scholarly journals Patient experience from the vantage point of a hospitalized patient safety expert: a personal commentary

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Narinder Kapur
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Vantage Point ◽  
Hospitalized Patient

scholarly journals PIN59 COVID-19: The Real-World Hospitalized Patient Experience

2021 ◽  
Vol 24 ◽  
pp. S116
Author(s):  
L. Rasouliyan ◽  
V. Kumar ◽  
S. Long ◽  
M.B. Rao
Keyword(s):  
Patient Experience ◽  
Real World ◽  
The Real ◽  
Hospitalized Patient

Broadening the concept of patient safety culture through value-based healthcare

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Viktor Dombrádi ◽  
Klára Bíró ◽  
Guenther Jonitz ◽  
Muir Gray ◽  
Anant Jani
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Cost Benefit ◽  
Population Level ◽  
Patient Safety Culture ◽  
Content Type ◽  
Experience Of Care ◽  
Improve Patient

PurposeDecision-makers are looking for innovative approaches to improve patient experience and outcomes with the finite resources available in healthcare. The concept of value-based healthcare has been proposed as one such approach. Since unsafe care hinders patient experience and contributes to waste, the purpose of this paper is to investigate how the value-based approach can help broaden the existing concept of patient safety culture and thus, improve patient safety and healthcare value.Design/methodology/approachIn the arguments, the authors use the triple value model which consists of personal, technical and allocative value. These three aspects together promote healthcare in which the experience of care is improved through the involvement of patients, while also considering the optimal utilisation and allocation of finite healthcare resources.FindingsWhile the idea that patient involvement should be integrated into patient safety culture has already been suggested, there is a lack of emphasis that economic considerations can play an important role as well. Patient safety should be perceived as an investment, thus, relevant questions need to be addressed such as how much resources should be invested into patient safety, how the finite resources should be allocated to maximise health benefits at a population level and how resources should be utilised to get the best cost-benefit ratio.Originality/valueThus far, both the importance of patient safety culture and value-based healthcare have been advocated; this paper emphasizes the need to consider these two approaches together.

scholarly journals National initiatives to promote quality of care and patient safety: achievements to date and challenges ahead

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Dalia Dreiher ◽  
Olga Blagorazumnaya ◽  
Ran Balicer ◽  
Jacob Dreiher
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Healthcare System ◽  
Quality Indicators ◽  
Patient Experience ◽  
Health Care Providers ◽  
Care Providers

Abstract Background The quality of healthcare in Israel is considered “high”, and this achievement is due to the structure and organization of the healthcare system. The goal of the present review is to describe the major achievements and challenges of quality improvement in the Israeli healthcare system. Body In recent years, the Ministry of Health has made major strides in increasing the public’s access to comparative data on quality, finances and patient satisfaction. Several mechanisms at multiple levels help promote quality improvement and patient safety. These include legislation, financial incentives, and national programs for quality indicators, patient experience, patient safety, prevention and control of infection and accreditation. Over the years, improvements in quality indicators, infection prevention and patient satisfaction can be demonstrated, but other fields show little change, if at all. Challenges and barriers include reluctance by unions, inconsistent and unreliable flow of information, the fear of overpressure by management and the loss of autonomy by physicians, and doubts regarding “gaming” of data. Accreditation has its own challenges, such as the need to adjust it to local characteristics of the healthcare system, its high cost, and the limited evidence of its impact on quality. Lack of interest by leaders, lack of resources, burnout and compassion fatigue, are listed as challenges for improving patient experience. Conclusion Substantial efforts are being made in Israel to improve quality of care, based on the use of good data to understand what is working and what needs particular attention. Government and health care providers have the tools to continue to improve. However, several mechanisms for improving the quality of care, such as minimizing healthcare disparities, training for quality, and widespread implementation of the “choosing wisely” initiative, should be implemented more intensively and effectively.

scholarly journals Evaluating a major innovation in hospital design: workforce implications and impact on patient and staff experiences of all single room hospital accommodation

2015 ◽  
Vol 3 (3) ◽  
pp. 1-304 ◽  
Author(s):  
Jill Maben ◽  
Peter Griffiths ◽  
Clarissa Penfold ◽  
Michael Simon ◽  
Elena Pizzo ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Clinical Care ◽  
Temporary Increase ◽  
Infection Rates ◽  
Hospital Design ◽  
Single Room ◽  
Working Practices ◽  
The Impact

BackgroundNew hospital design includes more single room accommodation but there is scant and ambiguous evidence relating to the impact on patient safety and staff and patient experiences.ObjectivesTo explore the impact of the move to a newly built acute hospital with all single rooms on care delivery, working practices, staff and patient experience, safety outcomes and costs.Design(1) Mixed-methods study to inform a pre-/post-‘move’ comparison within a single hospital, (2) quasi-experimental study in two control hospitals and (3) analysis of capital and operational costs associated with single rooms.SettingFour nested case study wards [postnatal, acute admissions unit (AAU), general surgery and older people’s] within a new hospital with all single rooms. Matched wards in two control hospitals formed the comparator group.Data sourcesTwenty-one stakeholder interviews; 250 hours of observation, 24 staff interviews, 32 patient interviews, staff survey (n = 55) and staff pedometer data (n = 56) in the four case study wards; routinely collected data at ward level in the control hospitals (e.g. infection rates) and costs associated with hospital design (e.g. cleaning and staffing) in the new hospital.Results(1) There was no significant change to the proportion of time spent by nursing staff on different activities. Staff perceived improvements (patient comfort and confidentiality), but thought the new accommodation worse for visibility and surveillance, teamwork, monitoring, safeguarding and remaining close to patients. Giving sufficient time and attention to each patient, locating other staff and discussing care with colleagues proved difficult. Two-thirds of patients expressed a clear preference for single rooms, with the benefits of comfort and control outweighing any disadvantages. Some patients experienced care as task-driven and functional, and interaction with other patients was absent, leading to a sense of isolation. Staff walking distances increased significantly after the move. (2) A temporary increase in falls and medication errors within the AAU was likely to be associated with the need to adjust work patterns rather than associated with single rooms, although staff perceived the loss of panoptic surveillance as the key to increases in falls. Because of the fall in infection rates nationally and the low incidence at our study site and comparator hospitals, it is difficult to conclude from our data that it is the ‘single room’ factor that prevents infection. (3) Building an all single room hospital can cost 5% more but the difference is marginal over time. Housekeeping and cleaning costs are higher.ConclusionsThe nature of tasks undertaken by nurses did not change, but staff needed to adapt their working practices significantly and felt ill prepared for the new ways of working, with potentially significant implications for the nature of teamwork in the longer term. Staff preference remained for a mix of single rooms and bays. Patients preferred single rooms. There was no strong evidence that single rooms had any impact on patient safety but housekeeping and cleaning costs are higher. In terms of future work, patient experience and preferences in hospitals with different proportions of single rooms/designs need to be explored with a larger patient sample. The long-term impact of single room working on the nature of teamwork and informal learning and on clinical/care outcomes should also be explored.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Giving Voice to Patients Through Interviews and Qualitative Analysis- A Pilot Study

2020 ◽  
Author(s):  
Matthew H Loxton ◽  
Ebele Okoli
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Patient Perspective ◽  
Patient Experiences ◽  
Qualitative Approach ◽  
Patient Journey ◽  
Patient Voice ◽  
Patient Goals ◽  
Care Processes ◽  
Operational Metrics

AbstractModern healthcare is drowning in data, and burdened by quality, safety, financial, and operational metrics, but few relate directly to how patients experiences their care. This has a direct bearing on patient safety, and whether the care they receive meets their needs and goals. As such, a key concept in quality management, is to view all processes in terms of whether, and to what degree, these meet patient goals. However, the literature lacks sufficient specificity on how care processes are seen through the eyes of the patient. A thick account of patient experience of their care processes could provide us with a typology of what patients are seeing, how they conceptualize what they experience, and what risks, issues, and opportunities they can express.To fill a gap in awareness of the patient experience of the radiology processes, we used a mixed methods qualitative approach to elicit the patient view of their radiology experiences, and attempt to develop a typology and insights from the patient voice. We developed a typology of patient experiences of the radiology processes that centered on communication gaps, and reflected opacity, fragility, and unpredictability of administrative and care processes in radiology. Although care and administrative processes were described by participants as well-executed in isolation, from a patient perspective, processes frequently failed to interconnect efficiently or effectively, and did not work well as an end-to-end patient journey. Care processes were described by participants as fragile, solitary, and opaque, and required constant vigilance, supervision, and assistance by patients. Participants described a need for improved communication between radiology staff and patients that focuses on the patient journey and helps to identify and mitigate causes of process opacity and fragility

scholarly journals The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non-hospital-affiliated outpatient settings: A systematic review

PLoS ONE ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. e0190975 ◽  
Author(s):  
Nancy F. Berglas ◽  
Molly F. Battistelli ◽  
Wanda K. Nicholson ◽  
Mindy Sobota ◽  
Richard D. Urman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Safety ◽  
Patient Experience ◽  
Service Availability ◽  
Outpatient Settings

scholarly journals What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study

2021 ◽  
Vol 7 ◽  
pp. 205520762110100
Author(s):  
Arabella Scantlebury ◽  
L Sheard ◽  
Cindy Fedell ◽  
J Wright
Keyword(s):  
Patient Safety ◽  
Qualitative Study ◽  
Patient Experience ◽  
Management Strategies ◽  
Wait Time ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Healthcare It ◽  
Safety Incident ◽  
The Impact

Introduction To explore the impact of a three-week downtime to an electronic pathology system on patient safety and experience. Methods Qualitative study consisting of semi-structured interviews and a focus group at a large NHS teaching hospital in England. Participants included NHS staff ( n = 16) who represented a variety of staff groups (doctors, nurses, healthcare assistants) and board members. Data were collected 2–5 months after the outage and were analysed thematically. Results We present the implications which the IT breakdown had for both patient safety and patient experience. Whilst there was no actual recorded harm to patients during the crisis, there was strong and divided opinion regarding the potential for a major safety incident to have occurred. Formal guidance existed to assist staff to navigate the outage but there was predominantly a reliance on informal workarounds. Junior clinicians seemed to struggle without access to routine blood test results whilst senior clinicians seemed largely unperturbed. Patient experience was negatively affected due to the extensive wait time for manually processed diagnostic tests, increasing logistical problems for patients. Conclusion The potential negative consequences on patient safety and experience relating to IT failures cannot be underestimated. To minimise risks during times of crisis, clear communication involving all relevant stakeholders, and guidance and management strategies that are agreed upon and communicated to all staff are recommended. To improve patient experience flexible approaches to patient management are suggested.

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