Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献_第5页

Violence in the health care workplace and ERM solutions 卫生保健工作场所的暴力和ERM解决方案

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-03-08 DOI: 10.1002/jhrm.21535

Colleen Naglee MD

引用次数: 1

An examination of Leapfrog safety measures and Magnet designation 跨越式安全措施和磁体标识的检验

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-02-27 DOI: 10.1002/jhrm.21533

Teresa Wai Chi Tai PhD, MA, BA, Angela Mattie JD (Esq.), MPH, Stephanie Monteiro Miller PhD, Robert M. Yawson PhD, MPhil, MS

{"title":"An examination of Leapfrog safety measures and Magnet designation","authors":"Teresa Wai Chi Tai PhD, MA, BA, Angela Mattie JD (Esq.), MPH, Stephanie Monteiro Miller PhD, Robert M. Yawson PhD, MPhil, MS","doi":"10.1002/jhrm.21533","DOIUrl":"10.1002/jhrm.21533","url":null,"abstract":"Leapfrog Hospital Safety Grades and Magnet designation are two publicly available measures that serve as proxies for health care quality and safety. We examine whether hospitals with a better rating in one Leapfrog safety measure also have favorable ratings in other Leapfrog safety measures and whether Magnet-designated hospitals have better Leapfrog safety scores related to outcomes, processes, and structures than non-Magnet hospitals. Our study found that hospital-associated infections (HAIs) were not strongly correlated with one another, but Leapfrog safety process and structural measures were significantly and strongly correlated with one another, suggesting hospitals that invest in processes/structures to improve quality tend to do so across many dimensions. Also, Magnet-designated hospitals had higher Leapfrog grades for structural measures but not systematically better infection rates. Only one HAI (central line-associated bloodstream infections) had lower rates in Magnet hospitals than non-Magnet hospitals. These analyses suggest that improvements in process and structural measures do not necessarily translate into lower HAIs. Hospitals may need specific quality improvement strategies to target each HAI since HAIs are not strongly correlated with one another. Future research is needed to identify what process and structural measures can decrease HAIs and how this should be reflected in Magnet designation evaluation criteria.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 3-4","pages":"21-29"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9477699","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}

引用次数: 1

Surviving surgery; succumbing to pharmacotherapy: A case report underscoring the importance of PRN order clarification for patient safety 幸存的手术;屈服于药物治疗:一份病例报告强调了PRN命令澄清对患者安全的重要性

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-02-27 DOI: 10.1002/jhrm.21534

Setare Nassiri MD, Zahra Karimian PharmD, MPH, Kobra Tahermanesh MD, Maryam Farasatinasab PharmD

{"title":"Surviving surgery; succumbing to pharmacotherapy: A case report underscoring the importance of PRN order clarification for patient safety","authors":"Setare Nassiri MD, Zahra Karimian PharmD, MPH, Kobra Tahermanesh MD, Maryam Farasatinasab PharmD","doi":"10.1002/jhrm.21534","DOIUrl":"10.1002/jhrm.21534","url":null,"abstract":"“Pro re nata” (PRN) or “as needed” medicine administration and usage is a relatively neglected area in medication management (pharmacotherapy/pharmaceutical care) which contributes to error-prone use of medications and is unsafe for patients. In this case, we report the incident of diclofenac toxicity in a 51-year-old woman due to a prescription of 100 mg diclofenac suppositories PRN, or as needed, for postoperative pain control without explanation of the maximum daily dose (150 mg daily), which led to arbitrary consumption of 3 g of diclofenac over 5 days (600 mg daily) by the patient, and subsequent development of metabolic acidosis, acute kidney injury, and sudden cardiac arrest. The implementation of practical guidelines and training programs for health care workers to appropriately prescribe, dispense, and administer PRN medicines are necessary, and should at least include providing clarification for their indication, dose and frequency, as well as any cautionary instructions to ensure safe and effective use of such medicines.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 3-4","pages":"40-44"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9471843","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}

引用次数: 0

Nursing opinions on collaborating with residents in new and legacy OB/GYN programs 在新的和传统的妇产科项目中与住院医师合作的护理意见

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-01-03 DOI: 10.1002/jhrm.21526

Kimberly Swan MD, MBA, Oliwier Dziadkowiec PhD, Jeffery S. Durbin MS, Kelly Mosher MD, Gloria Zhujun Wang MD, Ye Ji Choi MPH, Susan M. Thrasher DNP, FNP-BC, RNC

{"title":"Nursing opinions on collaborating with residents in new and legacy OB/GYN programs","authors":"Kimberly Swan MD, MBA, Oliwier Dziadkowiec PhD, Jeffery S. Durbin MS, Kelly Mosher MD, Gloria Zhujun Wang MD, Ye Ji Choi MPH, Susan M. Thrasher DNP, FNP-BC, RNC","doi":"10.1002/jhrm.21526","DOIUrl":"10.1002/jhrm.21526","url":null,"abstract":"Collaboration among physicians and nurses is vital and has shown to lead to better patient care and improve outcomes. Our study surveyed two groups of Labor and Delivery nurses in two regionally similar community hospitals in midwestern United States: one group from a new Obstetrics and Gynecology (OB/GYN) residency program (n = 49) and another from an established (legacy) OB/GYN residency program (n = 49). The survey asked nurses from the hospital with new and legacy residency program about preparedness for working with residents, perceptions of nurse-resident-patient relationships, collaboration and opinions about how resident physicians impact patient safety. Most nurses from the legacy residency program showed positive perceptions of collaboration with the residency and institutional support. In the new OB/GYN residency program, nurses were generally neutral and showed skepticism about collaboration with OB/GYN resident physicians and institutional support. Nurses from both hospitals felt similarly in their comfort escalating issues to administration and in their satisfaction with interprofessional collaboration within Labor and Delivery units. Providing nurses with opportunities to learn about the role of new medical residents in their patient care setting as well as intentional collaboration between nursing and residency program administration might result in more effective collaboration between physician residents and nursing staff.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 3-4","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476617","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}

引用次数: 0

A failure in the medication delivery system—how disclosure and systems investigation improve patient safety 给药系统的失败——披露和系统调查如何改善患者安全

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-12-04 DOI: 10.1002/jhrm.21529

Scott R. Lucas PhD, PE, Ed Pollak MD, FASA, CPPS, Charles Makowski PharmD

{"title":"A failure in the medication delivery system—how disclosure and systems investigation improve patient safety","authors":"Scott R. Lucas PhD, PE, Ed Pollak MD, FASA, CPPS, Charles Makowski PharmD","doi":"10.1002/jhrm.21529","DOIUrl":"10.1002/jhrm.21529","url":null,"abstract":"A recent medication error at Vanderbilt University Medical Center contributed to the death of a patient. The ensuing criminal indictment of the administering nurse has shaken the medical community. This has led to clinical staff questioning whether they can disclose patient safety incidents without fear of criminal prosecution. However, because of the publicity of this case, hospitals can benefit from the lessons learned and mitigate the risk of this and similar events at their facilities. To uncover the most impactful and relevant safety recommendations, the Vanderbilt case is examined from a systems investigation perspective using the available public information gathered from media reports, the Tennessee Bureau of Investigation report, and Vanderbilt's corrective action plan submitted to CMS. We present an example of how hospitals can benefit from disclosure: Henry Ford Health used the Vanderbilt case study as part of its medication safety continuous improvement initiatives, which are underpinned by available medication safety recommendations from the Institute for Safe Medication Practices. Using this experience and the lessons learned from the Vanderbilt case, a proactive action plan is presented for hospitals nationwide to prevent the recurrence of this medication error. Without disclosure, these analyses and safety recommendations would not have been possible.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 3-4","pages":"30-39"},"PeriodicalIF":0.0,"publicationDate":"2022-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9470769","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}

引用次数: 0

Case law update 判例法更新

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-11-23 DOI: 10.1002/jhrm.21528

Christopher J. Allman JD, CPHRM, DFASHRM

引用次数: 0

The power of leadership 领导的力量

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-11-14 DOI: 10.1002/jhrm.21527

Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA

引用次数: 0

President's Message 总统的消息

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-10-09 DOI: 10.1002/jhrm.21525

Barbara McCarthy RN, MPH, CPHQ, CPHRM, DFASHRM

引用次数: 0

We are all winners 我们都是赢家

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-09-21 DOI: 10.1002/jhrm.21523

Sue Boisvert BSN, MHSA, CPPS, CPHRM, DFASHRM

引用次数: 0

Changing attitudes about workplace violence: Improving safety in an acute care environment 改变对工作场所暴力的态度:改善急症护理环境的安全

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-09-20 DOI: 10.1002/jhrm.21524

Susan W. Hendrickson MHRD/OD, RN, CPHQ, FACHE, FNAHQ, LSSBB

{"title":"Changing attitudes about workplace violence: Improving safety in an acute care environment","authors":"Susan W. Hendrickson MHRD/OD, RN, CPHQ, FACHE, FNAHQ, LSSBB","doi":"10.1002/jhrm.21524","DOIUrl":"10.1002/jhrm.21524","url":null,"abstract":"The United States Department of Labor's Occupational Safety and Health Administration (OSHA) defines workplace violence (WPV) as any act or threat of physical violence, harassment, intimidation, or other threatening disruptive behavior that occurs at the work site. OSHA recognizes that WPV ranges from threats and verbal abuse to physical assaults and even homicide. There are no OSHA standards specifically related to WPV however the General Duty Clause, Section 5(a)(1) of the OSHA Act of 1970, requires employers to provide a workplace that is free of conditions that could cause death or serious harm to employees. The Joint Commission published standards in 2022 related to WPV. The standards require a proactive analysis of the organization relative to WPV. Monitoring of events and training of staff are also required. This article will explore one hospital's journey to understand the frequency and types of violence experienced by nurses in the facility; implement evidence-based strategies to mitigate violence in the hospital; maintain compliance with regulatory and accrediting bodies; and most importantly, to protect our staff from harm.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"42 2","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40369594","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}

引用次数: 0