Evolving Factors in Hospital Safety

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Khara M. Sauro ◽  
Matthew Machan ◽  
Liam Whalen-Browne ◽  
Victoria Owen ◽  
Guosong Wu ◽  
...  
Keyword(s):  
2021 ◽  
pp. 088506662110070
Author(s):  
Matthew Gandjian ◽  
Catherine Williamson ◽  
Yu Xia ◽  
Carlos Maturana ◽  
Nikhil Chervu ◽  
...  

Purpose: Safety net hospitals (SNH) have been associated with inferior surgical outcomes and increased resource use. Utilization and outcomes for extracorporeal membrane oxygenation (ECMO), a rescue modality for patients with respiratory or cardiac failure, may vary by safety net status. We hypothesized SNH to be associated with inferior outcomes and costs of ECMO in a national cohort. Materials and Methods: The 2008-2017 National Inpatient Sample was queried for ECMO hospitalizations and safety net hospitals were identified. Multivariable regression was used to perform risk-adjusted comparisons of mortality, complications and resource utilization at safety net and non-safety net hospitals. Results: Of 36,491 ECMO hospitalizations, 28.2% were at SNH. On adjusted comparison SNH was associated with increased odds of mortality (AOR: 1.23), tracheostomy use (AOR: 1.51), intracranial hemorrhage (AOR: 1.39), as well as infectious complications (AOR: 1.21, all P < .05), with NSNH as reference. SNH was also associated with increased hospitalization duration (β=+4.5 days) and hospitalization costs (β=+$32,880, all P < .01). Conclusions: We have found SNH to be associated with inferior survival, increased complications, and higher costs compared to NSNH. These disparate outcomes warrant further studies examining systemic and hospital-level factors that may impact outcomes and resource use of ECMO at SNH.


Anaesthesia ◽  
2021 ◽  
Author(s):  
J. Olivarius‐McAllister ◽  
M. Pandit ◽  
A. Sykes ◽  
J. J. Pandit

2014 ◽  
Vol 6 (6) ◽  
pp. 734
Author(s):  
Yan-ming Xie ◽  
Xing Liao ◽  
Wen Zhang ◽  
Feng Tian ◽  
Yu-bin Zhao ◽  
...  

2016 ◽  
Vol Volume 10 ◽  
pp. 1359-1372 ◽  
Author(s):  
Charles Cunningham ◽  
Tracy Hutchings ◽  
Jennifer Henderson ◽  
Heather Rimas ◽  
Yvonne Chen

1983 ◽  
Vol 11 (5) ◽  
pp. 398
Author(s):  
W. G. Boultinghouse
Keyword(s):  

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0144107 ◽  
Author(s):  
Ann-Marie Howell ◽  
Elaine M. Burns ◽  
George Bouras ◽  
Liam J. Donaldson ◽  
Thanos Athanasiou ◽  
...  

2021 ◽  
Vol 10 (1) ◽  
pp. LAYOUTING
Author(s):  
Wulan Rahmadhani ◽  
Nur Azis Rohmansyah ◽  
Than Kyaw Soe ◽  
Jipri Suyanto

Health management systems played a crucial role in hazard reduction and prevention as well as in improving employee performance. The importance of a hospital health and safety management system and there has been no study in Indonesia with the same objective based on the OSHA indicator. The purpose of this study is to evaluate the performance indicators of Hospital Safety and health management systems in hospitals in the Gombong region, Indonesia, in terms of a nurse perspective. The research method used was descriptive-analytic. The sample size consisted of 450 nurses. The questionnaire used a standard questionnaire from hospital safety and health management systems which consisted of 53 questions including 6 domains; Leadership management, Hazard identification, employee participation, Hazard prevention, evaluation and improvement program, and Education and training. Using the 1-4 Likert scale of strongly disagree, disagree, agree, and strongly agree. The highest score was 4 and the lowest score is 1. Data analysis used SPPS, t-test, and analysis of variance (ANOVA) with a significant value 0.05. Based on the research results, poor conditions occurred in several domains except in the domain of employee participation. There were significant variables between hazard identification and gender, hazard prevention and improvement program and evaluation also. Conclusion of this study, hospital administrations need to be improved and pay more attention to occupational safety and health in the workplace. To get rid of weaknesses and a mistake, we need to continuous improvement and effective evaluation of staff in training programs.


1976 ◽  
Vol 7 (7) ◽  
pp. 8-9
Author(s):  
Paul R. Seidlitz
Keyword(s):  

Sign in / Sign up

Export Citation Format

Share Document