Exploring Canadians’ and Europeans’ Health Care Professionals’ Perception of Biological Risks, Patient Safety, and Professionals’ Safety Practices

Abstract Background Patient-centered care and patient involvement have been increasingly recognized as crucial elements of patient safety. However, patient safety has rarely been evaluated from the patient perspective with a quantitative approach aiming at making patient safety and preventable adverse events measurable. Objectives The objectives of this study were to develop and evaluate the psychometric properties of a questionnaire assessing patient safety by perceived triggers of preventable adverse events among patients in primary health-care settings while considering mental health. Methods Two hundred and ten participants were recruited through various digital and print channels and asked to complete an online survey between November 2019 and April 2020. Exploratory factor analysis was performed to identify domains of triggers of preventable adverse events affecting patient safety. Furthermore, a multi-trait scaling analysis was performed to evaluate internal reliability as well as item-scale convergent–discriminant validity. A multivariate analysis of covariance evaluated whether individuals below and above the symptom threshold for depression and generalized anxiety perceive triggers of preventable adverse events differently. Results The five factors determined were information and communication with patients, time constraints of health-care professionals, diagnosis and treatment, hygiene and communication among health-care professionals, and knowledge and operational procedures. The questionnaire demonstrated a good total and subscale internal consistency (α = 0.90, range = 0.75–0.88), good item-scale convergent validity with significant correlations between 0.57 and 0.78 (P < 0.05; P < 0.01) for all items with their associated subscales, and satisfactory item-scale discriminant validity between 0.14 and 0.55 (P > 0.05) with no significant correlations between the items and their competing subscales. The questionnaire further revealed to be a generic measure irrespective of patients’ mental health status. Patients older than 50 years of age perceived a significantly greater threat to their own safety compared to patients below that age. Conclusion The developed Perceptions of Preventable Adverse Events Assessment Tool (PPAEAT) exhibits good psychometric properties, which supports its use in future research and primary health-care practice. Further validation of the PPAEAT in different settings, languages and larger samples is needed. The results of this study need to be considered when assessing patient safety in the context of health-care research.

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Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

10.26686/wgtn.12470129.v1 ◽

2020 ◽

Author(s):

J Wailling ◽

Brian Robinson ◽

M Coombs

Keyword(s):

Health Care ◽

Patient Safety ◽

New Zealand ◽

Health Care Professionals ◽

Nuclear Power ◽

High Reliability ◽

Health Care Systems ◽

Tertiary Hospital ◽

Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

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Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4941 ◽

2020 ◽

Vol 8 (E) ◽

pp. 509-515

Author(s):

Asmaa Abdelnaby ◽

Laila Mahmoud Kamel ◽

Jylan Elguindy ◽

Reham Yousri Elamir ◽

Eman Elfar

Keyword(s):

Health Care ◽

Patient Safety ◽

Infection Control ◽

Dental Health ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Safety Practices ◽

Preparedness Plan ◽

Dental Schools

BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care. AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University. METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used. RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated. CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.

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Topical Issues of Criminal Liability of Medical or Pharmaceutical Workers under the Criminal Code of Ukraine (Article 140 of the Criminal Code of Ukraine)

International Journal of Recent Technology and Engineering - 2 ◽

10.35940/ijrte.d1028.1184s19 ◽

2019 ◽

Vol 8 (4S) ◽

pp. 87-92

Keyword(s):

Health Care ◽

Human Rights ◽

Patient Safety ◽

Health Care Professionals ◽

Criminal Liability ◽

Complex Structure ◽

Criminal Code ◽

Professional Activity ◽

Scientific Article ◽

Political Processes

The issues of Improper protection of rights and legal interests of the patients due to improper performance of professional duties by a medical or pharmaceutical worker are considered. In particular, problems arising during the application of the norm of criminal liability for specified socially dangerous acts are considered. At the same time, cases of serious consequences to the patient's life and health due to a medical error or actions of medical or pharmaceutical workers committed in the absence of fault are considered although they result in the death of the patient or other grave consequences. Particular attention is paid to iatrogenic mental illness, caused by improper professional activity of the medical workers and peculiarities of the psyche of the patients. Particular attention is paid to the study of the practice of the European Court of Human Rights regarding the legal guarantee of the right to life in Ukraine in the context of criminal proceedings. Ukraine is a party to virtually all international human rights treaties. It imposes on it the obligation to adhere to European norms in the field of human protection. The need for comparative study of laws and effectiveness of their application at the present stage of society's development is due to the process of globalization affecting today not only economic and political processes but also the process of lawmaking. This requires the lawyers of different countries to join in the development of the theoretical foundations of lawmaking to formulate in the aggregate knowledge about the effect of laws based on world legal traditions and experience of the separate states. The complex structure of the health care organizations has led to the need for new models of healthcare professionals to ensure the quality of care and patient safety. In the current situation, patient safety is one of the new challenges faced by the medical students in undergraduate and postgraduate education. This involves incorporating a patient safety culture into curricula, in particular for the doctors and other health care professionals. The scientific article is aimed at solving the issues of criminal law protection as the rights of people in need of the medical services as well as medical and pharmaceutical workers who provide these services.

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Health Care Professionals’ Knowledge Regarding Patient Safety

Clinical Nursing Research ◽

10.1177/1054773816628796 ◽

2016 ◽

Vol 26 (3) ◽

pp. 285-300 ◽

Cited By ~ 2

Author(s):

Indre Brasaite ◽

Marja Kaunonen ◽

Arvydas Martinkenas ◽

Vida Mockiene ◽

Tarja Suominen

Keyword(s):

Health Care ◽

Patient Safety ◽

Continuing Education ◽

Quantitative Study ◽

Health Care Professionals ◽

Pressure Sore ◽

Knowledge Level ◽

Background Factors ◽

Low Level ◽

Safety Knowledge

This study looks to describe health care professionals’ knowledge regarding patient safety. A quantitative study using questionnaires was conducted in three multi-disciplinary hospitals in Western Lithuania. Data were collected in 2014 from physicians, nurses, and nurse assistants. The overall results indicated quite a low level of safety knowledge, especially in regard to knowledge concerning general patient safety. The health care professionals’ background factors such as their profession, education, the information about patient safety they were given during their vocational and continuing education, as well as their experience in their primary speciality seemed to be associated with several patient safety knowledge areas. Despite a wide variation in background factors, the knowledge level of respondents was generally found to be low. This requires that further research into health care professionals’ safety knowledge related to specific issues such as medication, infection, falls, and pressure sore prevention should be undertaken in Lithuania.

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Perceived Roles of Bhutanese Health Care Professionals in Improving Patient Safety: A Qualitative Exploratory Descriptive Study

Quality Management in Health Care ◽

10.1097/qmh.0000000000000254 ◽

2020 ◽

Vol 29 (3) ◽

pp. 142-149

Author(s):

Rinchen Pelzang ◽

Alison M. Hutchinson

Keyword(s):

Health Care ◽

Patient Safety ◽

Health Care Professionals ◽

Descriptive Study

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Patients' and health care professionals' attitudes towards the PINK patient safety video

Journal of Evaluation in Clinical Practice ◽

10.1111/j.1365-2753.2011.01688.x ◽

2011 ◽

Vol 18 (4) ◽

pp. 848-853 ◽

Cited By ~ 26

Author(s):

Rachel E. Davis ◽

Anna Pinto ◽

Nick Sevdalis ◽

Charles Vincent ◽

Rachel Massey ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Health Care Professionals

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Involuntary automaticity: a work-system induced risk to safe health care

Health Services Management Research ◽

10.1258/095148405774518615 ◽

2005 ◽

Vol 18 (4) ◽

pp. 211-216 ◽

Cited By ~ 49

Author(s):

Brian Toft ◽

Hugo Mascie-Taylor

Keyword(s):

Health Care ◽

Patient Safety ◽

Health Care Professionals ◽

Health Care Organizations ◽

Negative Effects ◽

Care Community ◽

Work System ◽

Skilled Action ◽

Conscious Attention

Automaticity is the term given by psychologists to the skilled action that people develop through repeatedly practising the same activity, for example driving a car. Usually, automaticity is discussed in terms of the benefits it brings to people, such as the reduction in the degree of conscious attention a person needs to pay to such skilled activities. However, there is evidence to suggest that substantial costs may also be associated with such learned behaviour. Managing patient safety is a difficult task and one of the ways in which health-care professionals seek to accomplish it is through the use of verbal challenge-response protocols. However, it is argued in this paper that it is possible for the negative effects of automaticity to involuntarily capture those using such verbal checklist techniques and cause them to erroneously believe that the treatment that they are about to administer to a patient is safe when it is not. This phenomenon does not, however, seem to have been recognized by the health-care community nationally or internationally. We conclude that patient safety could be significantly improved worldwide if the organizational arrangements which appear to induce involuntary automaticity were to be robustly addressed by the management of all health-care organizations.

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Patient safety challenges in primary health care: a scoping review

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0209 ◽

2020 ◽

Vol 73 (5) ◽

Author(s):

Carlise Rigon Dalla Nora ◽

Mariur Gomes Beghetto

Keyword(s):

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Scoping Review ◽

Health Professionals ◽

Health Care Professionals ◽

Improve Patient Safety ◽

Policy Makers ◽

Primary Health ◽

Enhancing Resources

ABSTRACT Objectives: to identify the patient safety challenges described by health professionals in Primary Health Care. Methods: a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included. Results: the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety. Conclusions: patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.

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