Non-clinical rounds in hospital settings: a scoping review

2019 ◽  
Vol 33 (5) ◽  
pp. 605-616
Author(s):  
Paraskevi Angelopoulou ◽  
Efharis Panagopoulou
Keyword(s):  
Patient Safety ◽  
Scoping Review ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Clinical Settings ◽  
Organizational System ◽  
Content Type ◽  
Multidisciplinary Rounds ◽  
Enhance Patient Safety ◽  
Morbidity And Mortality Conferences

PurposeThe purpose of this paper is to systematically describe the types of non-clinical rounds implemented in hospital settings.Design/methodology/approachThis scoping review was conducted and reported in accordance with the PRISMA. The review followed the four stages of conducting scoping review as defined by Arskey and O’Malley (2005).FindingsInitially, 978 articles were identified through database search from which only 24 studies were considered relevant and included in the final review. Overall, eight types of non-clinical rounds were identified (death rounds, grand rounds, morbidity and mortality conferences, multidisciplinary rounds, patient safety rounds, patient safety huddles, walkarounds and Schwartz rounds) that independently of their format, goal, participants and type of outcomes aimed to enhance patient safety and improve quality of healthcare delivery in hospital settings, either by focusing on physician, patient or organizational system.Originality/valueTo the authors’ knowledge this is the first review that aims to provide a comprehensive summary to the types of non-clinical rounds that has been applied in clinical settings.

Application of Bow-tie methodology to improve patient safety

2016 ◽  
Vol 29 (4) ◽  
pp. 425-440 ◽  
Author(s):  
Zhaleh Abdi ◽  
Hamid Ravaghi ◽  
Mohsen Abbasi ◽  
Bahram Delgoshaei ◽  
Somayeh Esfandiari
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Blood Stream Infection ◽  
Improve Patient Safety ◽  
Blood Stream ◽  
Clinical Settings ◽  
Content Type ◽  
Clinical Risks ◽  
Improve Patient ◽  
Bow Tie

Purpose – The purpose of this paper is to apply Bow-tie methodology, a proactive risk assessment technique based on systemic approach, for prospective analysis of the risks threatening patient safety in intensive care unit (ICU). Design/methodology/approach – Bow-tie methodology was used to manage clinical risks threatening patient safety by a multidisciplinary team in the ICU. The Bow-tie analysis was conducted on incidents related to high-alert medications, ventilator associated pneumonia, catheter-related blood stream infection, urinary tract infection, and unwanted extubation. Findings – In total, 48 potential adverse events were analysed. The causal factors were identified and classified into relevant categories. The number and effectiveness of existing preventive and protective barriers were examined for each potential adverse event. The adverse events were evaluated according to the risk criteria and a set of interventions were proposed with the aim of improving the existing barriers or implementing new barriers. A number of recommendations were implemented in the ICU, while considering their feasibility. Originality/value – The application of Bow-tie methodology led to practical recommendations to eliminate or control the hazards identified. It also contributed to better understanding of hazard prevention and protection required for safe operations in clinical settings.

scholarly journals Leveraging massive open online courses to expand quality of healthcare education to health practitioners in Rwanda

2019 ◽  
Vol 8 (4) ◽  
pp. e000532 ◽  
Author(s):  
Kirstin Woody Scott ◽  
Theophile Dushime ◽  
Vincent Rusanganwa ◽  
Liana Woskie ◽  
Clint Attebery ◽  
...  
Keyword(s):  
Patient Safety ◽  
Global Health ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Lessons Learned ◽  
Online Course ◽  
Massive Open Online ◽  
District Hospitals

Improving the quality of healthcare delivery is increasingly a global health priority. However, quality improvement training opportunities that provide theoretical foundations and basic skills for patient safety and other quality initiatives have been limited or historically out of reach, especially in low-and-middle income countries (LMICs). To address this gap, the Harvard Initiative on Global Health Quality (HIGHQ) created and launched a massive open online course (MOOC) in 2014 focused on patient safety and quality of care using the edX platform. More than 30 000 students from across 195 countries registered for the online course. This paper summarises an innovative educational partnership between the course team and one of these countries, Rwanda, to develop a blended-learning model to bolster participation in this new course among Rwandan healthcare professionals. Although a small country, Rwanda was among the top performing countries for attracting course registrants and was the leading country for the proportion of enrollees who ultimately completed the course. Further, half (21 of 42) of Rwanda’s district hospitals opted to appoint a PH555x course facilitator at their site to help lead regular meetings and discussions about the course content at their facility. The majority of Rwandan enrollees were health professionals (63%) and 81% reported that PH555x was their first experience taking an online course. Among those participating in the ‘flipped’ component at hospital sites, 94% reported that the course helped them to think of specific ways to improve healthcare quality at their facility. In this paper, we describe this innovative public–private educational model, challenges to implementation and lessons learned that may be helpful for future MOOC developers who wish to augment learning opportunities among healthcare professionals in LMICs.

Modelling the influence of healthcare facilities management service quality on patients satisfaction

2019 ◽  
Vol 17 (3) ◽  
pp. 267-283 ◽  
Author(s):  
Oti Amankwah ◽  
Weng-Wai Choong ◽  
Abdul Hakim Mohammed
Keyword(s):  
Service Quality ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Mediating Effect ◽  
Facilities Management ◽  
Management Service ◽  
Content Type ◽  
Patients Satisfaction ◽  
Core Service

Purpose Facilities management (FM) professionals state that adopting FM will positively support core service delivery and ensure customer satisfaction. Evidences of such claim are important as it will enhance the rationale for institutionalising prudent FM service quality in hospitals in Ghana. This paper aims to assess the mediating effect of healthcare FM service quality on patients’ satisfaction and overall healthcare delivery. Design/methodology/approach This is a cross-sectional study involving adult patients at the Physician outpatient departments and Polyclinics of Komfo Anokye, Tamale and Cape Coast Teaching hospitals in Ghana. A questionnaire survey using a well-structured five-point likert scale based on the SERVQUAL dimensions and Healthcare core service dimensions rooted in the FM framework was used to collect data from 660 patients. Smart PLS was used to analyse the data of 622 valid questionnaires. Findings The study results revealed that FM service quality mediates the relationship between patients’ satisfaction and three of the constructs under core healthcare delivery. That is, (the quality of healthcare delivery, the quality of healthcare personnel and the adequacy of healthcare resources) – surprisingly, the fourth construct (the quality of administration process) was not supported. Originality/value There is no or at best very limited studies on the contribution of healthcare FM on patients satisfaction of core healthcare delivery in Ghana. Therefore, this study will enrich and contribute to knowledge in healthcare FM in general and that of a developing African country in particular.

Error Reduction, Patient Safety and Institutional Ethics Committees

2004 ◽  
Vol 32 (2) ◽  
pp. 358-364 ◽  
Author(s):  
Mark E. Meaney
Keyword(s):  
Patient Safety ◽  
Medical Error ◽  
Healthcare Professionals ◽  
Healthcare Delivery ◽  
Ethics Committees ◽  
Error Reduction ◽  
Culture Of Safety ◽  
Institutional Ethics ◽  
Enhance Patient Safety ◽  
Integral Role

Institutional ethics committees remain largely absent from the literature on error reduction and patient safety. This paper attempts to fill the gap. Healthcare professionals are on the front lines in the defense against medical error, but the changes that are needed to reduce medical errors and enhance patient safety are cultural and systemic in nature. As noted in the Hastings Centers recent report, Promoting Patient Safety, the occurrence of medical error involves a complex web of multiple factors. Human misstep is certainly one such factor, but not the only one. In this paper, I build on the Hasting Centers report on patient safety (HCR) in arguing that institutional ethics committees ought to play an integral role in the transformation of a culture of blame to a culture of safety in healthcare delivery.

Integrating oral health into prenatal care: a scoping review

2020 ◽  
Vol 28 (3) ◽  
pp. 291-310
Author(s):  
Abiola Adeniyi ◽  
Leeann Donnelly ◽  
Patricia Janssen ◽  
Cecilia Jevitt ◽  
Michael Siarkowski ◽  
...  
Keyword(s):  
Oral Health ◽  
Prenatal Care ◽  
Scoping Review ◽  
Oral Care ◽  
Healthcare Delivery ◽  
Final Analysis ◽  
Future Research ◽  
Oral Diseases ◽  
Content Type ◽  
The Impact

PurposeIntegrating preventive oral care into prenatal care is suggested as a strategy for reducing the burden of oral diseases among pregnant women and their offspring. This scoping review sought to synthesize available information and identify knowledge gaps on integrating oral health into prenatal care.Design/methodology/approachThe scoping review was conducted based on the Joanna Briggs Institute scoping review framework using the following databases: CINAHL, Cochrane Database of Systematic Reviews, Medline, ProQuest Dissertation and theses Global, Psychinfo and Web of Science®. No search limits were used. Content analysis of the included articles was performed to identify conceptual frameworks, types of integration used, study designs, study objectives and outcomes.FindingsOverall, 2,861 references were obtained from the databases search; and based on the inclusion and exclusion criteria 35 references were included in the final analysis. Of these 35 references, one document presented a conceptual model, six documents reviewed guidelines for integrating oral health in prenatal care, two were policy documents aimed at interprofessional collaboration for oral health during pregnancy, eight documents described programs focused on providing oral care during pregnancy, five of the references were literature reviews and the remaining 13 evaluated the impact of integration. Linkages between healthcare professionals were the most common type of integration used.Research limitations/implicationsDespite advances in understanding integrated care concepts for healthcare delivery, there is little evidence available on the impact of the various types of, and strategies for, integrating oral health into prenatal care. Future research to bridge the identified gaps is recommended.Originality/valueThe originality of this study is to provide evidence on integrated oral healthcare during pregnancy.

The Importance of Fatigue Management for Healthcare Workers from Islamic Perspective

2019 ◽  
pp. 37
Author(s):  
Khairil Idham Ismail ◽  
Hanizah Mohd Yusof ◽  
Ahmad Faidhi MZ ◽  
Basri I
Keyword(s):  
Patient Safety ◽  
Healthcare Workers ◽  
Occupational Safety ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Related Factors ◽  
Islamic Perspective ◽  
Work Related ◽  
Fatigue Management ◽  
Harm To Others

Introduction: Fatigue is common among healthcare workers (HCWs). Long continuous duty hours, sleep loss with minimal recuperation and shift work are among work-related factors contributing to fatigue. Being fatigued will impair physical, cognitive, and emotional function. Substantially, it will impact the occupational and patient safety along with quality of healthcare delivery. Nevertheless, there are still paucity of Islamic perspective on the importance of fatigue management for HCWs.Objectives: Our aim is to outline the Islamic perspective of fatigue management for HCWs.Methods: Review of literature in relevance to fatigue among HCWs were carried out. Document analysis from Islamic jurisprudence (fiqh) references including literature from Maqasid Syariah (the Objective of Syariah) and Qawaid Fiqhiyyah (Islamic legal maxims) perspective. Interviews with expert from both Islamic scholars and clinicians are conducted.Results: Our findings provide Islamic perspective on the importance of fatigue manageme nt for healthcare workers. The consequences of fatigue such as slowed reaction time, reduced vigilance, reduced decision-making ability, poor judgment, distraction during complex task and loss of awareness in critical situations raise the issue on the integrity of patient safety and occupational safety. This is in contrary with the principle of Maqasid Syariah which highly emphasize protection of life (hifz an-Nafs) and intellect (hifz ‘Aql) of both group of HCWs and patients. While Qawaid Fiqhiyyah strongly against inflicting harm to themselves nor bring harm to others (La darar wa la dirar); which serve as basis to support this fatigue manageme nt framework in a holistic manner.Conclusion: This study may serve as an added perspective in the angle of Islamic view on the importance of fatigue management for healthcare workers.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 37

Indonesian public healthcare service institution’s patient satisfaction barometer (IPHSI-PSB)

2016 ◽  
Vol 65 (1) ◽  
pp. 25-41 ◽  
Author(s):  
Sik Sumaedi ◽  
I Gede Mahatma Yuda Bakti ◽  
Tri Rakhmawati ◽  
Nidya J. Astrini ◽  
Tri Widianti ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Healthcare Service ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Public Healthcare ◽  
Content Type ◽  
Satisfaction Index ◽  
New Public ◽  
Service Institution

Purpose – The purpose of this paper is to develop and test a new public healthcare patient satisfaction index (PSI) in Indonesia. More clearly, the index measures overall patient satisfaction and its determinants. Design/methodology/approach – Literature review was performed to identify the determinants of patient satisfaction. Data collection was carried out by using survey with questionnaire. The survey involves 161 patients of one public healthcare service institution in Tangerang, Indonesia. The authors conducted some statistical analyses, namely exploratory factor analysis, Cronbach α analysis, and multiple regression analysis. Findings – A new public healthcare PSI was developed and tested. The index consists of overall patient satisfaction and its determinants. The determinants include the quality of healthcare delivery, the quality of healthcare personnel, the adequacy of healthcare resources, the quality of administration process, perceived value, perceived sacrifice, and image. Furthermore, the new index was called as IPHSI-PSB. Research limitations/implications – This research was carried out only in Tangerang, Indonesia and only involved one public healthcare service. Hence, the index needs to be tested in different cities in Indonesia. Furthermore, it is also needed to involve more public healthcare service institutions in future researches. Practical implications – Public healthcare service managers can use IPHSI-PSB to monitor, measure, and improve the patient satisfaction of the public healthcare service institution they manage. Originality/value – This paper has developed and tested a new public healthcare patient satisfaction index.

scholarly journals The impact of hospital accreditation in selected Middle East countries: a scoping review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Salma Khan ◽  
Taraneh Yousefinezhadi ◽  
Reece Hinchcliff
Keyword(s):  
Saudi Arabia ◽  
Patient Safety ◽  
Middle East ◽  
Scoping Review ◽  
Primary Data ◽  
Supporting Evidence ◽  
Hospital Accreditation ◽  
Content Type ◽  
Middle East Countries ◽  
The Impact

PurposeThere is conflicting evidence concerning the impact of hospital accreditation programmes, including across the Middle East Region, where such programmes have been most recently implemented in Iran, Jordan and Saudi Arabia. This paper maps available evidence regarding the impact of hospital accreditation in these three countries and draws attention to knowledge gaps for consideration.Design/methodology/approachThis scoping review was conducted in 2020, using the Arksey and O'Malley framework. Five research databases were searched, along with five government and accreditation agency websites. Searches were complemented by citation chaining. English and Arabic publications evaluating hospital accreditation in the selected countries were included. Commentaries and articles not based on primary data collection and reviews of existing registry data were excluded. There were no exclusions based on study design or methods. A descriptive numerical summary and thematic analysis were used to synthesise the literature.Findingsstudies were included. The majority (n = 35) were published since 2014 and conducted in Saudi Arabia (n = 16). Four themes emerged: organisational impacts, patient safety, quality of care, and patient satisfaction and experience. The literature generally highlights positive impacts of accreditation, but most studies were based solely on health professionals' subjective perceptions. “Organisational impacts” had the largest, and strongest body of supporting evidence, while “patient safety” had the least and most variable evidence.Originality/valueOpportunities to strengthen the design and evaluation of hospital accreditation programmes in the selected countries are highlighted. Additional experimental, mixed-method research is recommended to strengthen the evidence base and inform practical enhancements to hospital accreditation programmes in the region.

A Canadian perspective on clinical governance

2014 ◽  
Vol 19 (4) ◽  
pp. 314-321 ◽  
Author(s):  
Marc Berg ◽  
Georgina Black
Keyword(s):  
Patient Safety ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Detailed Examination ◽  
Healthcare Systems ◽  
Clinical Governance ◽  
Content Type ◽  
Governance Practices ◽  
Individual Success ◽  
Ageing Populations

Purpose – The purpose of this paper is to provide an overview of the state of clinical governance practices globally as well as a more detailed examination of the clinical governance landscape in Canada. The paper explores the concept that established clinical governance practices are more important than ever as healthcare systems are increasingly under pressure to reduce costs while dealing with the challenges of ageing populations. Additionally, it suggests that healthcare could benefit by studying and adopting some of the successful governance policies that exist in other jurisdictions or sectors where quality and safety are an integral part of their governance mandate, such as the airline or nuclear energy sectors. Design/methodology/approach – This paper explores the status of clinical governance practices in Canada. This is achieved through a combination of author experience in addition to the review of existing literature and assessments on clinical governance practices and patient safety. Findings – While individual success stories can be found, standardized clinical governance practices across the range of healthcare providers remain largely absent. By focussing on standardized processes, and by placing an emphasis on improved clinical governance, healthcare providers can control and in some cases lower costs while improving efficiency and increasing patient safety. While progress has been slow for many years, the authors speculate that healthcare has reached a tipping point. As information systems develop and become more reliable and robust, and systems move to a patient-centric collaborative approach to care, there is a tremendous opportunity for healthcare and life sciences organizations to exploit and capitalize on both their growing information repositories, and the big data trends that have been embraced and leveraged by other sectors in recent years. Practical implications – Managing costs and delivering safe, efficient care to patients remain top considerations for healthcare boards and healthcare systems alike. As healthcare systems grapple with the increasing costs and risk associated with ageing populations and a more complex healthcare delivery model, effective clinical governance policies focussed on quality outcomes are essential. Originality/value – This paper highlights the responsibility of healthcare boards to learn lessons from other safety-critical industries and develop their own capacity to evaluate progress toward the goals identified above. It also provides insight into the role that leaders on both the corporate and clinical sides of the industry have to play, and the need for meaningful measures that will drive a quality agenda. The paper also emphases the link between established clinical governance practices and greater efficiency, reduced costs and improved patient safety.

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