  
Vol 4 (1) ◽  
pp. 59-76 ◽  
Author(s):  
Alison E. Fowler ◽  
Rebecca E. Irwin ◽  
Lynn S. Adler
Keyword(s):  
Defense Mechanisms ◽  
Poor Quality ◽  
Future Research ◽  
Immune Priming ◽  
Social Bees ◽  
Bee Health ◽  
Landscape Scales ◽  
And Function ◽  
Solitary Species

Parasites are linked to the decline of some bee populations; thus, understanding defense mechanisms has important implications for bee health. Recent advances have improved our understanding of factors mediating bee health ranging from molecular to landscape scales, but often as disparate literatures. Here, we bring together these fields and summarize our current understanding of bee defense mechanisms including immunity, immunization, and transgenerational immune priming in social and solitary species. Additionally, the characterization of microbial diversity and function in some bee taxa has shed light on the importance of microbes for bee health, but we lack information that links microbial communities to parasite infection in most bee species. Studies are beginning to identify how bee defense mechanisms are affected by stressors such as poor-quality diets and pesticides, but further research on this topic is needed. We discuss how integrating research on host traits, microbial partners, and nutrition, as well as improving our knowledge base on wild and semi-social bees, will help inform future research, conservation efforts, and management.

Rule for Patient Safety Organizations Proposed

2008 ◽  
Vol 39 (4) ◽  
pp. 52
Author(s):  
DENISE NAPOLI
Keyword(s):  
Patient Safety
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