scholarly journals Where are health IT patient safety event reports hiding? Identifying health IT patient safety events in self-reported databases

2019 ◽  
Vol 63 (1) ◽  
pp. 703-707
Author(s):  
Katharine T. Adams ◽  
Jessica L. Howe ◽  
Michael J. Gaunt ◽  
Raj M. Ratwani ◽  
Allan Fong
Keyword(s):  
Patient Safety ◽  
Descriptive Analysis ◽  
The Self ◽  
Manual Annotation ◽  
Health It ◽  
Event Type ◽  
Annotation Process ◽  
Specific Event ◽  
Safety Event ◽  
Additional Support

Introduction: The objective of this paper is to describe a manual annotation process to identify likely health information technology (IT) related patient safety event (PSE) reports and the descriptive analysis of the self-reported event type categories of the resulting likely health IT related events. Methods: 5287 PSE reports were manually coded as likely or unlikely related to health IT and the structured general and specific event type categories were analyzed. Results: Of the 2435 likely health IT related events, 1200 were categorized as medication error events, 709 described an error related to a procedure, treatment, or test, and the remaining events were distributed among 19 different general event types. Discussion: The variety of self-reported general and specific event categories indicates a potential need to provide additional support for individuals reporting events to capture contextual nuances and incorporating advanced techniques to assist researchers and safety officers in identifying health IT related events.

An Evaluation of Patient Safety Event Report Categories Using Unsupervised Topic Modeling

2015 ◽  
Vol 54 (04) ◽  
pp. 338-345 ◽  
Author(s):  
A. Fong ◽  
R. Ratwani
Keyword(s):  
Patient Safety ◽  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Topic Modeling ◽  
Free Text ◽  
Event Data ◽  
Event Type ◽  
Modeling Approach ◽  
Safety Event

SummaryObjective: Patient safety event data repositories have the potential to dramatically improve safety if analyzed and leveraged appropriately. These safety event reports often consist of both structured data, such as general event type categories, and unstructured data, such as free text descriptions of the event. Analyzing these data, particularly the rich free text narratives, can be challenging, especially with tens of thousands of reports. To overcome the resource intensive manual review process of the free text descriptions, we demonstrate the effectiveness of using an unsupervised natural language processing approach.Methods: An unsupervised natural language processing technique, called topic modeling, was applied to a large repository of patient safety event data to identify topics, or themes, from the free text descriptions of the data. Entropy measures were used to evaluate and compare these topics to the general event type categories that were originally assigned by the event reporter.Results: Measures of entropy demonstrated that some topics generated from the un-supervised modeling approach aligned with the clinical general event type categories that were originally selected by the individual entering the report. Importantly, several new latent topics emerged that were not originally identified. The new topics provide additional insights into the patient safety event data that would not otherwise easily be detected.Conclusion: The topic modeling approach provides a method to identify topics or themes that may not be immediately apparent and has the potential to allow for automatic reclassification of events that are ambiguously classified by the event reporter.

scholarly journals Using patient safety-event report data to assess health-IT safety: benefits and challenges

2019 ◽  
Vol 1 (3) ◽  
pp. e104-e105
Author(s):  
Jessica L Howe ◽  
A Zachary Hettinger ◽  
Raj M Ratwani
Keyword(s):  
Patient Safety ◽  
Health It ◽  
Event Report ◽  
Safety Event ◽  
Report Data

Jak motywować rodzica do pracy z dzieckiem?

2021 ◽  
pp. 29-37
Author(s):  
Agnieszka Burchacka
Keyword(s):  
Speech Therapy ◽  
The Self ◽  
Professional Work ◽  
Self Evaluation ◽  
Parental Motivation ◽  
Speech Therapist ◽  
Additional Support ◽  
Motivation To Work

How to Motivate a Parent to Work with a Child? Each specialist (child therapist) in his professional work has certainly encountered a lack of motivation to work on the part of the parent. The caregiver’s lack of motivation and willingness to work particularly bothers a speech therapist at work. How can the therapy be supported based on cooperation with the parent? In this article, I will try to suggest what can contribute to better parental motivation, and thus more effective speech therapy work. In the text, I present research on the self-evaluation of parents in working with children. The publication also includes proprietary motivational tables, which may provide additional support in the work of a parent with a child and communication between the speech therapist and the child.

scholarly journals Perilaku Kepatuhan Perawat Melaksanakan SOP Terhadap Kejadian Keselamatan Pasien di Rumah Sakit X Kendari

2017 ◽  
Vol 12 (1) ◽  
pp. 138
Author(s):  
Iriyanto Pagala ◽  
Zahroh Shaluhiyah ◽  
Baju Widjasena
Keyword(s):  
Patient Safety ◽  
Peer Support ◽  
Dominant Factor ◽  
Hospital Inpatient ◽  
Care Hospital ◽  
Patient Death ◽  
Cross Sectional ◽  
Patient Falls ◽  
Safety Event ◽  
Perception Of Support

ABSTRAKKeselamatan pasien adalah pasien bebas dari cedera yang tidak seharusnya terjadi atau bebas dari cedera yang potensial akan terjadi (penyakit,cedera fisik/sosial psikologis, cacat, kematian) terkait dengan pelayanan kesehatan. Di Rumah Sakit X Kendari  data kejadian keselamatan pasien pada tahun 2012 terdiri dari  kesalahan dalam pemeriksaan laborat,  pasien jatuh, salah pemberian seri kolf darah, pasien terbentur, salah dalam pemberian obat, kasus kematian pasien. Berdasarkan penentuan perioritas masalah yang akan di teliti yaitu pasien jatuh dari tempat tidur. Salah satu penyebabnya yaitu kurang patuhnya perawat dalam melaksanakan SOP resiko pasien jatuh. Tujuan penelitian ini adalah menganalisa faktor yang berhubungan antara karakteristik, pengetahuan, sikap, presepsi dukungan supervisior, presepsi dukungan sesama perawat, kenyamanan tempat/unit kerja dengan prilaku kepatuhan perawat dalam melaksanakan SOP resiko pasien jatuh terhadap terjadinya kejadian keselamatan pasien di Unit Rawat Inap Rumah Sakit X Kendari. Jenis penelitian yang digunakan adalah penelitian Explanatory Research dengan rancangan Cross sectional. Sampel dalam penelitian ini berjumlah 134 perawat ruang rawat inap. Hasil penelitian menunjukan terdapat 4 variabel yang berhubungan yaitu pengetahuan (p= 0,005), sikap (p = 0,035), persepsi dukungan supervisior (p= 0,000), persepsi dukungan sesama perawat (p= 0,003) dan faktor yang paling dominan berhubungan adalah persepsi dukungan supervisior (OR = 5,504).Kata Kunci : Perawat, Kepatuhan Melaksanakan SOP Compliance Behavior of Nurses Against Genesis SOP Implementing Patient Safety in Hospital X Kendari : The safety of patients were free of injury that is not supposed to happen or free from potential injury will occur (disease, physical injury / social psychological, disability, death) associated with health care. Hospital X Kendari patient safety event data in 2012 consisted of errors in laboratory examination, patient falls, one giving blood kolf series, patient knock, one in drug delivery, patient death cases. Based on the determination of the issues to be priorities in carefully which patients falling out of bed. One reason is lack of nurses in implementing SOP obedient, patient risk falling. The purpose of this study was to analyze factors related to the characteristics, knowledge, attitudes, perception supervisior support, perception of peer support nurse, comfort / unit with the behavior of nurses in implementing SOP compliance risk of the patient fell against the occurrence of patient safety in the Hospital Inpatient Unit X Kendari. This type of research is Explanatory Research research with cross sectional design. The sample in this study amounted to 134 inpatient room nurse. The results showed there were four variables related to that knowledge (p = 0.005), attitude (p = 0.035), perception of support supervisior (p = 0.000), perception of peer support nurses (p = 0.003) and the most dominant factor is the perception of support supervisior (OR = 5.504).Keywords: Nurses, SOP Implement Compliance

scholarly journals Content validation of the Self-perception of Family Health Status scale using the Delphi technique

2013 ◽  
Vol 21 (2) ◽  
pp. 595-603 ◽  
Author(s):  
Joaquín Salvador Lima-Rodríguez ◽  
Marta Lima-Serrano ◽  
Nerea Jiménez-Picón ◽  
Isabel Domínguez-Sánchez
Keyword(s):  
Health Status ◽  
Response Rate ◽  
Clinical Care ◽  
Descriptive Analysis ◽  
Family Health ◽  
The Self ◽  
Delphi Panel ◽  
Self Perception ◽  
Family Unit ◽  
The Family

OBJECTIVE: To ascertain the content validity of the Self-perception of Family Health Status scale. METHOD: A validation study of an instrument with an online Delphi panel using the consensus technique. Eighteen experts in the subject were intentionally selected, with a multidisciplinary origin and representing different professional fields. Each of the proposed items was assessed using a five-point scale, and open-ended questions, to modify or propose items. Descriptive analysis was performed of the sample and the items, applying criteria of validation/elimination. RESULTS: The first round had a response rate of 83.3% and validated 75 of the 96 proposed items; the second had a response rate of 80%, and validated the 21 newly created items, concluding the panel of experts. CONCLUSIONS: We present an instrument to measure self-perception of family health status, from a nursing perspective. This may be an advance in scientific knowledge, to facilitate the assessment of the state of health of the family unit, enabling detection of alterations, and to facilitate interventions to prevent consequences to the family unit and its members. It can be used in clinical care, research or teaching.

scholarly journals Evaluasi Safety Attitude Culture pada Perawat di Ruang Operasi PKU Muhammadiyah Gamping

2020 ◽  
Vol 20 (1) ◽  
pp. 253
Author(s):  
Irma Wulandari ◽  
Titih Huriah ◽  
Sri Sundari
Keyword(s):  
Patient Safety ◽  
Medical Error ◽  
Mixed Methods Research ◽  
Safety Climate ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Research Approach ◽  
Safety Attitudes ◽  
High Category ◽  
Safety Attitude

In Indonesia, the incidence of medical error is quite high as evidenced by the existence of hospital incident reports, where in 2010 there were 75% of unexpected events and in 2011 as many as 60% of cases of surgical cases or patients with surgery. Medical error is one of the unwanted events, which occurred in various countries. Therefore it begins to develop a patient safety system. In order to carry out these functions, hospital should be able to carry out management based on customer oriented and patient safety by implementing a safety attitude culture. The purpose of this study was to determine the safety attitude culture evaluation of nurses in surgery rooms of PKU Muhammadiyah Gamping. This research was a research using a mixed methods research approach; namely a quantitative method with a descriptive approach and qualitative methods with a case study approach. The population in this study was nurses in surgery room with a total sampling technique of 20 people. The questionnaire in this study referred to the Surgery room Version of Safety Attitudes Questionnaire. Quantitative data analysis used descriptive analysis; while qualitative analysis was performed by data reduction, data presentation, and drawing conclusions/verification. The results shows that overall evaluation of safety culture attitude of nurses in the surgery room summed up in the high category (75,0 %). Meanwhile based on the safety attitude culture component, namely safety climate is in the high category (85,0%), team working climate is in the high category (90,0%), stress recognition is in the high category (65,0%), management perceptions is in the moderate category ( 75,0%), working conditions is in the high category (60,0%), job satisfaction is in the high category (90,0%).

Responding to health information technology reported safety events: Insights from patient safety event reports

2019 ◽  
Vol 24 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Katharine T Adams ◽  
Tracy C Kim ◽  
Allan Fong ◽  
Jessica L Howe ◽  
Kathryn M Kellogg ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Healthcare Systems ◽  
Healthcare Staff ◽  
Or Education ◽  
Training And Education ◽  
Safety Event ◽  
Policy Information

Objective We analyzed the described resolutions of patient safety event reports related to health information technology to determine how healthcare systems responded to these events, recognizing that certain types of solutions such as training and education have a limited impact. Methods A large database of over 1.7 million patient safety event reports was filtered to include those identified by the reporter as being related to health information technology. The resolution text was manually reviewed and coded into one or more of four categories: No Resolution, Training/Education, Policy, Information Technology-oriented solution. Results Most events (64%) did not include a resolution. Of those that did, Training/Education was the most commonly reported single or component of a multi-pronged solution (55%), followed by Information Technology (45%). Only 59 events (6% of resolutions) described more than one method of resolution. Conclusion Health information technology-related patient safety event resolutions most often described a solution that suggested additional training or education for healthcare staff, despite the recognized limitations of training and education in resolving these events. Few events suggested multiple resolution methods. Ensuring health information technology-related events are resolved and incorporate effective solutions should be a continued focus area for healthcare systems.

scholarly journals An Analysis of Patient Safety Incident Reports Associated with Electronic Health Record Interoperability

2017 ◽  
Vol 08 (02) ◽  
pp. 593-602 ◽  
Author(s):  
Katharine Adams ◽  
Jessica Howe ◽  
Allan Fong ◽  
Joseph Puthumana ◽  
Kathryn Kellogg ◽  
...  
Keyword(s):  
Patient Safety ◽  
Electronic Health Record ◽  
Health Record ◽  
Health It ◽  
Specific Patient ◽  
It Systems ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Incident Reports ◽  
Electronic Health

SummaryBackground: With the widespread use of electronic health records (EHRs) for many clinical tasks, interoperability with other health information technology (health IT) is critical for the effective delivery of care. While it is generally recognized that poor interoperability negatively impacts patient care, little is known about the specific patient safety implications. Understanding the patient safety implications will help prioritize interoperability efforts around architectures and standards.Objectives: Our objectives were to (1) identify patient safety incident reports that reflect EHR interoperability challenges with other health IT, and (2) perform a detailed analysis of these reports to understand the health IT systems involved, the clinical care processes impacted, whether the incident occurred within or between provider organizations, and the reported severity of the patient safety events.Methods: From a database of 1.735 million patient safety event (PSE) reports spanning multiple provider organizations, 2625 reports that were indicated as being health IT related by the event reporter were reviewed to identify EHR interoperability related reports. Through a rigorous coding process 209 EHR interoperability related events were identified and coded.Results: The majority of EHR interoperability PSE reports involved interfacing with pharmacy systems (i.e. medication related), followed by laboratory, and radiology. Most of the interoperability challenges in these clinical areas were associated with the EHR receiving information from other health IT systems as opposed to the EHR sending information to other systems. The majority of EHR interoperability challenges were within a provider organization and while many of the safety events reached the patient, only a few resulted in patient harm.Conclusions: Interoperability efforts should prioritize systems in pharmacy, laboratory, and radiology. Providers should recognize the need to improve EHRs interfacing with other health IT systems within their own organization.Citation: Adams KT, Howe JL, Fong A, Puthumana JS, Kellogg KM, Gaunt M, Ratwani RM. An analysis of patient safety incident reports associated with electronic health record interoperability. Appl Clin Inform 2017; 8: 593–602 https://doi.org/10.4338/ACI-2017-01-RA-0014

scholarly journals Effects of health information technology on patient outcomes: a systematic review

2015 ◽  
Vol 23 (5) ◽  
pp. 1016-1036 ◽  
Author(s):  
Samantha K Brenner ◽  
Rainu Kaushal ◽  
Zachary Grinspan ◽  
Christine Joyce ◽  
Inho Kim ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Clinical Decision ◽  
Cochrane Library ◽  
Health It ◽  
Term Care ◽  
Safety Outcomes

Abstract Objective To systematically review studies assessing the effects of health information technology (health IT) on patient safety outcomes. Materials and Methods The authors employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement methods. MEDLINE, Cumulative Index to Nursing Allied Health (CINAHL), EMBASE, and Cochrane Library databases, from 2001 to June 2012, were searched. Descriptive and comparative studies were included that involved use of health IT in a clinical setting and measured effects on patient safety outcomes. Results Data on setting, subjects, information technology implemented, and type of patient safety outcomes were all abstracted. The quality of the studies was evaluated by 2 independent reviewers (scored from 0 to 10). A total of 69 studies met inclusion criteria. Quality scores ranged from 1 to 9. There were 25 (36%) studies that found benefit of health IT on direct patient safety outcomes for the primary outcome measured, 43 (62%) studies that either had non-significant or mixed findings, and 1 (1%) study for which health IT had a detrimental effect. Neither the quality of the studies nor the rate of randomized control trials performed changed over time. Most studies that demonstrated a positive benefit of health IT on direct patient safety outcomes were inpatient, single-center, and either cohort or observational trials studying clinical decision support or computerized provider order entry. Discussion and Conclusion Many areas of health IT application remain understudied and the majority of studies have non-significant or mixed findings. Our study suggests that larger, higher quality studies need to be conducted, particularly in the long-term care and ambulatory care settings.

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