scholarly journals Hot Topics in Safety for Pediatric Anesthesia

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 242
Author(s):  
Amanda Lorinc ◽  
Camila Walters ◽  
Hannah Lovejoy ◽  
Christy Crockett ◽  
Srijaya Reddy
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Pediatric Anesthesia ◽  
Institutional Research ◽  
Quality And Safety ◽  
Medical Specialties ◽  
Perioperative Safety ◽  
Specialty Society ◽  
Safety Committees ◽  
Collaborative Efforts

Anesthesiology is one of the leading medical specialties in patient safety. Pediatric anesthesiology is inherently higher risk than adult anesthesia due to differences in the physiology in children. In this review, we aimed to describe the highest yield safety topics for pediatric anesthesia and efforts to ameliorate risk. Conclusions: Pediatric anesthesiology has made great strides in patient perioperative safety with initiatives including the creation of a specialty society, quality and safety committees, large multi-institutional research efforts, and quality improvement initiatives. Common pediatric peri-operative events are now monitored with multi-institution and organization collaborative efforts, such as Wake Up Safe.

Quality Improvement for Neonatal Nurses, Part I: A Framework for Advancing the Quality and Safety of Care

2012 ◽  
Vol 31 (2) ◽  
pp. 81-88 ◽  
Author(s):  
Lenora Marcellus ◽  
Adele Harrison
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Premature Infants ◽  
Oral Feeding ◽  
Quality And Safety ◽  
Health Care Planning ◽  
Neonatal Nurses ◽  
Neonatal Nursing ◽  
New Process ◽  
To Come

Quality improvement (QI) and patient safety are becoming increasingly powerful drivers for health care planning and delivery. In this two-part series, the concept of QI will be introduced and implications for neonatal nursing care will be discussed. Part I reviews trends in the fields of QI and patient safety and introduces how neonatal practitioners are currently taking up QI and patient safety in their practice. Part II, to come, is titled “Using a Plan-Do-Study-Act Process to Introduce a Step-wise Framework for Establishing Oral Feeds in Premature Infants” will present the QI process “in action” by describing a QI project conducted in a Level III NICU on introducing and testing a new process for improving the transition from tube to oral feeding for preterm infants.

Creation and implementation of a chief fellow of quality improvement in an oncology fellowship program.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 152-152
Author(s):  
Amy Little Jones ◽  
Joshua Michael Gulvin ◽  
Catherin Butler-Gunn ◽  
Robert A. Wolff ◽  
Alyssa G. Rieber
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Core Competency ◽  
Opioid Use ◽  
Clinical Safety ◽  
Practical Applications ◽  
Educational Curriculum ◽  
Root Cause ◽  
Care Plans ◽  
Safety Committees

152 Background: Educating oncology trainees in methods and practical applications of quality improvement (QI) is essential. QI is a key component of the ACGME core competency of systems based practice. Formal QI training helps oncologists deliver safe and effective cancer care. Creating a QI chief fellow position allows for patient safety and QI initiatives to be fellow-driven and focused on building lifelong, oncology specific, QI skills. Methods: Feedback was solicited from the fellowship’s executive committee and divisional leadership to establish the job description and funding. Nominations were sought from peer fellows, focusing on a fellow who has expressed interest in QI, patient safety, and/or value based healthcare. The chief fellow was tasked with implementing a QI educational curriculum, developing a fellowship-wide QI project, and representing the fellowship on institution-wide QI and patient safety committees. Results: 100% (14/14) graduating fellows completed the requirements for an institutional clinical QI certificate by the end of the second year of the QI chief implementation, compared to 0% before the start of the implementation. 100% (27/27) of 1st and 2nd year fellows completed online training modules in QI. Biannual root cause analyses for patient safety events were initiated as a standard part of educational curriculum. 4 separate fellow-initiated QI projects were completed: oral chemotherapy patient education, opioid use and documentation, survivorship care plans, and infusion center usage. Fellows’ selection to the institutional clinical safety and effectiveness course increased from 4.8% (2/42) to 9.8% (4/41) in since implementation of the QI chief fellow. Fellowship representation on institution-wide patient safety committee increased from 0 to 2. Conclusions: Implementing a QI chief fellow role in an oncology fellowship is a feasible way to integrate a QI curriculum and provide structure for fellows to obtain further certification in QI or patient safety during fellowship. Ongoing challenges include encouraging enthusiasm from the entire fellowship for QI projects, finding appropriate QI mentorship from faculty, and translating QI initiatives into academic products.

scholarly journals Pediatric Anesthesia Specialty Societies and Multi-Institutional Collaborations

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 233 ◽  
Author(s):  
Camila Walters ◽  
James Kynes ◽  
Srijaya Reddy ◽  
Christy Crockett ◽  
Hannah Lovejoy ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Interest Groups ◽  
Continuous Improvement ◽  
Pediatric Population ◽  
Pediatric Anesthesia ◽  
Education Quality ◽  
International Level ◽  
Research Education ◽  
Special Committees ◽  
Collaborative Efforts

Pediatric anesthesiology is a subspecialty of anesthesiology that deals with the high-risk pediatric population. The specialty has made significant advancement in large collaborative efforts to study and increase patient safety, including the creation of international societies, a dedicated journal, special committees and interest groups, and multi-institution databases for research and quality improvement. Readily available resources were created to help with the education of future pediatric anesthesiologists as well as continuing medical education. Conclusions: Specialty societies and collaborations in pediatric anesthesia are crucial for continuous improvement in the care of children. They promote research, education, quality improvement, and advocacy at the local, national, and international level.

A Guide to Evaluation of Quality Improvement and Patient Safety Educational Programs: Lessons From the VA Chief Resident in Quality and Safety Program

2018 ◽  
Vol 34 (3) ◽  
pp. 251-259 ◽  
Author(s):  
Rebecca L. Butcher ◽  
Kathleen L. Carluzzo ◽  
Bradley V. Watts ◽  
Karen E. Schifferdecker
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Chief Resident ◽  
Veterans Affairs ◽  
Teaching Skills ◽  
Quality And Safety ◽  
Department Of Veterans Affairs ◽  
Safety Program ◽  
Medical Education Program ◽  
Multiple Levels

With the recent proliferation of quality improvement (QI) and patient safety (PS) education programs, guidance is needed on how to assess the effectiveness of these programs. Without a systematic approach, evaluation efforts may end up being disjointed, lead to excess participant burden, or yield unhelpful feedback because of poor fit with program priorities. This article presents a framework for developing a multilevel evaluation infrastructure using examples from the evaluation of the national Department of Veterans Affairs Chief Resident in Quality and Safety program, a 1-year, post-accreditation program to develop leadership and teaching skills in QI and PS. It illustrates how to apply the framework to establish evaluation priorities and methods, and shares sample results and how they are used to guide program improvements and track important outcomes at multiple levels. The framework is particularly relevant to other nonaccredited advanced QI/PS programs, yet offers useful considerations for evaluating any advanced medical education program.

scholarly journals Common Core Curriculum for Quality and Safety: A Novel Instrument for Cultivating Trainee Engagement in Quality Improvement and Patient Safety

2015 ◽  
Vol 7 (2) ◽  
pp. 272-274 ◽  
Author(s):  
Christopher J. Nagy ◽  
Randall C. Zernzach ◽  
Woodson S. Jones ◽  
Jay B. Higgs ◽  
Sarah N. Bowe ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Common Core ◽  
Core Curriculum ◽  
Quality And Safety ◽  
Common Core Curriculum

scholarly journals Quality and safety in the time of Coronavirus: design better, learn faster

2020 ◽  
Author(s):  
John Fitzsimons
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Health Systems ◽  
Quality And Safety ◽  
Safety Science ◽  
Selection Of ◽  
Crisis Situations

Abstract The COVID-19 pandemic has required health systems to change much faster than normal. Many staff have experienced training in quality improvement and patient safety methods which can be used to support the design of new systems and to accelerate learning about new and adapted practices. This article sets out the principles of quality improvement and patient safety science, applying them in a selection of approaches, methods and tools, which may be useful in crisis situations such as the current pandemic. The article also makes reference to several resources which may be of use to those keen to advance their knowledge.

Developing a Quality Improvement and Patient Safety Toolbox: The Curriculum

MedEdPORTAL ◽  
2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Patricia Keefer ◽  
Kelly Orringer ◽  
Jennifer Vredeveld ◽  
Kavita Warrier ◽  
Heather Burrows
Keyword(s):  
Patient Safety ◽  
Quality Improvement

scholarly journals Attitudes of pharmacy students towards patient safety: a cross-sectional study from six developing countries

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e039459
Author(s):  
Abdallah Y Naser ◽  
Zahra Khalil Alsairafi ◽  
Ahmed Awaisu ◽  
Hassan Alwafi ◽  
Oriana Awwad ◽  
...  
Keyword(s):  
Developing Countries ◽  
Saudi Arabia ◽  
Patient Safety ◽  
Quality Improvement ◽  
Core Competencies ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Pharmacy Students ◽  
Sectional Study ◽  
Cross Sectional

ObjectiveTo evaluate the attitudes of undergraduate pharmacy students towards patient safety in six developing countries.DesignA cross-sectional study.SettingParticipants were enrolled from the participating universities in six countries.ParticipantsUndergraduate pharmacy students from the participating universities in six developing countries (Jordan, Saudi Arabia, Kuwait, Qatar, India and Indonesia) were invited to participate in the study between October 2018 and September 2019.Primary outcomeAttitudes towards patient safety was measured using 14-item questionnaire that contained five subscales: being quality-improvement focused, internalising errors regardless of harm, value of contextual learning, acceptability of questioning more senior healthcare professionals’ behaviour and attitude towards open disclosure. Multiple-linear regression analysis was used to identify predictors of positive attitudes towards patient safety.ResultsA total of 2595 students participated in this study (1044 from Jordan, 514 from Saudi Arabia, 134 from Kuwait, 61 from Qatar, 416 from India and 429 from Indonesia). Overall, the pharmacy students reported a positive attitude towards patient safety with a mean score of 37.4 (SD=7.0) out of 56 (66.8%). The ‘being quality-improvement focused’ subscale had the highest score, 75.6%. The subscale with the lowest score was ‘internalising errors regardless of harm’, 49.2%. Female students had significantly better attitudes towards patient safety scores compared with male students (p=0.001). Being at a higher level of study and involvement in or witnessing harm to patients while practising were important predictors of negative attitudes towards patient safety (p<0.001).ConclusionPatient safety content should be covered comprehensively in pharmacy curricula and reinforced in each year of study. This should be more focused on students in their final year of study and who have started their training. This will ensure that the next generation of pharmacists are equipped with the requisite knowledge, core competencies and attitudes to ensure optimal patient safety when they practice.

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