scholarly journals Simulation: A Training Resource for Quality Care and Improving Patient Safety

2020 ◽  
Author(s):  
Eliana Escudero ◽  
Marlova Silva ◽  
Marcia Corvetto
Keyword(s):  
Patient Safety ◽  
Quality Care ◽  
Lessons Learned ◽  
Care Process ◽  
Curricular Integration ◽  
Training Plan ◽  
Simulation Based ◽  
Patients At Risk ◽  
Healthcare Interventions ◽  
Patient Care Process

Patient safety is an ever-present topic in the discussion of educators. It has been 20 years since the publication of To Err Is Human, and there are lessons learned, although there is still much to be done. Healthcare systems are becoming increasingly complex, putting the safety of patients at risk. In this context, there is a greater exposure of healthcare professionals to medical-legal liability issues and to becoming victims of situations that are often preventable. Nurses and medical doctors are especially exposed to these situations, since they are visible during procedures, or do so during the points of greater risk during the patient care process. This chapter will review the contribution provided by the curricular integration of simulation-based education as a tool to train technical and nontechnical issues and how this work can be done for the safety of patients through a standardized training plan, under controlled and evaluated processes. We will discuss how resources and elements allow to perform healthcare interventions in a more safely manner. Finally, we will review the existing literature, some experiences, and the available evidence on this topic.

scholarly journals Reduction in transfer of micro-organisms between patients and staff using short-sleeved gowns and hand/arm hygiene in Intensive Care during the Covid pandemic: a simulation-based randomised trial

2021 ◽  
Author(s):  
Laura Vincent ◽  
Mudathir Ibrahim ◽  
Joanne Kitchin ◽  
Claire Pickering ◽  
Jennie Wilson ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Patient Safety ◽  
Intensive Care ◽  
Randomised Trial ◽  
Personal Safety ◽  
Fluorescent Powder ◽  
Simulation Based ◽  
Patients At Risk ◽  
The Difference ◽  
Micro Organisms

ABSTRACTBackgroundCurrent PPE practices in UK intensive care units involve “sessional” gown use. This protects staff, but puts patients at risk of nosocomial infection via PPE gowns. Anecdotal reports of such infections in ITUs during Covid are frequent. We therefore explored the use of short-sleeved gowns with hand and arm hygiene as an alternative to sessional gowns.MethodsITU Staff were invited for simulation suite training in Covid intubation and proning. They were trained in a specific hand and arm washing technique before performing simulated tasks using both standard and modified (short sleeved) PPE. Fluorescent powder was used to simulate micro-organisms, and detected using standardised photos under U/V light. Teams of staff were randomised to use standard or modified PPE first. Individuals were questioned about their feeling of personal safety, comfort and the patient’s safety at 4 intervals.Results68 staff and 17 proning volunteers were studied in 17 sessions. Modified PPE completely prevented staff contamination during Covid intubation, which occurred in 30/67 staff wearing standard PPE (p = 0.0029, McNemar). Conversely, proning volunteers were contaminated by staff in 15/17 sessions with standard PPE and in 1/17 with modified PPE (P = 0.0227 McNemar). Impressions of staff comfort were superior with modified PPE (p< 0.001, t-test); personal safety scored higher with standard PPE, but the difference decreased during the session (p<0.001 start, 0.068 end). Impressions of patient safety were initially similar (p=0.87) but finished strongly in favour of modified PPE (p<0.001).ConclusionsModified PPE using short sleeves and hand/arm cleansing appears superior to standard PPE with sessional gowns in preventing transfer of contamination between staff and patients. A clinical trial of this strategy is merited.

Curricular integration of the pharmacists' patient care process

2021 ◽  
Author(s):  
Soumana C. Nasser ◽  
Nibal Chamoun ◽  
Yara M. Kuyumjian ◽  
Hani Dimassi
Keyword(s):  
Patient Care ◽  
Care Process ◽  
Curricular Integration ◽  
Patient Care Process

IMPROVEMENT OF THE PATIENT CARE PROCESS BASED ON THE PRINCIPLES OF CLINICAL AUDIT

2020 ◽  
Vol 16 (72) ◽  
pp. 027
Author(s):  
А.О. Gavrilyuk ◽  
R.G. Zharlinska ◽  
А.А. Mishchuk ◽  
К.М. Vergeles ◽  
А.М. Berezovskyi ◽  
...  
Keyword(s):  
Patient Care ◽  
Clinical Audit ◽  
Care Process ◽  
Patient Care Process

scholarly journals The Impact of Longer Consultation Time: A Simulation-Based Approach

2020 ◽  
Vol 11 (05) ◽  
pp. 857-864
Author(s):  
Abdulrahman M. Jabour
Keyword(s):  
Waiting Time ◽  
Quality Care ◽  
Working Hours ◽  
Discrete Events ◽  
Simulation Based ◽  
Patient Waiting Time ◽  
Free Environment ◽  
The Impact ◽  
Consultation Time ◽  
Patient Waiting

Abstract Background Maintaining a sufficient consultation length in primary health care (PHC) is a fundamental part of providing quality care that results in patient safety and satisfaction. Many facilities have limited capacity and increasing consultation time could result in a longer waiting time for patients and longer working hours for physicians. The use of simulation can be practical for quantifying the impact of workflow scenarios and guide the decision-making. Objective To examine the impact of increasing consultation time on patient waiting time and physician working hours. Methods Using discrete events simulation, we modeled the existing workflow and tested five different scenarios with a longer consultation time. In each scenario, we examined the impact of consultation time on patient waiting time, physician hours, and rate of staff utilization. Results At baseline scenarios (5-minute consultation time), the average waiting time was 9.87 minutes and gradually increased to 89.93 minutes in scenario five (10 minutes consultation time). However, the impact of increasing consultation time on patients waiting time did not impact all patients evenly where patients who arrive later tend to wait longer. Scenarios with a longer consultation time were more sensitive to the patients' order of arrival than those with a shorter consultation time. Conclusion By using simulation, we assessed the impact of increasing the consultation time in a risk-free environment. The increase in patients waiting time was somewhat gradual, and patients who arrive later in the day are more likely to wait longer than those who arrive earlier in the day. Increasing consultation time was more sensitive to the patients' order of arrival than those with a shorter consultation time.

scholarly journals High mortality in coronavirus disease 2019 (COVID-19)–suspect unit: Lessons learned for patient safety

2021 ◽  
pp. 1-2
Author(s):  
Anucha Apisarnthanarak ◽  
Surachai Chaononghin ◽  
Panipak Katawethiwong ◽  
David K. Warren
Keyword(s):  
Patient Safety ◽  
High Mortality ◽  
Lessons Learned

The Patient in Patient Safety: Contemporary Issues, From COVID-19 to Citizen Science

2021 ◽  
Vol 10 (1) ◽  
pp. 301-303
Author(s):  
Elizabeth Lerner Papautsky ◽  
Richard J. Holden ◽  
Rupa S. Valdez ◽  
Jordan Hill ◽  
Janetta Brown
Keyword(s):  
Social Media ◽  
Patient Safety ◽  
Citizen Science ◽  
Human Subjects ◽  
Lessons Learned ◽  
Human Subjects Research ◽  
Research Strategies ◽  
Face To Face

In the 4th panel on the topic of The Patient in Patient Safety, we highlighted topics of current relevance and facilitated a reflection session. The objective was to highlight the ways in which the COVID-19 pandemic has impacted patient ergonomics research and work, with particular focus on safety. After a topic overview, panelists presented their work on overcoming challenges to human subjects research created by the suspension of face-to-face activities during the COVID-19 pandemic. A facilitated reflection and brainstorming session using Miro followed. We used questions to elicit examples of patient and caregiver roles in safety during the pandemic and research strategies and challenges. These questions were also distributed on social media prior to the event. The panel served as an opportunity to share lessons learned.

scholarly journals Instrument for Measuring Patient Safety Culture: Literature Review

2021 ◽  
Vol 10 (2) ◽  
pp. 158-176
Author(s):  
Yumna Nur Millati Hanifa ◽  
Inge Dhamanti
Keyword(s):  
Patient Safety ◽  
Literature Review ◽  
Safety Culture ◽  
Quality Care ◽  
Patient Safety Culture ◽  
Health Facilities ◽  
Healthcare Organizations ◽  
Just Culture ◽  
Safety Attitudes ◽  
Four Dimensions

The implementation of safe and quality care with attention to patient safety, requires organization’s effort to create and cultivating patient safety culture. The purpose of this article was to map the instruments used in measuring patient safety culture in healthcare organizations. The method used integrated literature review from various sources of research articles published from 2015 to 2020. The article included if it was available in full text and open access as well as articles described the instruments of patient safety culture or measurement of patient safety culture using one of the instruments of measurement of patient safety culture. The results of the literature review unravel the findings of three instruments such as HSOPSC (Hospital Survey on Patient Safety Culture), MaPSaF (Manchester Patient Safety Assessment Framework) and SAQ (Safety Attitudes Questionnaire). We concluded all three instruments contained four dimensions of patient safety culture, namely open culture, just culture, reporting culture and learning culture and were widely used to measure patient safety culture in hospitals, primary health facilities and other health facilities.

scholarly journals Does the phthisioophthalmology section of our Ophthalmologic Society contribute in the promotion of quality care for patients with ocular tuberculosis?

2016 ◽  
Vol 9 (1) ◽  
pp. 56-63
Author(s):  
Elena I Ustinova ◽  
Olga P Ilkova
Keyword(s):  
Positive Impact ◽  
Clinical Care ◽  
Quality Care ◽  
Social Activity ◽  
Diagnosis And Treatment ◽  
Treatment Quality ◽  
Medical Society ◽  
Care Process ◽  
System Reform ◽  
Ocular Tuberculosis

The phthisioophthalmology section work over the last 15 years is analyzed. Due to the antituberculous care system reform the number of section members decreased from 27 to 17. Scientific meetings are regular, their frequency decreased up to 5-6/year. Ever and again presentations are made at plenary sessions of the St.Petersburg Scientific Medical Society of Ophthalmology (6 presentations in 15 years) and at the congresses of associations of ophthalmologists and phthisiologists. In 15 years, session members performed and published 102 studies on ocular tuberculosis, including 38 articles in scientific magazines, 5 teaching editions for doctors, 4 monographs. Based on work reports and inspection results of several institutions, it follows that the section makes positive impact on the formation in clinicians of a scientific approach to clinical care process. Some shortcomings are revealed in the application of recommended methods. We believe that for their elimination, besides social activity of the section, it is necessary to publish teaching editions at federal level on ocular tuberculosis diagnosis and treatment, as well as enhancement of diagnosis and treatment quality control by local administration.

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