Five Qualities (5Qs) and ergonomic approach – “Towards improved patient safety, medical and healthcare quality”

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.


2014 ◽  
Vol 45 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Pascale Carayon ◽  
Tosha B. Wetterneck ◽  
A. Joy Rivera-Rodriguez ◽  
Ann Schoofs Hundt ◽  
Peter Hoonakker ◽  
...  

The purpose of this chapter is to assess and examine the impact health care information technology (HIT) on physician-nurse performance related to patient trust and safety. A considerable number of patients today are using different HITs to get access to healthcare services such as appointment scheduling and medication refills; communicate with physicians and nurses for different computerized tailored interventions to manage a chronic condition or to change a health behavior. Improving the quality and safety of care, and reducing the medical errors are of equal responsibility of all clinicians and all healthcare staff. Patient safety is the most critical factor of the medical and healthcare quality, where nurses can be invaluable in preventing harm to patients, reducing errors and improving patients' outcomes. The chapter shows that there are many advantages of Web-acquired healthcare related information. The main question is how will efficient use of HIT by patients improve healthcare quality, patient trust and safety.


Author(s):  
Asen Atanasov

This chapter is a brief survey on some e-medicine resources and international definitions focused on the three main subjects of the healthcare quality – the patient, the costs and the evidence for quality. The patients can find in e-medicine everything that they need, but often without data on the supporting evidence. The medical professionals can learn where to find e-information on cost, quality and patient safety, and, more importantly, how to distinguish claims from evidence by applying the principles of evidence based medicine. The goal is to spread and popularize the knowledge in this field with an emphasis on how one can find, assess and utilize the best present evidence for more effective healthcare. The sites discussed below could assist in the retrieval of information about methods for obtaining evidence along with the ways of measuring evidence strength and limitations. These sites also provide information on implementing the ultimate evidence-based product – clinical guidelines for better medical practice and health service.


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