scholarly journals Patient safety: within the reach of the homeless?

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Felicialle Pereira da Silva ◽  
Elizandra Cássia da Silva ◽  
Adriana Lopes Ferreira ◽  
Iracema da Silva Frazão
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Hospital Care ◽  
Care Delivery ◽  
Population Group ◽  
Patient Safety Culture ◽  
Access To Health Services ◽  
Access To Health

ABSTRACT Objectives: to reflect on aspects related to homeless patients’ safety. Methods: this is a reflective theoretical essay based on patient safety theories. Results: the patient safety culture has developed in the hospital care context and seeks to reduce adverse events in specific hospital settings. On the streets, there is evidence that many people suffer damage related to lack of access to health services, which contributes to undiagnosed or untreated diseases. To build the safety culture it is necessary to identify risks and errors in this scenario since health safety should not start only when hospitalizing an individual. Final Considerations: public policies for this population group need to be effective, as this issue should be a priority concern in health care to prevent harm and adverse events during care delivery.

scholarly journals Patient Safety: A Deep Concern to Caregivers

2019 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
AK Mohiuddin
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Care Delivery ◽  
Patient Safety Culture ◽  
Care Quality ◽  
Care Giving ◽  
Essential Components

Patient safety is a global concern and is the most important domains of health-care quality. Medical error is a major patient safety concern, causing increase in health-care cost due to mortality, morbidity, or prolonged hospital stay. A definition for patient safety has emerged from the health care quality movement that is equally abstract, with various approaches to the more concrete essential components. Patient safety was defined by the IOM as “the prevention of harm to patients.” Emphasis is placed on the system of care delivery that prevents errors; learns from the errors that do occur; and is built on a culture of safety that involves health care professionals, organizations, and patients. Patient safety culture is a complex phenomenon. Patient safety culture assessments, required by international accreditation organizations, allow healthcare organizations to obtain a clear view of the patient safety aspects requiring urgent attention, identify the strengths and weaknesses of their safety culture, help care giving units identify their existing patient safety problems, and benchmark their scores with other hospitals.   Article Type: Commentary

scholarly journals Notificación de incidentes relacionados con la atención a la salud en un hospital docente

2021 ◽  
Vol 20 (3) ◽  
pp. 180-220
Author(s):  
Valdenir Almeida da Silva ◽  
Rosana Santos Mota Santos Mota ◽  
Angela De Souza Barros ◽  
Alessandra Rabelo Fernandes Gonçalves ◽  
Monalisa Viana Sant’Anna ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Teaching Hospital ◽  
Safety Culture ◽  
Quantitative Research ◽  
Patient Safety Culture ◽  
Adult Patients

Objetivo: Analizar los incidentes relacionados con la atención médica en un hospital docente. Método: Investigación cuantitativa, realizada con base en las notificaciones de incidencias realizadas entre 2016 y 2018. Los datos se procesaron en la versión 12 del programa STATA. Resultados: La incidencia de eventos adversos fue de 3,82 por cada 100 pacientes-día. Las unidades de hospitalización para adultos fueron los lugares con mayor incidencia de incidentes, 57,20%; pacientes adultos, 52,75%; mujeres, 52,9%; negros, 80,01%; solteros, 47,62%; con escolarización baja o nula, el 50,91%, fueron los principales. Las enfermeras fueron los principales notificadores, 80,38%. Flebitis, 27,05%; cirugías, 19,20%; y las caídas, el 17,27%, fueron los incidentes más reportados, cuyos daños fueron clasificados como leves en el 91,52%, pero hubo 03 muertes en el período. Conclusión: El análisis de los incidentes permite destacar la importancia de las notificaciones para la planificación e implementación de medidas que puedan contribuir al fortalecimiento de la cultura de seguridad del paciente. Objective: Analyzing incidents related to health care in a teaching hospital. Method: A quantitative research carried out based on notifications of incidents carried out between 2016 and 2018. The data were processed in STATA version 12. Results: The incidence of adverse events was 3.82 per 100 patient-days. The adult hospitalization units were the main notifiers, 57.20%; adult patients, 52.75%; females, 52.9%; blacks, 80.01%; singles, 47.62%; with low or no schooling, 50.91%, were the main ones. The nurses were the main notifiers, 80.38%. Phlebitis, 27.05%; surgeries, 19.20%; and falls, 17.27%, were the most reported incidents, whose damage was classified as mild in 91.52%, but there were three deaths in the period. Conclusion: The analysis of incidents allows us to highlight the importance of notifications for the planning and implementation of measures that can contribute to the strengthening of the patient safety culture. Objetivo: Analisar os incidentes relacionados à assistência à saúde em um hospital de ensino. Método: Pesquisa quantitativa, realizada a partir das notificações de incidentes realizadas entre 2016 e 2018. Os dados foram processados no programa STATA versão 12. Resultados: A incidência de eventos adversos foi 3,82 por 100 pacientes-dia. As unidades de internação para adultos foram os locais com maior ocorrência de incidentes, 57,20%; os pacientes adultos, 52,75%; do sexo feminino, 52,9%; negros, 80,01%; solteiros, 47,62%; com baixa ou nenhuma escolaridade, 50,91%, foram os principais atingidos. Os enfermeiros foram os principais notificadores, 80,38%. As flebites, 27,05%; cirurgias, 19,20%; e quedas, 17,27%, foram os incidentes mais notificados, cujos danos foram classificados como leves em 91,52%, mas houve 03 óbitos no período. Conclusão: A análise dos incidentes permite destacar a importância das notificações para o planejamento e implementação de medidas que possam contribuir para o fortalecimento da cultura de segurança do paciente.

scholarly journals Assessment of patient safety culture in intensive care units and factors affecting it

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Quality ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Learning From Errors

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.

scholarly journals A Human Factors Intervention in a Hospital - Evaluating the Outcome of a TeamSTEPPS Program in a Surgical Ward

2020 ◽  
Author(s):  
Oddveig Reiersdal Aaberg ◽  
Marie Louise Hall-Lord ◽  
Sissel Iren Eikeland Husebø ◽  
Randi Ballangrud
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Healthcare Professionals ◽  
Patient Safety Culture ◽  
Organizational Outcomes ◽  
Team Training ◽  
Training Intervention ◽  
Surgical Ward ◽  
Professional Outcomes

Abstract Background: Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study.Methods: This study had a pre-post design with measurements at baseline and after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data.Results: After six months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention.Conclusion: These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context.Trial registration number: ISRCTN13997367 (retrospectively registered)

Patient Safety Culture in Emergency Departments of Yemeni Public Hospitals: A Survey Study

2021 ◽  
Author(s):  
Mohammed Alsabri ◽  
Mervat Abdulaziz AlGhallabi ◽  
Farouk Abdulrahman Al-Qadasi ◽  
Asma Abdullah Yahya Zeeherah ◽  
Adekemi Ebo ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Emergency Departments ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Survey Study ◽  
The Past ◽  
Important Challenge ◽  
University Degree

Introduction: Quality and safety is an important challenge in healthcare systems all over the world particularly in developing parts. Objective: This survey aimed to assess patient safety culture (PSC) in emergency departments (EDs) in Yemen and identify its associated factors. Methods: A questionnaire containing the Hospital Survey on Patient Safety Culture (HSOPSC) was distributed to ED physicians, nurses, and clinical, and non-clinical staff at three public teaching general hospitals. The percentages of positive responses on the 12 patient safety dimensions and the summation of PSC and two outcomes (overall patient safety grade and adverse events reported in the past year) were assessed. Factors associated with PSC aggregate score were analyzed. Results: finally, out of 400 questionnaires, 250 (64%) were analyzed. In total, 207 (82.3%) participants were nurses and physicians; 140 (56.0%) were male; 134 (53.6%) were less than 30 years old; and 134 (53.6%) had a university degree. Participants provided the highest ratings for the “teamwork within units” PSC composite (67%). The lowest rating was for “non-punitive response to error” (21.3%). A total of 120 (48.1%) participants did not report any events in the past year and 99 (39.7%) gave their hospital an “excellent/very good” overall patient safety grade. There were significant differences between the hospitals’ EDs in the rating of “handoffs and transitions” (p=0.016), “teamwork within units” (p=0.018), and “frequency of adverse events reported” (p=0.016). Staff working in intensive care units (8.4%, n=21) had lower patient safety aggregate scores. Conclusions: PSC ratings appear to be low in Yemen. This study emphasizes the need to create and maintain a PSC in EDs through the implementation of quality improvement strategies and environment of transparency, open communications, and continuous learning.

Projection of pediatric manpower requirements

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 323-324
Author(s):  
Robert D. Burnett ◽  
Mary Kaye Willian ◽  
Richard W. Olmsted
Keyword(s):  
United States ◽  
Health Care ◽  
Medical School ◽  
Health Care Delivery ◽  
Care Delivery ◽  
The United States ◽  
Physician Shortage ◽  
Access To Health Services ◽  
Access To Health ◽  
The 1960S

In the 1960s, predictions were made that the United States faced a "physician shortage."1,2 On the basis of these predictions, federal legislation subsidized the establishment of new medical schools and the expansion of those in existence. From 1968 to 1974, the number of medical school graduates rose from 7,973 to 11,613.3 Nevertheless, problems of availability of, and access to, health services remain. Mere increase in number of physicians is not the solution to the problem of health care delivery in the United States; in fact, there is concern that we now face an oversupply of physicians.4 The recently published Carnegie report recommends that only "one" new medical school be established.5

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.

Traditional Lectures Actually Improve the Body of Knowledge, Skills, and Attitudes of Health Care Professional for Health Incident Reporting System

2020 ◽  
pp. 001857872091855
Author(s):  
Marcus Vinicius de Souza Joao Luiz ◽  
Fabiana Rossi Varallo ◽  
Celsa Raquel Villaverde Melgarejo ◽  
Tales Rubens de Nadai ◽  
Patricia de Carvalho Mastroianni
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Professional ◽  
Safety Culture ◽  
Reporting System ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Event Reporting ◽  
Incident Reporting System ◽  
Traditional Lectures

Introduction: A solid patient safety culture lies at the core of an effective event reporting system in a health care setting requiring a professional commitment for event reporting identification. Therefore, health care settings should provide strategies in which continuous health care education comes up as a good alternative. Traditional lectures are usually more convenient in terms of costs, and they allow us to disseminate data, information, and knowledge through a large number of people in the same room. Taking in consideration the tight money budgets in Brazil and other countries, it is relevant to investigate the impact of traditional lectures on the knowledge, skills, and attitudes to incident reporting system and patient safety culture. Objective: The study aim was to assess the traditional lecture impact on the improvement of health care professional competency dimensions (knowledge, skills, and attitudes) and on the number of health care incident reports for better patient safety culture. Participants and Methods: An open-label, nonrandomized trial was conducted in ninety-nine health care professionals who were assessed in terms of their competencies (knowledge, skills, and attitudes) related to the health incident reporting system, before and after education intervention (traditional lectures given over 3 months). Results: All dimensions of professional competencies were improved after traditional lectures ( P < .05, 95% confidence interval). Conclusions: traditional lectures are helpful strategy for the improvement of the competencies for health care incident reporting system and patient safety.

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