Patient Safety, Quality Care, and Service Utilization With PLATO (Physician Leadership for Accurate and Timely Orders)

The implementation of safe and quality care with attention to patient safety, requires organization’s effort to create and cultivating patient safety culture. The purpose of this article was to map the instruments used in measuring patient safety culture in healthcare organizations. The method used integrated literature review from various sources of research articles published from 2015 to 2020. The article included if it was available in full text and open access as well as articles described the instruments of patient safety culture or measurement of patient safety culture using one of the instruments of measurement of patient safety culture. The results of the literature review unravel the findings of three instruments such as HSOPSC (Hospital Survey on Patient Safety Culture), MaPSaF (Manchester Patient Safety Assessment Framework) and SAQ (Safety Attitudes Questionnaire). We concluded all three instruments contained four dimensions of patient safety culture, namely open culture, just culture, reporting culture and learning culture and were widely used to measure patient safety culture in hospitals, primary health facilities and other health facilities.

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The quality of handover on an inpatient psychiatric unit - information is key!

BJPsych Open ◽

10.1192/bjo.2021.496 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S183-S183

Author(s):

Emma Davies ◽

Ijeoma Enemo-Okonkwo

Keyword(s):

Patient Safety ◽

Nursing Staff ◽

Current Issue ◽

Improve Patient Safety ◽

Quality Care ◽

Limited Information ◽

Psychiatric Unit ◽

Trainee Doctor ◽

Inpatient Psychiatric Unit

AimsTo study the quality of handover, between nursing staff and doctors, on an inpatient psychiatric unit.Effective handover between professionals is vital to ensure the accurate transfer of useful information to enable quality care and patient safety.Implementation of a handover tool has been shown to improve patient safety, especially when used to structure communication over the phone.Feedback at trainee doctor forums highlighted insufficient handover from nursing staff whilst on-call, a problem which prompted further exploration.MethodStandards were developed for the expected quality of handover, consisting of a set of criteria for the minimum information required to ensure a safe and effective handover, stemming from the SBAR (Situation, Background, Assessment, Recommendation) approach, with adequate identification of patients, clear communication of the current situation and relevant details.In an inpatient psychiatric setting, telephone calls to the on-call doctor were recorded for a two-week period, documenting whether key information was communicated.ResultTotal number of calls to on-call doctor recorded: 68. The patients name was given in 49% and the ID number in just 10%. Both relevant diagnosis/history and NEWS score was provided in 18%. However, the current issue and recommendation was given in 90% and 95% respectively.ConclusionThe results thus far demonstrate a lack of structure and often limited information delivered in handover from nursing staff to the on-call doctor. This leads to difficulties in prioritisation, identifying the urgency of the situation and inefficiencies, as time is spent requesting further information which is not readily available.After nursing colleagues were made aware, results from a further two-week period, from 65 total calls, demonstrated some improvement. Patient name given in 51%, ID number in 18%, relevant diagnosis/history in 12%, NEWS score in 17%, current issue in 92% and recommendation in 51%. It is clear that with marginal improvement, there remains a problem which we aim to address by collaborating further with senior nursing leads whilst implementing a succinct handover proforma. It is likely that with COVID-19 as the priority on the agenda this past year, quality improvement projects such as this has not been the main focus. We hope that we will be able to implement these changes in the coming months.

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Patient safety culture in burn care units from the perspectives of healthcare providers: across-sectional study

Journal of Burn Care & Research ◽

10.1093/jbcr/irab208 ◽

2021 ◽

Author(s):

Maryam Moghimian ◽

Sedigheh Farzi ◽

Kolsoum Farzi ◽

Mohammad Javad Tarrahi ◽

Hossein Ghasemi ◽

...

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Care Delivery ◽

Quality Care ◽

Healthcare Providers ◽

Patient Safety Culture ◽

Cross Sectional ◽

Burn Care ◽

Healthcare Settings ◽

Collection Data

Abstract Creating a positive patient safety culture is a key step in the improvement of patient safety in healthcare settings. PSC is a set of shared attitudes, beliefs, and perceptions about PS among healthcare providers. This study aimed to assess PSC in burn care units from the perspectives of healthcare providers. This cross-sectional descriptive study was conducted in 2020 in the units of a specialty burn center. Participants were 213 healthcare providers recruited to the study through a census. A demographic questionnaire and the Hospital Survey on Patient Safety Culture were used for data collection. Data were managed using the SPSS16 software and were summarized using the measures of descriptive statistics. The mean of positive responses to PSC items was 51.22%, denoting a moderate-level PSC. The lowest and the highest dimensional mean scores were related to the no punitive response to error dimension (mean: 12.36%) and the teamwork within departments dimension (mean: 73.25%), respectively. Almost half of the participants (49.3%) reported acceptable PS level in their workplace and 69.5% of them had not reported any error during the past twelve months before the study. Given the great vulnerability of patients with burn injuries in clinical settings, improving PSC, particularly in the no punitive response to error dimension, is essential to encourage healthcare providers for reporting their errors and thereby, to enhance PS. For quality care delivery, healthcare providers in burn care units need a safe workplace, adequate managerial support, a blame-free PSC, and an incentive error reporting system to readily report their errors.

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Quality Care, Patient Safety, and the Focus on Technology

Journal of Nursing Education ◽

10.3928/01484834-20080201-02 ◽

2008 ◽

Vol 47 (2) ◽

pp. 51-52 ◽

Cited By ~ 5

Keyword(s):

Patient Safety ◽

Quality Care ◽

Care Patient

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Quality care and patient safety: Global approaches to medical error disclosure

Primary Health Care Open Access ◽

10.4172/2167-1079.c1.001 ◽

2016 ◽

Vol 06 (02) ◽

Author(s):

Jawahar Jay Kalra

Keyword(s):

Patient Safety ◽

Medical Error ◽

Quality Care ◽

Error Disclosure

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A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative

Children ◽

10.3390/children7110202 ◽

2020 ◽

Vol 7 (11) ◽

pp. 202

Author(s):

Mary Eckels ◽

Terry Zeilinger ◽

Henry C. Lee ◽

Janine Bergin ◽

Louis P. Halamek ◽

...

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Quality Improvement ◽

Neonatal Intensive Care ◽

Quality Care ◽

Neonatal Resuscitation ◽

Healthcare Team ◽

In Situ Simulation ◽

Implementation Phase

Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In Simulating Success, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program.

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Leveraging IT to Improve Patient Safety

Yearbook of Medical Informatics ◽

10.1055/s-0038-1638154 ◽

2003 ◽

Vol 12 (01) ◽

pp. 153-158

Author(s):

D.E. Garets ◽

T.J. Handler ◽

M.J. Ball

Keyword(s):

Patient Safety ◽

Medical Errors ◽

Improve Patient Safety ◽

Quality Care ◽

Quality Of Healthcare ◽

The United States ◽

Institute Of Medicine ◽

The Media ◽

The Military ◽

Improve Patient

Abstract:Medical errors and issues of patient safety are hardly new phenomena. Even during the dawn of medicine, Hippocrates counselled new physicians “to above all else do no harm.” In the United States, efforts to improve the quality of healthcare can be seen in almost every decade of the last century. In the early 1900s, Dr. Ernest Codman failed in his efforts to get fellow surgeons to look at the outcomes of their cases. In the 1970s, there was an outcry that the military allowed an almost blind surgeon to continue to practice and even transferred him to the prestigious Walter Reed Hospital. More recently, two reports by the Institute of Medicine caught the attention of the media, the American public, and the healthcare industry. To Err Is Human highlights the need to reduce medical errors and improve patient safety, and Crossing The Quality Chasm calls for a new health system to provide quality care for the 21st century.

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Statement on Surgical Preresidency Preparatory Courses

The American Surgeon ◽

10.1177/000313481408001121 ◽

2014 ◽

Vol 80 (11) ◽

pp. 1085-1086 ◽

Cited By ~ 4

Author(s):

Thomas H. Cogbill

Keyword(s):

Patient Safety ◽

Medical Students ◽

Quality Care ◽

Objective Assessment ◽

Medical Schools ◽

Assessment Tools ◽

Essential Components ◽

Similar Program ◽

Preparatory Course ◽

Multidimensional Curriculum

The leadership of the surgical community is actively engaged in improving the preparation of incoming residents to assume responsibility and accountability for key elements of care and stewardship. To better prepare for this transition, it is essential that all matriculants to surgery residency successfully complete a preparatory course of blended learning that specifically addresses essential components of quality care and patient safety before the start of their training. A national multidimensional curriculum, along with objective assessment tools, has been developed to accelerate readiness, responsibility, and accountability during the transition from medical school to surgery residency. We strongly endorse this effort and encourage medical schools to adopt this or a similar program. We stand ready to assist medical schools and medical students in implementation of this important initiative.

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