scholarly journals Human error and patient safety in health services/O erro humano e a segurança do paciente nos serviços de saúde/Error humano y la seguridad del paciente en los servicios de salud

2014 ◽  
Vol 3 (3) ◽  
pp. 115
Author(s):  
Francisco Gilberto Fernandes Pereira ◽  
Joselany Áfio Caetano
Keyword(s):  
Patient Safety ◽  
Health Services ◽  
Human Error ◽  
Human Condition ◽  
Quality Of Services ◽  
Palabras Clave ◽  
De Se ◽  
Reflective Study ◽  
The Individual

ABSTRACT Objective: to discuss about human error and its implications on health services weaving parallel considerations on Patient Safety. Methodology: this is a reflective study, from the expert authors dialogical interpretation of the theme, which emerged from the thematic axes: contextualizing the phenomenon of uncertainty in health services; discussion from the perspective of error as inherent human condition, showing its multifaceted definition and consequences; and convergences between the error and Patient Safety. Results: in the area of health, human error is related to multiple factors, which travels from those causes inherent to the patient, those institutional, financial, structural, and human factors, such as lack of knowledge and skills. The error should commonly be used to generate learning situations that will translate into real improvements in the quality of services and care, which converges to the need to institutionalize a culture that prevails in the health and welfare of the individual assisted, giving rise to patient safety itself. Final considerations: the best way to prevent human error is to know the probability of its occurrence, as well as knowing typifies them, and relate its causes and consequences. Keywords: Patient safety. Medical erros. Health services. RESUMO Objetivo: discutir acerca do erro humano e suas implicações nos serviços de saúde tecendo considerações paralelas com a Segurança do Paciente. Metodologia: trata-se de um estudo reflexivo, realizado a partir da interpretação dialógica de autores experts na temática, dos quais emergiram os eixos temáticos: contextualização do fenômeno da insegurança nos serviços de saúde; discussão da perspectiva do erro como condição inerente do ser humano, demonstrando sua multifacetada definição e consequências; e, as convergências entre o erro e a Segurança do Paciente. Resultados: na área de saúde, o erro humano está atrelado a múltiplos fatores, que trafegam desde aquelas causas inerentes ao próprio paciente, àquelas institucionais, financeiras, estruturais, e de fatores humanos, como a falta de conhecimento e habilidades. O erro deve, comumente, ser utilizado para gerar situações de aprendizado que se converterão em melhorias efetivas da qualidade dos serviços e cuidados prestados, o que converge para a necessidade de se institucionalizar uma cultura em que prevaleça a saúde e o bem-estar do indivíduo assistido, fazendo emergir a segurança do paciente propriamente dita. Considerações finais: a melhor forma de prevenção do erro humano é conhecer a possibilidade de sua ocorrência, bem como saber tipificá-los, e relacionar suas causas e consequências. Descritores: Segurança do paciente. Erros médicos. Serviços de saúde. RESUMEN Objetivo: Discutir acerca de los errores humanos y sus implicaciones en los servicios de salud que tejen consideraciones paralelas sobre la Seguridad del Paciente. Metodología: se trata de un estudio reflexivo, de la interpretación dialógica autores expertos del tema, que surgió a partir de los ejes temáticos: contextualizar el fenómeno de la incertidumbre en los servicios de salud; discusión desde la perspectiva del error como condición inherente al ser humano, mostrando su definición multifacética y consecuencias; y convergencias entre el error y la Seguridad del Paciente. Resultados: en el área de la salud, el error humano se relaciona con múltiples factores, que viaja de esas causas inherentes al paciente, los factores institucionales, financieras, estructurales y humanos, como la falta de conocimientos y habilidades. El error normalmente se debe utilizar para generar situaciones de aprendizaje que se traducirán en mejoras reales en la calidad de los servicios y la atención, que converge a la necesidad de institucionalizar una cultura que prevalece en la salud y el bienestar del individuo asistida, dando lugar a sí mismo la seguridad del paciente. Consideraciones finales: la mejor manera de prevenir el error humano es conocer la probabilidad de que se produzcan, así como conocer los tipifica, y relacionar sus causas y consecuencias. Palabras clave: Seguridad del paciente. Errores médicos. Servicios de salud. 

Quality

2020 ◽  
pp. 166-183
Author(s):  
Julie Sin
Keyword(s):  
Health Services ◽  
Health System ◽  
Services Quality ◽  
Quality Care ◽  
System Level ◽  
Quality Of Services ◽  
Provider Perspective ◽  
Multidimensional Concept

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.

scholarly journals AS CONSEQUÊNCIAS DO PROCESSO DE TERCEIRIZAÇÃO PARA O SETOR DE GERENCIAMENTO DOS SERVIÇOS DE SAÚDE

2018 ◽  
Vol 3 (2) ◽  
pp. 24
Author(s):  
Helaine Marinho Matos e Matos ◽  
Dênia Rodrigues Chagas
Keyword(s):  
Health Services ◽  
Selection Criteria ◽  
Selection Process ◽  
Services Sector ◽  
De Se ◽  
Great Relevance ◽  
The Subject ◽  
Search And Selection ◽  
Health Field

O presente estudo propôs a realização de uma revisão bibliográfica com critérios de busca e seleção utilizadas pela revisão sistemática, tendo como principal objetivo a identificação dos efeitos oriundos do processo de terceirização no setor de gerenciamento dos serviços de saúde. Este, por sua vez, respaldou-se em estudos que versam a respeito da temática abordada, publicados nas bases de dados MEDLINE e SciELO, onde passaram por um processo de seleção, resultando num acervo de 15 artigos. Dentre os resultados encontrados pôde-se observar que a evolução do processo de terceirização trouxe benefícios de suma relevância para o âmbito da saúde, principalmente no que concerne à redução dos custos orçamentais de diversas unidades de saúde, favorecendo o acesso aos usuários dos serviços da saúde, e consequentemente promovendo uma melhoria na qualidade dos atendimentos a essa clientela. No entanto, alguns estudos mostraram algumas falhas no setor administrativo que levaram ao surgimento de sérios problemas no âmbito financeiro. Portanto, é imprescindível que haja a instituição de medidas preventivas e de monitoramento direcionadas ao processo, a fim de se evitar futuros contratempos. THE OUTSOURCING PROCESS CONSEQUENCES FOR MANAGEMENT OF HEALTH SERVICES SECTOR ABSTRACT The present study proposed the accomplishment of a bibliographic review with search and selection criteria used by the systematic review, having as main objective the identification of the effects arising from the process of outsourcing in the health services management sector. This was supported by studies on the subject, published in the MEDLINE and SciELO databases, where they underwent a selection process, resulting in a collection of 15 articles. Among the results found, it was observed that the evolution of the outsourcing process brought benefits of great relevance to the health field, mainly in relation to the reduction of the budgetary costs of several health units, favoring access to the users of health services and consequently promoting an improvement in the quality of care to this population. However, some studies have shown some flaws in the administrative sector that have led to the emergence of serious financial problems. Therefore, it is essential that preventive and monitoring measures be taken in order to avoid future setbacks.

scholarly journals Determinants of Health Service Efficiency in Hospi-tal: A Systematic Review

2021 ◽  
Vol 1 (3) ◽  
pp. 87-91
Author(s):  
Berly Nisa Srimayarti ◽  
Devid Leonard ◽  
Dicho Zhuhriano Yasli
Keyword(s):  
Systematic Review ◽  
Health Services ◽  
Organizational Factors ◽  
Hospital Efficiency ◽  
Quality Of Services ◽  
Literature Study ◽  
Factors Affecting ◽  
Service Efficiency ◽  
Hospital Patients

One of the benchmarks for assessing service performance in hospitals is efficiency in medical services. Measurement of service  efficiency will affect the quality of the hospital. Patients will consider the completeness of the service facilities they have and the quality of services to be obtained. This is due to the tendency of people to seek quality health services. Improving service quality standards in hospitals will have an impact on increasing income and getting recognition from the community for the quality of services in hospitals. This study aims to look at the determinant factors that affect hospital efficiency. This study uses a systematic review method based on the PRISMA protocol. Article searches were conducted through four online databases (PubMed, ProQuest, SAGE and SpingerLink). The initial search found 307 articles, filtered using inclusion criteria, so as many as 8 articles were analyzed with a time span of 2017-2021. The efficiency of health services in hospitals is the basis for obtaining a wider patient base and producing quality services. The results of the literature study show that there are 29 factors affecting hospital efficiency. The various factors obtained were categorized into organizational factors, health resource factors, and technical efficiency factors.

scholarly journals Analisis Implementasi Patient Safety Terkait Peningkatan Mutu Pelayanan Kesehatan di Rumah Sakit

2017 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Sumarni Sumarni
Keyword(s):  
Patient Safety ◽  
Health Services ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Worker Safety ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Ibn Sina ◽  
Quality Of Health Services

<em>Ministry of Health of the Republic of Indonesia to set out five key issues related to safety in the hospital, the Patient Safety, worker safety, the safety of buildings and equipment in hospitals that could have an impact on Patient Safety and personnel, safety of the environment that have an impact on environmental pollution and safety businesses Hospital related to the survival Hospital. Management of patient safety plays an important role in improving the quality of health services. Patient safety is the efforts of service that prioritizes patient safety. The research was conducted at Ibn Sina Hospital, the type of research is cross sectional study is a draft that examines the dynamics of the correlation between the independent variables (patient safety) and the dependent variable (improving the quality of health services) at the same time. Respondents that all officers in the field of medical care and support services at Ibn Sina Hospital. The sampling technique used is random cluster sampling technique with a population of 402 respondents sampled 304 respondents. Based on interviews with the respondents stated that the higher the safety of the patient, the better the quality of a hospital, when a patient is exposed to the incident then it will switch to other hospitals, patient safety and quality are positively correlated Hospital. The results showed that no respondents (0%) the implementation of Patient Safety classified as very weak. The percentage of respondents to the implementation of Patient Safety is very strong, strong, moderate and weak amounted to 12.25% (30 respondents), 71.57% (224 respondents), 15.69% (39 respondents) and 0.49% (11 respondents ). Based on these results it is known that the majority of respondents ie 71.57% (224 respondents) is the implementation of the Patient Safety category are classified as strong, so it can be concluded that the implementation of Patient Safety at Ibn Sina Hospital relatively strong. Based on the dimensions of most of the dimensions Implementing Patient Safety at Ibn Sina Hospital is high with dimensions on the dimension of cooperation is highest in units amounted to 97.10%.</em>

scholarly journals Technovigilance and risk management as tools to improve patient safety in Colombian health care institutions

2017 ◽  
Vol 11 (21) ◽  
Author(s):  
Andrés Mauricio González Vargas ◽  
Ana María Sánchez Benavides ◽  
Andrés Felipe Betancourt Hernández ◽  
Carlos David Mantilla Ramirez
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Patient Safety ◽  
Health Services ◽  
Improve Patient Safety ◽  
Health Care Institutions ◽  
Improve Patient

This paper presents the results of a survey about technovigilance carried out in 21 clinical institutions from the southwest of Colombia. It also provides an analysis of how these programs take into account different risk management methodologies in order to create awareness of the importance of patient safety in all members of the staff and improve the quality of the health services provided.

The Role of Various Types of Stimulation in the Work Motivation of the Doctor

2019 ◽  
Vol 8 (3) ◽  
pp. 39-43
Author(s):  
Л. Москвичева ◽  
L. Moskvicheva
Keyword(s):  
Performance Indicators ◽  
Work Motivation ◽  
Quality Of Services ◽  
Professional Activity ◽  
Monetary Incentives ◽  
Effi Ciency ◽  
The Individual ◽  
Level Of Motivation

The eff ectiveness and effi ciency of any type of professional activity largely depends on the level of motivation of the staff . Currently, a signifi cant number of mechanisms to stimulate the labor activity of employees of organizations, as well as the levels of their importance to the individual in various constitutional working conditions are described. Of particular importance is the quality of services provided in the “helping” areas of activity, which include health care. However, the range of methods used to stimulate and motivate in this area is reduced only to the use of material monetary incentives, often not related to the direct performance indicators of specialists, which levels the motivational component of these activities. Taking into account the fact that doctors, as well as representatives of any other professions, have absolutely diff erent dominant motives of labor activity, in medical organizations it is necessary to apply a diff erentiated approach to motivating and stimulating activities, including various types of material non-monetary and non-fi nancial stimulation, the result of which will be an increase in the quality and availability of medical services provided to the population.

scholarly journals Analysis Quality of Services on and Satisfaction Loyalty Patients Sumberglagah Hospital Mojokerto

2020 ◽  
Vol 3 (2) ◽  
pp. 232-238
Author(s):  
Bambang Priyono ◽  
Indasah Indasah ◽  
Koesnadi Koesnadi
Keyword(s):  
Patient Satisfaction ◽  
Linear Regression ◽  
Health Services ◽  
Service Quality ◽  
General Hospital ◽  
Quality Of Services ◽  
Hospital Services ◽  
Patient Loyalty ◽  
Regression Test

Hospitals were health facilities that provide individual health services including promotive, preventive, curative and rehabilitative services. Hospital services provided in the form of quality will be able to satisfy patients. Patients satisfied with the services provided can also create patient loyalty. This study aims to determine the effect of service quality on satisfaction and loyalty of patients at Sumber Glagah General Hospital Mojokerto. Research design used in this study a correlation analytic with a cross sectional approach. The population study were all in patients at Sumber Glagah General Hospital Mojokerto in August 2018 as many as 315 patients. The sampling technique used simple random sampling with a sample size of 100 patients. The independent variable was service quality and the dependent variable is satisfaction and loyalty. The instrument used a questionnaire that is tested for its validity and reliability. Data analysis used linear regression with a significance level of 0.05. The results showed that respondents stated that the services of the Sumberglagah General Hospital were of high quality at 56%. Respondents who stated that they were very satisfied were 94%. Respondents who stated were very loyal at 93%. The results of the linear regression test showed that p = 0.025 (α = 0.05) that H0 is rejected means that there is an influence between the quality of service of Sumberglagah Hospital in Mojokerto and patient satisfaction. The results of the linear regression test showed that p = 0.015 means that there is an influence between the quality of services of Sumberglagah Hospital in Mojokerto on patient loyalty. The quality of health services felt by patients is predicted to increase patient satisfaction. Good service quality will affect patient satisfaction as a hospital customer. The more quality the services provided by the hospital, the more patients will feel satisfaction with the services provided. The better quality of hospital services provided to patients will be more loyal patients to the hospital

scholarly journals PENGOBATAN YANG AMAN BERDASARKAN 5 MOMENT FOR MEDICATION SAFETY

2021 ◽  
Vol 5 (1) ◽  
pp. 47
Author(s):  
Ni Putu Aryati Suryaningsih ◽  
Gde Palguna Reganata
Keyword(s):  
Patient Safety ◽  
Health Services ◽  
Medication Safety ◽  
Service Management ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quality Health ◽  
Management Concept ◽  
Design Result

Latar Belakang: Pelayanan Farmasi merupakan salah satu kegiatan di pelayanan kesehatan yang  menunjang pelayanan kesehatan yang bermutu. Perubahan paradigma kefarmasian dari terfokus pada obat (drug oriented)  menjadi fokus kepada pasien (patient oriented). Patient Oriented menuntut pelayanan kefarmasian yang komprehensif bertujuan untuk meningkatkan kualitas hidup pasien dan  mengutamakan keselamatan pasien. Dalam meningkatkan keamanan pengobatan pasien, konsep manajemen pelayanan farmasi saat ini bergerak ke arah manajemen obat yang aman (medication safety). WHO mengeluarkan suatu pedoman berupa alat ukur mengenai medication safety 5momen yang mencakup 5 pertanyaan yang digunakan oleh pasien dalam perawatan mereka sendiri guna mencapai pengobatan yang aman. Antibiotik merupakan golongan obat yang paling banyak digunakan di dunia yang digunakan secara tidak tepat dan tidak rasional. Tujuan penelitian untuk mengetahui gambaran penggunaan antibiotika yang aman, berdasarkan 5 Momen for Medication Safety. Metode: Penelitian ini merupakan penelitian dengan pendekatan kuantitatif dengan rancangan penelitian potong lintang deskriptif. Hasil: Secara keseluruhan diperoleh 60% yang menjawab benar , yaitu 72,4% yang mengetahui kapan memulai pengobatan antibiotika, 68,8% yang mengetahui mengkonsumsi antibiotika, 42,6% yang mengetahui menambah antibiotika,  47,2% yang mengetahui mereview pengobatannya, dan 68,8% mengetahui dengan benar menghentikan obat antibiotika. Kesimpulan: 60 % masyarakat yang benar mengetahui pengobatan yang aman penggunaan antibiotika dan 40% yang tidak mengetahuinya.kata kunci: Medication safety, Antibiotika, patient safety.ABSTRACT Pharmacy services are one of the activities in health services that support quality health services. Change paradigms in Pharmacy form drug oriented to patient oriented. Patient oriented. Patient oriented demands comprehensive pharmaceutical services aimed at improving the quality of life of patients and prioritizing patient safety. In improving the safety of patient medication, the current pharmaceutical service management concept is moving towards safe drug management. WHO released a new tool for measuring the medication safety, 5 momen which includes 5 questions used to patient can be  describe in their own care to achieve medication safety. Antibiotics are the most commonly used in the world that are used inappropriately and irrationally. The aim of study was to describe the safe  use of antibiotics based on  5 Momen for medication safety. Methods : This research is a research with a quantitative approach with a descriptive cross-sectional study design. Result of the study Overall, it was found that 60 % who answer correctly, 72,4 % who’s can know when to start antibiotics treatment, 68,8 % can know taking antibiotics, 42,6% can know when must adding the  antibiotics, 47,2% can know review the medication, and  68,8% can know when must stop the antibiotics. Conclusion : 60 % people who are really use the medication safety  and 40 % do not know it.Keyword : Medication safety, Antibiotic, patient safety

scholarly journals Calling and Comradeship

2021 ◽  
Author(s):  
Myra van den Goor ◽  
Tanya Bondarouk
Keyword(s):  
Qualitative Research ◽  
Patient Safety ◽  
Quality Of Care ◽  
Organizational Level ◽  
High Quality ◽  
Relational Values ◽  
The Individual ◽  
High Level ◽  
Shed Light

Patient safety heavily relies on doctors performing to the best of their abilities, delivering high quality of patientcare. However, changing market forces and increasing bureaucracy challenge physicians in their performance. Despite the dynamic conditions they experience, the majority performs on a high level. What exactly drives these doctors? Answering this question will shed light on how to best support doctors to be the engaged healthcare professionals that society wants and needs them to be. So patients are ensured safe and high quality of care. This chapter dips deeper into what primarily drives doctors, thus we turned to doctors themselves for answers. Being interested in their perceptions, feelings, behaviour, relations to, and interactions with, each other, this chapter relies heavily on qualitative research involving around 1000 hospital-based physicians. Conclusively, doctors can only truly blossom in an environment that stimulates their calling and that breathes a comradeship mindset, where sharing is about caring and peer-support is felt. It’s alarming that these essential humanistic and relational values are supressed by today’s more business-like climate in healthcare. Curtailing what primarily inspires doctors will eventually lead to doctors no longer having the time, energy and motivation to deliver the best possible patientcare. To restore the balance, we provide recommendations on the individual-, group-, and organizational level.

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