scholarly journals Improving baseline serological investigations for dental workers at specialized dental center

2022 ◽  
Vol 9 (1) ◽  
pp. 744-748
Author(s):  
Ahmad Alzahrani ◽  
Hanady Idreis ◽  
Haifa Abdulghaffar ◽  
Layali Alakkad
Keyword(s):  
Patient Safety ◽  
Serological Tests ◽  
Team Members ◽  
Major Improvement ◽  
International Agencies ◽  
Serological Investigation ◽  
Dental Practitioners

Objective: Serological tests for dental workers have been suggested by different international agencies to ensure the safety of dental practitioners and, subsequently, their patients. In our organization, the percentage of dental workers who underwent serological tests was low (26%). Material and Methods: An intervention was designed using three sequential PDSA cycles to test changes proposed by team members. The percentage of dental workers who underwent these tests was used as the measure. Results: During the project period, the percentage of dental workers who underwent serological tests within nine months increased from 24% to 87%. Amongst the three interventions, the final one exhibited the most prominent change leading to major improvement.  Conclusion: Serological tests are essential investigational data used to ensure the safety of dental workers, which subsequently also enhances patient safety. Further interventions are highly recommended to maximize the number of dental workers who undergo serological investigation.

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 Nighthawk: Making Night Float Education and Patient Safety Soar

2017 ◽  
Vol 9 (6) ◽  
pp. 755-758 ◽  
Author(s):  
Brett W. Sadowski ◽  
Hector A. Medina ◽  
Joshua D. Hartzell ◽  
William T. Shimeall
Keyword(s):  
Patient Safety ◽  
Online Education ◽  
Senior Resident ◽  
Resident Satisfaction ◽  
Educational Materials ◽  
Team Members ◽  
Safety Issues ◽  
Night Float ◽  
Satisfaction With Supervision ◽  
The Impact

ABSTRACT Background  Some residency programs responded to duty hour restrictions by implementing night rotations. Night supervision models can vary, resulting in potential patient safety issues and educational voids for residents. Objective  We evaluated the impact of multiple evidence-based interventions on resident satisfaction with supervision, perception of the education value of night rotations, and residents' use of online educational materials. Methods  The night team was augmented with an intern to assist with admissions and a senior resident (the “nighthawk”) to supervise inpatient care and deliver a night medicine curriculum. We instituted a “must-call” list, with specific clinical events requiring mandatory attending notification, and reduced conflict in the role of the night float team. We studied patient contact, online curriculum use, residents' perceptions of nighthawk involvement, exposure to educational materials, and satisfaction with supervision. Results  During the first half of academic year 2016–2017, 51% (64 of 126) of trainees were on the night medicine rotation. The nighthawk reviewed 1007 intern plans (15 per night; range, 6–36) and supervised 215 hands-on evaluations, including codes and rapid responses (3 per night; range, 0–12). The number of users of the online education materials increased by 85% (13 to 24), and instances of use increased 35% (85 to 115). The majority of residents (79%, 27 of 34) favored the new system. Conclusions  A nighthawk rotation, a must-call list, and reducing conflict in night team members' roles improved resident satisfaction with supervision and the night medicine rotation, resulting in increased communication.

Resuscitating Team Roles within Wayburn Health System

2015 ◽  
pp. 921-931
Author(s):  
Jill E. Stefaniak
Keyword(s):  
Patient Safety ◽  
Health System ◽  
Instructional Designer ◽  
Administrative Leadership ◽  
Healthcare Team ◽  
Trauma Resuscitation ◽  
Emergency Center ◽  
Team Members ◽  
Communication Processes ◽  
Sentinel Events

Administrative leadership of Wayburn Health System decided to move forward with a training program to address communication between healthcare professionals within their emergency center. After a few sentinel events where errors had occurred that compromised patient safety due to miscommunication amongst healthcare team members, hospital administration decided that communication processes needed to be standardized within the emergency center during trauma resuscitations. Four hundred employees from various departments and disciplines would require training. An instructional designer was brought onto the project to ensure that training was customized to fit the specific needs of the trauma resuscitation team.

Robotic Surgery and the Operating Room Team

2005 ◽  
Vol 49 (11) ◽  
pp. 1070-1073 ◽  
Author(s):  
Fuji Lai ◽  
Eileen Entin
Keyword(s):  
Patient Safety ◽  
Robotic Surgery ◽  
Human Factors ◽  
Operating Room ◽  
New Technologies ◽  
Improve Patient Safety ◽  
Robotic Systems ◽  
Team Members ◽  
Operating Room Team ◽  
Full Benefit

Robotic surgery has the potential to revolutionize the field of surgery and improve patient safety. However, despite the advantages robotic surgery can offer, there are multiple human factors-related issues that may prevent these systems from realizing their full benefit. This study identified some of the salient human factors issues and considerations that need to be addressed for integration of new technologies such as robotic systems into the Operating Room of the future. We conducted in-depth interviews with operating team members and other stakeholders who have experience with robotic surgery to identify workflow, teamwork, training, and other clinical acceptance issues. Addressing these and other human factors issues will help the integration of surgical robotic systems into use for the ultimate goal of improving patient safety and healthcare quality.

Goals, Recommendations, and the How-To Strategies for Developing and Facilitating Patient Safety and System Integration Simulations

2019 ◽  
Vol 13 (1) ◽  
pp. 94-105 ◽  
Author(s):  
Mirette Dubé ◽  
Jonas Shultz ◽  
Sue Barnes ◽  
Bobbi Pascal ◽  
Alyshah Kaba
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
System Integration ◽  
Delphi Technique ◽  
Healthcare Services ◽  
Healthcare Team ◽  
Delivery Of Healthcare ◽  
Team Members ◽  
Expert Opinions ◽  
Communication Technique

Purpose: The aim of this article is to outline overall goals, recommendations, and provide practical How-To strategies for developing and facilitating patient safety and system integration (PSSI) simulations for healthcare team members and organizations. Background: Simulation is increasingly being used as a quality improvement tool to better understand the tasks, environments, and processes that support the delivery of healthcare services. These PSSI simulations paired with system-focused debriefing can occur prior to implementing a new process or workflow to proactively identify system issues. They occur as part of a continuous cycle of quality improvement and have unique considerations for planning, implementation, and delivery of healthcare. Method: The Delphi technique was used to develop the recommendations and How-To strategies to guide those interested in conducting a PSSI simulations. The Delphi technique is a structured communication technique and systematic process of gathering information from a group of identified experts through a series of questionnaires to gain consensus regarding judgments on complex processes, where precise information is not available in the literature. The Delphi technique permitted an iterative and multistaged approach to transform expert opinions into group consensus. Results: The goals, recommendations, and How-To strategies include a focus on project management, stakeholder engagement, sponsorship, scenario design, prebriefing and debriefing, and evaluation metrics. The intent is to proactively identify system issues and disseminate actionable findings. Conclusions: This article highlights salient features to consider when using simulation as a strategy and tool for patient safety and quality improvement.

scholarly journals Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework

2019 ◽  
Vol 8 (3) ◽  
pp. e000686 ◽  
Author(s):  
Nicole Etherington ◽  
Aya Usama ◽  
Andrea M Patey ◽  
Chantal Trudel ◽  
Antoine Przybylak-Brouillard ◽  
...  
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Video Recording ◽  
Theoretical Domains Framework ◽  
Black Box ◽  
Leadership Team ◽  
Senior Leadership ◽  
Team Members ◽  
Barriers And Enablers ◽  
Safety Research

BackgroundSystematically observing clinical performance in the operating room (OR) to support patient safety initiatives faces numerous logistical and methodological challenges. These may be solved by new audio-video recording technologies like the OR Black Box, which is a tool similar to black boxes in aviation. This study aimed to identify barriers and enablers that may influence patients’, clinicians’ and senior leadership team members’ support of the OR Black Box in order to guide its future implementation.MethodsPatients, clinicians and senior leadership team members were recruited to participate in semistructured interviews informed by the theoretical domains framework (TDF) to identify factors relevant to planning OR Black Box implementation. Deidentified interview transcripts were analysed in duplicate following a TDF coding structure.ResultsData saturation was achieved at 15 patients, 17 clinicians and 9 senior leadership team members. Seven domains were relevant for patients, nine for clinicians and four for senior leadership. Knowledge and Beliefs about consequences were barriers and enablers for all three groups. Memory, attention and decision processes and Social influences were enablers for both clinicians and senior leadership. Environmental context and resources, Emotion and Behavioural regulation were found to be barriers and enablers for both clinicians and patients. Social/professional role and identity and Reinforcement were enablers for patients only and Optimism and Intentions were barriers and enablers to clinicians.ConclusionsWhile most stakeholders were supportive of the OR Black Box, we identified many key areas that need to be addressed during its implementation. It is critical to ensure all stakeholders have adequate and accurate information about the OR Black Box system and research goals, and that the OR Black Box is positioned as a patient safety initiative for learning from and improving practice.

Working Effectively as Part of a Team

2018 ◽  
Author(s):  
David Metcalfe ◽  
Harveer Dev
Keyword(s):  
Patient Safety ◽  
Good Reason ◽  
General Medical Council ◽  
Healthcare Team ◽  
Medical Council ◽  
Public Concern ◽  
Team Members ◽  
Policies And Procedures ◽  
Professional Body ◽  
Significant Step

Teamworking is an inevitable part of working within a complex multidisciplinary environment. Thankfully, most interactions with other members of the healthcare team will be positive and constructive. Unfortunately, such happy circumstances do not make for particularly interesting SJT scenarios. The following section is therefore full of colleagues that are angry, rude, dishonest, unprofessional, and even intoxicated. In Raising and Acting on Concerns About Patient Safety (2012), the General Medical Council (GMC) states that ‘all doctors have a duty to raise concerns where they believe that patient safety or care is being compromised by the practice of colleagues or the systems, policies and procedures in the organizations in which they work’. The GMC proposes taking the following steps in sequence when you develop serious concerns about a colleague: ● Raise the concern with ‘your manager or an appropriate officer of the organisation . . . such as the consultant in charge of the team, the clinical or medical director’. Alternatively, a foundation doctor may raise their concern with an appropriate person responsible for training such as their Foundation Programme Director. ● Raise the concern with a regulator (such as the GMC), professional body (such as the British Medical Association), or charity (such as Public Concern at Work). This step should be taken if you have exhausted options for raising the concern internally and there is an ‘immediate serious risk to patients, and a regulator or other external body has responsibility to act or intervene’. ● Raise the concern publicly. This step should be taken when you have exhausted options for raising the concern internally and have ‘good reason to believe that patients are still at risk of harm’. Your usual duty is to avoid breaching patient confidentiality. This is a highly unusual and significant step to take and is unlikely to be appropriate without first having taken advice from an appropriate organization such as the GMC, BMA, or Public Concern at Work. The questions within this section highlight your ability and willingness to work with team members. You will need to work collaboratively and respectfully within a multi- disciplinary team, as well as provide advice and support to colleagues.

scholarly journals Exploring patient safety in Swedish specialised home healthcare: an interview study with multidisciplinary teams and clinical managers

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024068 ◽  
Author(s):  
Marléne Lindblad ◽  
Maria Flink ◽  
Mirjam Ekstedt
Keyword(s):  
Patient Safety ◽  
Communication Systems ◽  
Qualitative Content Analysis ◽  
Patient Safety Culture ◽  
Home Healthcare ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Individual Interviews ◽  
Safety Research ◽  
Quality Assessments

ObjectiveHome healthcare is the fastest growing arena in the healthcare system but patient safety research in this context is limited. The aim was to explore how patient safety in Swedish specialised home healthcare is described and adressed from multidisciplinary teams’ and clinical managers’ perspectives.DesignAn explorative qualitative study.SettingMultidisciplinary teams and clinical managers were recruited from three specialised home healthcare organisations in Sweden.MethodsNine focus group interviews with multidisciplinary teams and six individual interviews with clinical managers were conducted, in total 51 participants. The data were transcribed verbatim and analysed using qualitative content analysis.ResultsPatient safety was inherent in the well-established care ideology which shaped a common mindset between members in the multidisciplinary teams and clinical managers. This patient safety culture was challenged by the emerging complexity in which priority had to be given to standardised guidelines, quality assessments and management of information in maladapted communication systems and demands for required competence and skills. The multiple guidelines and quality assessments that aimed to promote patient safety from a macro-perspective, constrained the freedom, on a meso-level and micro-level, to adapt to challenges based on the care ideology.ConclusionPatient safety in home healthcare is dependent on adaptability at the management level; the team members’ ability to adapt to the varying conditions and on patients being capable of adjusting their homes and behaviours to reduce safety risks. A strong culture related to a patient’s value as a person where patients’ and families’ active participation and preferences guide the decisions, could be both a facilitator and a barrier to patient safety, depending on which value is given highest priority.

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