scholarly journals Fact versus Conjecture: Exploring Levels of Evidence in the Context of Patient Safety and Care Quality

2018 ◽  
Author(s):  
Maryam Saeed ◽  
Mamta Swaroop ◽  
Daniel Ackerman ◽  
Diana Tarone ◽  
Jaclyn Rowbotham ◽  
...  
Keyword(s):  
Patient Safety ◽  
Care Quality ◽  
Levels Of Evidence

Taking a global comparative view of patient safety and care quality

2015 ◽  
Vol 24 (14) ◽  
pp. 754-755
Author(s):  
John Tingle
Keyword(s):  
Patient Safety ◽  
Care Quality

HEALTHCARE QUALITY & PATIENT SAFETY (HQPS): AN EXPERIENCE AT INDIAN HOSPITAL, MONUSCO, D R CONGO

2021 ◽  
pp. 33-35
Author(s):  
Sushil Kumar ◽  
PK Dash ◽  
Gurdarshdeep Singh Madan
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Quality ◽  
Care Quality ◽  
Care Staff ◽  
Health Care Staff ◽  
Safety Standards ◽  
Quality Patient Care ◽  
Safety And Health ◽  
Quality And Patient Safety

Maintaining health care quality and patient safety standards are essential for providing high quality patient care while ensuring safety to both patient and health care staff. DHMOSH requires all UN medical establishments to comply with HQPS standards which are derived from JCI specication. Our hospital is highest eld medical echelon in the UN. Patient safety and health care quality is not a destination but a continuous journey and this article intends to share the journey of the hospital through challenges faced, undergoing course correction and nally successfully undergoing HQPS assessment during ongoing COVID-19 pandemic.

Creating Optimal Healing Environments

2014 ◽  
pp. 84-100
Author(s):  
Terri Zborowsky ◽  
Mary Jo Kreitzer
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Built Environment ◽  
Health Care Quality ◽  
Care Quality ◽  
Care Providers ◽  
Design Elements ◽  
Healing Environment ◽  
Care Processes ◽  
Healing Environments

Creating an optimal healing environment requires attentiveness to the built environment as well as care processes, culture, and competencies of care providers and leadership. There are over 1,000 studies that link the physical environment to outcomes such as health care quality, patient safety, reduction of stress and improvements in patient safety. Key design elements highlighted include access to nature, access to daylight, positive distractions, and the ambient environment.

scholarly journals Risk Analysis for Patient Safety in Surgical Departments: Cross-Sectional Design Usefulness

2020 ◽  
Vol 17 (7) ◽  
pp. 2516
Author(s):  
Verónica Aranaz Ostáriz ◽  
María Teresa Gea Velázquez de Castro ◽  
Francisco López Rodríguez-Arias ◽  
José Lorenzo Valencia Martín ◽  
Carlos Aibar Remón ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Latin American ◽  
Health Care Quality ◽  
Health Impact ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Improve Health Care Quality ◽  
Health Organization

(1) Background: Identifying and measuring adverse events (AE) is a priority for patient safety, which allows us to define and prioritise areas for improvement and evaluate and develop solutions to improve health care quality. The aim of this work was to determine the prevalence of AEs in surgical and medical-surgical departments and to know the health impact of these AEs. (2) Methods: A cross-sectional study determining the prevalence of AEs in surgical and medical-surgical departments was conducted and a comparison was made among both clinical areas. A total of 5228 patients were admitted in 58 hospitals in Argentina, Colombia, Costa Rica, Mexico, and Peru, within the Latin American Study of Adverse Events (IBEAS), led by the Spanish Ministry of Health, the Pan American Health Organization, and the WHO Patient Safety programme. (3) Results: The global prevalence of AEs was 10.7%. However, the prevalence of AEs in surgical departments was 11.9%, while in medical-surgical departments it was 8.9%. The causes of these AEs were associated with surgical procedures (38.6%) and nosocomial infections (35.4%). About 60.6% of the AEs extended hospital stays by 30.7 days on average and 25.8% led to readmission with an average hospitalisation of 15 days. About 22.4% resulted in death, disability, or surgical reintervention. (4) Conclusions: Surgical departments were associated with a higher risk of experiencing AEs.

Literature review: Validity of the indicator ‘death in low mortality diagnosis related groups’ for measuring patient safety and health care quality in hospitals

2010 ◽  
Author(s):  
Seema Mihrshahi ◽  
Caroline Brand ◽  
Joseph E Ibrahim ◽  
Sue Evans ◽  
Damien Jolley ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Literature Review ◽  
Health Care Quality ◽  
Care Quality ◽  
Safety And Health

scholarly journals Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study

2019 ◽  
Vol 16 (21) ◽  
pp. 4083
Author(s):  
Youn-Jung Son ◽  
Eun Kyoung Lee ◽  
Yukyung Ko
Keyword(s):  
Patient Safety ◽  
Linear Regression Analysis ◽  
Tertiary Care ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Nursing Leaders ◽  
Work Related ◽  
Nurse Outcomes

The environment of health organizations can determine healthcare quality and patient safety. Longer working hours can be associated with nurses’ health status and care quality, as well as work-related hazards. However, little is known about the association of hospital nurses’ working hours and patient safety competencies with adverse nurse outcomes. In this cross-sectional descriptive study, convenience sampling was employed to recruit 380 nurses from three tertiary care hospitals in South Korea. Data were collected using structured questionnaires from May to June 2016. Hierarchical linear regression analysis was used to identify the association of working hours and patient competencies with adverse nurse outcomes among 364 participants selected for analysis. Most nurses worked over 40 h/week. Working hours (β = 0.202, p < 0.001) had the strongest association with adverse nurse outcomes. Low perceived patient safety competencies (β = −0.179, p = 0.001) and frequently reporting patient safety accidents (β = 0.146, p = 0.018) were also correlated with adverse nurse outcomes. Nursing leaders should encourage work cultures where working overtime is discouraged and patient safety competencies are prioritized. Further, healthcare managers must formulate policies that secure nurses’ rights. The potential association of overtime with nurse and patient outcomes needs further exploration.

A quality improvement project focused on assessment of risk level of outpatient psychiatry patients

2017 ◽  
Vol 41 (S1) ◽  
pp. s898-s898
Author(s):  
T. Tuvia ◽  
M. Kats ◽  
C. Aloezos ◽  
M. To ◽  
A. Ozdoba ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Residency Training ◽  
Psychiatry Residency ◽  
Care Quality ◽  
Quality Improvement Project ◽  
Risk Level ◽  
List Type ◽  
Psychiatry Residency Training ◽  
Improvement Project

Since the implementation of the Clinical Learning Environment Review by the Accreditation Council for Graduate Medical Education, there has been an emphasis on training residents in health care quality as well as patient safety. As such, psychiatry residency training programs have had to incorporate quality improvement (QI) projects into their training. We developed a QI curriculum, which not only included resident and faculty participation, but also encouraged other staff in our department to focus on patient safety as well as improving their performance and the quality of care provided to the patients.In this poster, we present the development of our curriculum and will include a successful QI project to highlight this. This project focused on creating an algorithm to help assign patient risk level, which is based on evidence based risk factors. This project was created due to a survey conducted in our clinic which demonstrated that clinicians, and in residency training in particular, identifying and managing high risk patients can be anxiety provoking for trainees. We will present the specifics of this QI project, and additionally outline the steps that were taken to develop and integrate the QI project into clinical practice.Objectives(1) Learn how to successfully incorporate a QI project and curriculum into a psychiatry residency training program.(2) Understand both resident and faculty perspectives on what resources facilitated participation in QI.(3) Present the development of a quality improvement project focused on risk assessment of outpatient psychiatric patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstration Project in Two Academic Medical Centers

2016 ◽  
Vol 32 (5) ◽  
pp. 472-479 ◽  
Author(s):  
Elizabeth Mort ◽  
Jeffrey Bruckel ◽  
Karen Donelan ◽  
Lori Paine ◽  
Michael Rosen ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Quality ◽  
Massachusetts General Hospital ◽  
Peer Assessment ◽  
Peer To Peer ◽  
Care Quality ◽  
Nuclear Industry ◽  
Johns Hopkins Hospital ◽  
Patient Harm

Despite decades of investment in patient safety, unintentional patient harm remains a major challenge in the health care industry. Peer-to-peer assessment in the nuclear industry has been shown to reduce harm. The study team’s goal was to pilot and assess the feasibility of this approach in health care. The team developed tools and piloted a peer-to-peer assessment at 2 academic hospitals: Massachusetts General Hospital and Johns Hopkins Hospital. The assessment evaluated both the institutions’ organizational approach to quality and safety as well as their approach to reducing 2 specific areas of patient harm. Site visits were completed and consisted of semistructured interviews with institutional leaders and clinical staff as well as direct patient observations using audit tools. Reports with recommendations were well received and each institution has developed improvement plans. The study team believes that peer-to-peer assessment in health care has promise and warrants consideration for wider adoption.

Adverse obstetric outcomes in two Brazilian maternity hospitals

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Alessa Leila Andrade ◽  
Zenewton André da Silva Gama ◽  
Marise Reis de Freitas ◽  
Wilton Rodrigues Medeiros ◽  
Kelienny de Meneses Sousa ◽  
...  
Keyword(s):  
Patient Safety ◽  
High Risk ◽  
Adverse Outcome ◽  
Obstetric Care ◽  
Care Quality ◽  
Adverse Outcomes ◽  
Content Type ◽  
Maternity Hospitals ◽  
One Year

PurposeObstetric adverse outcomes (AOs) are an important topic and the use of composite measures may favor the understanding of their impact on patient safety. The aim of the present study was to estimate AO frequency and obstetric care quality in low and high-risk maternity hospitals.Design/methodology/approachA one-year longitudinal follow-up study in two public Brazilian maternity hospitals. The frequency of AOs was measured in 2,880 randomly selected subjects, 1,440 in each institution, consisting of women and their newborn babies. The frequency of 14 AOs was estimated every two weeks for one year, as well as three obstetric care quality indices based on their frequency and severity as follows: the Adverse Outcome Index (AOI), the Weighted Adverse Outcome Score and the Severity Index.FindingsA significant number of mothers and newborns exhibited AOs. The most prevalent maternal AOs were admission to the ICU and postpartum hysterectomy. Regarding newborns, hospitalization for > seven days and neonatal infection were the most common complications. Adverse outcomes were more frequent at the high-risk maternity, however, they were more severe at the low-risk facility. The AOI was stable at the high-risk center but declined after interventions during the follow-up year.Originality/valueHigh AO frequency was identified in both mothers and newborns. The results demonstrate the need for public patient safety policies for low-risk maternity hospitals, where AOs were less frequent but more severe.

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