scholarly journals Patient safety culture in health care facilities in Ukraine (message 1)

2021 ◽  
Vol 26 (3) ◽  
pp. 179-187
Author(s):  
A.P. Yavorovsky ◽  
M.M. Rygan ◽  
A.N Naumenko ◽  
Yu.N. Skaletsky ◽  
S.G. Gichka ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Opportunity To Learn ◽  
Patient Safety Culture ◽  
The United States ◽  
Health Care Facilities ◽  
Alpha Coefficient ◽  
Length Of Service ◽  
Care Facilities ◽  
Comparison Groups

Using a questionnaire from the United States Agency for Research and Quality in Health Care (AHRQ), the characteristics of patient safety (PS) culture in the staff of various health care facilities (HCF) in Ukraine were analyzed. In addition, the characteristics of PS culture were analyzed depending on the length of service and affiliation of the respondents to the medical or nursing staff, as well as the profile of therapeutic or surgical activities. It is established that the weakness of the PS culture of the staff of domestic HCF is "Reaction to mistakes" (less than 30% of positive responses), which indicates the predominance of culture of accusation (unfair culture) in Ukrainian HCF and as a consequence fears of the staff to disclose mistakes and accordingly, the lack of opportunity to learn from these mistakes.“Staffing” is identified as a weakness of the PS culture (less than 50% of positive responses) in most comparison groups. It is worth noting such a characteristic of the culture of BP, as the "Frequency of error messages" (less than 70% of positive responses). The Cronbach's alpha coefficient in all groups of respondents ranged from 0.62 to 0.78, which indicates the truth of the results of the study.

scholarly journals Nursing Leadership Models in Promoting and Improving Patient’s Safety Culture in Healthcare Facilities; A Systematic Review

2020 ◽  
Author(s):  
Yodang Yodang ◽  
Nuridah Nuridah
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Nursing Leadership ◽  
Health Care Facilities ◽  
Leadership Models ◽  
Care Facilities ◽  
Improve Patient

Background: Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings. Methods: Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020. Results: Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models. Conclusion: The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.  

Top four types of sentinel events in Saudi Arabia during the period 2016–19

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Nasser Altalhi ◽  
Haifa Alnaimi ◽  
Mafaten Chaouali ◽  
Falaa Alahmari ◽  
Noor Alabdulkareem ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Patient Safety ◽  
Reporting System ◽  
Improve Patient Safety ◽  
Health Care Facilities ◽  
Common Root ◽  
Private Hospitals ◽  
Care Facilities ◽  
Sentinel Events

Abstract Background This study discusses the summary, investigation and root causes of the top four sentinel events (SEs) in Saudi Arabia (SA) that occurred between January 2016 and December 2019, as reported by the Ministry of Health (MOH) and private hospitals through the MOH SE reporting system (SERS). It is intended for use by legislators, health-care facilities and the public to shed light on areas that still need improvement to preserve patient safety. Objectives The purpose of this study is to review the most common SEs reported by the MOH and private hospitals between the years 2016 and 2019 to assess the patterns and identify risk areas and the common root causes of these events in order to promote country-wide learning and support services that can improve patient safety. Methods In this retrospective descriptive study, the data were retrieved from the SERS, which routinely collects records from both MOH and private hospitals in SA. SEs were analyzed by type of event, location, time, patient demographics, outcome and root causes. Results There were 727 SEs during this period, 38.4% of which were under the category of unexpected patient death, 19.4% under maternal death, 11.7% under unexpected loss of limb or function and 9.9% under retained instruments or sponge. Common root causes were related to policies and procedures, guidelines, miscommunication between health-care facilities, shortage of staff and lack of competencies. Conclusion Given these results, efforts should focus on improving the care of deteriorating patients in general wards, ICU (Intensive Care Units) admission/discharge criteria and maternal, child and surgical safety. The results also highlighted the problem of underreporting of SEs, which needs to be addressed and improved. Linking data sources such as claims and patient complaints databases and electronic medical records to the national reporting system must also be considered to ensure an optimal estimation of the number of events.

scholarly journals Characterizing the Rural Opioid Use Environment in Kentucky Using Google Earth: Virtual Audit

10.2196/14923 ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. e14923 ◽  
Author(s):  
Natalie Danielle Crawford ◽  
Regine Haardöerfer ◽  
Hannah Cooper ◽  
Izraelle McKinnon ◽  
Carla Jones-Harrell ◽  
...  
Keyword(s):  
Health Care ◽  
Land Use ◽  
Substance Use ◽  
Rural Areas ◽  
Physical Environment ◽  
The United States ◽  
Google Earth ◽  
Health Care Facilities ◽  
Opioid Epidemic ◽  
Care Facilities

Background The opioid epidemic has ravaged rural communities in the United States. Despite extensive literature relating the physical environment to substance use in urban areas, little is known about the role of physical environment on the opioid epidemic in rural areas. Objective This study aimed to examine the reliability of Google Earth to collect data on the physical environment related to substance use in rural areas. Methods Systematic virtual audits were performed in 5 rural Kentucky counties using Google Earth between 2017 and 2018 to capture land use, health care facilities, entertainment venues, and businesses. In-person audits were performed for a subset of the census blocks. Results We captured 533 features, most of which were images taken before 2015 (71.8%, 383/533). Reliability between the virtual audits and the gold standard was high for health care facilities (>83%), entertainment venues (>95%), and businesses (>61%) but was poor for land use features (>18%). Reliability between the virtual audit and in-person audit was high for health care facilities (83%) and entertainment venues (62%) but was poor for land use (0%) and businesses (12.5%). Conclusions Poor reliability for land use features may reflect difficulty characterizing features that require judgment or natural changes in the environment that are not reflective of the Google Earth imagery because it was captured several years before the audit was performed. Virtual Google Earth audits were an efficient way to collect rich neighborhood data that are generally not available from other sources. However, these audits should use caution when the images in the observation area are dated.

Challenges of Designing and Implementing High Consequence Infectious Disease Response

2018 ◽  
Vol 12 (5) ◽  
pp. 563-566 ◽  
Author(s):  
Joan M. King ◽  
Chetan Tiwari ◽  
Armin R. Mikler ◽  
Martin O’Neill
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Health Care ◽  
Spatial Configuration ◽  
The United States ◽  
Health Care Facilities ◽  
Disease Response ◽  
Response Planning ◽  
Care Facilities ◽  
State And Local

AbstractEbola is a high consequence infectious disease—a disease with the potential to cause outbreaks, epidemics, or pandemics with deadly possibilities, highly infectious, pathogenic, and virulent. Ebola’s first reported cases in the United States in September 2014 led to the development of preparedness capabilities for the mitigation of possible rapid outbreaks, with the Centers for Disease Control and Prevention (CDC) providing guidelines to assist public health officials in infectious disease response planning. These guidelines include broad goals for state and local agencies and detailed information concerning the types of resources needed at health care facilities. However, the spatial configuration of populations and existing health care facilities is neglected. An incomplete understanding of the demand landscape may result in an inefficient and inequitable allocation of resources to populations. Hence, this paper examines challenges in implementing CDC’s guidance for Ebola preparedness and mitigation in the context of geospatial allocation of health resources and discusses possible strategies for addressing such challenges. (Disaster Med Public Health Preparedness. 2018;12:563–566)

Involving Nonclinical Departments in Patient Safety Discussions can Reduce the Risk of Serious Errors; “40 of K” is Not OK; NDC Number ID of Compounded Prescription Ingredient Leads to Error; Topamax-Toprol XL Mix-Up

2002 ◽  
Vol 37 (11) ◽  
pp. 1140-1146
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

scholarly journals Three Unsuspected CT Diagnoses of COVID-19

2020 ◽  
Author(s):  
David Vu ◽  
Maryanne Ruggiero ◽  
Woo Sung Choi ◽  
Daniel Masri ◽  
Mark Flyer ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
The United States ◽  
Health Care Facilities ◽  
Ground Glass ◽  
Imaging Findings ◽  
Adequate Supply ◽  
Imaging Characteristics ◽  
Care Facilities

Abstract PURPOSE: Coronavirus disease 2019 (COVID-19) is caused by a novel strain of coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that has quickly spread around the globe. Health care facilities in the United States currently do not have an adequate supply of COVID-19 tests to meet the growing demand. Imaging findings for COVID-19 are nonspecific but include pulmonary parenchymal ground-glass opacities in a predominantly basal and peripheral distribution.METHODS: Three patients imaged for non-respiratory related symptoms with a portion of the lungs in the imaged field.RESULTS: Each patient had suspicious imaging findings for COVID-19, prompting the interpreting radiologist to suggest testing for COVID-19. All 3 patients turned out to be infected with COVID-19 and one patient is the first reported case of the coincident presentation of COVID-19 and an intraparenchymal hemorrhage.CONCLUSION: Using imaging characteristics of COVID-19 on abdominal or neck CT when a portion of the lungs is included, patients not initially suspected of COVID-19 infection can be quarantined earlier to limit exposure to others.

Facilitators and Barriers to Implementing the International Dysphagia Diet Standardisation Initiative in Care Facilities in Upstate New York

2021 ◽  
pp. 1-9
Author(s):  
Caileen Harvey ◽  
Rachel Flemming ◽  
Julia Davis ◽  
Victoria Reynolds
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Professionals ◽  
Geographical Area ◽  
The United States ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Upstate New York ◽  
Texture Modification ◽  
Care Facilities

Introduction: Dysphagia is a swallowing disorder that can result in aspiration, asphyxiation, or other complications. One method of facilitating safer swallowing is modification of the diet and fluids of individuals living with dysphagia. The International Dysphagia Diet Standardisation Initiative (IDDSI) is a globally standardized framework for texture modification. Its implementation has been recommended in the United States, but adoption is not yet universal. This study investigated implementation issues by surveying health care professionals in health care facilities in rural, Upstate New York. Method: A questionnaire created through the SurveyMonkey platform was distributed to health care facilities within a predetermined geographical area in Upstate New York. The survey consisted of 22 questions and utilized a mixed-methods design. Results: Forty-six participants from 10 individual professions and nine types of facilities completed the study. Twenty texture modification labels and 10 fluid modification labels were described. Analysis of qualitative data yielded three main barriers to implementation: funding, education, and communication. Within each barrier, awareness and resources were recurrent themes. Discussion: The variety of modification labels in comparison with the sample size demonstrates a lack of standardization of texture modification processes across facilities. While nearly half the respondents had not heard of IDDSI prior to the survey, 89% agreed that a standardized dysphagia diet would improve patient health and safety. This demonstrated a willingness to adopt IDDSI and indicated that staff attitudes may not be a barrier to its implementation. Participants felt that training was needed for successful implementation and expressed concern about the lack of availability of financial resources. Supplemental Material: https://doi.org/10.23641/asha.17270861

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