Journal of patient safety and quality improvement最新文献

{"title":"Awareness, Knowledge, Attitude, and Practice of Patient Safety Culture Among Care Providers and Managers in a Tertiary Health Institution in Nigeria","authors":"Amaka Y. Ezeuko, C. Nnebue, Raymond C Okechukwu, A. Nwabueze, E. E. Oghenesuvwe, Ndidiamaka P. Chukwujekwu, A. Ilika","doi":"10.22038/PSJ.2020.52522.1293","DOIUrl":"https://doi.org/10.22038/PSJ.2020.52522.1293","url":null,"abstract":"Introduction: The safety of patients or clients remains a priority public health issue worldwide. Patient safety culture (PSC) is a core quality assurance strategy in healthcare delivery systems. Therefore, it is crucial for key stakeholders in the healthcare setting to perceive the concept. The present study determined the awareness,  level of knowledge, attitude, and practice of PSC among care providers and managers in a tertiary health facility in Nigeria. Materials and Methods: This descriptive survey was carried out within June to November in 2016. Data collection was conducted via a self-administered structured questionnaire survey (QS), focus group discussions (FGD), and key informant interviews (KII). Stratified and convenient sampling techniques were used for QS, FGD, and KII, respectively. The data were analyzed using SPSS software (version 22), and associations were determined through the Chi-square test and t-test. A p-value of < 0.05 was considered statistically significant. Results: The awareness, attitude, and practice of PSC were slightly above average. The knowledge of the availability of PSC unit affected the scores of 3 of the 12 studied PSC composites, namely Feedback and communication about the error, Nonpunitive response to error, and Management support (p <0.05). The overall PSC level of the care providers and managers was reported as 62.3%. The rate of PSC was within the range of 28-72% based on FGD. According to KII, the awareness and practice of PSC were reported as 100% and 60%, respectively. Conclusion: Based on the obtained results of the current study, it was apparently demonstrated the low awareness, attitude, and practice of PSC resulting in the low functionality of PSC. Therefore, it is required to take comprehensive educational and institutional measures aiming at the improvement of positive PSC. Management commitment to safety is a key element in this regard.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"62 1","pages":"225-235"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84777629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Symptoms and Para-Clinical Findings among the Deceased Patients Due to Aluminum Phosphide Poisoning in Ardabil, Iran, From 2009 To 2017","authors":"E. Farzaneh, T. Akbari, F. Amani","doi":"10.22038/PSJ.2020.49957.1280","DOIUrl":"https://doi.org/10.22038/PSJ.2020.49957.1280","url":null,"abstract":"Introduction: Aluminum phosphide or rice tablet is one of the most common pesticides and insecticides used in agriculture to protect crops, cereals, and rice. Recently, this substance has been increasingly used as a method for committing suicide among people in society. This study aimed to evaluate the clinical symptoms and para-clinical findings of deceased patients due to Aluminum phosphide poisoning in Ardabil province, Iran. Materials and Methods: This descriptive cross-sectional study was conducted on 97 hospitalized patients who died due to Aluminum phosphide poisoning in Ardabil province, Iran, from 2009 to 2017. The data were collected using a checklist and then analyzed in SPSS software (version 19) through descriptive and analytical statistics Results: The mean age of all patients was 34.3±15.8 years, and the majority of the cases (77.3%) were female. The most important symptoms were nausea and vomiting in males (92%) and females (100%). Moreover, the patients had a mean recovery time of 5.89 h. Of all the deceased patients, 22 and 75 cases took two and one tablets, respectively. Furthermore, 92.7% of the patients had taken the rice tablets orally. The amount of Glasgow Coma Scale (P=0.001), systolic blood pressure (P=0.001), PH (P=0.001), heart rate (P=0.001), respiratory rate (P=0.001), bicarbonate (P=0.001) and white blood cell (P=0.009) in died patients in more than 24 hour significantly difference with died patients in less than 24 hour. The females obtained a significantly lower systolic blood pressure (P=0.01) and lower pH (p=0.045), but the higher partial pressure of oxygen (P=0.01), compared to males. Conclusion: The results of this study showed that the frequency of deaths due to rice pill poisoning was much higher in males than females; moreover, this value was higher in middle-aged groups, compared to other age groups.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"5 1","pages":"219-224"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78456241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?","authors":"S. Rahmani, S. Sadrzadeh, Sara Ali","doi":"10.22038/PSJ.2020.48148.1271","DOIUrl":"https://doi.org/10.22038/PSJ.2020.48148.1271","url":null,"abstract":"Introduction: Regarding the high prevalence of asymptomatic infections, recognition of patients infected with Coronavirus Disease 2019 (COVID-19) has turned into a challenging issue. Therefore, this study aimed to evaluate the prognosis of asymptomatic patients with abnormal CXR indicative of COVID-19 for two weeks. Materials and Methods: This cross-sectional study included 40 patients who were referred to shahid hashemi nezhad hospital with trauma and underwent CXR. The patients were selected based on the purposive sampling method. The inclusion criteria were asymptomatic patients with trauma who were referred to our hospital and underwent chest CXR indicative of COVID-19. Demographic characteristics of the patients were recorded in a checklist. The real-time reverse transcription-polymerase chain reaction assay was carried out to diagnose the novel COVID-19. Out of 40 patients, 23 cases had positive test results; however, the others did not perform the test. The patients were followed up for 30 days in terms of the progress of their respiratory disease. Furthermore, those in the hospital were controlled daily, and the discharged cases were followed up via telephone. Results: This study included 40 traumatic patients, and the majority of cases (n=29,72.5%,) were male. Upon admission, 37 (92.5%) cases had no signs of common cold, such as cough and fever. However, three (7.5%) patients had an occasional cough, and 10 (25%) cases remembered to have flu-like symptoms in the past two weeks. The mean hospital stay of the patients was estimated at 3.2±1.4 days. It should be noted that no death and respiratory distress syndromes occurred during the follow-up period. Conclusion: A favorable prognosis of asymptomatic patients with CXR indicative of COVID-19 was obtained in this study, and none of the cases developed critical forms of the disease.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"27 2 1","pages":"203-206"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88300314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification and Assessment of the Potential Error Causes in a Fertility and Infertility Center Using Pareto Analysis in Isfahan, Iran","authors":"A. Dehghan, S. Ehsanpour, Rouhollah Sheikh Abumasoudi","doi":"10.22038/PSJ.2020.44094.1252","DOIUrl":"https://doi.org/10.22038/PSJ.2020.44094.1252","url":null,"abstract":"Introduction: Identifying errors and examining their causes in diagnostic and therapeutic processes is special conditions which has considerable impact on fertility medicine.  Porpuse: The purpose of this investigation is to identifying and assessing the causes of potential errors in the Isfahan Fertility and Infertility Center using Pareto analysis Materials and Methods: Data for this study were a Descriptive-analytic study approach was adopted to assess the management practice of twofold: 1. identification of errors in process of from admission to stimulate ovulation and 2. Evaluation of causes of errors in process by using Pareto analysis.  Results: Of the 5 proposed processes, 123 errors were identified. The result ,as shown in chart1, indicate that the most common causes of error in each of the 5 processes related to \"Mistake in entering the system information by personnel(13%), patient’s swarm(25%), Lack of knowledge(33%), Occupation of personnel(39%) and Doctor mistake in prescription(record, date and condition tests(45%).In fact, 80% of the causes of the error were in each of the 5 processes considered at 20% of them. Conclusion: Pareto chart seems to be a useful tool for identifying the main problem created by diagnostic and therapeutic processes and can identify the true cause of errors, including common errors.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"68 1","pages":"145-151"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87457395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Medication Errors in Teaching Hospitals","authors":"F. Mousavi, S. Razavi, P. Shojaei","doi":"10.22038/PSJ.2020.47144.1266","DOIUrl":"https://doi.org/10.22038/PSJ.2020.47144.1266","url":null,"abstract":"Introduction: Medication errors (MEs) are a common explanation for iatrogenic adverse events. This study appraised the incidence of MEs and identified the error types in the hospitals affiliated to Azad University of Medical Sciences, located in Tehran, Iran. Materials and Methods: This cross-sectional descriptive study was conducted on all patients admitted to the hospitals affiliated to Azad University of Medical Sciences. The data were collected by means of a drug safety checklist and then extracted and analyzed in SPSS software (version 22.0). Moreover, drug interaction was assessed based on the World Health Organization guidelines and Medscape application. Results: The mean MEs incidence was obtained as 43.38±5.25. Moreover, the mean numbers of errors in prescribing drugs and antibiotics were 4.71±2.93 and 1.02±0.95, respectively. According to the results, drug interactions occurred in 12.3% of the medicines. In addition, ME showed a significant correlation with education status, ward type, admission type, hepatic failure, hepatic enzymes, patient weight (when on antibiotics), antibiotic effect, and patient age (65> years). Conclusion: The results were indicative of a high prevalence of prescription errors. Moreover, it was found that most of MEs were made by doctors, mainly due to the lack of an electronic drug registration system. Therefore, physicians need to be educated on how to increase patient safety through drug safety.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"39 1","pages":"127-137"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81670615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Persian Version of the Safety Attitudes Questionnaire","authors":"Nahid Aziminasab, S. Amini, N. Morovatdar","doi":"10.22038/PSJ.2020.47082.1265","DOIUrl":"https://doi.org/10.22038/PSJ.2020.47082.1265","url":null,"abstract":"Introduction: This study aimed to validate the Persian version of the safety attitudes questionnaire (SAQ) in Mashhad, Iran. Materials and Methods: The SAQ was distributed to 160 surgical team members at Imam Reza Hospital in Mashhad, Iran, in 2019. In total, 150 valid responses were returned. The Cronbach’s α and item-dimension correlations were calculated for reliability assessment. Confirmatory factor analysis (CFA) was also performed to assess the validity using Confirmatory Fit Index (CFI), Expected Cross-Validation Index (ECVI), and Root Mean Square Error of Approximation (RMSEA) values. Results: The mean age of the study population was estimated at 28.7 years, and the majority (n=116, 77.3%) of the participants were female. The goodness-of-fit index from the CFA showed a well-founded model fit (CFI=0.8, ECVI=0.8, and RMSEA=0.02). The Cronbach’s α for the scale was calculated at 0.74 within the range from 0.4 (perception of management) to 0.83 (job satisfaction). The SAQ showed good internal consistency reliability. Correlation coefficients for the association between each item and the corresponding dimensions ranged from 0.431 to 0.884, which was regarded as a good correlation. Conclusion: The SAQ was a valid and reliable instrument and could be a useful instrument to measure safety attitudes in hospitals among Iranian populations.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"8 1","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87228586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Patients' Awareness about Hospital Infection Symptoms at Shahid Kamyab Educational Hospital from March to September 2015","authors":"Behnaz Samiee Daluee, A. Salehmoghaddam, Z. Shaye, Najmeh Abdolbaghi, Fatemeh Imani, M. Gheibi","doi":"10.22038/PSJ.2020.52378.1292","DOIUrl":"https://doi.org/10.22038/PSJ.2020.52378.1292","url":null,"abstract":"Introduction: Annually, more than 1.4 million of the world population suffer from nosocomial infections. The present study aimed to assess the patients' knowledge about the symptoms of hospital infections. Materials and Methods: This descriptive cross-sectional study was conducted through the census method on 350 patients admitted to Shahid Kamyab Hospital, Mashhad, Iran. They were asked to complete a researcher-made questionnaire covering such information as demographic characteristics and questions to evaluate awareness about the symptoms of hospital-acquired infections. The data were analyzed in SPSS software (version 22) using descriptive statistics. Results: The majority of the participants (65%) in this study were male, and 68.7% of the cases had a higher level of awareness regarding the symptoms of hospital infections. Conclusion: Considering the higher level of patients' knowledge about the symptoms of hospital infections, the patients' education process can be continued to keep and improve this trend.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"12 1","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79577286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Safety Status in Selected Training Hospitals Affiliated to Mashhad University of Medical Sciences, Mashhad, Iran","authors":"G. Sabouri, Mohamadreza Ghafghazi, M. Zare, M. Asadi","doi":"10.22038/PSJ.2020.52377.1291","DOIUrl":"https://doi.org/10.22038/PSJ.2020.52377.1291","url":null,"abstract":"Introduction: The quality and safety of care and services provided to the patient are among the most important issues in the health care sector. Therefore, the present study was conducted to investigate the current status of patient safety in hospitals affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. Materials and Methods: The present study with a pretest and posttest design was carried out on 11 educational hospitals affiliated to Mashhad University of Medical Sciences. The hospitals were evaluated using the checklist of patient safety friendly hospital that is approved by the Ministry of Health. After analyzing the results with regard to the weaknesses, feedback was provided for each hospital, and then the hospitals were reevaluated by the same checklist. The data were analyzed by SPSS software (version 22). Results: The results of this study showed that in the first 6 months of the study within March to September 2017 before providing the feedback to the hospitals, the average accordance of hospitals with patient safety standards was 67.1% that reached 72.72% after delivering the feedback, applying patient safety standards in hospitals, and eliminating deficiencies. Conclusion: Hospitals should obtain the total score of the checklist to reach the patient safety friendly hospital rank; however, an average of about 75% is also significant, and planning is essential to achieve the maximum scores.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"52 1","pages":"161-165"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78116326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers of Medication Administration Error Reporting in Neonatal and Neonatal Intensive Care Units","authors":"M. Nourian, M. Babaie, Fatemeh Heidary, M. Nasiri","doi":"10.22038/PSJ.2020.49860.1279","DOIUrl":"https://doi.org/10.22038/PSJ.2020.49860.1279","url":null,"abstract":"Introduction: Medication administration error is the most common type of error in the field of medicine which is a risk factor for neonatal safety. These errors should be reported in order to prevent or mitigate their occurrence. In this regard, the present study aimed to determine the barriers of reporting medication administration errors from the point of view of nurses in neonatal and neonatal intensive care units. Materials and Methods: This descriptive cross-sectional study was performed on 157 nurses who were selected using the census sampling method. The participants were nurses of neonatal and neonatal intensive care units in the hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran. Moreover, the required data were collected using the second part of the Medication Administration Error Reporting Survey whose psychometric properties (content validity, face validity, construct validity, and reliability) were determined beforehand. Results: Results of factor analysis indicated the fitness of the data of the Persian version of the scale with 16 items and four factors. Based on the findings, from the point of view of nurses, “fear” and “administrative response” were the most important barriers to reporting errors, in that order. The most and least common fears of nurses were the fear of negative perceptions and complaints of the family of patients (4.95±1.28) and the fear of reprimand by physicians (3.22±1.43), respectively. Moreover, the most important barrier in reporting the errors concerning the administrative response was the lack of positive feedback regarding the correct medication administration (4.22±1.62). Conclusion: According to the results, it can be concluded that from the viewpoint of nurses, fear and administrative response are barriers to reporting medication administration errors.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"21 1","pages":"173-181"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88624265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A COVID-19 Patient in Recovery Phase with Dyspnea Due to Acute Myocardial Infarction: A Case Report","authors":"E. Moradi, Amirreza Dehghan Tarazjani, S. Sadrzadeh, Morteza Talebideloei, P. Layegh","doi":"10.22038/PSJ.2020.51544.1286","DOIUrl":"https://doi.org/10.22038/PSJ.2020.51544.1286","url":null,"abstract":"Introduction: The mortality rate of coronavirus disease 2019 (COVID-19) has increased to more than 2-3% since it has rapidly become a pandemic. Therefore, it is aimed to prevent errors in the diagnosis and treatment of patients in case of disastrous situations. Case Report: A 56-year-old man was admitted to the Corona Referral Center with a chief complaint of shortness of breath. He was treated for COVID-19 at least for 10 days in this hospital. Two days following discharge from the hospital, the case was spending his recovery time at home; however, since this morning he had been suffering from severe dyspnea. He was re-admitted to the Corona Center with the probability of COVID complications. The patient electrocardiography revealed a new Left Bundle Branch Block, and he was transferred to a cardiac catheterization laboratory under isolated conditions. Moreover, percutaneous coronary intervention was performed on the left main coronary artery. Conclusion: There are always medical errors both in diagnosis and treatment since patient referrals to the emergency departments.","PeriodicalId":16681,"journal":{"name":"Journal of patient safety and quality improvement","volume":"69 1","pages":"183-185"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91002903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}