Addressing Mistreatment of Providers by Patients and Family Members as a Patient Safety Event

2021 ◽  
Author(s):  
Marianne Hatfield ◽  
Rebecca Ciaburri ◽  
Henna Shaikh ◽  
Kirsten M. Wilkins ◽  
Kurt Bjorkman ◽  
...  
Keyword(s):  
Patient Safety ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Tertiary Care ◽  
Family Members ◽  
Incident Reporting ◽  
Care Providers ◽  
Cross Sectional ◽  
Offensive Behavior ◽  
Safety Incident

OBJECTIVE: Mistreatment of health care providers (HCPs) is associated with burnout and lower-quality patient care, but mistreatment by patients and family members is underreported. We hypothesized that an organizational strategy that includes training, safety incident reporting, and a response protocol would increase HCP knowledge, self-efficacy, and reporting of mistreatment. METHODS: In this single-center, serial, cross-sectional study, we sent an anonymous survey to HCPs before and after the intervention at a 213-bed tertiary care university children’s hospital between 2018 and 2019. We used multivariable logistic regression to examine the effect of training on the outcomes of interest and whether this association was moderated by staff role. RESULTS: We received 309 baseline surveys from 72 faculty, 191 nurses, and 46 residents, representing 39.1%, 27.1%, and 59.7%, respectively, of eligible HCPs. Verbal threats from patients or family members were reported by 214 (69.5%) HCPs. Offensive behavior was most commonly based on provider age (85, 28.5%), gender (85, 28.5%), ethnicity or race (55, 18.5%), and appearance (43, 14.6%) but varied by role. HCPs who received training had a higher odds of reporting knowledge, self-efficacy, and experiencing offensive behavior. Incident reporting of mistreatment increased threefold after the intervention. CONCLUSIONS: We report an effective organizational approach to address mistreatment of HCPs by patients and family members. Our approach capitalizes on existing patient safety culture and systems that can be adopted by other institutions to address all forms of mistreatment, including those committed by other HCPs.

Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Samina Ismail ◽  
Shemila Abbasi ◽  
Sobia Khan ◽  
Abdul Monem ◽  
Gauhar Afshan
Keyword(s):  
Epidural Analgesia ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Sources Of Information ◽  
Hospital Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Natural Birth

AbstractAims:The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.Methods:In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.Results:From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.Conclusions:Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.

scholarly journals Health care providers knowledge, attitudes and perceived barriers towards emergency contraception in a sub-Himalayan state of India

2018 ◽  
Vol 7 (8) ◽  
pp. 3244
Author(s):  
Rajiv Kumar Gupta ◽  
Bhavna Langer ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Najma Akhtar ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emergency Contraception ◽  
Tertiary Care ◽  
Unwanted Pregnancy ◽  
Unprotected Sex ◽  
Perceived Barriers ◽  
Family Welfare ◽  
Care Providers ◽  
Cross Sectional

Background: Emergency Contraception (EC) is a method of contraception used within 72 hours of unprotected sex to prevent unwanted pregnancy. More than ten years since its use, a study was conducted among health care providers to assess their knowledge, attitudes and perceived barriers towards EC.Methods: The current cross-sectional study was conducted among the health care providers (HCPs) in all the health institutions of Jammu city, one of which included a tertiary care teaching hospital. The HCPs for the purpose of the current study included Medical Officers (MOs), Lady Health Visitors/ Staff Nurses (LHV/ SNs) and pharmacists. A 24 item pre-tested questionnaire was administered to the respondents to gather the relevant information.Results: MOs and LHV/SNs were found to have better knowledge than the pharmacists. Higher proportion of LHV/SNs and pharmacists were willing to learn more about EC (p<0.05). About two-third of MOs and LHV/SNs agreed about shortage of time during clinic schedule to counsel the users about EC (p<0.05).Conclusions: Gaps in the knowledge of the respondents need to be taken care of with continuing in-service trainings along with behaviour change communication. Role of pharmacists as health care provider especially in the context of family welfare services needs to be reassessed.

scholarly journals Analisis Faktor yang Mempengaruhi Pelaporan Insiden Keselamatan Pasien pada Perawat

2020 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Maria Yuventa Wanda ◽  
Nursalam Nursalam ◽  
Andri Setiya Wahyudi
Keyword(s):  
Patient Safety ◽  
Work Experience ◽  
Care Facility ◽  
Incident Reporting ◽  
Cross Sectional ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Experience Education ◽  
Patient Safety Incidents ◽  
Safety Incident Reporting

Introduction: Patient Safety Incident Report hereinafter referred to as incident reporting, is a system of documenting patient safety incident reports, analyzing and obtaining recommendations and solutions from the health care facility patient safety team. This study aims to analyze the factors of work experience, education, perceptions, attitudes, motivation, leadership towards reporting patient safety incidents to nurses in the inpatient room of Prof. Dr. W. Z. Johannes Kupang.Method: The design of this study was cross-sectional. The sample size of the study was 143 respondents who met the inclusion criteria. The dependent variable is the reporting of patient safety incidents, while the independent variables are work experience, education, perception, attitude, motivation,  leadership. Data were collected using a questionnaire and observation on nurses. Data were then analyzed using multiple logistic regression with a significant value < 0.05.Results:  The results show that there is a perception effect on patient safety incident reporting (p = 0.05) and leadership influence on patient safety incident reporting (p = 0.02).Conclusion: The concludes is that there is an influence of perception and leadership on reporting patient safety incidents. Further researchers are advised to research the effect of training on improving patient safety incident reporting.

scholarly journals A cross-sectional observational study to assess the awareness regarding needle prick injuries among health care providers of a tertiary care teaching hospital in Madhya Pradesh, India

2019 ◽  
Vol 6 (6) ◽  
pp. 2440
Author(s):  
Sunil K. Guleri ◽  
Ram K. Panika
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Post Exposure Prophylaxis ◽  
Care Providers ◽  
Cross Sectional ◽  
Needle Stick ◽  
Needle Stick Injuries ◽  
Needle Prick ◽  
Exposure Prophylaxis

Background: Health care workers (HCW) are at risk of an occupational exposure to blood borne diseases like HIV and Hepatitis B through accidental needle stick injuries. This study was conducted to assess the awareness regarding needle prick injuries among health care providers and their exposure to NSIs in a tertiary care medical college hospital with 750 bed capacity.Methods: This cross sectional observational study was conducted on 300 voluntarily participated HCWs out of total 650 HCWs. A semi structured questionnaire was used to assess their knowledge about exposure to blood and body fluids, needle stick injuries and associated risks and post exposure prophylaxis. Details of previous exposures to NSIs in last one year (2017-18) were also asked and their opinion about role and responsibilities of hospital administration for management of NSI was also recorded.Results: More than 90% HCWs were aware of exposure to blood and body fluids, 80.7% were aware of needle stick injuries, all 100% were aware of transmission of HIV and Hepatitis B from NSis and 78% were aware of post exposure prophylaxis. 97 cases of NSIs occurred in last one year which was higher than estimated EPInet data. Injection needle was most commonly (93.8%) involved in causing accidental NSIs.Conclusions: Practice of universal precautions and standard injection procedures by HCWs should be followed and education, training, and group insurance should be provided by hospital administration for prevention of NSIs.

scholarly journals Evaluation of Quality Assurance of Activity against Accreditation Norms of the Imaging Services in a Tertiary Care Teaching Hospital

2021 ◽  
Vol 11 (9) ◽  
pp. 172-177
Author(s):  
Padmini Kumari B ◽  
G Vijay Kumar ◽  
K. Ravi Babu
Keyword(s):  
Quality Assurance ◽  
Outcome Measures ◽  
Health Care Providers ◽  
Quality Care ◽  
Tertiary Care ◽  
Care Providers ◽  
Quality Assurance Programme ◽  
College Hospital ◽  
Cross Sectional ◽  
Process And Outcome

Purpose of Study: To study the radiological and imaging services in terms of Quality Assurance in relation to accreditation norms. Methods: We performed cross sectional evaluation of the data obtained from the participants in the study Semi structured both open and closed ended questionnaire were administered among the participants who were agreed to participate in the study. The questionnaire was formulated to evaluate different parameters of Quality Assurance Programme (QAP). The parameters were divided into structure, process and outcome measures and were derived from literature [National Accreditation Board for Hospitals and Health care Providers during accreditation of healthcare institutions]. Results: The radiology and imaging services of Vydehi Medical College Hospital was established in the year 2002, and was approved by AERB (Atomic Energy Regulatory Board) in the year 2007. The department was renewed by AERB in the year 2012. Checklist was formulated which includes several parameters in terms of structure, process and outcome measures. Conclusion: Quality assurance programme is to provide good patient timely care and the policies adopted by the department of radiology and imaging service in terms of quality are on par with standard guidelines in our study. Safe and sustainable quality care is the need of the hour and it can be practically achieved by regular monitoring of the quality assurance programme. Key words: Quality assurance; Imaging services; Utilisation; Guidelines; Healthcare

scholarly journals One for Everyone: A Study of User Satisfaction Among Health-Care Providers Regarding Extended Use of N95 Masks During the COVID-19 Pandemic

2020 ◽  
pp. 1-8
Author(s):  
Nishant Sharma ◽  
Anant Gupta ◽  
Makhdoom Killedar ◽  
Ashish Bindra ◽  
Asmita Patil ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
User Satisfaction ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern India ◽  
Large Tertiary Care

ABSTRACT Objective: This study was conducted to assess the feasibility of extended use of N95 masks in our hospital during the coronavirus disease 2019 (COVID-19) pandemic. We also studied the use pattern, user satisfaction, and issues faced during extended use of the mask. Methods: This cross-sectional study was conducted among health-care providers in a large tertiary care teaching hospital in northern India from April 1 to May 31, 2020. A list was prepared from the institute’s register, and participants were chosen by random sampling. The data collected from the physical forms were transferred to excel sheets. Results: A total of 1121 responses were received. The most common problem stated with reuse of N95 masks was loss of fit followed by damage to the slings, highlighted by 44.6% and 44.4% of the participants, respectively. A total of 476 (42.5%) participants responded that they would prefer “cup-shaped N95 mask with respirator”. The median scores regarding the satisfaction with the quality of masks and their fit was also 4 each. Conclusions: It was concluded that the extended use of N95 masks was acceptable, with more than 96% of the participants using these masks.

Neonatal Back Transport: Perspectives from Parents of Medicaid-Insured Infants and Providers

2007 ◽  
Vol 26 (5) ◽  
pp. 301-311 ◽  
Author(s):  
Krystal Hanrahan ◽  
Mohammad-Ali Attar ◽  
Alice Frohna ◽  
Molly Gates ◽  
Sylvia Lang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Information Exchange ◽  
Neonatal Intensive Care ◽  
Community Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Early Communication

Purpose: To examine parents’ and health care providers’ perceptions of back transport from a tertiary care neonatal intensive care unit to a community hospital.Design: Qualitative, hypothesis-generating, cross-sectional study utilizing focus group methodology.Sample: Participants included 12 parents of back-transported infants insured by Medicaid, 6 regional NICU health care providers, and 17 community hospital special care nursery health care providers.Main Outcome Measures: Participant perceptions of factors that support or impede successful back transport.Results: Data from the focus groups were analyzed to identify five main themes: early communication about back transport, preparing parents for back transport, communication between hospitals at the time of back transport, follow-up and information exchange after back transport, and improving the back-transport experience for parents.

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