scholarly journals Person-Centered Care Practice, Patient Safety Competence, and Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals

2021 ◽  
Vol 18 (10) ◽  
pp. 5169
Author(s):  
Ayoung Huh ◽  
Juh Hyun Shin
Keyword(s):  
Patient Safety ◽  
Assessment Tool ◽  
Improve Patient Safety ◽  
Care Practice ◽  
Safety Skills ◽  
Person Centered Care ◽  
Centered Care ◽  
Practice Patient ◽  
Improve Patient ◽  
Geriatric Nurses

Geriatric nursing activities are closely related to patient safety; therefore, nurses’ efforts to improve patient safety in geriatric hospitals are important. In the present study, we investigated the relationships between person-centered care practice, patient safety competence, and patient safety during nursing activities in geriatric hospitals. We used the following tools to investigate the factors affecting patient safety during nursing activities: (a) the Korean version of the Person-Centered Care Assessment Tool (P-CAT), (b) the Patient Safety Competence Assessment Tool for Nurses, and (c) the Patient Safety Nursing Activities Assessment Tool for geriatric nurses. The questionnaire survey was completed by 186 geriatric nurses in 12 geriatric hospitals from 1 August to 31 August 2018. We analyzed the survey data using a t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression. We identified patient safety skills (β = 0.417, p < 0.001) and age (β = 0.209, p = 0.035) as key factors that influence patient safety during nursing activities. Therefore, to improve the quality of patient safety during nursing activities conducted by geriatric nurses, it is necessary to develop strategies to improve patient safety skills and expand the pool of competent nurses with clinical experience.

The Computer-Assisted Patient Consultation

2010 ◽  
pp. 72-83 ◽  
Author(s):  
Aviv Shachak ◽  
Shmuel Reis
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
Computer Assisted ◽  
Patient Centered ◽  
Enabling Factors ◽  
Centered Care ◽  
Patient Consultation ◽  
Micro Level ◽  
Improve Patient

The implementation of electronic health records (EHRs) holds the promise to improve patient safety and quality of care, as well as opening new ways to educate patients and engage them in their own care. On the other hand, EHR use also changes clinicians’ workflow, introduces new types of errors, and can distract the doctor’s attention from the patient. The purpose of this chapter is to explore these issues from a micro-level perspective, focusing on the patient consultation. The chapter shows the fine balance between beneficial and unfavorable impacts of using the EHR during consultations on patient safety and patient-centered care. It demonstrates how the same features that contribute to greater efficiency may cause potential risk to the patient, and points to some of the strategies, best practices, and enabling factors that may be used to leverage the benefits of the EHR. In particular, the authors point to the role that medical education should play in preparing practitioners for the challenges of the new, computerized, environment of 21st century medicine.

The Computer-Assisted Patient Consultation

2011 ◽  
pp. 160-171
Author(s):  
Aviv Shachak ◽  
Shmuel Reis
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
Computer Assisted ◽  
Patient Centered ◽  
Enabling Factors ◽  
Centered Care ◽  
Patient Consultation ◽  
Micro Level ◽  
Improve Patient

The implementation of electronic health records (EHRs) holds the promise to improve patient safety and quality of care, as well as opening new ways to educate patients and engage them in their own care. On the other hand, EHR use also changes clinicians’ workflow, introduces new types of errors, and can distract the doctor’s attention from the patient. The purpose of this chapter is to explore these issues from a micro-level perspective, focusing on the patient consultation. The chapter shows the fine balance between beneficial and unfavorable impacts of using the EHR during consultations on patient safety and patient-centered care. It demonstrates how the same features that contribute to greater efficiency may cause potential risk to the patient, and points to some of the strategies, best practices, and enabling factors that may be used to leverage the benefits of the EHR. In particular, the authors point to the role that medical education should play in preparing practitioners for the challenges of the new, computerized, environment of 21st century medicine.

scholarly journals How to Improve Patient Safety Literacy?

2020 ◽  
Vol 17 (19) ◽  
pp. 7308
Author(s):  
Yoon-Sook Kim ◽  
Hyun Ah Kim ◽  
Moon-Sook Kim ◽  
Hyuo Sun Kim ◽  
Mi Jeong Kwak ◽  
...  
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
General Information ◽  
P Value ◽  
Educational Materials ◽  
Face To Face ◽  
Do It Yourself ◽  
Comprehensive Plans ◽  
Practice Patient ◽  
Improve Patient

The aim of this comparative study involving pre- and post-tests was to analyze the effectiveness of patient safety educational materials developed for the Comprehensive Plans for Patient Safety in Korea (2018–2022), and to suggest how to improve patient safety literacy. A face-to-face survey interview comprising items related to general information and patient safety literacy was completed by 217 patients and their families who visited three general hospitals in Seoul and one general hospital in Gyeonggi-do for treatment between 25 October and 15 November 2019. In the interview, the patients were asked questions about whether the patient safety educational materials were “easy to understand,” provided “help in safe hospitalization,” and enabled patients to practice patient safety independently (“do it yourself”). The literacy of the patient safety educational materials was analyzed using a paired t-test with a p value of 0.05. The comparison between patient safety literacy on pre- and post-tests revealed that among all participants, there were significant differences in “easy to understand,” “help in safe hospitalization,” and “do it yourself” scores. To improve patient safety literacy, patient education materials need to optimize communication by improving patients’ knowledge, skills, and attitudes for maintaining and promoting healthy living.

scholarly journals Writing’s on the wall: improving the WHO Surgical Safety Checklist

2021 ◽  
Vol 10 (1) ◽  
pp. e001086
Author(s):  
Claire Cushley ◽  
Tom Knight ◽  
Helen Murray ◽  
Lawrence Kidd
Keyword(s):  
Patient Safety ◽  
Online Survey ◽  
Improve Patient Safety ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Time Out ◽  
Mandatory Requirement ◽  
Who Checklist ◽  
Improve Patient ◽  
Theatre Team

Background and problemThe WHO Surgical Safety Checklist has been shown to improve patient safety as well as improving teamwork and communication in theatres. In 2009, it was made a mandatory requirement for all NHS hospitals in England and Wales. The WHO checklist is intended to be adapted to suit local settings and was modified for use in Gloucestershire Hospitals NHS Foundation Trust. In 2018, it was decided to review the use of the adapted WHO checklist and determine whether improvements in compliance and engagement could be achieved.AimThe aim was to achieve 90% compliance and engagement with the WHO Surgical Safety Checklist by April 2019.MethodsIn April 2018, a prospective observational audit and online survey took place. The results showed compliance for the ‘Sign In’ section of the checklist was 55% and for the ‘Time Out’ section was 91%. Engagement by the entire theatre team was measured at 58%. It was proposed to move from a paper checklist to a wall-mounted checklist, to review and refine the items in the checklist and to change the timing of ‘Time Out’ to ensure it was done immediately prior to knife-to-skin.ResultsFollowing its introduction in September 2018, the new wall-mounted checklist was reaudited. Compliance improved to 91% for ‘Sign In’ and to 94% for ‘Time Out’. Engagement by the entire theatre team was achieved 100% of the time. Feedback was collected, adjustments made and the new checklist was rolled out in stages across all theatres. A reaudit in December 2018 showed compliance improved further, to 99% with ‘Sign In’ and to 100% with ‘Time Out’. Engagement was maintained at 100%.ConclusionsThe aim of the project was met and exceeded. Since April 2019, the new checklist is being used across all theatres in the Trust.

scholarly journals Understanding safety in healthcare: the system evolution, erosion and enhancement model

2013 ◽  
Vol 2 (3) ◽  
pp. 25 ◽  
Author(s):  
Jane Carthey
Keyword(s):  
Patient Safety ◽  
Complex Systems ◽  
Human Error ◽  
Improve Patient Safety ◽  
New Model ◽  
System Evolution ◽  
Accident Causation ◽  
System Migration ◽  
Improve Patient

The paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosion and Enhancement model. It is concluded that to improve patient safety, healthcare organisations need to understand how system evolution both enhances and erodes patient safety.

Atmung – Standardisierte Checkliste macht Intubation von Neugeborenen sicherer

2017 ◽  
Vol 22 (03) ◽  
pp. 124-125
Author(s):  
Maria Weiß
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Improve Patient Safety ◽  
Improve Patient

Hatch LD. et al. Intervention To Improve Patient Safety During Intubation in the Neonatal Intensive Care Unit. Pediatrics 2016; 138: e20160069 Kinder auf der Neugeborenen-Intensivstation sind besonders durch Komplikationen während des Krankenhausaufenthaltes gefährdet. Dies gilt auch für die Intubation, die relativ häufig mit unerwünschten Ereignissen einhergeht. US-amerikanische Neonatologen haben jetzt untersucht, durch welche Maßnahmen sich die Komplikationsrate bei Intubationen in ihrem Perinatal- Zentrum senken lässt.

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