scholarly journals The surgical journey: exploring the OR-PACU handover

2021 ◽  
Author(s):  
Marketa Gross
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Content Analysis ◽  
Qualitative Study ◽  
Adverse Events ◽  
Team Processes ◽  
Team Members ◽  
Handover Process ◽  
Collective Competence ◽  
Transfer Of Information

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.

scholarly journals The surgical journey: exploring the OR-PACU handover

2021 ◽  
Author(s):  
Marketa Gross
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Content Analysis ◽  
Qualitative Study ◽  
Adverse Events ◽  
Team Processes ◽  
Team Members ◽  
Handover Process ◽  
Collective Competence ◽  
Transfer Of Information

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.

scholarly journals GAMES AS AN EDUCATIONAL TECHNOLOGY FOR THE INVOLVEMENT OF COMPANIONS IN PEDIATRIC PATIENT SAFETY: A QUALITATIVE STUDY

2021 ◽  
Vol 30 ◽  
Author(s):  
Maria Tereza Teles Coelho Aguilar Costa ◽  
Karyne Maria de Morais ◽  
Anna Cláudia Santos Prado Cavanellas ◽  
Viviane Euzébia Pereira Santos ◽  
Allana dos Reis Corrêa ◽  
...  
Keyword(s):  
Educational Technology ◽  
Patient Safety ◽  
Qualitative Study ◽  
Adverse Events ◽  
Pediatric Patient ◽  
Behavioral Changes ◽  
Structured Interviews ◽  
Team Members ◽  
The Public ◽  
Communication Problems

ABSTRACT Objective to describe the meaning attributed to the use of a game as an educational technology for the involvement of companions in pediatric patient safety. Method a qualitative study carried out with 16 companions of children admitted to the Pediatric Unit of the public hospital in Minas Gerais, Brazil. Data collection took place from October to December 2019, through semi-structured interviews, after using the game as an educational technology. Symbolic Interactionism was used as the theoretical framework and Inductive Content Analysis, as the method. Results playing the game in search of patient safety was an important strategy for sharing knowledge and co-responsibility for the companions to engage in the pediatric patient safety actions, in addition to a relevant contribution to the prevention of adverse events. On the other hand, the professionals' overload and communication problems stood out as barriers to the establishment of a bond among the health team members and, consequently, the involvement of the companions in patient safety. Conclusion the companions recognized themselves as partners in the prevention of adverse events and highlighted some behavioral changes in favor of patient safety after participating in the playful intervention. Thus, it is considered that the game can be an important and interactive strategy for disseminating information to companions and family members and, consequently, favoring the increased participation of these actors in patient safety actions.

scholarly journals Patient safety: perception of family members of hospitalized children

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Larissa Fernandes Franco ◽  
Maria Aparecida Bonelli ◽  
Monika Wernet ◽  
Mayara Caroline Barbieri ◽  
Giselle Dupas
Keyword(s):  
Patient Safety ◽  
Content Analysis ◽  
Qualitative Study ◽  
Adverse Events ◽  
Pediatric Patients ◽  
Family Members ◽  
Hospitalized Children ◽  
Error Prevention ◽  
Safety Perception ◽  
Professional Care

ABSTRACT Objectives: to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration. Methods: this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method. Results: child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members. Final Considerations: family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.

Development of the perceptions of preventable adverse events assessment tool (PPAEAT): measurement properties and patients’ mental health status

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Franziska Maria Keller ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Martina Schmiedhofer ◽  
Sonia Lippke
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Adverse Events ◽  
Health Care Professionals ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Primary Health ◽  
Item Scale

Abstract Background Patient-centered care and patient involvement have been increasingly recognized as crucial elements of patient safety. However, patient safety has rarely been evaluated from the patient perspective with a quantitative approach aiming at making patient safety and preventable adverse events measurable. Objectives The objectives of this study were to develop and evaluate the psychometric properties of a questionnaire assessing patient safety by perceived triggers of preventable adverse events among patients in primary health-care settings while considering mental health. Methods Two hundred and ten participants were recruited through various digital and print channels and asked to complete an online survey between November 2019 and April 2020. Exploratory factor analysis was performed to identify domains of triggers of preventable adverse events affecting patient safety. Furthermore, a multi-trait scaling analysis was performed to evaluate internal reliability as well as item-scale convergent–discriminant validity. A multivariate analysis of covariance evaluated whether individuals below and above the symptom threshold for depression and generalized anxiety perceive triggers of preventable adverse events differently. Results The five factors determined were information and communication with patients, time constraints of health-care professionals, diagnosis and treatment, hygiene and communication among health-care professionals, and knowledge and operational procedures. The questionnaire demonstrated a good total and subscale internal consistency (α = 0.90, range = 0.75–0.88), good item-scale convergent validity with significant correlations between 0.57 and 0.78 (P < 0.05; P < 0.01) for all items with their associated subscales, and satisfactory item-scale discriminant validity between 0.14 and 0.55 (P > 0.05) with no significant correlations between the items and their competing subscales. The questionnaire further revealed to be a generic measure irrespective of patients’ mental health status. Patients older than 50 years of age perceived a significantly greater threat to their own safety compared to patients below that age. Conclusion The developed Perceptions of Preventable Adverse Events Assessment Tool (PPAEAT) exhibits good psychometric properties, which supports its use in future research and primary health-care practice. Further validation of the PPAEAT in different settings, languages and larger samples is needed. The results of this study need to be considered when assessing patient safety in the context of health-care research.

Surgeons in the operating theatre: preparing to lead by example

2008 ◽  
Vol 90 (9) ◽  
pp. 306-307
Author(s):  
K Woo
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Operating Theatre ◽  
Traditional Practices ◽  
Consent Forms ◽  
Operative Site ◽  
Current Climate ◽  
Theatre Staff

Surgeons, anaesthetists and theatre staff have always worked to ensure that no harm comes to their patients, particularly within the operating theatre environment. Patient safety and the prevention of adverse events underlie many of our traditional practices such as the use of identity bracelets, consent forms and marking of the operative site. Perhaps even more so today than ever, unnecessary or avoidable mistakes in the operating theatre cannot be afforded, with the current climate of increasing standards of health care and rising expectations.

scholarly journals Referral and counter-referral for the integrality of care in the Health Care Network

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Health System ◽  
Family Health ◽  
Ethics Committee ◽  
The State ◽  
Healthcare Network ◽  
Unified Health System ◽  
Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

Improving Patient Safety with Telemedicine

2013 ◽  
pp. 56-70 ◽  
Author(s):  
I. H. Monrad Aas
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Potential Role ◽  
Professional Communities ◽  
Network Organization ◽  
Quality Problem ◽  
Do No Harm ◽  
Centralization And Decentralization

The patient safety and quality problem in health care are considerable. To err is human, but primum non nocere (first, do no harm) means work against the adverse events and work for good quality. The purpose of the chapter is to explore the potential role for patient safety of a telemedicine network organization with centralization and decentralization taken into consideration. Network organization is of importance for strengthening of professional communities and competence complementation. For the building of strong professional communities, some size can be necessary, and this can be promoted by centralization. In the telemedicine era, a new way of organizing can be network organization, combined with centralization and decentralization. Not to do anything with the significant patient safety and quality problem is fundamentally wrong and morally indefensible. To err is human, to continue to err is diabolic, and to forgive is divine.

scholarly journals The interference of the care context with the visibility of the drug consumption by women

2007 ◽  
Vol 15 (2) ◽  
pp. 247-252 ◽  
Author(s):  
Jeane Freitas de Oliveira ◽  
Mirian Santos Paiva ◽  
Camila Motta Leal Valente
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Drug Addiction ◽  
Drug Users ◽  
Participant Observation ◽  
Health Care Practitioners ◽  
Increasing Demand ◽  
Female Drug Users ◽  
Addiction Care

In light of the increasing demand for female drug addiction care and its internationally acknowledged specificity, this qualitative study was carried out in Salvador, BA, Brazil, from October 2003 to September 2004. It aimed to investigate whether the context of care in which participants are inserted interferes with the visibility of female drug addiction. Participant observation and content analysis of 19 interviews performed with health care practitioners revealed that some aspects of female drug addiction were perceived differently according to the context of care (institution versus outdoors): demand, kind of drug used, age, social roles and partner's influence in the initiation and maintenance of drug use. Since the context of care impacts the health care practitioners' representation of female drug users which in turn can affect the strategies devised for their care, we recommend that not only the contexts of care within the studied unit should be articulate, but these contexts with those from other health services as well.

Forgotten Fathers: Postpartum Depression in Men

2019 ◽  
Vol 40 (8) ◽  
pp. 1001-1017 ◽  
Author(s):  
Brandon Eddy ◽  
Von Poll ◽  
Jason Whiting ◽  
Marcia Clevesy
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Care Providers ◽  
Chat Rooms ◽  
Gender Expectations ◽  
Secondary Sources ◽  
Analysis Methods

Although postpartum depression is common and well-studied in mothers, many fathers also experience symptoms. This qualitative study investigated fathers’ experiences of postpartum depression. Data from secondary sources such as blogs, websites, forums, and chat rooms were analyzed using a combination of phenomenological and content analysis methods to understand father’s experiences of paternal postpartum depression. Six themes emerged from the data including fathers’ needing education, adhering to gender expectations, repressing feelings, being overwhelmed, resentment of baby, and the experience of neglect. These data provide useful information that can aid health care providers, researchers, clinicians, and families in understanding the experience of paternal postpartum depression and in better coping with the challenges these families face.

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