Design and implementation of the asthma treat smart system in a pediatric institution

Knowledge Management & E-Learning: An International Journal ◽

10.34105/j.kmel.2015.07.023 ◽

2015 ◽

pp. 353-366

Keyword(s):

Improve Patient Safety ◽

The United States ◽

Coordinated Care ◽

Asthma Care ◽

National Guidelines ◽

Provider Training ◽

Evidence Based Guideline ◽

And Control ◽

Improve Patient

Asthma is one of the most common chronic diseases of childhood, affecting an estimated 7 million children (9.4%) in the United States. Asthma care is complex and dynamic requiring temporal, multi-faceted, and coordinated care. The purpose of the Asthma Treat Smart (ATS) application was to help providers provide evidence-based, guideline-compliant care to patients presenting to the pulmonary clinic for treatment of asthma. The application guides the providers through collecting the necessary information to classify the patient’s severity and control and suggests appropriate medications according to the classification, age, and guidelines. The application helps to improve patient safety, healthcare provider training, and improves the quality of care patients receive by helping to align their chronic asthma care with national guidelines.

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Healthcare practitioner behaviours that influence unsafe use of hospital information systems

Health Informatics Journal ◽

10.1177/1460458219833090 ◽

2019 ◽

Vol 26 (1) ◽

pp. 420-434 ◽

Cited By ~ 3

Author(s):

Lizawati Salahuddin ◽

Zuraini Ismail ◽

Ummi Rabaah Hashim ◽

Nor Haslinda Ismail ◽

Raja Rina Raja Ikram ◽

...

Keyword(s):

Information Systems ◽

Improve Patient Safety ◽

Structured Interview ◽

Hospital Information Systems ◽

Healthcare Practitioner ◽

Resultant Data ◽

Quality Of Patient Care ◽

Copy And Paste ◽

Improve Patient

This study aims to investigate healthcare practitioner behaviour in adopting Health Information Systems which could affect patients’ safety and quality of health. A qualitative study was conducted based on a semi-structured interview protocol on 31 medical doctors in three Malaysian government hospitals implementing the Total Hospital Information Systems. The period of study was between March and May 2015. A thematic qualitative analysis was performed on the resultant data to categorize them into relevant themes. Four themes emerged as healthcare practitioners’ behaviours that influence the unsafe use of Hospital Information Systems. The themes include (1) carelessness, (2) workarounds, (3) noncompliance to procedure, and (4) copy and paste habit. By addressing these behaviours, the hospital management could further improve patient safety and the quality of patient care.

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Using Evidence to Improve Patient Safety and the Quality of Health Care

Worldviews on Evidence-Based Nursing ◽

10.1111/j.1741-6787.2010.00213.x ◽

2011 ◽

Vol 8 (1) ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Tracey Bucknall

Keyword(s):

Health Care ◽

Patient Safety ◽

Quality Of Health Care ◽

Improve Patient Safety ◽

Improve Patient

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College Campus Sexual Assault: The Contribution of Peers’ Proabuse Informational Support and Attachments to Abusive Peers

Violence Against Women ◽

10.1177/1077801217724920 ◽

2017 ◽

Vol 24 (8) ◽

pp. 922-935 ◽

Cited By ~ 11

Author(s):

Walter S. DeKeseredy ◽

Amanda Hall-Sanchez ◽

James Nolan

Keyword(s):

United States ◽

Sexual Assault ◽

Peer Support ◽

The United States ◽

Female College Students ◽

Campus Sexual Assault ◽

Community Needs ◽

And Control

Since the mid-1980s, researchers across the United States have uncovered high rates of sexual assault among female college students. However, to advance a better understanding of this gendered type of victimization, and to both prevent and control this problem, the research community needs to identify its major correlates. One that is consistently uncovered in North American campus survey work is negative peer support, especially that provided by male peers. Yet, some earlier studies have found that mixed-sex negative peer support, too, contributes to campus sexual assault. Using recent data from the Campus Quality of Life Survey conducted at a large residential school in the South Atlantic region of the United States, the main objectives of this article are to examine the role of mixed-sex negative peer support in campus sexual assault and to identify the groups of women most at risk of having friends who offer such support.

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Microbiological Quality of Frozen Cream-Type Pies Sold in Canada

Journal of Food Protection ◽

10.4315/0362-028x-46.1.34 ◽

1983 ◽

Vol 46 (1) ◽

pp. 34-40 ◽

Cited By ~ 16

Author(s):

E. C. D. TODD ◽

G. A. JARVIS ◽

K. F. WEISS ◽

G. W. RIEDEL ◽

S. CHARBONNEAU

Keyword(s):

United States ◽

Escherichia Coli ◽

Staphylococcus Aureus ◽

Microbiological Quality ◽

The United States ◽

National Guidelines ◽

E Coli ◽

Yeasts And Molds

Ten types of frozen cream-type pies, manufactured in Canada and imported from the United States, were analyzed for aerobic colony counts, yeasts and molds, coliforms, Escherichia coli, Staphylococcus aureus and Salmonella. The variations in counts depended more on the manufacturer than on the type of pie and the ingredients used. Five of the 465 examined pies had an excess of 105 aerobic colony counts/g, whereas the median value for all the pies examined was between 102 and 103 CFU/g. E. coli and S. aureus were present in few pies, mainly made by one manufacturer, but there was no correlation between high aerobic colony counts and these organisms. Salmonella was not found in any of the pies. Percentage distributions of the estimated ‘population’ of pies available nationally at the time of the survey were statistically determined. These were then compared with suggested national guidelines in the form of a three-class acceptance plan based on United States surveys and desirable manufacturing practices. These indicate that pies should contain aerobic colony counts of <50,000/g, yeast and mold counts of <500/g, S. aureus counts of <100/g, coliform counts of <50/g, E. coli counts of <10/g, and no Salmonella. Three of the six manufacturers would have had an estimated 5.4 to 32.6% of lots in excess of the guidelines at the time of the survey.

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Leveraging IT to Improve Patient Safety

Yearbook of Medical Informatics ◽

10.1055/s-0038-1638154 ◽

2003 ◽

Vol 12 (01) ◽

pp. 153-158

Author(s):

D.E. Garets ◽

T.J. Handler ◽

M.J. Ball

Keyword(s):

Patient Safety ◽

Medical Errors ◽

Improve Patient Safety ◽

Quality Care ◽

Quality Of Healthcare ◽

The United States ◽

Institute Of Medicine ◽

The Media ◽

The Military ◽

Improve Patient

Abstract:Medical errors and issues of patient safety are hardly new phenomena. Even during the dawn of medicine, Hippocrates counselled new physicians “to above all else do no harm.” In the United States, efforts to improve the quality of healthcare can be seen in almost every decade of the last century. In the early 1900s, Dr. Ernest Codman failed in his efforts to get fellow surgeons to look at the outcomes of their cases. In the 1970s, there was an outcry that the military allowed an almost blind surgeon to continue to practice and even transferred him to the prestigious Walter Reed Hospital. More recently, two reports by the Institute of Medicine caught the attention of the media, the American public, and the healthcare industry. To Err Is Human highlights the need to reduce medical errors and improve patient safety, and Crossing The Quality Chasm calls for a new health system to provide quality care for the 21st century.

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ReCAP: Comparison of Independent Error Checks for Oral Versus Intravenous Chemotherapy

Journal of Oncology Practice ◽

10.1200/jop.2015.005892 ◽

2016 ◽

Vol 12 (2) ◽

pp. 168-169 ◽

Cited By ~ 8

Author(s):

Melissa C. Griffin ◽

Rachel E. Gilbert ◽

Larry H. Broadfield ◽

Anthony E. Easty ◽

Patricia L. Trbovich ◽

...

Keyword(s):

Patient Safety ◽

Nova Scotia ◽

Improve Patient Safety ◽

Real Life ◽

Community Pharmacists ◽

The United States ◽

Oral Chemotherapy ◽

Cancer Center ◽

Community Pharmacies ◽

Improve Patient

QUESTION ASKED: In the United States, research has found that oral chemotherapy is subject to fewer safeguards than are in routine use for intravenous (IV) chemotherapy; however, less is known about the Canadian context. The objective of this study was to determine whether similar safeguards, in the form of independent checks, existed to identify potential errors related to IV and oral chemotherapy formulations in a particular cancer system. SUMMARY ANSWER: In the cancer system studied, a total of 57 systematic checks were identified for IV chemotherapy, whereas only six systematic checks were identified for oral chemotherapy. Community pharmacists were the only qualified professionals involved in independent, systematic checking of oral chemotherapy, which occurred during ordering and dispensing. METHODS: Human factors specialists conducted observations and interviews in cancer center clinics, a cancer center pharmacy, and four community pharmacies across Nova Scotia. Processes were analyzed to determine whether an independent check was performed, which qualified provider completed the check, and at what point of the process the check occurred. BIAS, CONFOUNDING FACTOR(S), DRAWBACKS: This study had some limitations. Although there are many forms of safeguards (eg, preprinted orders), only one type of safeguard (ie, independent checks) was examined in the cancer system studied. We chose to focus on independent checks because they were observable and were defined in the cancer center’s policies. Another limitation was that just a single jurisdiction (Nova Scotia), and four community pharmacies were examined. We examined each community pharmacy in detail, and sites were chosen to be representative (eg, rural versus urban). Further, the model used to deliver oral chemotherapy in Nova Scotia is not unique; a number of other provinces share similar models. REAL-LIFE IMPLICATIONS: There is an enormous opportunity for pharmacists and other qualified professionals to take on an expanded role in improving patient safety for oral chemotherapy. Oral chemotherapy, like IV chemotherapy, is known to be potentially hazardous, but in the cancer system studied, there were dramatically fewer independent checks associated with all aspects of oral chemotherapy–related processes. Greater involvement of pharmacists, both in the clinic environment and the community, would facilitate increased systematic checking, which could improve patient safety related to oral chemotherapy. [Figure: see text]

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A prospective closed loop audit on the quality of the operative notes in a general surgical unit in a quaternary care centre

International Surgery Journal ◽

10.18203/2349-2902.isj20200049 ◽

2020 ◽

Vol 7 (2) ◽

pp. 382 ◽

Cited By ~ 1

Author(s):

Mohamed Javid ◽

Shanthi Ponnandai Swaminathan ◽

Arun Victor Jebasingh ◽

Manivannan Velayutham ◽

Rajeswari Mani

Keyword(s):

Clinical Audit ◽

Improve Patient Safety ◽

Care Hospital ◽

Prospective Audit ◽

Surgical Practice ◽

Standards Of Practice ◽

Operative Notes ◽

Improve Patient ◽

Surgical Unit

Background: Proper documentation of the surgery done in the form of operative notes is a very important aspect of surgical practice. The aim of this clinical audit was to identify the existing standard of the operative notes written in a general surgical unit in a quaternary care hospital; and to compare it with the recommendations given by Royal College of Surgeons, England (in Good Surgical Practice, 2014) and if needed, to improve the standard of practice.Methods: In the first loop of this prospective audit, 75 consecutive operative notes which were written were compared with the RCS guidelines and the areas which had missing data were identified. These areas were informed to the residents, who are primarily involved in the documentation of the operative notes. The second loop of the audit was conducted after a gap of 4 months involving 75 consecutive operative notes again.Results: The areas which were initially deficient were better documented when analysed in the second loop.Conclusions: Documentation of operative notes does not always comply with the set guidelines as highlighted in the first loop of our audit. But by employing a clinical audit it is possible to identify the existing deficiencies and thereby improving the standards of practice. Also, operative note writing should be taught as part of surgical training. Definitions should be clearly provided, and specific guidelines should be established to improve the quality of the operative notes and their use to improve patient safety.

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

Revista Ingeniería Biomédica ◽

10.24050/19099762.n21.2017.1173 ◽

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.

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Errors in Laboratory Medicine: Practical Lessons to Improve Patient Safety

Archives of Pathology & Laboratory Medicine ◽

10.5858/2005-129-1252-eilmpl ◽

2005 ◽

Vol 129 (10) ◽

pp. 1252-1261 ◽

Cited By ~ 5

Author(s):

Peter J. Howanitz

Keyword(s):

Patient Safety ◽

Performance Measures ◽

Improve Patient Safety ◽

Clinical Pathology ◽

The United States ◽

Laboratory Medicine ◽

Error Reduction ◽

Error Rates ◽

Patient Identification ◽

Improve Patient

Abstract Context.—Patient safety is influenced by the frequency and seriousness of errors that occur in the health care system. Error rates in laboratory practices are collected routinely for a variety of performance measures in all clinical pathology laboratories in the United States, but a list of critical performance measures has not yet been recommended. The most extensive databases describing error rates in pathology were developed and are maintained by the College of American Pathologists (CAP). These databases include the CAP's Q-Probes and Q-Tracks programs, which provide information on error rates from more than 130 interlaboratory studies. Objectives.—To define critical performance measures in laboratory medicine, describe error rates of these measures, and provide suggestions to decrease these errors, thereby ultimately improving patient safety. Setting.—A review of experiences from Q-Probes and Q-Tracks studies supplemented with other studies cited in the literature. Design.—Q-Probes studies are carried out as time-limited studies lasting 1 to 4 months and have been conducted since 1989. In contrast, Q-Tracks investigations are ongoing studies performed on a yearly basis and have been conducted only since 1998. Participants from institutions throughout the world simultaneously conducted these studies according to specified scientific designs. The CAP has collected and summarized data for participants about these performance measures, including the significance of errors, the magnitude of error rates, tactics for error reduction, and willingness to implement each of these performance measures. Main Outcome Measures.—A list of recommended performance measures, the frequency of errors when these performance measures were studied, and suggestions to improve patient safety by reducing these errors. Results.—Error rates for preanalytic and postanalytic performance measures were higher than for analytic measures. Eight performance measures were identified, including customer satisfaction, test turnaround times, patient identification, specimen acceptability, proficiency testing, critical value reporting, blood product wastage, and blood culture contamination. Error rate benchmarks for these performance measures were cited and recommendations for improving patient safety presented. Conclusions.—Not only has each of the 8 performance measures proven practical, useful, and important for patient care, taken together, they also fulfill regulatory requirements. All laboratories should consider implementing these performance measures and standardizing their own scientific designs, data analysis, and error reduction strategies according to findings from these published studies.

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