Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology

Patient Safety was the right of a patient who was receiving health care. A nurse was one of the health professionals in a hospital having a very important role in realizing Patient Safety. In realizing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had involved the role of the nurses. In carrying out their role the nurses could support the protection of the patient’s rights. The nurses performed health care by conducting six Patient Safety goals that were based on professional standards, service standards and codes of conduct so that the Patient Safety would be realized.This research applied a socio-legal approach to having analytical-descriptive specifications. The data used were primary and secondary those were gathered by field and literature studies. The field study was conducted by having interviews to, among others, the Director of Panti Rahayu Yakkum Hospital of Purwodadi, Head of Room and Chairman of Patient Safety Committee, nurses and patients. The data were then qualitatively analyzed.The arrangement of nurses’ role in implementing Patient Safety and the patient’s rights protection was based on the Constitution of the Republic of Indonesia of 1945, Health Act, Hospital Act, Labor Act, and Nursing Act. These bases made the hospital obliged to implement Patient Safety. The regulations leading the hospital to provide Patient Safety were Health Minister’s Regulation Nr. 11 of 2017 on Patient Safety, Statute of Panti Rahayu Yakkum Hospital of Purwodadi (Hospital ByLaws), Internal Nursing Staff ByLaws. In implementing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had established a committee of Patient Safety team consisting of the nurses that would implement six targets of Patient Safety. Actually, the Patient Safety implementation had been accomplished but it had not been optimally done because of several factors, namely juridical, social and technical factors. The supporting factors in influencing the implementation were, among others, the establishment of the Patient Safety team that had been well socialized whereas the inhibiting factors were limitedness of time and funds to train the nurses besides the operational procedure standard (OPS) that was still less understood. Lack of learning motivation among the nurses also appeared as an inhibiting factor in understanding Patient Safety implementation.

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Enhancing Patient Safety by Reducing Healthcare-Associated Infections: The Role of Discovery and Dissemination

Infection Control and Hospital Epidemiology ◽

10.1086/650198 ◽

2010 ◽

Vol 31 (2) ◽

pp. 118-123 ◽

Cited By ~ 32

Author(s):

Keyword(s):

Patient Safety ◽

Healthcare System ◽

Research Agenda ◽

Position Paper ◽

Public Confidence ◽

Healthcare Associated Infections ◽

Science Base ◽

Healthcare Associated ◽

National Approach

Healthcare-associated infections (HAIs) take a major human toll on society and reduce public confidence in the healthcare system. The current convergence of scientific, public, and legislative interest in reducing rates of HAI can provide the necessary momentum to address and answer important questions in HAI research. This position paper outlines priorities for a national approach to HAIs: scrutinizing the science base, developing a prioritized research agenda, conducting studies that address the questions that have been identified, creating and deploying guidelines that are based on the outcomes of these studies, and then initiating new studies that assess the efficacy of the interventions.

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Digital health technology enhances resilient behaviour: evidence from the ward

International Journal of Operations & Production Management ◽

10.1108/ijopm-02-2018-0057 ◽

2019 ◽

Vol 40 (1) ◽

pp. 34-67 ◽

Cited By ~ 1

Author(s):

Iacopo Rubbio ◽

Manfredi Bruccoleri ◽

Astrid Pietrosi ◽

Barbara Ragonese

Keyword(s):

Patient Safety ◽

Dynamic Capabilities ◽

Digital Health ◽

Digital Technologies ◽

Healthcare Management ◽

Content Type ◽

Health Technologies ◽

Management Domain ◽

Operational Failure

PurposeIn the healthcare management domain, there is a lack of knowledge concerning the role of resilience practices in improving patient safety. The purpose of this paper is to understand the capabilities that enable healthcare resilience and how digital technologies can support these capabilities.Design/methodology/approachWithin- and cross-case research methodology was used to study resilience mechanisms and capabilities in healthcare and to understand how digital health technologies impact healthcare resilience. The authors analyze data from two Italian hospitals through the lens of the operational failure literature and anchor the findings to the theory of dynamic capabilities.FindingsFive different dynamic capabilities emerged as crucial for managing operational failure. Furthermore, in relation to these capabilities, medical, organizational and patient-related knowledge surfaced as major enablers. Finally, the findings allowed the authors to better explain the role of knowledge in healthcare resilience and how digital technologies boost this role.Practical implicationsWhen trying to promote a culture of patient safety, the research suggests healthcare managers should focus on promoting and enhancing resilience capabilities. Furthermore, when evaluating the role of digital technologies, healthcare managers should consider their importance in enabling these dynamic capabilities.Originality/valueAlthough operations management (OM) research points to resilience as a crucial behavior in the supply chain, this is the first research that investigates the concept of resilience in healthcare systems from an OM perspective, with only a few authors having studied similar concepts, such as “workaround” practices.

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The changing role of the otolaryngology Senior House Officer

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363506x78992 ◽

2006 ◽

Vol 88 (2) ◽

pp. 66-68 ◽

Cited By ~ 1

Author(s):

AK Arya ◽

KP Gibbin

Keyword(s):

Patient Safety ◽

Junior Doctor ◽

House Officer ◽

European Working Time Directive ◽

Junior Doctors ◽

Senior House Officer ◽

European Working ◽

Working Time Directive ◽

Changing Role

The European Working Time Directive (EWTD) has led to a reduction in the number of hours that a junior doctor is allowed to work. The Hospital at Night project aims to reduce juniors' presence at night through more efficient working. Otolaryngology has been considered to be one of the surgical specialties in which generic junior doctors covering more than one specialty could effectively function. The hope is to reduce junior doctors' hours sufficiently without compromising their training or patient safety.

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Safety Performance in Acute Medical Care: A Qualitative, Explorative Study on the Perspectives of Healthcare Professionals

Healthcare ◽

10.3390/healthcare9111543 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1543

Author(s):

Lina Heier ◽

Donia Riouchi ◽

Judith Hammerschmidt ◽

Nikoloz Gambashidze ◽

Andreas Kocks ◽

...

Keyword(s):

Patient Safety ◽

Nursing Students ◽

Healthcare Professionals ◽

Improve Patient Safety ◽

Safety Performance ◽

Structured Interviews ◽

Performance Skills ◽

Work Environment Factors ◽

Improve Patient

Healthcare professionals need specific safety performance skills in order to maintain and improve patient safety. The purpose of this study is to get a deeper understanding of healthcare professionals’ perspective in acute care on the topic of safety performance. This study was conducted using a qualitative approach. Healthcare professionals working in nursing were interviewed using semi-structured interviews. Using content analyzing, categories were identified which present aspects of safety performance; subcategories were developed deductively. A total of 23 healthcare professionals were interviewed, of which 15 were registered nurses, five were nursing students and three were pedagogical personnel. Nine (39.1%) were <30 years old, 17 (73.9%) were female, and 9 (39.1%) had a leadership function. Results highlight the importance of safety performance as a construct of occupational health rather than of patient safety, and the role of the organization, as well as the self-responsibility of healthcare professionals. Healthcare professionals should be more conscious of their role, have a deeper understanding of the interaction of individual, team, patient, organization and work environment factors.

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The Role of Transformational Leadership and Effective Communication on the Implementation of Patient Safety With Trust as Mediation at X Hospital Jakarta

Jurnal Medicoeticolegal dan Manajemen Rumah Sakit ◽

10.18196/jmmr.v10i2.10292 ◽

2021 ◽

Vol 10 (2) ◽

pp. 90-102

Author(s):

Vivi Silvia ◽

Rokiah Kusumapradja ◽

Idrus Jus'at

Keyword(s):

Transformational Leadership ◽

Patient Safety ◽

Great Influence ◽

Effective Communication ◽

Primary Data ◽

Global Issue ◽

Safety Incident ◽

Professional Nursing Practice ◽

Patient Safety Incident

Patient safety has become a global issue in the field of health service including hospital. Implementation of patient safety in the hospital requires the involvement of leadership, effective communication and patient’s trust. At X Hospital Jakarta, the root case that frequently occurs on patient safety incident is communication matter. This has an impact on the reoccurrence of patient safety incident. This research aims to analyze the influence of transformational leadership and effective communication towards the implementation of patient safety by trust as mediation. The method of this research is causal associative with quantitative approach. There are 37 nurses as samples counted with G-Power Statistics application. The technique of collecting data uses primary data questionnaires and is processed by path analysis. The result shows that there is a great influence on transformational leadership towards trust. Therefore, in implementing patient safety in hospital, it needs program development on transformational leadership; controlling, and evaluating the implementation of effective communication; and improving nursing care as a form of professional nursing practice to create and to maintain patient’s trust towards nurse.

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SEGURANÇA DO PACIENTE NA VISÃO DE ENFERMEIROS: UMA QUESTÃO MULTIPROFISSIONAL

Enfermagem em Foco ◽

10.21675/2357-707x.2017.v8.n1.984 ◽

2017 ◽

Vol 8 (1) ◽

pp. 52

Author(s):

Marcos Antonio Nunes De Araujo ◽

Wilson Danilo Lunardi Filho ◽

Rosemary Silva Da Silveira ◽

Jose Carlos Souza ◽

Edison Luiz Devos Barlem ◽

...

Keyword(s):

Patient Safety ◽

Descriptive Study ◽

Hospital Nurses ◽

Cross Sectional ◽

Mato Grosso ◽

Safety Risks ◽

City State ◽

Promote Patient Safety ◽

Mato Grosso Do Sul

Objetivo: identificar como o enfermeiro percebe a segurança do paciente na instituição de saúde em que atua. Metodologia: estudo descritivo, de corte transversal, realizado entre janeiro e fevereiro de 2016, em Dourados/MS, com 52,58% da população de 310 enfermeiros hospitalares. Aplicou-se questionário sociodemográfico com questões vinculadas à segurança do paciente, cujos dados foram submetidos à análise descritiva. Resultados: parte dos enfermeiros apontou menor segurança quanto aos procedimentos, cuidados e administração de medicamentos. Conclusão: compete à equipe multiprofissional atuar na promoção da segurança do paciente, sendo o enfermeiro o profissional apto a identificar e comunicar riscos iminentes, prevenindo a ocorrência de danos e promovendo saúde na sua integralidade, devido à assistência de enfermagem ocorrer ao longo das 24 horas do dia.Descritores: Segurança do paciente, Gerenciamento de risco, Papel do enfermeiro, Raciocínio clínico.PATIENT SAFETY IN THE PERPECTIVE OF NURSES: A MULTI PROFESSIONAL ISSUEObjective: to highlight how the institutional safety is in the perspective of nurses. Methodology: a cross-sectional descriptive study conducted between January and February 2016, in Dourados City, State of Mato Grosso do Sul, Brazil, with 52.58% of 310 hospital nurses. A sociodemographic questionnaire with questions about “patient safety” was used. A descriptive and statistical analysis was performed. Results: some of the nurses indicated less safety regarding procedures, care and administration of medication. Conclusion: It is the role of multi professional team to promote patient safety. Nurses are capable of identifying and communicating imminent risks, due to their 24 hours assistance, preventing injuries and promoting health in its entirety.Descriptors: Patient Safety, Risks Management, Nurse’s Role, Clinical reasoning.SEGURIDAD DE LOS PACIENTES EN LA PERCEPCIÓN DE ENFERMEROS: UNA CUESTIÓN MULTIPROFESIONALObjetivo: identificar cómo la enfermera percibe la seguridad del paciente en la institución de salud en que actúa. Metodologia: estudio descriptivo de corte trasversal hecho de enero a febrero de 2016, en Dourados/MS, con 52,58% de la población de enfermeros hospitalarias. Se utilizó encuesta sociodemografica respecto la “seguridad del paciente” Se hizo el análisis descriptivo y estadístico. Resultados: parte considerable de los enfermeros indicó menor seguridad cuanto a procedimientos, cuidados y administración medicamentosa. Conclusión: el equipo multiprofesional debe promover la seguridad del paciente, considerando el enfermero como el más apto a identificar y comunicar riesgos inminentes en las 24h de su asistencia, evitando danos e promocionando salud en su integralidad.Descriptores: Seguridad del paciente, Administración de riesgos, Función de los enfermeros, Raciocinio clínico.

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