Declining autopsy rates in UK hospitals may damage patient safety and healthcare quality

2015 ◽  
Vol 29 (44) ◽  
pp. 15-15
Keyword(s):  
Patient Safety ◽  
Healthcare Quality

scholarly journals Assessment of patient safety culture in intensive care units and factors affecting it

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Quality ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

scholarly journals Human factors systems approach to healthcare quality and patient safety

2014 ◽  
Vol 45 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Pascale Carayon ◽  
Tosha B. Wetterneck ◽  
A. Joy Rivera-Rodriguez ◽  
Ann Schoofs Hundt ◽  
Peter Hoonakker ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Systems Approach ◽  
Healthcare Quality ◽  
Quality And Patient Safety

Determinants of Patient Safety and Trust With Focus on Health Care Information Technology (HIT) and Physicians-Nurses Performance

2017 ◽  
pp. 116-126
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Patient Safety ◽  
Healthcare Quality ◽  
Critical Factor ◽  
Healthcare Services ◽  
Health Care Information ◽  
Patient Trust ◽  
Health Care Information Technology ◽  
Care Information

The purpose of this chapter is to assess and examine the impact health care information technology (HIT) on physician-nurse performance related to patient trust and safety. A considerable number of patients today are using different HITs to get access to healthcare services such as appointment scheduling and medication refills; communicate with physicians and nurses for different computerized tailored interventions to manage a chronic condition or to change a health behavior. Improving the quality and safety of care, and reducing the medical errors are of equal responsibility of all clinicians and all healthcare staff. Patient safety is the most critical factor of the medical and healthcare quality, where nurses can be invaluable in preventing harm to patients, reducing errors and improving patients' outcomes. The chapter shows that there are many advantages of Web-acquired healthcare related information. The main question is how will efficient use of HIT by patients improve healthcare quality, patient trust and safety.

Quality and Reliability Aspects in Evidence Based E-Medicine

2010 ◽  
pp. 100-117
Author(s):  
Asen Atanasov
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Healthcare Quality ◽  
Medical Professionals ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Present Evidence ◽  
Evidence Strength ◽  
Quality And Reliability ◽  
Based Medicine

This chapter is a brief survey on some e-medicine resources and international definitions focused on the three main subjects of the healthcare quality – the patient, the costs and the evidence for quality. The patients can find in e-medicine everything that they need, but often without data on the supporting evidence. The medical professionals can learn where to find e-information on cost, quality and patient safety, and, more importantly, how to distinguish claims from evidence by applying the principles of evidence based medicine. The goal is to spread and popularize the knowledge in this field with an emphasis on how one can find, assess and utilize the best present evidence for more effective healthcare. The sites discussed below could assist in the retrieval of information about methods for obtaining evidence along with the ways of measuring evidence strength and limitations. These sites also provide information on implementing the ultimate evidence-based product – clinical guidelines for better medical practice and health service.

STATE OF HEALTHCARE QUALITY AND PATIENT SAFETY IN PAKISTAN

2016 ◽  
Vol 6 (4) ◽  
pp. 1-4
Author(s):  
Mairaj Shah ◽  
Shagufta Perveen
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Care ◽  
Healthcare Quality ◽  
The State ◽  
Health Staff ◽  
National Healthcare ◽  
Policies And Procedures ◽  
National Quality ◽  
Quality And Patient Safety

Many low and middle income countries have developed their own national accreditation standards and accreditation systems for regulating and improving the quality of healthcare services. Healthcare quality is defined as the degree to which health services to individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge. This paper attempts to assess the state of Pakistan's healthcare quality and patient safety in a structured way using Donabedian's model. Some of the key specific challenges identified for Pakistan's healthcare quality initiatives are lack of national healthcare accreditation system and integrated national guidelines, policies and procedures on healthcare quality and patient safety. Lack of national quality care indicators. Absence of an organizational culture that holds people accountable and lack of pre-service and in-service training for health staff in quality care management and leadership with little contextual research on quality care initiatives. Possible ways to  improve the state of health care quality in Pakistan may include (i) up gradation and implementation of policies and procedures that regulate quality and patient safety issues in healthcare settings across the country (ii) introduction of a national healthcare accreditation programme across the nation (iii) development of networks and consortia between public and private sectors in Pakistan (iv) capacity building of health care professionals in quality and patient safety (v) Formulation of quality improvement teams at national and provincial level (vi) development of a culture of accountability and ownership (vii) learning from experiences of other countries and implementation quality care tools and locally validated indicators.

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