CP-124 Impact of hospital pharmacist integration on patient safety in a general surgery service and the related direct financial savings

2015 ◽  
Vol 22 (Suppl 1) ◽  
pp. A49.3-A50
Author(s):  
JJ Arenas Villafranca ◽  
B Maria Eugenia ◽  
N Miriam ◽  
A Alberto ◽  
A Elena ◽  
...  
Keyword(s):  
Patient Safety ◽  
General Surgery ◽  
Hospital Pharmacist

scholarly journals Residents' Perspectives on Patient Safety in University and Community Teaching Hospitals

2014 ◽  
Vol 6 (3) ◽  
pp. 603-607 ◽  
Author(s):  
Deborah L. Jones
Keyword(s):  
Internal Medicine ◽  
Patient Safety ◽  
General Surgery ◽  
Health Care Professionals ◽  
Diagnostic Radiology ◽  
Transitions Of Care ◽  
Teaching Hospitals ◽  
Safety Issues ◽  
Communication Problems ◽  
Community Teaching

Abstract Background Patient safety is an important concept in resident education. To date, few studies have assessed resident perceptions of patient safety across different specialties. Objective The study explored residents' views on patient safety across the specialties of internal medicine, general surgery, and diagnostic radiology, focusing on common themes and differences. Methods In fall 2012, interviews of small groups of senior residents in internal medicine, general surgery, and diagnostic radiology were conducted at 3 academic medical centers and 3 community teaching hospitals in 3 major US metropolitan areas. In total, 33 residents were interviewed. Interviews used interactive discussion to explore multiple facets of patient safety. Results Residents identified lack of information, common errors, volume and acuity of patients, and inadequate supervision as major risks to patient safety. Specific threats to patient safety included communication problems, transitions of care, information technology interface issues, time constraints, and work flow. Residents disclosed that reporting safety issues was viewed as burdensome and carrying some degree of risk. There was variability as to whether residents would report safety threats they encountered. Conclusions Residents are aware of threats to patient safety and have a unique perspective compared with other health care professionals. Transitions of care and communication problems were the most common safety threats identified by the residents interviewed.

OHP-021 Impact of hospital pharmacist integration over a general surgery service staff: Abstract OHP-021 Table 1

2015 ◽  
Vol 22 (Suppl 1) ◽  
pp. A194.2-A195
Author(s):  
JJ Arenas Villafranca ◽  
ME Blanco Rivas ◽  
V Caparrós Cabezas ◽  
M Nieto Guindo ◽  
E Álvaro Sanz ◽  
...  
Keyword(s):  
General Surgery ◽  
Hospital Pharmacist ◽  
Service Staff

scholarly journals Bias towards publishing positive results in orthopedic and general surgery: a patient safety issue?

2007 ◽  
Vol 1 (1) ◽  
pp. 4 ◽  
Author(s):  
Erik A Hasenboehler ◽  
Imran K Choudhry ◽  
Justin T Newman ◽  
Wade R Smith ◽  
Bruce H Ziran ◽  
...  
Keyword(s):  
Patient Safety ◽  
General Surgery ◽  
Safety Issue ◽  
Patient Safety Issue ◽  
Positive Results

scholarly journals The Hospital Pharmacist: An Important Contributor to Improved Patient Safety in the Hospital

2012 ◽  
Vol 66 (5) ◽  
pp. 300-303 ◽  
Author(s):  
Stéphanie Berthouzoz ◽  
Lina Berger ◽  
Pascal Bonnabry ◽  
André Pannatier
Keyword(s):  
Patient Safety ◽  
Hospital Pharmacist ◽  
Important Contributor

453 Introduction of A Novel Online Learning Platform Increases Junior Doctors Confidence Prior To Starting Trauma & Orthopaedic On-Calls

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Curtis ◽  
P Foster ◽  
J Mutimer
Keyword(s):  
Patient Safety ◽  
Online Learning ◽  
Vascular Surgery ◽  
General Surgery ◽  
High Volume ◽  
Junior Doctors ◽  
Satisfaction Rating ◽  
Learning Platform ◽  
Interactive Lectures ◽  
Almost All

Abstract Aim Trauma and Orthopaedic (T&O) junior doctors are expected to manage on-calls involving a high volume of patients presenting with a wide variety of complex conditions. Despite this, many junior doctors feel poorly prepared at the start of their placements with individual hospitals providing variable levels of induction. We therefore aimed to provide a free ‘Introduction to T&O on-calls’ course for junior doctors. Method The online platform ‘Zoom’ was used to provide 13 interactive lectures by T&O trainees and consultants over a single day in July 2020. In total, 280 UK junior doctors attended with 91.1% completing feedback. Pre- and post-course questionnaires were used to establish improved knowledge. Results Only 7.4% of participants either had or were aware of a local trust induction covering T&O on-calls. The course had an overall satisfaction rating of 90%, with participants showing a 15.3% improvement in on-call knowledge from pre-course to post-course (p<0.05). Prior to the course only 35% of participants felt prepared to perform an on-call which increased to 77% after the course. Almost all participants (90%) agreed that similar courses in other surgical specialties (General surgery (79%), Urology (60%), Vascular surgery (60%), ENT 55%)) which are commonly cross covered by junior doctors would be hugely beneficial. Conclusions Our principal focus moving forward is to establish a formal national induction programme for T&O junior doctors that is recognised by the relevant T&O organisations. This will instil confidence in the junior doctors whilst achieving patient safety and excellence during busy T&O on-calls.

scholarly journals 307 Awareness and Reporting of Needle Stick Injury Amongst Junior Doctors in a General Surgery Department

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Mistry ◽  
I Mahamud
Keyword(s):  
Patient Safety ◽  
General Surgery ◽  
Needle Stick Injury ◽  
Junior Doctors ◽  
Needle Stick ◽  
Needle Stick Injuries ◽  
Surgery Department ◽  
Sharps Injury

Abstract Introduction This audit was performed to see if a new cohort of junior doctors in a general surgery department had received legally required sharps injury training, assess knowledge on what to do if a needle stick/splash injury were to occur; and to provide necessary training. Method Questionnaires about trust needle stick policy training including current job grade, awareness of general principles, reporting of previous needle stick injuries and barriers to reporting of needle stick injuries were filled in. Training was provided on needle free devices and trust needle stick/splash injury protocol. After training, a second questionnaire was filled in to see if there was better understanding of the trust protocol and the necessary steps after injury. The same group of junior doctors were re-audited at a later date to see if the knowledge gained from training had been retained. Results All junior doctors (total of 11) in general surgery reported receiving no formal needle stick/splash training since starting at the trust on the trust policy and no formal induction on needle-free devices and what to do in the event of a needle stick injury since starting at the trust. All doctors felt aware of what to do after training provided with time pressures being identified as a barrier for not reporting all needle stick injuries. Re-audit one month later demonstrated all doctors had awareness of the trusts needle stick/splash injury protocol. Conclusions The training provided was effective in providing legally required training and improving staff and patient safety.

scholarly journals EP.FRI.374 Characteristics of Emergency General Surgery Operations at Night. An Avoidable Issue?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Samantha Quah ◽  
Hock Ping Cheah ◽  
Kenneth Wong
Keyword(s):  
Patient Safety ◽  
General Surgery ◽  
Operating Time ◽  
Working Hours ◽  
Rural Hospital ◽  
Emergency General Surgery ◽  
Night Time ◽  
Emergency Operations ◽  
Patient Demographics ◽  
Surgical Errors

Abstract Aim Most hospitals mandate afterhours operations to permit only cases that are life or limb-threatening. This is in the interests of promoting patient safety and reducing surgical errors. The incidence and caseload of night-time operations has not been well defined in Australia. This study aims to investigate the characteristics emergency operations involving consultant general surgeons between 10pm to 7am in regional and rural hospitals. Methods A multicentre, prospectively collected health service database of all emergency general surgery operations performed over a 12-month period was reviewed. In particular, patient demographics, type of operation, primary surgeon and time of operation were analysed. Results There were a total of 2059 emergency operations performed with 1344 cases performed in the regional hospital and 715 performed in the rural hospital within the area health network. Consultant surgeons were involved in 62 cases at night beyond 10.00pm, of which majority were laparotomies (n = 26/62, 42%), appendicectomies (n = 21/62, 34%), and hernia repair ((n = 4/62, 6.5%). In comparison, surgeons in the rural hospital performed seven emergency cases at night comprising of 6 laparotomies and one abscess drainage. Conclusion Larger hospitals have higher volumes of emergency cases, which increases the likelihood of afterhours operating. The rural hospital does not have other subspecialty cover competing for emergency operating time. This allows most emergency cases to be performed in the evening. In order to promote safe working hours and improved patient safety, theatre availability and staffing could be increased in the evening to diminish necessity for midnight to morning consultant operations.

scholarly journals Analysis of Hospital Pharmacist Credentials in Yogyakarta Region

2020 ◽  
Vol 4 ◽  
Author(s):  
Andayzgo MS Isnandi ◽  
Irma Risdiana ◽  
Sabtanti Harimurti
Keyword(s):  
Patient Safety ◽  
Law Enforcement ◽  
Human Resources ◽  
Hospital Pharmacist ◽  
Professional Organization ◽  
Professional Organizations ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Depth Interview ◽  
Different Characteristics

Competent human resources such as doctors, nurses, pharmacists and others will improve the patient safety of a hospital. To assess the competence of hospital human resources can be measured by credentials. The credential process needs to be done to the pharmacist because although a pharmacist has received a pharmacist's diploma from an accredited college, the hospital remains obliged to perform competence verification through the credential process for the patient safety in the hospital and also considering the competence of a person influenced by several factors. The purpose of this study is to analyze the pharmacy credential system in Indonesia, especially the pharmacist credential system in the Yogyakarta area hospital. A qualitative study using in-depth interview and focus group discussions were conducted in three hospitals in Yogyakarta with different characteristics. In-depth interview was attended by 1 participant, consisting of the representatives of the professional organization. Every FGD was attended by 5-10 participants, consisting of pharmacists working in hospitals in Yogyakarta. The results of the in-depth interview and FGDs were analyzed with a qualitative approach. Currently there is no specific law enforcement regulation related to the credential system for pharmacists. The credential system becomes a hospital requirement after the accreditation and fulfillment of administrative requirements of accreditation become the main motivation held pharmacist credentials. Pharmacist has the needs of improving the credential system both in theory and application. The absence of legally enforceable regulations has resulted in many unfamiliarities. Expectations of pharmacist practitioners on the process of ideal pharmacist credentials are possible with supporting elements of professional organizations.

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