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Patient safety culture

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https://www.readbyqxmd.com/read/29326197/parents-2-study-protocol-pilot-of-parents-active-role-and-engagement-in-the-review-of-their-stillbirth-perinatal-death
#1
Danya Bakhbakhi, Dimitrios Siassakos, Claire Storey, Alexander Heazell, Mary Lynch, Laura Timlin, Christy Burden
BACKGROUND: The perinatal mortality review meeting that takes place within the hospital following a stillbirth or neonatal death enables clinicians to learn vital lessons to improve care for women and their families for the future. Recent evidence suggests that parents are unaware that a formal review following the death of their baby takes place. Many would welcome the opportunity to feedback into the meeting itself. Parental involvement in the perinatal mortality review meeting has the potential to improve patient satisfaction, drive improvements in patient safety and promote an open culture within healthcare...
January 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29324952/analysis-of-incidents-notified-in-a-general-hospital
#2
Mirela Lopes de Figueiredo, Carla Silvana de Oliveira E Silva, Maria Fernanda Santos Figueiredo Brito, Maria D'Innocenzo
OBJECTIVE: To evaluate the incidents spontaneously notified in a general hospital in Minas Gerais. METHOD: Retrospective, descriptive, quantitative study performed at a general hospital in Montes Claros - Minas Gerais State. The sample comprised 1,316 incidents reported from 2011 to 2014. The data were submitted to descriptive statistical analysis using Statistical Package for the Social Sciences version 18.0. RESULTS: The prevalence of incidents was 33...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29322597/the-implementation-of-a-successful-medication-safety-program-in-a-primary-care
#3
Hanan Khalil, Sarah Lee
RATIONALE, AIMS, AND OBJECTIVES: Improving patient safety is now a government priority in many economically developed and underdeveloped countries. Various medication safety interventions and programs that have been described in the literature focus on hospital settings, and only very few studies report on the implementation of such interventions in primary care. The main objectives of this study were firstly to describe the steps involved for the successful implementation of a medication safety program in primary care in rural Australia and secondly to report on its evaluation and provide recommendations for future initiatives...
January 11, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29318460/nebulization-of-antimicrobial-agents-in-mechanically-ventilated-adults-in-2017-an-international-cross-sectional-survey
#4
Joana Alves, Emine Alp, Despoina Koulenti, Zhongheng Zhang, Stephan Ehrmann, Stijn Blot, Matteo Bassetti, Andrew Conway-Morris, Rosa Reina, Enrique Teran, Candela Sole-Lleonart, Maria Ruiz-Rodríguez, Jordi Rello
2017 ESCMID practice guidelines reported safety concerns and weak evidence of benefit supporting use of aerosolized antibiotics in mechanically ventilated patients. Our primary goal was to assess current patterns of aerosolized antibiotic prescription in mechanically ventilated patients. A sequential global survey was performed prior to the release of the ESCMID guidelines, from the 1st of February to the 30th of April 2017, using an electronic platform. Responses were analyzed comparing geographical regions...
January 9, 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29315808/hospital-accreditation-in-iran-a-qualitative-case-study-of-kerman-hospitals
#5
Mahmood Nekoei-Moghadam, Mohammadreza Amiresmaili, Mohammadhosein Iranemansh, Mahla Iranmanesh
BACKGROUND: According to published evidence, accreditation is one of the evaluating tools in health care organizations. But, there is disagreement among authorities and experts in this regard. This study aims to investigate the evaluation of hospital accreditation in an Iranian context. METHODS: In this qualitative study, a purposive sample of 170 informants was used. Semi-structured interviews were conducted to gather data, which were analyzed using a framework analysis method...
January 8, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29314429/nurses-handoff-and-patient-safety-culture-in-perinatal-care-units
#6
Mi Yu, Hyang Yuol Lee, Gwen Sherwood, Eun Man Kim
AIM AND OBJECTIVES: This study aimed to examine nursing handoff, identify causes of handoff errors, evaluate current methods of handoff, and determine the factors associated with handoff evaluation in delivery rooms and neonatal units of hospitals in South Korea. BACKGROUND: Handoff is a critical communication process in clinical settings. Less attention has been paid to the handoff practice to assure safe perinatal care in hospitals. DESIGN: This is a cross-sectional descriptive study...
January 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29311455/-evaluation-of-the-safety-of-2-0-ganciclovir-eye-drops-for-hospital-preparation
#7
Hiroo Nakagawa, Yumi Matsumaru, Seiichi Nose, Hitoshi Sasaki, Takashi Kitahara
 The concentration of ganciclovir eye drops for hospital preparation was changed from 0.5% to 2.0% at the Nagasaki University Hospital from March 2015. We investigated the incidence of side effects in 12 patients using 2.0% ganciclovir eye drops and evaluated the cytotoxicity of 2.0% ganciclovir eye drops using cultured rabbit corneal cells in vitro. As a side effect of 2.0% ganciclovir eye drops, three patients exhibited an early feeling of transient stimulation. The 2.0% ganciclovir eye drops did not demonstrate cell cytotoxicity for cultured corneal cells after 5 min, but did after 10 min...
2018: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/29310655/methylene-blue-induced-morphological-deformations-in-plasmodium-falciparum-gametocytes-implications-for-transmission-blocking
#8
Ishan Wadi, C Radhakrishna Pillai, Anupkumar R Anvikar, Abhinav Sinha, Mahendra Nath, Neena Valecha
BACKGROUND: Malaria remains a global health problem despite availability of effective tools. For malaria elimination, drugs targeting sexual stages of Plasmodium falciparum need to be incorporated in treatment regimen along with schizonticidal drugs to interrupt transmission. Primaquine is recommended as a transmission blocking drug for its effect on mature gametocytes but is not extensively utilized because of associated safety concerns among glucose-6-phosphate dehydrogenase (G6PD) deficient patients...
January 8, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29310442/idea4ps-the-development-of-a-research-oriented-learning-healthcare-system
#9
Susan Moffatt-Bruce, Timothy Huerta, Alice Gaughan, Ann Scheck McAlearney
Leveraging opportunities to learn and then improve the delivery of care using experiences throughout the health care system is essential in efforts to transform health care delivery. The authors present the approach of one academic medical center in becoming a research-oriented Learning Healthcare System (ro-LHS). By reframing the role of research in improving outcomes, the organization was able to move beyond its focus on quality improvement to foster a culture in which feedback informs practice and research drives improvement...
January 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29300217/development-of-an-rn-champion-model-to-improve-the-outcomes-of-ventilator-associated-pneumonia-patients-in-the-intensive-care-unit
#10
Carol Robinson, Marci Hoze, Stacy Hevener, Amy A Nichols
Healthcare-associated infections are costly. Methods to prevent infections must be effective and provide a return on investment to be sustainable. A funded project supported the design and implementation of a unique quality and safety model, using unit-based quality and safety RN champions. The goal was to create and sustain a hospital-wide safety culture focused on preventing ventilator-associated pneumonia (VAP) by adopting the Institute for Healthcare Improvement's VAP bundle. The program began with a pilot in 7 ICUs...
January 4, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29290243/promising-practices-for-improving-hospital-patient-safety-culture
#11
Joanne Campione, Theresa Famolaro
BACKGROUND: Patient safety culture has a positive influence on the effectiveness of patient safety and quality improvement interventions. A study was conducted to gain knowledge about promising best practices used by hospitals to improve patient safety culture hospitalwide. METHODS: Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS) Hospital Survey longitudinal results from 536 hospitals that submitted data to the Hospital SOPS database from 2007 to 2014 were analyzed...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29288398/comparison-of-fosfomycin-against-fluoroquinolones-for-transrectal-prostate-biopsy-prophylaxis-an-individual-patient-data-meta-analysis
#12
REVIEW
Matthew J Roberts, Susan Scott, Patrick N Harris, Kurt Naber, Florian M E Wagenlehner, Suhail A R Doi
PURPOSE: To systematically review and meta-analyse available evidence comparing fosfomycin trometamol (FT) to fluoroquinolone (FQ) prophylaxis to prevent transrectal ultrasound-guided prostate biopsy (TRUSPB) related infectious complications. METHODS: Electronic databases were queried for studies comparing FT to FQ-based TRUSPB prophylaxis. Studies were assessed for comparable outcomes and methodological quality (ROBINS-I modification). The primary outcome measure was the relative odds of overall infectious complications following TRUSPB according to FT/FQ treatment, which was evaluated with meta-analysis...
December 29, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/29287105/effect-of-intra-articular-administration-of-superparamagnetic-iron-oxide-nanoparticles-spions-for-mri-assessment-of-the-cartilage-barrier-in-a-large-animal-model
#13
Raphael Labens, Carola Daniel, Sarah Hall, Xin-Rui Xia, Tobias Schwarz
Early diagnosis of cartilage disease at a time when changes are limited to depletion of extracellular matrix components represents an important diagnostic target to reduce patient morbidity. This report is to present proof of concept for nanoparticle dependent cartilage barrier imaging in a large animal model including the use of clinical magnetic resonance imaging (MRI). Conditioned (following matrix depletion) and unconditioned porcine metacarpophalangeal cartilage was evaluated on the basis of fluorophore conjugated 30 nm and 80 nm spherical gold nanoparticle permeation and multiphoton laser scanning and bright field microscopy after autometallographic particle enhancement...
2017: PloS One
https://www.readbyqxmd.com/read/29284217/qualitative-case-study-of-strength-weakness-opportunity-and-threat-analysis-of-integrating-world-health-organization-patient-safety-curriculum-in-undergraduate-medical-education-in-pakistan
#14
Samreen Misbah, Usman Mahboob
Purpose: The purpose of this study was to explore the strengths, weaknesses, opportunities, and threats of integrating the World Health Organization (WHO) patient safety curriculum in medical education in Pakistan. Methods: A qualitative interpretive case study was done at Riphah International University, Islamabad, from October 2016 to June 2017. The study included nine faculty members and one expert on patient safety. The interviews were audio-taped, and a thematic analysis of transcript was done using NVivo software...
December 28, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/29283910/involvement-in-root-cause-analysis-and-patient-safety-culture-among-hospital-care-providers
#15
Bastien Boussat, Arnaud Seigneurin, Joris Giai, Kevin Kamalanavin, José Labarère, Patrice François
BACKGROUND: The experience feedback committee (EFC) is a tool designed to involve medical teams in patient safety management, through root cause analysis within the team. OBJECTIVE: The aim of the study was to determine whether patient safety culture, as measured by the Hospital Survey on Patient Safety Culture (HSOPS), differed regarding care provider involvement in EFC activities. METHODS: Using the original data from a cross-sectional survey of 5064 employees at a single university hospital in France, we analyzed the differences in HSOPS dimension scores according involvement in EFC activities...
December 27, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29282080/safety-analysis-over-time-seven-major-changes-to-adverse-event-investigation
#16
Charles Vincent, Jane Carthey, Carl Macrae, Rene Amalberti
BACKGROUND: Every safety-critical industry devotes considerable time and resource to investigating and analysing accidents, incidents and near misses. The systematic analysis of incidents has greatly expanded our understanding of both the causes and prevention of harm. These methods have been widely employed in healthcare over the last 20 years but are now subject to critique and reassessment. In this paper, we reconsider the purpose and value of incident analysis and methods appropriate to the healthcare of today...
December 28, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29280902/assessing-the-organizational-characteristics-influencing-quality-improvement-implementation-in-saudi-hospitals
#17
Mohammad Shamsuddin Alaraki
BACKGROUND: The health care system in Saudi Arabia has serious problems with quality and safety that can be reduced through systematic quality improvement (QI) activities. Despite the use of different QI models to improve health care in Saudi hospitals during the last 2 decades, consistent improvements have not yet been achieved and the results are still far below expectations. This may reflect a problem in introducing and implementing the QI models in the local contexts. The objective of this study is to assess the extent of QI implementation in Saudi hospitals and to identify the organizational characteristics that make Saudi hospitals particularly challenging for QI...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29280754/fake-it-til-you-make-it-pressures-to-measure-up-in-surgical-training
#18
Priyanka Patel, Maria A Martimianakis, Nathan R Zilbert, Carween Mui, Melanie Hammond Mobilio, Simon Kitto, Carol-Anne Moulton
PURPOSE: Expectations of certainty and confidence in surgical culture are a source of internal conflict for surgeons and learners, with surgeons describing a pressure to project an image that is, at times, inconsistent with how they feel internally. The authors explored surgical residents' perceptions of "impression management" and its effects on surgical judgment and decision-making. METHOD: The authors used a constructivist grounded theory approach to conduct and analyze 15 semi-structured interviews with general surgery trainees at an urban Canadian academic health center between 2012-2014...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29278664/the-first-u-s-study-on-nurses-evidence-based-practice-competencies-indicates-major-deficits-that-threaten-healthcare-quality-safety-and-patient-outcomes
#19
Bernadette Mazurek Melnyk, Lynn Gallagher-Ford, Cindy Zellefrow, Sharon Tucker, Bindu Thomas, Loraine T Sinnott, Alai Tan
BACKGROUND: Tremendous variability in EBP persists throughout the United States even though research supports that implementation of EBP leads to high-quality cost-effective care. Although the first set of EBP competencies for nurses was published in 2014, the state of EBP competency in U.S. nurses is currently unknown. AIMS: The purposes of this study were to: (a) describe the state of EBP competency in nurses across the United States; and (b) determine important factors associated with EBP competency...
December 26, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29277948/how-transformational-leadership-appears-in-action-with-adverse-events-a-study-for-finnish-nurse-manager
#20
Mari Liukka, Markku Hupli, Hannele Turunen
AIM: The aim of this study was to determine whether elements of transformational leadership are present in nursing managers' actions following adverse events. BACKGROUND: Transformational leadership exerts a positive influence on organisational culture and patient safety. METHOD: Eleven nursing managers were interviewed individually using a semi-structured format. Data were analysed using inductive content analysis. RESULTS: Four themes emerged relating to nursing managers' actions following adverse events: patient-centredness as a principle for common action, courage to reform operational models to prevent future adverse events, nursing staff's encouragement of open and blame-free discussion, and challenge to recognize adverse events...
December 26, 2017: Journal of Nursing Management
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