scholarly journals Keeping Patients Safe: The Critical Role of Medical Error Recovery

2020 ◽  
Author(s):  
Theresa A. Gaffney
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Critical Role ◽  
Recovery Process ◽  
Error Recovery ◽  
Institute Of Medicine ◽  
Care Providers

Two decades after the Institute of Medicine Report, To Err is Human: Building a Safer Health System illuminated the high number of preventable deaths and adverse events associated with health care, medical errors remain a top global concern. To date, resources have been focused on preventing medical errors; however, the importance of error recovery must not be overlooked. Medical errors cannot be fully eliminated from our health care system, yet many errors can be recovered thus preventing patient harm. This chapter will (1) define and describe the error recovery process, (2) discuss the role of health care providers in error recovery, (3) explore strategies that enhance and prohibit error recovery, and (4) analyze characteristics that influence error recovery. Given the importance of patient safety within the health care industry, health care professionals and organizations must focus on both error prevention and error recovery as a key strategy in keeping patients safe.

scholarly journals Examining the role of MEDLINE as a patient care information resource: an analysis of data from the Value of Libraries study

2017 ◽  
Vol 105 (4) ◽  
Author(s):  
Kathel Dunn ◽  
Joanne Gard Marshall ◽  
Amber L. Wells ◽  
Joyce E. B. Backus
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Patient Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Information Resources ◽  
Information Resource ◽  
Care Providers ◽  
Other Information

Objective: This study analyzed data from a study on the value of libraries to understand the specific role that the MEDLINE database plays in relation to other information resources that are available to health care providers and its role in positively impacting patient care.Methods: A previous study on the use of health information resources for patient care obtained 16,122 responses from health care providers in 56 hospitals about how providers make decisions affecting patient care and the role of information resources in that process. Respondents indicated resources used in answering a specific clinical question from a list of 19 possible resources, including MEDLINE. Study data were examined using descriptive statistics and regression analysis to determine the number of information resources used and how they were used in combination with one another.Results: Health care professionals used 3.5 resources, on average, to aid in patient care. The 2 most frequently used resources were journals (print and online) and the MEDLINE database. Using a higher number of information resources was significantly associated with a higher probability of making changes to patient care and avoiding adverse events. MEDLINE was the most likely to be among consulted resources compared to any other information resource other than journals.Conclusions: MEDLINE is a critical clinical care tool that health care professionals use to avoid adverse events, make changes to patient care, and answer clinical questions.

The Development of an Evacuation Protocol for Patients with Ventricular Assist Devices During a Disaster

2017 ◽  
Vol 32 (3) ◽  
pp. 333-338 ◽  
Author(s):  
Katherine J Davis ◽  
Joseph Suyama ◽  
Jennifer Lingler ◽  
Michael Beach
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Ventricular Assist Devices ◽  
Standards Of Care ◽  
Institute Of Medicine ◽  
Care Providers ◽  
Care Needs ◽  
Ventricular Assist ◽  
Assist Devices

AbstractIntroductionHealth care providers are on the forefront of delivering care and allocating resources during a disaster; however, very few are adequately trained to respond in these situations. Furthermore, there is a void in the literature regarding the specific care needs of patients with ventricular assist devices (VADs) in a disaster setting. This project aimed to develop an evidenced-based protocol to aid health care providers during the evacuation of patients with VADs during a disaster.MethodsThis is a qualitative study that used expert review, tabletop discussion, and a survey of health care professionals to develop and evaluate an evacuation protocol. The protocol was revised after each stage of review in order to reach a consensus document.ResultsThe project concluded with the finalization of a protocol which addresses evacuation and patient triage, and also includes an algorithm to determine which staff members should be evacuated with patients, transportation resources, evacuation documentation, and items patients need during evacuation. The protocol also addressed steps to be taken in the event that evacuation efforts fail and how to manage outpatient VAD patients seeking assistance.ConclusionsThis protocol provides guidance for the care of VAD patients in the event of a disaster and evacuation. Protocols such as this address difficult scenarios and should be created prior to a disaster to assist staff in making difficult decisions. These documents should be created using multi-disciplinary feedback via the consensus model as well as the Institute of Medicine (IOM; National Academy of Medicine; Washington, DC USA) “Crisis Standards of Care.”DavisKJ, SuyamaJ, LinglerJ, BeachM. The development of an evacuation protocol for patients with ventricular assist devices during a disaster. Prehosp Disaster Med. 2017;32(3):333–338.

scholarly journals Exploring Healthcare Professionals' Use of Narrative Mediation Approaches to Address Disclosure and Apology in the Aftermath of Medical Errors

2016 ◽  
Vol 3 (1) ◽  
pp. 24
Author(s):  
Gerald Monk ◽  
Stacey Sinclair ◽  
Michael Nelson
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Errors ◽  
Narrative Analysis ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
The United States ◽  
Cultural Barriers ◽  
Care Providers ◽  
Care Systems

Despite the overwhelming evidence that suggests that patients, families and health care systems benefit from offering appropriate disclosures and apologies to patients and families following the aftermath of medical errors, few health care organizations in the U.S. invest in providing systemic training in disclosure and apology. Using a narrative analysis this paper explores the cultural barriers in the United States healthcare environment that impede health care providers from engaging in restorative conversations with patients and families when things go wrong. The paper identifies a handful of programs and models that provide disclosure and apology training and argues for the unique contributions of narrative mediation to assist health care professionals to disclose adverse events to patients and families to restore trust.

Facing up to Stigma: Workplace and Personal Strategies

2001 ◽  
Vol 38 (3) ◽  
pp. 245-247 ◽  
Author(s):  
Robert W. Kelton
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Team Approach ◽  
Hemifacial Microsomia ◽  
Care Providers ◽  
Professional Success ◽  
The Family ◽  
Life Success

This paper examines some of the influences that contribute to health, life success, and resiliency in persons with craniofacial conditions. Those influences are examined from the perspective of the author, a 50-year-old man with cleft palate, right microtia, and hemifacial microsomia. A biosketch describes the author as one example of someone with craniofacial conditions who has also achieved significant personal and professional success. Central to that success were the influences of health care providers and parents as well as other people with craniofacial conditions. Specific attention is given to the benefits of a team approach to the care of patients with craniofacial conditions; the role of health care professionals in fostering the optimism that can mobilize the family for action; the importance of acknowledging the intransigence of stigma in our culture; the value of practical advice that affected individuals can offer one another.

scholarly journals Insights from health care providers in dealing with suicide attempters in Kashmir: A preliminary qualitative analysis

2019 ◽  
Vol 10 (2) ◽  
pp. 24
Author(s):  
Zahid Maqbool ◽  
Aadil Bashir
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Hospital Setting ◽  
Care Providers ◽  
Suicide Attempters ◽  
Prevention Intervention ◽  
The Times ◽  
Primary Health Care Physicians

Background: The Valley of Kashmir has witnessed a growing number of suicides. It is often witnessed that whenever a person attempts or commits suicide, most of the times he/she is bought to the hospital to save his/her life. Thus, the role of health care providers in a hospital setting is very important, as this is the first point of contact with the suicide attempters. In this study, an attempt was made to assess the intervention of health care providers toward suicide attempters in Kashmir. Methodology: In-depth expert interviews were conducted with the 12 healthcare professionals (Psychiatrists, Clinical Psychologists and Primary Health Care Physicians) who were involved in the identification; assessment, management, and prevention of suicidal behaviour at an urban general hospital in Srinagar, Kashmir. Purposive sampling method was used based on the availability and willingness of the participants from August to November 2018. Results: The results revealed that the health care providers follow a systematic procedure i.e., prevention, intervention and postvention in dealing with suicide attempters. However, their main focus remains on the intervention within the walls of the hospital setting. Conclusion: The results of the study provides some broad understanding about the role of doctors in the treatment and management of suicide attempters that will go a long way in the management of people attempting suicide in Kashmir. Keyword: Suicide, health care professionals, prevention, intervention, postvention

The Critical Role of Provider Practices in Undervaccination

PEDIATRICS ◽  
1996 ◽  
Vol 97 (5) ◽  
pp. 735-737
Author(s):  
Mark Grabowsky ◽  
Walter A. Orenstein ◽  
Edgar K. Marcuse
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pertussis Vaccine ◽  
Critical Role ◽  
Immunization Coverage ◽  
Reminder Systems ◽  
Care Providers ◽  
Provider Practices ◽  
Full Benefit

There are five principal ways providers can raise immunization coverage levels among their patients. First, assure that all appropriate opportunities for vaccination are taken. Second, give patients all vaccines for which they are eligible. Third, use only valid contraindications. Fourth, assess immunization status and immunize at all visits, regardless of the reason the parent is seeking care. Fifth, implement aggressive reminder systems to notify parents when immunizations are due. The information presented here suggests that some changes in the way physicians deliver vaccinations are needed. Vaccination is one of the most beneficial services providers can give their patients. In addition to avoiding unnecessary suffering through prevention of disease, disability, and death, vaccination saves society from $6 for every $1 spent on oral poliovirus vaccine19 to $29.00 for every $1.00 spent on diphtheria-tetanus-pertussis vaccine.20 As health care providers, we have an opportunity to assure that our patients get the full benefit of this service. These results suggest that, once motivated, physicians and nurses should be able to determine the best way to get their patients vaccinated using a variety of techniques.

scholarly journals A study on awareness of pharmacovigilance and determinants of underreporting of adverse drug reactions by health care professionals and general practitioners

2017 ◽  
Vol 6 (5) ◽  
pp. 1227
Author(s):  
Priyadharsini R. ◽  
Raja TAR ◽  
Dhayaguruvasan M.
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Critical Role ◽  
Care Facility ◽  
Health Care Facility ◽  
Care Providers ◽  
Awareness Program ◽  
Before And After

Background: Health care providers/professionals (HCPs) play a critical role in ADR surveillance. Only 6% of all ADRs are reported and under-reporting acts as great impedance in exchange of drug information.Methods: This was a prospective questionnaire-based study. Structured questionnaire was issued to HCPs before and after the conduct of Pharmacovigilance awareness program and scores given to each question was analyzed statistically.Results: Of the 69 participants, 46.4% were nurses, 40.6% were residents of a tertiary health care facility and 13% were general practitioners in Pondicherry. The response rate was found to be 62.7% and 100% both before and after the awareness program respectively. Creation of awareness amongst HCPs is the most important factor (77%) influencing spontaneous reporting.Conclusions: Our study suggests that HCPs were aware of the concept of ADR but the majority did not know how and where to report. Thus, creation of awareness amongst HCPs is the most important determinant influencing spontaneous reporting of ADRs.

Benefits, Challenges, and Social Impact of Health Care Providers’ Adoption of Social Media

2021 ◽  
pp. 089443932110257
Author(s):  
Md Irfanuzzaman Khan ◽  
Jennifer (M.I.) Loh
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Promotion ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Community Support ◽  
Care Providers ◽  
Australian Health ◽  
Actual Use ◽  
Use Of Social Media

With the advent of telecommunication technologies and social media, many health care professionals are using social media to communicate with their patients and to promote health. However, the literature reveals a lacuna in our understanding of health care professionals’ perception of their behavioral intentions to use innovations. Using the Unified Technology Acceptance Framework (unified theory of acceptance and use of technology), in-depth interviews were conducted with 16 Australian health care experts to uncover their intent and actual use of social media in their medical practices. Results revealed that social media tools offered five significant benefits such as (i) enhanced communication between health care professionals and their patients, (ii) community support, (iii) enabled e-learning, (iv) enhanced professional network, and (v) expedited health promotion. However, result also revealed barriers to social media usage including (i) inefficiency, (ii) privacy concerns, (iii) poor quality of information, (iv) lack of trust, and (v) blurred professional boundary. Peer influence and supporting conditions were also found to be determinants of social media adoption behaviors among health care professionals. This study has important implications for health care providers, patients, and policy makers on the responsible use of social media, health promotion, and health communication. This research is also among the very few studies that explore Australian health care professionals’ intent and actual use of innovations within a health care setting.

Commentary on “Diabetes and people with learning disabilities: issues for policy, practice and education”

2020 ◽  
Vol 25 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Brianne Redquest ◽  
Yona Lunsky
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Health Care Providers ◽  
Diabetes Care ◽  
Future Research ◽  
Care Providers ◽  
Family Carers ◽  
Content Type ◽  
Policy Practice

Purpose There has been an increase in research exploring the area of intellectual and developmental disabilities (IDD) and diabetes. Despite being described as instrumental to diabetes care for people with IDD, the role and experiences of family carers, such as parents and siblings, are often neglected in this research. However, it is clear that family carers do not feel that they have sufficient knowledge about diabetes. The purpose of this commentary is to extend the content from “Diabetes and people with learning disabilities: Issues for policy, practice, and education (Maine et al., 2020)” and discuss how family carers can feel better supported when caring for someone with IDD and diabetes. Design/methodology/approach This commentary discusses specific efforts such as STOP diabetes, DESMOND-ID and OK-diabetes for people with IDD including family carers. Encouragement is given for health care providers to recommend such programmes to people with IDD and their family carers. It is also suggested that health care providers involve family carers in diabetes care planning and implementation for people with IDD. Findings It is hoped that if changes are made to current diabetes practices and more research with family carers is conducted, diabetes prevention and management for people with IDD will be more successful and family carers can feel more confident in providing support to their loved ones. Originality/value Research exploring the role of family carers in diabetes care for people with IDD and diabetes is very limited. This commentary makes recommendations to help family carers feel better supported in their role. It also provides areas for future research.

scholarly journals Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020

2021 ◽  
Vol 18 (10) ◽  
pp. 5368
Author(s):  
Shimaa A. Elghazally ◽  
Atef F. Alkarn ◽  
Hussein Elkhayat ◽  
Ahmed K. Ibrahim ◽  
Mariam Roshdy Elkhayat
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Adverse Outcomes ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Care Providers ◽  
University Hospitals

Background: burnout syndrome is a serious and growing problem among medical staff. Its adverse outcomes not only affect health-care providers’ health, but also extend to their patients, resulting in bad-quality care. The COVID-19 pandemic puts frontline health-care providers at greater risk of psychological stress and burnout syndrome. Objectives: this study aimed to identify the levels of burnout among health-care professionals currently working at Assiut University hospitals during the COVID-19 pandemic. Methods: the current study adopted an online cross-sectional design using the SurveyMonkey® website for data collection. A total of 201 physicians were included and the Maslach Burnout Inventory (MBI) scale was used to assess the three burnout syndrome dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results: about one-third, two-thirds, and one-quarter of the respondents had high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Younger, resident, and single physicians reported higher burnout scores. The personal accomplishment score was significantly higher among males. Those working more than eight hours/day and dealing with COVID-19 patients had significantly higher scores. Conclusion: during the COVID-19 pandemic, a high prevalence of burnout was recorded among physicians. Age, job title, working duration, and working hours/day were significant predictors for burnout syndrome subscale results. Preventive and interventive programs should be applied in health-care organizations during pandemics.

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