scholarly journals Regulating patient safety during hospital discharges: Casting the Patient Safety Commissioner as the Representative of Order

2021 ◽  
pp. 096853322110235
Author(s):  
Victoria L. Moore
Keyword(s):  
Patient Safety ◽  
Medical Devices ◽  
Discharge Process ◽  
Hospital Discharges ◽  
Patient Safety Incidents

This article examines the challenges in regulating patient safety during hospital discharges in England through the lens of liminality. Hospital discharges are internationally recognised as being a dangerous time for patients, and yet the role that regulators should play in addressing this has received little attention in any jurisdiction. Liminality’s spotlight on the in-between highlights how the discharge process can give rise to patient safety incidents that fall between regulator’s boundaries. Falling between boundaries results in a dearth of effective regulatory responses to address these incidents. By positioning the new role of Patient Safety Commissioner (PSC) as that of a ‘Representative of Order’, this article proposes a means by which this poorly regulated space could be navigated more successfully. This analysis suggests that the remit of the PSC role be expanded to include improving patient safety with regard to processes – not just medicines and medical devices. The full implications of this are also addressed.

scholarly journals Implementasi Patient Safety di Pelayanan Anak Rumah Sakit Umum Haji Medan Tahun 2019

2020 ◽  
Vol 8 (3) ◽  
pp. 188-196
Author(s):  
Verawaty Sari Simamora ◽  
Zulfendri Zulfendri ◽  
Roymond H Simamora ◽  
Puteri Citra Cinta Asyura Nasution
Keyword(s):  
Patient Safety ◽  
Child Care ◽  
Health Workers ◽  
Safety System ◽  
Children's Services ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Children’S Services ◽  
Patient Safety Incidents

The complexity of diversity, relationships, variety and specialization can provide more opportunities for mistakes, one of which is in the children's hospital services. Based on patient safety incident report data at Rumah Sakit Umum Haji Medan in January 2018 to October 2018, it is known that child care is the unit with the highest number of patient safety incidents compared to other units at 37 incidents. Implementation of patient safety by officers in children's services is the main focus that must be considered its role to prevent the occurrence of patient safety incidents. This research is a qualitative research that aims to see the extent of the implementation of patient safety in child care at Rumah Sakit Umum Haji Medan from the description of the role of health workers involved in child care, namely the role of the head of a child's SMF, the role of a pediatrician, and the role of a child nurse. Data collection was carried out by in-depth interviews with 7 informants and through observation. The results showed the implementation of patient safety in children's services has not been running optimally. This is because not all health workers in child services, namely the head of the child's SMF, pediatricians and child nurses do their part in the patient safety system. The roles carried out are still focused on the standards of each profession. It is expected that routine socialization on the implementation of patient safety, the implementation of special meetings and discussions to study the patient safety system and the existence of patient safety drivers in child care designated as the person responsible for moving every officer to implement patient safety. Keywords: Implementation, Children's Services, Patient Safety

scholarly journals Medical Device Risk Management from a Human Factors Perspective

2018 ◽  
Vol 1 (1) ◽  
pp. 4-8
Author(s):  
Anthony Easty
Keyword(s):  
Risk Management ◽  
Patient Safety ◽  
Human Factors ◽  
Medical Devices ◽  
Error Reduction ◽  
Clinical Engineering ◽  
Natural Evolution ◽  
Engineering Teams ◽  
Adoption And Implementation

This paper describes the ways in which human factors methods can help to enhance the work of established clinical engineering teams by placing a new emphasis on error reduction and patient safety. This approach in many ways represents a natural evolution for departments that are looking to enhance their usefulness and relevance to healthcare. Several examples are given of points at which the introduction of human factors methods can reveal issues related to the safe use of medical devices that are not easily accessible by other means. Adoption and implementation of these methods offers the potential for clinical engineering departments to enhance their role of helping to ensure optimal patient safety.

scholarly journals Leaving Hospital: A Step too Far for Risk-Based Regulation?

2020 ◽  
Vol 28 (4) ◽  
pp. 675-695
Author(s):  
Victoria L Moore
Keyword(s):  
Patient Safety ◽  
National Health Service ◽  
Health Service ◽  
Hospital Discharge ◽  
Care Pathway ◽  
Discharge Process ◽  
Physical Wellbeing ◽  
Patient Safety Incidents ◽  
English National Health ◽  
English National Health Service

Abstract Discharges from hospital are internationally recognised as a dangerous time in the care pathway of a patient, posing a risk to both their physical wellbeing and dignity. This article examines the effectiveness of risk-based regulation as a tool to address patient safety incidents linked to the hospital discharge process within the English National Health Service. It examines how the risk of this process is identified, conceptualised, and prioritised amongst the relevant statutory regulators, and argues that the risk is neither uniformly recognised by the statutory regulators within the English NHS, nor sufficiently addressed. Professional regulators in particular appear to have a poor awareness of the risk and their role in addressing it. Until these issues are resolved, patients leaving hospitals will continue to be exposed to patient safety incidents which should be avoidable.

The Role of Nurses in the Implementation of Patient Safety and Protection of Patient Rights at the Rahayu Yakkum Purwodadi Hospital

SOEPRA ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 254
Author(s):  
Christina Nur Widayati ◽  
Endang Wahyati Yustina ◽  
Hadi Sulistyanto
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Codes Of Conduct ◽  
Rights Protection ◽  
Patient’S Rights ◽  
Nurses Role ◽  
The Republic ◽  
The Right ◽  
Service Standards

Patient Safety was the right of a patient who was receiving health care. A nurse was one of the health professionals in a hospital having a very important role in realizing Patient Safety. In realizing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had involved the role of the nurses. In carrying out their role the nurses could support the protection of the patient’s rights. The nurses performed health care by conducting six Patient Safety goals that were based on professional standards, service standards and codes of conduct so that the Patient Safety would be realized.This research applied a socio-legal approach to having analytical-descriptive specifications. The data used were primary and secondary those were gathered by field and literature studies. The field study was conducted by having interviews to, among others, the Director of Panti Rahayu Yakkum Hospital of Purwodadi, Head of Room and Chairman of Patient Safety Committee, nurses and patients. The data were then qualitatively analyzed.The arrangement of nurses’ role in implementing Patient Safety and the patient’s rights protection was based on the Constitution of the Republic of Indonesia of 1945, Health Act, Hospital Act, Labor Act, and Nursing Act. These bases made the hospital obliged to implement Patient Safety. The regulations leading the hospital to provide Patient Safety were Health Minister’s Regulation Nr. 11 of 2017 on Patient Safety, Statute of Panti Rahayu Yakkum Hospital of Purwodadi (Hospital ByLaws), Internal Nursing Staff ByLaws. In implementing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had established a committee of Patient Safety team consisting of the nurses that would implement six targets of Patient Safety. Actually, the Patient Safety implementation had been accomplished but it had not been optimally done because of several factors, namely juridical, social and technical factors. The supporting factors in influencing the implementation were, among others, the establishment of the Patient Safety team that had been well socialized whereas the inhibiting factors were limitedness of time and funds to train the nurses besides the operational procedure standard (OPS) that was still less understood. Lack of learning motivation among the nurses also appeared as an inhibiting factor in understanding Patient Safety implementation.

Clinical Cybersecurity Training Through Novel High Fidelity Simulations (Preprint)

2018 ◽  
Author(s):  
Christian Dameff ◽  
Jordan Selzer ◽  
Jonathan Fisher ◽  
James Killeen ◽  
Jeffrey Tully
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Medical Devices ◽  
Healthcare Systems ◽  
High Fidelity ◽  
Protected Health Information ◽  
Patient Harm ◽  
Security Vulnerabilities ◽  
Clinical Simulations ◽  
Medical Infrastructure

BACKGROUND Cybersecurity risks in healthcare systems have traditionally been measured in data breaches of protected health information but compromised medical devices and critical medical infrastructure raises questions about the risks of disrupted patient care. The increasing prevalence of these connected medical devices and systems implies that these risks are growing. OBJECTIVE This paper details the development and execution of three novel high fidelity clinical simulations designed to teach clinicians to recognize, treat, and prevent patient harm from vulnerable medical devices. METHODS Clinical simulations were developed which incorporated patient care scenarios with hacked medical devices based on previously researched security vulnerabilities. RESULTS Clinician participants universally failed to recognize the etiology of their patient’s pathology as being the result of a compromised device. CONCLUSIONS Simulation can be a useful tool in educating clinicians in this new, critically important patient safety space.

Technology identity: The role of sociotechnical representations in the adoption of medical devices

2013 ◽  
Vol 98 ◽  
pp. 95-105 ◽  
Author(s):  
S. Ulucanlar ◽  
A. Faulkner ◽  
S. Peirce ◽  
G. Elwyn
Keyword(s):  
Medical Devices

Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology

2019 ◽  
Vol 36 (12) ◽  
pp. 946-954 ◽  
Author(s):  
Henry H.L. Wu ◽  
Sharon R. Lewis ◽  
Mirka Čikkelová ◽  
Johannes Wacker ◽  
Andrew F. Smith
Keyword(s):  
Patient Safety ◽  
Helsinki Declaration

Learning the lessons from patient safety incidents

2021 ◽  
Vol 30 (4) ◽  
pp. 254-255
Author(s):  
John Tingle
Keyword(s):  
Patient Safety ◽  
Teaching And Learning ◽  
Law School ◽  
Sources Of Information ◽  
Patient Safety Incidents

John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses some key reports and sources of information that can help inform patient safety teaching and learning

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