scholarly journals Pros and cons of eHealth: A systematic review of the literature and observations in Denmark

2021 ◽  
Vol 9 ◽  
pp. 205031212110161
Author(s):  
Mathias T Svendsen ◽  
Sylvia N Tiedemann ◽  
Klaus Ejner Andersen
Keyword(s):  
Patient Safety ◽  
English Language ◽  
Intervention Studies ◽  
Healthcare Providers ◽  
Legal Rights ◽  
Safety Issues ◽  
It Systems ◽  
Safety Risks ◽  
Pros And Cons ◽  
Governmental Control

Objectives: The main objectives of this article are to systematically review the recent literature on patient safety in relation to the use of eHealth and to investigate how the Danish authorities supervise private eHealth clinics with regard to patient safety. Methods: Original studies reporting the association between patient safety and the use of eHealth as a means of communication between patients and healthcare providers were included. Four literature databases were searched for English-language articles reporting results from cohort studies and clinical trials, published from 2015 until March 2021. Moreover, registered private eHealth clinics in Denmark were evaluated with reference to a recent national audit of patient safety issues in eHealth. Results: The literature search retrieved four intervention studies. The studies did not identify any particular patient safety risks associated with the use of eHealth. Many different authorized healthcare providers (preferably, doctors) apply eHealth in various contexts. eHealth is being used as the only form of contact between the healthcare provider and the patient, as a supplement to patient visitations in an outpatient clinic, or as a tool for communicating between two or more healthcare providers. The regulation of eHealth involves patient safety issues but also has interfaces to marketing, IT systems, and infrastructure. Supervision of eHealth includes the organization of clinics, handling patient charts, prescription medicine, patient legal rights, and patient transition. However, there are many interfaces in the division of responsibilities among the various governmental players. Conclusion: eHealth is being used increasingly and in many settings, although recently published intervention studies investigating patient safety issues by the use of eHealth are limited. A structured and continuous governmental control and regulation of patient safety in relation to the use of eHealth is warranted.

A Method for Identifying and Evaluating Potential Patient Safety Risks in a Patient-Facing Healthcare Portal

2016 ◽  
Vol 5 (1) ◽  
pp. 98-99
Author(s):  
Hannah Kahler ◽  
Trisha Flanagan ◽  
Caroline Keogh
Keyword(s):  
Patient Safety ◽  
Product Development ◽  
User Experience ◽  
Research Method ◽  
Healthcare Providers ◽  
Patient Portal ◽  
Patient Portals ◽  
Safety Risks ◽  
Potential Patient ◽  
Using Data

Patient portals help facilitate communication between healthcare providers and patients, and provide a secure method for patients to engage with and manage their healthcare information. However, the potential patient safety risks associated with this relatively new functionality have not been extensively researched. athenahealth’s User Experience and Patient Safety teams collaborated to explore their Patient Portal to identify potential patient safety risks, actionable insights, and opportunities for improvement using data from the athenahealth network. The research method created for this purpose was designed to proactively identify, evaluate, and analyze patient safety risks and to provide insights into how patients use portal information. The results of the evaluation were delivered to the product development team in the form of actionable next steps for mitigating the identified risks.

scholarly journals Development of the Prototype Concise Safe Systems Checklist Tool for General Practice

2019 ◽  
Author(s):  
Ian J Litchfield ◽  
Rachel Spencer ◽  
Brian Bell ◽  
Anthony Avery ◽  
Katherine Perryman ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Primary Care Patient ◽  
Safety Information ◽  
Care Patient ◽  
Structured Interviews ◽  
Safety Issues ◽  
It Systems ◽  
Item Checklist ◽  
Qualitative Exploration

Abstract Background We identified a need for a concise safe-systems checklist designed to address areas of patient safety which are under-represented in mandatory requirements and existing tools. The process of development is described from initial expert consensus of a long list of items suitable for inclusion on the checklist through their refinement following staff feedback to the nine items included on the prototype checklist. We then present the results of the pilot of the prototype checklist and a qualitative exploration of staff attitudes to its utility and usability. Methods An extensive narrative review and a survey of world-wide general practice organisations were used to identify existing primary care patient safety issues and tools. A RAND panel of international experts rated the resulting statements summarising the findings for importance and relevance. The checklist was created to include areas that are not part of established patient safety tools or mandatory and legal requirements. Four main themes were identified: information flow, practice safety information, prescribing and use of IT systems. A 13 item checklist was trialled in 16 practices resulting in a 9 item prototype tool, which was tested in 8 practices. Qualitative data on the utility and usability of the prototype checklist was collected with a series of semi-structured interviews. Results In testing the prototype 4 of 9 items on the checklist were achieved 100% of the time, 3 items 87% of the time and 2 items 75% of the time. Participants expressed concern about the utility and implementation of checklists in general. However, the prototype was praised for its brevity and its use as a learning tool and ‘final check’ on elements of safety that the practices considered important. Conclusions The concise patient safety checklist tool, specifically designed for general practice, has been made available as part of an online Patient Safety Toolkit hosted by the Royal College of General Practitioners. Practice managers/GP partners should find it a useful tool to monitor safety within the practice.

Report From a Virtual Care Task Force

2021 ◽  
Vol 1 (1) ◽  
pp. 50-54
Author(s):  
Patricia H. Folcarelli
Keyword(s):  
Patient Safety ◽  
Task Force ◽  
Daily Practice ◽  
Delivery Of Care ◽  
Safety Issues ◽  
Virtual Care ◽  
Safety Risks ◽  
Limited Experience ◽  
Practice Of Medicine ◽  
Rapid Shift

While telehealth has been available for decades, as a result of the COVID-19 pandemic, an unprecedented demand arose for the remote delivery of safe and reliable assessments and treatment recommendations via computers, smart phones, and tablets. Institutions and individual providers needed to accelerate their adoption of virtual care. This ability to provide remote evaluations has helped to protect patients and providers at this time when physical distancing is a priority. This rapid shift to telemedicine has also meant that many providers, with limited experience or training in the virtual delivery of care, were required to adapt to new and unfamiliar technologies as part of their daily practice of medicine. Institutions and individuals have recognized that this sudden and unexpected expansion of virtual care had the potential to increase patient safety risks. Given that telemedicine will remain a mainstay after the COVID-19 pandemic, it will be important to focus on quality and safety issues that are likely to arise but as yet remain to be appreciated. This chapter explores patient safety guidance.

scholarly journals Active Offer: Nurses’ Power and Privilege Influencing Francophone and Acadian Patient Safety

2019 ◽  
Vol 1 (2) ◽  
pp. 49-63
Author(s):  
Lisa Doucet ◽  
Danielle Byrne-Surette ◽  
Gisele Thibodeau
Keyword(s):  
Patient Safety ◽  
Reflective Practice ◽  
Language Translation ◽  
Healthcare Delivery ◽  
Primary Language ◽  
Healthcare Delivery System ◽  
Safety Issues ◽  
Safety Risks ◽  
Provision Of Care ◽  
The Impact

Nurses must communicate effectively with patients of a minority language to mitigate the risks of significant and costly patient safety issues. Within Canada’s predominant English healthcare delivery system, inadequate language translation during the provision of care between nurses fluent in English and patients whose primary language is Francophone or Acadian increases the risk of health inequities. This discussion explores the impact of nurses’ power and privilege related to Francophone and Acadian patient safety within an English-dominated healthcare system and their role to affect change. Through reflective practice, critical inquiry and activating the ‘Active offer’, nurses will be empowered to reduce safety risks for this population.  

scholarly journals Evaluation of Self-Reported Agricultural Tasks, Safety Concerns, and Health and Safety Behaviors of Young Adults in U.S. Collegiate Agricultural Programs

Safety ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 44
Author(s):  
J. L. Gibbs ◽  
K. Walls ◽  
C. Sheridan ◽  
D. Sullivan ◽  
M. Cheyney ◽  
...  
Keyword(s):  
Young Adults ◽  
Healthcare Providers ◽  
Health And Safety ◽  
Safety Behaviors ◽  
Medical Provider ◽  
Near Misses ◽  
Safety Issues ◽  
Agricultural Health ◽  
Safety Concerns ◽  
Agricultural Programs

Young adults enrolled in collegiate agricultural programs are a critical audience for agricultural health and safety training. Understanding the farm tasks that young adults engage in is necessary for tailoring health and safety education. The project analyzed evaluation survey responses from the Gear Up for Ag Health and Safety™ program, including reported agricultural tasks, safety concerns, frequency of discussing health and safety concerns with healthcare providers, safety behaviors, and future career plans. The most common tasks reported included operation of machinery and grain-handling. Most participants intended to work on a family-owned agricultural operation or for an agribusiness/cooperative following graduation. Reported safety behaviors (hearing protection, eye protection, and sunscreen use when performing outdoor tasks) differed by gender and education type. Male community college and university participants reported higher rates of “near-misses” and crashes when operating equipment on the roadway. One-third of participants reported discussing agricultural health and safety issues with their medical provider, while 72% were concerned about the health and safety of their family and co-workers in agriculture. These findings provide guidance for better development of agricultural health and safety programs addressing this population—future trainings should be uniquely tailored, accounting for gender and educational differences.

To err is system; a comparison of methodologies for the investigation of adverse outcomes in healthcare

2021 ◽  
pp. 251604352199026
Author(s):  
Peter Isherwood ◽  
Patrick Waterson
Keyword(s):  
Patient Safety ◽  
System Performance ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Real Life ◽  
Adverse Outcomes ◽  
System Level ◽  
Future Performance ◽  
System A ◽  
Regulatory Bodies

Patient safety, staff moral and system performance are at the heart of healthcare delivery. Investigation of adverse outcomes is one strategy that enables organisations to learn and improve. Healthcare is now understood as a complex, possibly the most complex, socio-technological system. Despite this the use of a 20th century linear investigation model is still recommended for the investigation of adverse outcomes. In this review the authors use data gathered from the investigation of a real life healthcare near incident and apply three different methodologies to the analysis of this data. They compare both the methodologies themselves and the outputs generated. This illustrates how different methodologies generate different system level recommendations. The authors conclude that system based models generate the strongest barriers to improve future performance. Healthcare providers and their regulatory bodies need to embrace system based methodologies if they are to effectively learn from, and reduce future, adverse outcomes.

Patient safety in outpatient surgery: The viewpoint of the healthcare providers

Ergonomics ◽  
2006 ◽  
Vol 49 (5-6) ◽  
pp. 470-485 ◽  
Author(s):  
P. Carayon ◽  
A. Schoofs Hundt ◽  
C. J. Alvarado ◽  
S. R. Springman ◽  
P. Ayoub
Keyword(s):  
Patient Safety ◽  
Outpatient Surgery ◽  
Healthcare Providers

Identifying Health and Safety Risks for Childcare Workers

AAOHN Journal ◽  
2007 ◽  
Vol 55 (8) ◽  
pp. 321-325 ◽  
Author(s):  
Belinda J. McGrath
Keyword(s):  
Health Promotion ◽  
Occupational Health ◽  
Workplace Health Promotion ◽  
Health And Safety ◽  
Workplace Health ◽  
Safety Issues ◽  
Safety Risks ◽  
Health Promotion Programs ◽  
Childcare Workers ◽  
Health And Safety Risks

Childcare workers are exposed to several health and safety risks in their work environment, the most common being infectious diseases, musculoskeletal injuries, accidents, and occupational stress. Pregnant childcare workers have an additional risk of potential harm to the fetus. Occupational health nurses can work collaboratively with childcare workers to reduce these risks and provide workplace health promotion programs. This article explores the occupational health and safety issues for childcare workers and suggests health promotion strategies that could be implemented by occupational health nurses working in this arena.

scholarly journals Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 82
Author(s):  
Magdalena Hoffmann ◽  
Christine Maria Schwarz ◽  
Stefan Fürst ◽  
Christina Starchl ◽  
Elisabeth Lobmeyr ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Clinical Practice ◽  
Literature Review ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Rapid Review ◽  
Narrative Synthesis ◽  
Safety Issues

Critically ill patients in the intensive care unit (ICU) have a high risk of developing malnutrition, and this is associated with poorer clinical outcomes. In clinical practice, nutrition, including enteral nutrition (EN), is often not prioritized. Resulting from this, risks and safety issues for patients and healthcare professionals can emerge. The aim of this literature review, inspired by the Rapid Review Guidebook by Dobbins, 2017, was to identify risks and safety issues for patient safety in the management of EN in critically ill patients in the ICU. Three databases were used to identify studies between 2009 and 2020. We assessed 3495 studies for eligibility and included 62 in our narrative synthesis. Several risks and problems were identified: No use of clinical assessment or screening nutrition assessment, inadequate tube management, missing energy target, missing a nutritionist, bad hygiene and handling, wrong time management and speed, nutritional interruptions, wrong body position, gastrointestinal complication and infections, missing or not using guidelines, understaffing, and lack of education. Raising awareness of these risks is a central aspect in patient safety in ICU. Clinical experts can use a checklist with 12 identified top risks and the recommendations drawn up to carry out their own risk analysis in clinical practice.

scholarly journals Predictors of discharge destination from acute care in patients with traumatic brain injury

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016694 ◽  
Author(s):  
Sareh Zarshenas ◽  
Laetitia Tam ◽  
Angela Colantonio ◽  
Seyed Mohammad Alavinia ◽  
Nora Cullen
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Acute Care ◽  
English Language ◽  
Healthcare Providers ◽  
Trial Registration ◽  
Future Research ◽  
Reference List ◽  
Registration Number

IntroductionMany studies have assessed the predictors of morbidity/mortality of patients with traumatic brain injury (TBI) in acute care. However, with the increasing rate of survival after TBI, more attention has been given to discharge destinations from acute care as an important measure of clinical priorities. This study describes the design of a systematic review compiling and synthesising studies on the prognostic factors of discharge settings from acute care in patients with TBI.Methods and analysisThis systematic review will be conducted on peer-reviewed studies using seven databases including Medline/Medline in-Process, Embase, Cochrane Database of Systematic Reviews, Cochrane CENTRAL, PsycINFO, CINAHL and Supplemental PubMed. The reference list of selected articles and Google Scholar will also be reviewed to determine other relevant articles. This study will include all English language observational studies that focus on adult patients with TBI in acute care settings. The quality of articles will be assessed by the Quality in Prognostic Studies tool.Ethics and disseminationThe results of this review will provide evidence that may guide healthcare providers in making more informed and timely discharge decisions to the next level of care for patient with TBI. Also, this study will provide valuable information to address the gaps in knowledge for future research.Trial registration numberTrial registration number (PROSPERO) is CRD42016033046.

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