scholarly journals Legal Mechanisms to Improve Quality of Care in Canadian Hospitals

2017 ◽  
Author(s):  
Lorian Hardcastle
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Health Professionals ◽  
Improve Quality ◽  
Hospital Governance ◽  
Individual Health ◽  
Legal Relationship ◽  
Governance Practices ◽  
The Law

Tens of thousands of Canadians die each year as a result of preventable injuries sustained in hospitals. The patient safety literature suggests that we must implement systems and processes designed to prevent errors, rather than focusing on the mistakes of individual health professionals. Although the law tends to reinforce the provider-centric approach to errors, several law reforms have the potential to catalyze a systems-centric approach that finds support in the patient safety literature: shifting some liability from physicians to hospitals, reforming hospital governance practices, and reconsidering the legal relationship between physicians and hospitals.

Improving patient safety: Utilization of standardized radiation oncology simulation templates.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 259-259
Author(s):  
Ashlyn S. Everett ◽  
Ginna Blalock ◽  
Drexell Hunter Boggs
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Radiation Oncology ◽  
Treatment Guidelines ◽  
Error Rates ◽  
Cancer Site ◽  
Improve Quality ◽  
Clinic Efficiency ◽  
Ct Simulation

259 Background: Increasing patient volume and treatment complexity in the field of radiation oncology has resulted in increased number of errors possibly affecting patient safety. Effective methods of mitigating these errors include automation, computerization, simplification, and standardization. To improve quality of care and patient safety, our institution established consensus standardized treatment guidelines for each cancer site. However, physician orders for computed tomography (CT) simulation for radiation treatment planning continued to have extreme variability, with error rates of 31%. Therefore, a team was assembled to devise standardized orders to reduce error, improve patient safety, and improve quality of care in the CT simulation order process. Methods: For this study, we investigated 3 commonly treated sites at our institution: breast (14%), prostate (7%), and brain metastases treated with radiosurgery (14%). A standardized template CT simulation order was defined for each disease site using the consensus treatment guidelines. These orders were integrated into the electronic medical record (EMR) on March 5, 2018. To evaluate the efficacy of the intervention, CT simulation order data were queried for the two-month period before and after implementation of standardized template orders. Orders with variation from the treatment guidelines were counted to calculate error rates with and without standardized simulation orders. Results: In the two-months prior to implementation of the standardized order templates, 48 of 151 (31%) CT simulation orders for the three selected sites had variation from the consensus standardized orders. After implementation of the EMR standardized template, 17 of 129 simulation orders (13%) in the three selected sites had variations from the standard during this two-month period. Standardization of CT simulation orders using an EMR template reduced error rates from 31% to 13% (18% absolute reduction; 42% relative reduction). Conclusions: Simplification and standardization of CT simulation orders decreased error rates by 42%, thereby improving clinic efficiency and appropriate patient treatment.

scholarly journals Prescription for antibiotics at drug shops and strategies to improve quality of care and patient safety: a cross-sectional survey in the private sector in Uganda

BMJ Open ◽  
2016 ◽  
Vol 6 (3) ◽  
pp. e010632 ◽  
Author(s):  
Anthony K Mbonye ◽  
Esther Buregyeya ◽  
Elizeus Rutebemberwa ◽  
Siân E Clarke ◽  
Sham Lal ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Private Sector ◽  
Improve Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Drug Shops

scholarly journals Integrating Patient-Generated Health Data in an Electronic Medical Record: Stakeholders’ Perspectives

2020 ◽  
Author(s):  
Katherine Blondon ◽  
Frederic Ehrler
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Focus Group ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Data ◽  
Improve Quality

Patient-generated health data (PGHD), when shared with the provider, provides potential as an approach to improve quality of care. Based on interviews and a focus group with stakeholders involved in PGHD integration in the electronic medical record (EMR), we explore the benefits, barriers and possible risks. We propose solutions to address liability concerns, such as clarifying patient and provider expectations for the analyses of PGHD and emphasize considerations for future steps, which include the need to screen PGHD for patient safety.

Educating health professionals to improve quality of care for asthma

2004 ◽  
Vol 5 (4) ◽  
pp. 304-310 ◽  
Author(s):  
David Evans ◽  
Beverley J. Sheares ◽  
Tara-Lydia Vazquez
Keyword(s):  
Quality Of Care ◽  
Health Professionals ◽  
Improve Quality

Understanding normal work to improve quality of care and patient safety in a Spine Center

2018 ◽  
pp. 118-130
Author(s):  
Jeanette Hounsgaard ◽  
Bente Thomsen ◽  
Ulla Nissen ◽  
Ida Bhanderi
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Improve Quality ◽  
Normal Work

scholarly journals Challenges Faced by Health Professionals in Obtaining Correct Medication Information in the Absence of a Shared Digital Medication List

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Unn Sollid Manskow ◽  
Truls Tunby Kristiansen
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Of Care ◽  
Health Professionals ◽  
Digital Systems ◽  
Medication List ◽  
Medication Information ◽  
Patient Medication ◽  
Ensure Patient Safety

Information about patient medication use is usually registered and stored in different digital systems, making it difficult to share information across health care organisations. The lack of digital systems able to share medication information poses a threat to patient safety and quality of care. We explored the experiences of health professionals with obtaining and exchanging information on patient medication lists in Norwegian primary health care within the context of current digital and non-digital solutions. We used a qualitative research design with semi-structured interviews, including general practitioners (n = 6), pharmacists (n = 3), nurses (n = 17) and medical doctors (n = 6) from six municipalities in Norway. Our findings revealed the following five challenges characterised by being cut off from information on patient medication lists in the current digital and non-digital solutions: ‘fragmentation of information systems’, ‘perceived risk of errors’, ‘excessive time use’, ‘dependency on others’ and ‘uncertainty’. The challenges were particularly related to patient transitions between levels of care. Our study shows an urgent need for digital solutions to ensure seamless, up-to-date information about patient medication lists in order to prevent medication-related problems. Future digital solutions for a shared medication list should address these challenges directly to ensure patient safety and quality of care.

Rethinking Patient Surveillance on Hospital Wards

2021 ◽  
Author(s):  
Frederic Michard ◽  
Cor J. Kalkman
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Early Detection ◽  
Vital Signs ◽  
Clinical Deterioration ◽  
Improve Quality ◽  
Mobile Monitoring ◽  
Hospital Wards

Continuous and mobile monitoring of vital signs may soon become a reality on hospital wards. By enabling the early detection of clinical deterioration, it may improve quality of care and patient safety.

scholarly journals We Can Do This: The Institute for Healthcare Adverse Drug

2021 ◽  
pp. 69-87
Author(s):  
Lucian L. Leape
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Medical Error ◽  
Improve Quality ◽  
Policy Makers ◽  
New Approach ◽  
Healthcare Improvement ◽  
New Information

AbstractRewind to 1995, before Annenberg and the NPSF. “Patient safety” was not on many agendas, but methods to change systems to improve quality of care were beginning to be developed. Policy-makers and the healthcare establishment were slow to respond to the new information on the extent of medical error and our calls for a new approach, but one person instantly recognized the challenge: Don Berwick of the Institute for Healthcare Improvement (IHI).

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