Hospital Survey on Patient Safety Culture in Dental Hospitals in the Twin cities, Pakistan

2021 ◽  
Vol 15 (10) ◽  
pp. 3185-3188
Author(s):  
Ghina Rizwan ◽  
Zarnab Rizwan ◽  
Usman Anwer Bhatti ◽  
Muhammad Muhammad ◽  
Mariyah Javed ◽  
...  

Objective: The purpose of our research is to evaluate the patient safety culture at Islamabad and Rawalpindi teaching hospitals. Materials and methods: A validated and slightly modified questionnaire was sent as a google forms link via WhatsApp and email to different teaching dental hospitals in the twin cities. The returned questionnaires were examined with IBM's statistical package for social sciences (version 22).). Results: 139 complete questionnaires were analyzed and results were calculated as average positive and average negative responses. Conclusion: This pilot study demonstrated that degree of patient safety in general in the Hospitals of Pakistan was acceptable. The number of incident reports were very low. Many participants also stated that the hospital is only concerned about patient safety after an unfavorable incident occurs., but they also reported that mistakes always lead to positive outcomes and the departments coordinate well with each other. Key words: Patient safety, incident reports, dental teaching hospital.

2018 ◽  
Vol 16 (1) ◽  
pp. 136-147
Author(s):  
Ekowati Supartinah Kamandaka Putri ◽  
◽  
AsihTrirachmi Nuswantari ◽  
Cecilia Widijati Imam ◽  
◽  
...  

Author(s):  
Siti Kurnia Widi Hastuti ◽  
Daru Respati Puspaningtyas ◽  
Nur Syarianingsih Syam

Background: Creating a culture of patient safety is something that must be considered. This is because culture contains two important components, namely values and beliefs that can change organizations. Most safety incidents of Yogyakarta District Hospital in 2018 were 21 near miss incidents, incidents in total, then 17 incident, not injured and 5 events in unexpected events, while in potential injured there were no incidents during 2018. In 2018 there were still several months of data that had not yet met patient safety incident targets. From a preliminary study the researcher obtained, data on patient safety incident reporting has not been optimally performed by nurses. The purpose of this study was to determine the implementation of patient safety culture at the outcome level.Methods: This research is mixed methods research with an explanatory sequential design. Primary data obtained from in-depth interviews, a description of the implementation of patient safety culture at the Outcome level data obtained from questionnaires given to 72 nurses.Results: The culture of patient safety Yogyakarta District Hospital has been implemented well. At the level of patient safety culture outcomes related to the frequency of reporting patient safety events have been carried out but related to incidents that have no potential for injury when reporting is not appropriate, the perception of patient safety at the patient safety level, the number of reporting of events at the Yogyakarta District Hospital has been carried out properly.Conclusions: The safety culture of patients at Yogyakarta District Hospital at the outcome level has been implemented well. 


2020 ◽  
Author(s):  
Tsaqila nadhifa Harahap

Keselamatan pasien adalah prinsip dasar dalam pelayanan kesehatan. Menurut Depkes RI (2008) Keselamatan pasien (patient safety) rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman. Budaya keselamatan pasien merupakan pondasi utama dalam pelaksanaan keselamatan pasien. Tujuan: Untuk menerapkan budaya keselamatan pasien oleh perawat dalam melaksanakan keselamatan pasien . Metode: metode yang dapat dilakukan adalah perlu dilakukan proses pencarian literatur, penulis menggunakan beberapa database diantaranya yaitu Pubmed, PMC, NCBI, PXJ, NJEM dan BMJ. Kata kunci yang dimasukkan adalah kata kunci yang relevan dengan materi yaitu “Patient Safety Culture“, “Patient Safety Incident” dan “Reporting Patient Safety Incident”. Karena keterbatasan waktu, cakupan luas dari topik, dan sejumlah besar publikasi serta untuk lebih spesifik. Hasil: Kode etik yang dimiliki oleh profesi tenaga kesehatan harus selalu diterapkan sebagai upaya untuk menerapkan budaya keselamatan pasien. Pasien akan merasa puas apabila terlayani dengan baik oleh tenaga kesehatan. Untuk menerapkan budaya keselamatan pasien dan menjalankan kode etik profesi diperlukan iklim berorganisasi yang baik


PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0144107 ◽  
Author(s):  
Ann-Marie Howell ◽  
Elaine M. Burns ◽  
George Bouras ◽  
Liam J. Donaldson ◽  
Thanos Athanasiou ◽  
...  

2017 ◽  
Vol 08 (02) ◽  
pp. 593-602 ◽  
Author(s):  
Katharine Adams ◽  
Jessica Howe ◽  
Allan Fong ◽  
Joseph Puthumana ◽  
Kathryn Kellogg ◽  
...  

SummaryBackground: With the widespread use of electronic health records (EHRs) for many clinical tasks, interoperability with other health information technology (health IT) is critical for the effective delivery of care. While it is generally recognized that poor interoperability negatively impacts patient care, little is known about the specific patient safety implications. Understanding the patient safety implications will help prioritize interoperability efforts around architectures and standards.Objectives: Our objectives were to (1) identify patient safety incident reports that reflect EHR interoperability challenges with other health IT, and (2) perform a detailed analysis of these reports to understand the health IT systems involved, the clinical care processes impacted, whether the incident occurred within or between provider organizations, and the reported severity of the patient safety events.Methods: From a database of 1.735 million patient safety event (PSE) reports spanning multiple provider organizations, 2625 reports that were indicated as being health IT related by the event reporter were reviewed to identify EHR interoperability related reports. Through a rigorous coding process 209 EHR interoperability related events were identified and coded.Results: The majority of EHR interoperability PSE reports involved interfacing with pharmacy systems (i.e. medication related), followed by laboratory, and radiology. Most of the interoperability challenges in these clinical areas were associated with the EHR receiving information from other health IT systems as opposed to the EHR sending information to other systems. The majority of EHR interoperability challenges were within a provider organization and while many of the safety events reached the patient, only a few resulted in patient harm.Conclusions: Interoperability efforts should prioritize systems in pharmacy, laboratory, and radiology. Providers should recognize the need to improve EHRs interfacing with other health IT systems within their own organization.Citation: Adams KT, Howe JL, Fong A, Puthumana JS, Kellogg KM, Gaunt M, Ratwani RM. An analysis of patient safety incident reports associated with electronic health record interoperability. Appl Clin Inform 2017; 8: 593–602 https://doi.org/10.4338/ACI-2017-01-RA-0014


2019 ◽  
Vol 26 (12) ◽  
pp. 1600-1608 ◽  
Author(s):  
Ying Wang ◽  
Enrico Coiera ◽  
Farah Magrabi

Abstract Objective To evaluate the feasibility of a convolutional neural network (CNN) with word embedding to identify the type and severity of patient safety incident reports. Materials and Methods A CNN with word embedding was applied to identify 10 incident types and 4 severity levels. Model training and validation used data sets (n_type = 2860, n_severity = 1160) collected from a statewide incident reporting system. Generalizability was evaluated using an independent hospital-level reporting system. CNN architectures were examined by varying layer size and hyperparameters. Performance was evaluated by F score, precision, recall, and compared to binary support vector machine (SVM) ensembles on 3 testing data sets (type/severity: n_benchmark = 286/116, n_original = 444/4837, n_independent = 6000/5950). Results A CNN with 6 layers was the most effective architecture, outperforming SVMs with better generalizability to identify incidents by type and severity. The CNN achieved high F scores (> 85%) across all test data sets when identifying common incident types including falls, medications, pressure injury, and aggression. When identifying common severity levels (medium/low), CNN outperformed SVMs, improving F scores by 11.9%–45.1% across all 3 test data sets. Discussion Automated identification of incident reports using machine learning is challenging because of a lack of large labelled training data sets and the unbalanced distribution of incident classes. The standard classification strategy is to build multiple binary classifiers and pool their predictions. CNNs can extract hierarchical features and assist in addressing class imbalance, which may explain their success in identifying incident report types. Conclusion A CNN with word embedding was effective in identifying incidents by type and severity, providing better generalizability than SVMs.


2017 ◽  
Vol 15 (5) ◽  
pp. 455-461 ◽  
Author(s):  
Jennifer Cooper ◽  
Adrian Edwards ◽  
Huw Williams ◽  
Aziz Sheikh ◽  
Gareth Parry ◽  
...  

Author(s):  
Cintia Silva Fassarella ◽  
Flávia Giron Camerini ◽  
Danielle de Mendonça Henrique ◽  
Luana Ferreira de Almeida ◽  
Maria do Céu Barbieri Figueiredo

ABSTRACT Objective: To conduct a benchmarking comparison of the composites of patient safety culture based on the evaluation of Brazilian and Portuguese nurses working in university hospitals. Method: Quantitative, cross-sectional, comparative survey. Data collected between April and December 2014, in two teaching hospitals, applying the instrument Hospital Survey on Patient Safety Culture, in the versions translated and adapted to the countries. Results: 762 nurses distributed in four services participated in the study, 195 Brazilians and 567 Portuguese. Seven of the 12 composites of safety culture showed significant differences between hospitals. The highlights were those related to: “management support for patient safety” (±17); “handoffs and transitions” (±15); “teamwork across units” (±14); and “overall perceptions of patient safety” (±10). Conclusion: The dimension that had the highest significant difference between the studied institutions was “management support for patient safety”. These data may support the managers of the study hospitals, enabling continuous improvements and advancements.


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