scholarly journals A review of patient safety communication in multicultural and multilingual healthcare settings with special attention to the U.S. and Canada

2021 ◽  
Author(s):  
Á. Horváth ◽  
P. Molnár
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Quality Care ◽  
National Level ◽  
Healthcare Providers ◽  
Language Barriers ◽  
Effective Communication ◽  
The United States ◽  
Safety Communication ◽  
Healthcare Settings

Abstract Purpose The present work aims to raise awareness of the issue of patient safety communication in multicultural and multilingual healthcare settings and to present strategies on how to overcome emerging cultural and language barriers and enable healthcare providers to reduce the risk of miscommunication, prevent inequalities and disparities, and provide their patients with safe and quality care. It also strives to present the policies and measures the United States and Canada have implemented and the strategies U.S. experts have developed to advance effective communication between provider and patient. Methods The literature review was conducted on academic works and publications by health associations, institutes of health, and government departments in topics such as adverse events in health care and strategies to reduce cross-cultural miscommunications and on guides for hospitals. Results/Discussion Cultural diversity in a patient population, language barriers, and a lack of effective communication can impose an increased threat on an individual's health. In order to radically decrease the incidence of adverse events, policies and systems on how to manage multinational and multilingual medical environments should be created at a national level. Cultural competence is also key to delivering care that meets patients' social and cultural needs; furthermore, developing a language access plan and providing language assistance (interpretation, translation) for those in need can greatly contribute to providing quality care. Conclusions Clear communication is key to quality care and patient safety in multicultural and multilingual healthcare environments, but to significantly reduce the incidence of adverse events, policies and systems should be created at a national level.

Patient safety culture in burn care units from the perspectives of healthcare providers: across-sectional study

2021 ◽  
Author(s):  
Maryam Moghimian ◽  
Sedigheh Farzi ◽  
Kolsoum Farzi ◽  
Mohammad Javad Tarrahi ◽  
Hossein Ghasemi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Care Delivery ◽  
Quality Care ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Burn Care ◽  
Healthcare Settings ◽  
Collection Data

Abstract Creating a positive patient safety culture is a key step in the improvement of patient safety in healthcare settings. PSC is a set of shared attitudes, beliefs, and perceptions about PS among healthcare providers. This study aimed to assess PSC in burn care units from the perspectives of healthcare providers. This cross-sectional descriptive study was conducted in 2020 in the units of a specialty burn center. Participants were 213 healthcare providers recruited to the study through a census. A demographic questionnaire and the Hospital Survey on Patient Safety Culture were used for data collection. Data were managed using the SPSS16 software and were summarized using the measures of descriptive statistics. The mean of positive responses to PSC items was 51.22%, denoting a moderate-level PSC. The lowest and the highest dimensional mean scores were related to the no punitive response to error dimension (mean: 12.36%) and the teamwork within departments dimension (mean: 73.25%), respectively. Almost half of the participants (49.3%) reported acceptable PS level in their workplace and 69.5% of them had not reported any error during the past twelve months before the study. Given the great vulnerability of patients with burn injuries in clinical settings, improving PSC, particularly in the no punitive response to error dimension, is essential to encourage healthcare providers for reporting their errors and thereby, to enhance PS. For quality care delivery, healthcare providers in burn care units need a safe workplace, adequate managerial support, a blame-free PSC, and an incentive error reporting system to readily report their errors.

scholarly journals Leveraging IT to Improve Patient Safety

2003 ◽  
Vol 12 (01) ◽  
pp. 153-158
Author(s):  
D.E. Garets ◽  
T.J. Handler ◽  
M.J. Ball
Keyword(s):  
Patient Safety ◽  
Medical Errors ◽  
Improve Patient Safety ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
The United States ◽  
Institute Of Medicine ◽  
The Media ◽  
The Military ◽  
Improve Patient

Abstract:Medical errors and issues of patient safety are hardly new phenomena. Even during the dawn of medicine, Hippocrates counselled new physicians “to above all else do no harm.” In the United States, efforts to improve the quality of healthcare can be seen in almost every decade of the last century. In the early 1900s, Dr. Ernest Codman failed in his efforts to get fellow surgeons to look at the outcomes of their cases. In the 1970s, there was an outcry that the military allowed an almost blind surgeon to continue to practice and even transferred him to the prestigious Walter Reed Hospital. More recently, two reports by the Institute of Medicine caught the attention of the media, the American public, and the healthcare industry. To Err Is Human highlights the need to reduce medical errors and improve patient safety, and Crossing The Quality Chasm calls for a new health system to provide quality care for the 21st century.

Raising the safety bar: The hematology/oncology patient safety committee.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 144-144
Author(s):  
Myrna Rita Nahas ◽  
Jessica A. Zerillo ◽  
Stephen A. Cannistra ◽  
Cheryle Totte
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Peer Review ◽  
Healthcare Provider ◽  
Medical Center ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Oncology Patient ◽  
Near Misses ◽  
Safety Committee

144 Background: Enhancing patient safety can prevent unintended outcomes arising from defects in healthcare delivery systems. The Hematology/Oncology Patient Safety Committee (HOPSC) at Beth Israel Deaconess Medical Center (BIDMC) is a multidisciplinary team of healthcare providers that meets monthly to review inpatient and outpatient adverse events, near misses, and medical errors that impact patient safety. Methods: Our aim was to quantify and qualify the cases that the HOPSC has reviewed from 2012-2013. In order to identify trends in event reporting, we reviewed the number of events reported to the HOPSC in both the inpatient and outpatient settings. We further subdivided events into two categories: medication-related and non-medication related. Additionally, we delineated which healthcare provider initiated the reporting of each event. Results: Over the two-year period, a total number of 1,061 events were reported to the HOPSC. Of these, 259 were medication-related events. Of the events reported, 40 were by a physician/NP and 1,021 were by a nurse. There was a discrepancy in the type of event reported (24.4% medication vs. 75.6% non-medication related) as well as in the type of reporter (3.8% physician/NP vs. 96.2% nurse). Of all the events reported, 8 were escalated to the Department of Medicine Peer Review Committee. Conclusions: Through review of healthcare provider event reports, the HOPSC has identified several types of adverse events and near misses in the Hematology/Oncology division at BIDMC. The events are mostly reported by inpatient nurses and are primarily medication-related. Given this skewed reporting pattern, we will investigate the reasons why reporting by physicians, especially in the outpatient setting, is limited. Our reported outline of the HOPSC operations may also guide oncology practices elsewhere in their own development of patient safety peer review committees. [Table: see text]

Managers Reports of Automated Coding System Adoption and Effects on Data Quality

2003 ◽  
Vol 42 (03) ◽  
pp. 236-242 ◽  
Author(s):  
R. Jameson ◽  
D. P. Lorence
Keyword(s):  
Data Quality ◽  
Objective Assessment ◽  
National Level ◽  
Healthcare Providers ◽  
Automated Classification ◽  
Coding System ◽  
Healthcare Settings ◽  
Coding Systems ◽  
Automated Coding ◽  
Performance Benchmarks

Summary Objective: Assessment of the adoption of automated classification (encoder) systems in healthcare settings and related effects on perceived data quality. Methods: Survey of all U.S. accredited medical records managers, summarizing their reports of automated encoding systems and data quality change following adoption of systems. Results: Significant improvement in data was seen from adoption of automated encoding systems, though variation existed across regions and key demographic variables. Conclusion: At a national level, there is a need to minimize data quality variation and ensure some degree of nationwide uniformity in the performance of coding systems. If healthcare providers are expected to trust coded data for comparative purposes, there will be a like need for more uniform and standardized system-based performance benchmarks.

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.

An Analysis on Supply-Chain-Related Adverse Events

2018 ◽  
pp. 123-139
Author(s):  
Nebil Buyurgan ◽  
Paiman Farrokhvar
Keyword(s):  
Patient Safety ◽  
Supply Chain ◽  
Adverse Events ◽  
Simulation Model ◽  
System Performance ◽  
Material Handling ◽  
Healthcare Providers ◽  
System Efficiency ◽  
Standard Product

This chapter presents an investigation on supply-chain-related adverse events and patient safety in healthcare. Based on site visits and phone interviews with six healthcare providers, material handling and administrative processes are determined in a typical healthcare supply chain. Then a simulation model is developed to determine correct product validation practices and procedures for maximum patient safety. Benefits of standard product identifying technologies and automated validation systems are also explored to minimize workflow interruptions. Different scenarios are compared for patient safety, care delay, and system efficiency. The results show that validation points during PAR picking or bedside product administration, and warehouse picking operations provide optimal overall system performance. The results also indicate that standard product-identifying technologies and automated validation systems significantly impact the efficiency of supply chain.

Perspectives on healthcare quality and safety

2020 ◽  
pp. 135-157
Author(s):  
Stephanie Russ ◽  
Nick Sevdalis
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Quality Care ◽  
Healthcare Delivery ◽  
Poor Quality ◽  
Health Science ◽  
Process Implementation ◽  
Health Related ◽  
New Research ◽  
Patient Safety Incidents

This chapter offers an introduction to the recently developed applied health science fields of patient safety, improvement, and implementation sciences. Healthcare is a high-risk activity because of the complexity of its systems and processes. Errors arise frequently and these can impact negatively on patients by causing adverse events. Errors and adverse events are generally attributable to defective systems for organizing care, which create conditions in which errors arise. This represents a failure of risk management. Patient safety science takes a scientific approach to understanding why errors occur and how to prevent their occurrence or minimize their impact. Learning from analysis of patient safety incidents, through root-cause analysis, enables an organization or service to learn and avoid repeating similar failures in the future. Patient safety incidents represent one aspect of the wider problem of poor-quality care. Improvement science offers standardized tools and measurements that can be used to monitor and improve healthcare delivery. The Model for Improvement employs repeated Plan–Do–Study–Act (PDSA) cycles to quantify problems and to develop and test potential solutions. Engagement with stakeholders is an essential part of this process. Implementation science can contribute by providing methods to promote the uptake of new research evidence into healthcare practice. It can address the second translational gap by facilitating the widespread adoption of strategies for improving health-related processes and outcomes, and advancing knowledge on how best to replicate intervention effects from trials into real-world settings. These new scientific fields provide well-established approaches to addressing some of the key problems arising in healthcare. Modern public health needs to reap the benefits of these newly emerged sciences to address the burden of adverse events and harm that arises in the delivery of healthcare and to promote evidence-based practice.

Economics of Acute Pain Medicine

2019 ◽  
pp. 10-22
Author(s):  
Brian E. Harrington ◽  
Edward R. Mariano
Keyword(s):  
Program Development ◽  
Acute Pain ◽  
Quality Care ◽  
Multimodal Analgesia ◽  
The United States ◽  
Pain Medicine ◽  
Future Directions ◽  
Healthcare Settings ◽  
Core Concepts ◽  
Economic Considerations

Appropriate resource allocation is vital for the successful delivery of acute pain medicine services. This chapter describes core concepts in acute pain medicine (such as use of multimodal analgesia and pain protocols) and reviews the economic considerations regarding acute pain medicine program development and implementation, including consideration of value-based models that are intended to promote efficient, high-quality care at a lower cost. Notably, while many of the principles may be universally applicable, the underlying context regards deployment of acute pain medicine programs within healthcare settings in the United States. The chapter concludes with a section on future directions in acute pain medicine.

scholarly journals Enhancing patient safety through the quality assured use of a low-tech video interpreting system to overcome language barriers in healthcare settings

2021 ◽  
Author(s):  
Maria Kletečka-Pulker ◽  
Sabine Parrag ◽  
Klara Doppler ◽  
Sabine Völkl-Kernstock ◽  
Michael Wagner ◽  
...  
Keyword(s):  
Patient Safety ◽  
New Technology ◽  
Cost Savings ◽  
Language Barriers ◽  
Pilot Project ◽  
Physical Distance ◽  
Healthcare Settings ◽  
Remote Healthcare ◽  
Key Issues ◽  
User Friendly

SummaryProfessional interpretation and translation are key issues in the improvement of public health and patient safety in an area of increased migration and multicultural healthcare system needs. Patient safety requires clear and reliable communication to avoid errors in diagnosis, treatment, and neglect of informed consent. Due to the range of languages to be covered, telephone and video interpretation (VI) can be expected to face up to the demands for trained interpreters available on short notice and in more remote healthcare sites.In a pilot project, we implemented a new up to date model video interpretation unit and used a mixed methods approach integrating quantitative and qualitative data in assessing barriers encountered prior to the use of the pilot system and satisfaction with the use of video interpretation in a number of clinical settings, including inpatient and outpatient units, in Austria. Of all respondents (n = 144) 71% reported frequently encountering language barriers, only 37% reported the use of professional interpreters, 81% reported using siblings, parents or other non-professional interpreters, while a considerable percentage (66%) reported using gestures or drawings to communicate, resulting in very low overall satisfaction rate (only 12%) with the prior situation.In the qualitative study the users observed rapid availability, data protection compliance, ability to see the interpreter despite physical distance, absence of potential external influence resulting from personal relationships, user-friendly nature of the technique, legal certainty, absence of the requirement for personal presence, and cost savings as key benefits in the use of the new technology. Of the users of the system 88% (n = 58) rated it as very good (72%) or good (16%).

scholarly journals Applying the Model for Improvement to a Student-run Quality Improvement Project in a Refugee Center: A Pilot Study

2020 ◽  
Vol 11 (1) ◽  
pp. 16
Author(s):  
Aleah S. Groman ◽  
Xiaodi N. Chen ◽  
Jill E. Lavigne
Keyword(s):  
New York ◽  
Quality Improvement ◽  
Healthcare Providers ◽  
The United States ◽  
Quality Improvement Project ◽  
Common Disease ◽  
Satisfaction Scale ◽  
Improvement Project ◽  
Healthcare Settings ◽  
Pharmacist Counseling

Due to insufficient communication strategies between healthcare providers and refugees in the United States, this quality improvement project aimed to improve disparity in refugee healthcare. We chose to focus on community pharmacist counseling sessions with refugees in the city of Rochester, New York. The two refugee populations we focused on were the Burmese and Nepali. Due to illiteracy in their native language, the refugees were not receptive to a pamphlet detailing the beneficial roles a pharmacy can have in improving their health and wellbeing. We created a pictorial survey of pharmacies near a refugee center to identify the pharmacies the refugees were utilizing in the area. Once we identified these pharmacies, we created a counseling aid booklet translating common pharmacy language/terms into English, Burmese, and Nepalese languages supported by pictorial diagrams. The counseling aid booklet was evaluated by pharmacists using a satisfaction scale. Overall, the counseling aid booklet was found to be helpful for the pharmacist’s daily interaction with refugee populations. Further plans for the counseling aid booklet include adding more pharmacy counseling terms for common disease states in refugee populations, making the book more inclusive of other languages, and implementation in more community pharmacies and other diverse healthcare settings.   Article Type: Student Project

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