scholarly journals Malpractice claimed calls within the Swedish Healthcare Direct: a descriptive – comparative case study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Annica Björkman ◽  
Maria Engström ◽  
Ulrika Winblad ◽  
Inger K. Holmström
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Work Groups ◽  
Healthcare Providers ◽  
Total Sample ◽  
Comparative Case Study ◽  
Healthcare Organizations ◽  
Computerized Decision Support ◽  
Malpractice Claims ◽  
Enhance Patient Safety

Abstract Background Medical errors are reported as a malpractice claim, and it is of uttermost importance to learn from the errors to enhance patient safety. The Swedish national telephone helpline SHD is staffed by registered nurses; its aim is to provide qualified healthcare advice for all residents of Sweden; it handles normally about 5 million calls annually. The ongoing Covid-19 pandemic have increased call volume with approximate 30%. The aim of the present study was twofold: to describe all malpractice claims and healthcare providers’ reported measures regarding calls to Swedish Healthcare Direct (SHD) during the period January 2011–December 2018 and to compare these findings with results from a previous study covering the period January 2003–December 2010. Methods The study used a descriptive, retrospective and comparative design. A total sample of all reported malpractice claims regarding calls to SHD (n = 35) made during the period 2011–2018 was retrieved. Data were analysed and compared with all reported medical errors during the period 2003–2010 (n = 33). Results Telephone nurses’ failure to follow the computerized decision support system (CDSS) (n = 18) was identified as the main reason for error during the period 2011–2018, while failure to listen to the caller (n = 12) was the main reason during the period 2003–2010. Staff education (n = 21) and listening to one’s own calls (n = 16) were the most common measures taken within the organization during the period 2011–2018, compared to discussion in work groups (n = 13) during the period 2003–2010. Conclusion The proportion of malpractice claims in relation to all patient contacts to SHD is still very low; it seems that only the most severe patient injuries are reported. The fact that telephone nurses’ failure to follow the CDSS is the most common reason for error is notable, as SHD and healthcare organizations stress the importance of using the CDSS to enhance patient safety. The healthcare organizations seem to have adopted a more systematic approach to handling malpractice claims regarding calls, e.g., allowing telephone nurses to listen to their own calls instead of having discussions in work groups in response to events. This enables nurses to understand the latent factors contributing to error and provides a learning opportunity.

scholarly journals Malpractice Claimed Calls within the Swedish Healthcare Direct: A Descriptive – Comparative Case Study

2020 ◽  
Author(s):  
Annica Bjorkman ◽  
Maria Engström ◽  
Ulrika Winblad ◽  
Inger K Holmström
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Work Groups ◽  
Healthcare Providers ◽  
Total Sample ◽  
Comparative Case Study ◽  
Healthcare Organizations ◽  
Computerized Decision Support ◽  
Malpractice Claims ◽  
Enhance Patient Safety

Abstract Background: Medical errors are reported as a malpractice claim, and it is of uttermost importance to learn from the errors to enhance patient safety. The Swedish national telephone helpline SHD is staffed by registered nurses; its aim is to provide qualified healthcare advice for all residents of Sweden; it handles about 5 million calls annually. The aim of the present study was twofold: to describe all malpractice claims and healthcare providers’ reported measures regarding calls to Swedish Healthcare Direct (SHD) during the period January 2011-December 2018 and to compare these findings with results from a previous study covering the period 2003-2010.Methods: The study used a descriptive and comparative design. A total sample of all reported malpractice claims regarding calls to SHD (n=35) made during the period 2011-2018 was retrieved. Data were analysed and compared with all reported medical errors during the period 2003-2010 (n=33). Results: Telephone nurses’ failure to follow the computerized decision support system (CDSS) (n=18) was identified as the main reason for error during the period 2011-2018, while failure to listen to the caller (n=12) was the main reason during the period 2003-2010. Staff education (n=21) and listening to one’s own calls (n=16) were the most common measures taken within the organization during the period 2011-2018, compared to discussion in work groups (n=13) during the period 2003-2010.Conclusion: The proportion of malpractice claims in relation to all patient contacts to SHD is still very low; it seems that only the most severe patient injuries are reported. The fact that telephone nurses’ failure to follow the CDSS is the most common reason for error is notable, as SHD and healthcare organizations stress the importance of using the CDSS to enhance patient safety. The healthcare organizations seem to have adopted a more systematic approach to handling malpractice claims regarding calls, e.g., allowing telephone nurses to listen to their own calls instead of having discussions in work groups in response to events. This enables nurses to understand the latent factors contributing to error and provides a learning opportunity.

A Survey of U.S. Laws for Health Information Security & Privacy

2012 ◽  
Vol 6 (4) ◽  
pp. 40-54 ◽  
Author(s):  
Francis Akowuah ◽  
Xiaohong Yuan ◽  
Jinsheng Xu ◽  
Hong Wang
Keyword(s):  
United States ◽  
Patient Safety ◽  
Information Security ◽  
Health Information ◽  
Healthcare Providers ◽  
Security And Privacy ◽  
Security Threats ◽  
Healthcare Organizations ◽  
Sarbanes Oxley ◽  
Technological World

As healthcare organizations and their business associates operate in an increasingly complex technological world, there exist security threats and attacks which render individually identifiable health information vulnerable. In United States, a number of laws exist to ensure that healthcare providers take practical measures to address the security and privacy needs of health information. This paper provides a survey of U.S. laws related to health information security and privacy, which include Health Insurance Portability and Accountability Act (HIPAA),Gramm-Leach-Bliley Act, Sarbanes-Oxley Act of 2002, Patient Safety and Quality Improvement Act of 2005, and Health Information Technology for Economic and Clinical Health (HITECH).The history and background of the laws, highlights of what the laws require, and the challenges organizations face in complying with the laws are discussed.

Factors contributing to patient safety culture: the staff perspective

2021 ◽  
Vol 27 (12) ◽  
pp. 1-6
Author(s):  
Ahmed Yahya Ayoub ◽  
Nezar Ahmed Salim ◽  
Belal Mohammad Hdaib ◽  
Nidal F Eshah
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Medical Errors ◽  
Relevant Literature ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Open Communication ◽  
Staffing Levels ◽  
Large Numbers

Background/Aims Unsafe medical practices lead to large numbers of injuries, disabilities and deaths each year worldwide. An understanding of safety culture in healthcare organisations is vital to improve practice and prevent adverse events from medical errors. This integrated literature review aimed to evaluate healthcare staff's perceptions of factors contributing to patient safety culture in their organisations. Methods A comprehensive in-depth review was conducted of studies associated with patient safety culture. Multiple electronic databases, such as PubMed, Wolters Kluwer Health, Karger, SAGE journal and Biomedical Central, were searched for relevant literature published between 2015 and 2020. The keywords ‘patient safety culture’, ‘patient safety’, ‘healthcare providers’, ‘adverse event’, ‘attitude’ and ‘perception’ were searched for. Results Overall, 18 articles met the inclusion criteria. Across all studies, staff highlighted several factors that need improvement to facilitate an effective patient safety culture, with most dimensions of patient safety culture lacking. In particular, staffing levels, open communication, feedback following an error and reporting of adverse events were perceived as lacking across the studies. Conclusion Many issues regarding patient safety culture were present across geographical locations and staff roles. It is crucial that healthcare managers and policymakers work towards an environment that focuses on organisational learning, rather than punishment, in regards to medical errors and adverse incidents. Teamwork between units, particularly during handovers, also requires improvement.

A system-oriented analysis model to enhance patient safety in healthcare organizations

2009 ◽  
Vol 12 (3) ◽  
pp. 218-232 ◽  
Author(s):  
Sheu-Wen Chuang ◽  
Chung-Yu Pan ◽  
Chin-Yin Huang
Keyword(s):  
Patient Safety ◽  
Analysis Model ◽  
Healthcare Organizations ◽  
Enhance Patient Safety

scholarly journals Improving Patient Safety and Reducing Medical Errors in Saudi Healthcare Organizations

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Rasha Mohammadmaki Bokhari
Keyword(s):  
Patient Safety ◽  
Healthcare System ◽  
Medical Errors ◽  
Medical Error ◽  
The United States ◽  
Moral Issue ◽  
Ethical Responsibility ◽  
Inclusion Criteria ◽  
Healthcare Organizations ◽  
Critical Areas

This paper aimed to identify the critical areas that need improvement within the health care institutions' systems in Saudi Arabia to enhance patient safety and reduce medical errors. Methodology: A systematic literature review was conducted to explore the moral issue of medical error and patient safety in the Saudi healthcare organizations system. Database yielded more than 4,000 candidate articles, of which 45 studies randomly selected after they fulfilled the inclusion criteria in this study. Results: The outcome of the research study was more than 45 articles that met the inclusion criteria and appeared to be highly relevant to the subject under investigation. The lack of the ethical responsibility to continuously improve the healthcare system, the lack of proper safety culture and active reporting system, and the lack of patient-centered care were documented as critical areas in Saudi healthcare organizations’ system in need of improvement to enhance patients’ safety and to reduce medical errors. Practical implication: the researcher made several recommendations based on what has been done in the United States' healthcare system that systemically addresses improving patient safety and reducing medical errors. For instance, healthcare organizations devoted to improve patient safety and reduce medical error should abandon the routine assignment of individual blame and shift toward a system thinking approach. The devotion to enhancing patient safety stems from ethical responsibility and accountability of healthcare organizations toward the patients they serve. Also, healthcare organizations that lack a strong culture of safety will consequently not achieve a high level of patient safety. Finally, Healthcare organizations should pay attention to the essential role that patient involvement play in improving safety and reducing medical errors.

scholarly journals Standardized Handoffs After Pediatric Residency: Retention of Practices and Perceived Importance

2021 ◽  
Vol 5 (2) ◽  
pp. 26
Author(s):  
Eva Seligman ◽  
Thuy Ngo
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Hospital Setting ◽  
Descriptive Statistics ◽  
Advanced Practice ◽  
Practice Setting ◽  
Electronic Survey ◽  
Pediatric Residency ◽  
Perceived Importance ◽  
Enhance Patient Safety

The I-PASS Handoff Program is linked to reduced medical errors. The enduring handoff practices of residency graduates trained in I-PASS, and attitudes thereof, are unknown. Our objective was to investigate how often residency graduates use I-PASS or other handoff tools, and perspectives regarding standardized handoffs beyond residency. We performed an exploratory electronic survey of residency graduates from programs who participated in the original I-PASS study. Responses were analyzed using descriptive statistics. Of the 106 respondents, 64/106 (60%) identified as “attendings” and the remainder of respondents were subspeciality fellows. The most common practice setting was the inpatient hospital setting, 42/106 (39%). Regarding handoff use, 61/106 (58%) “rarely” or “never” used standardized handoffs. Of those using handoffs, 13/76 (17%) used I-PASS and 59/76 (78%) used a personal system. Most (95/101, 94%) were unaware of any dedicated handoff training or reported it did not exist for attendings, although 77/106 (73%) endorsed their importance for attendings. Despite rigorous residency training and belief in its importance, over one third of graduates did not use standardized handoffs. System-wide requirements for standardized handoffs may improve communication among all providers including physicians, advanced practice providers, and nurses, and enhance patient safety.

scholarly journals PELAKSANAAN PATIENT SAFETY DI RUMAH SAKIT UMUM DAERAH DAN RUMAH SAKIT UMUM SWASTA BANTUL BERDASARKAN KETENTUAN UNDANG-UNDANG NOMOR 44 TAHUN 2009 TENTANG RUMAH SAKIT

2018 ◽  
Vol 7 (1) ◽  
pp. 28
Author(s):  
Yuni Fitriana ◽  
Kurniasari Pratiwi
Keyword(s):  
Adverse Event ◽  
Patient Safety ◽  
Random Sample ◽  
Medical Errors ◽  
Total Sample ◽  
Near Miss ◽  
Simple Random Sample

Latar belakang: Keselamatan pasien sebagai suatu sistem memberikan asuhan kepada pasien lebih aman, mencegah cedera akibat kesalahan karena melakukan tindakan atau tidak melakukan tindakan yang seharusnya dilakukan. Insiden keselamatan pasien meliputi kesalahan medis (medical errors), kejadian yang tidak diharapkan (adverse event), dan nyaris terjadi (near miss). Undang-undang Nomor 44 Tahun 2009 tentang Rumah Sakit bertujuan memberikan perlindungan kepada pasien, masyarakat, dan sumber daya manusia, mempertahankan dan meningkatkan mutu pelayanan rumah sakit, serta memberi kepastian hukum kepada masyarakat dan rumah sakit. Program Sasaran Keselamatan Pasien mengacu pada Nine Saving Safety Solution.Tujuan :mengetahui perbedaan Pelaksanaan Patient Safety Di RSUD Dan RSU Swasta Bantul Berdasarkan Ketentuan Undang-Undang Nomor 44 Tahun 2009 Tentang Rumah Sakit, serta cara mengatasi.Metode Penelitian : Jenis penelitian kuantitatif ,metode pendekatan analitik komparatif. Sample penelitian sebanyak 40 orang dengan teknik total sample dan simple random sample. Alat instrumen dengan kuesioner dan indept interview meliputi nine saving safety solution. Analisa data secara univariat dan bivariat dengan menggunakan uji T-independent wilcoxon.Hasil Penelitian : Sebagian besar pelaksanaan patient safety di RSUD dan RSU Swasta Bantul dalam kategori baik yaitu sebanyak 22 (55,0%) dan 26 (65,0%). Tidak terdapat perbedaan pelaksanaan patient safety di RSUD dan RSU Swasta Bantul, dengan uji wilcoxon nilai probabilitas sebesar 0,475 (α>0,05)Kesimpulan : Cara mengatasi hambatan dalam pelaksanaan patient safety perlu adanya pelatihan bagi Tenaga kesehatan secara berkala berkaitan dengan patient safety, adanya kerjasama dari berbagai pihak di rumah sakit serta sarana dan prasarana penunjang juga harus dilengkapi agar pelaksanaan patient safety dapat berjalan dengan baik

scholarly journals LO66: Strengthening team communication may decrease medico-legal risk for physicians in the emergency department

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S31-S32
Author(s):  
A. MacIntyre ◽  
Q. Yang ◽  
R. De Gorter ◽  
S. Lee ◽  
L. Calder
Keyword(s):  
Emergency Department ◽  
Patient Safety ◽  
Descriptive Analysis ◽  
Healthcare Providers ◽  
Team Communication ◽  
Legal Cases ◽  
Team Members ◽  
Legal Risk ◽  
For Profit ◽  
Enhance Patient Safety

Introduction: In a busy emergency department (ED), effective communication is integral to the provision of safe medical care. Physicians working in the ED interact with multiple team members including patients, allied healthcare professionals and other physicians, who all need to understand their verbal and written instructions. Our study's objective was to identify and describe communication problems occurring in the ED setting, and how these problems contributed to patient safety events and increased medico-legal risk for physicians. Methods: The Canadian Medical Protective Association (CMPA) is a not-for-profit, medico-legal organization which represented over 97,000 physicians at the time of this study. We conducted a retrospective descriptive analysis where we extracted five years (2013-2017) of CMPA data describing closed medico-legal cases occurring in the ED involving physicians (any specialty) who experienced complaints due to communication issues. We then applied an internal contributing factor framework to identify data themes. Data were summarized using descriptive statistics. Results: We identified 517 eligible cases involving 521 patients (some cases involved >1 patient). We found that 99.8% (520/521) of patients experienced some form of healthcare-related harm in the ED. Specifically, there was poor communication between: the physician and patient or patient's family (202/517, 39.1%); two or more physicians (79/517, 15.3%), and physicians and other healthcare providers (55/517, 10.6%). Inadequate documentation was observed in more than half of the cases (324/517, 62.7%) and poor team communication affected physicians’ decision making process (326/517, 63%) in areas such as deficient assessments, inadequate investigations, failure or delay to attend to the patient, and disposition decisions. Conclusion: Team communication issues are prevalent among physician medico-legal cases occurring in the ED. Efforts to strengthen communication skills may enhance patient safety and reduce medico-legal risk.

Sign in / Sign up

Export Citation Format

Share Document