Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献_第7页

Epeolatry

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-04-06 DOI: 10.1002/jhrm.21502

Sue Boisvert BSN, MHSA, CPPS, CPHRM, DFASHRM

引用次数: 1

Issue Information - About ASHRM 发布信息-关于ASHRM

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-04-06 DOI: 10.1002/jhrm.21428

引用次数: 0

Issue Information - Advisory Board 发布信息-咨询委员会

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-04-06 DOI: 10.1002/jhrm.21429

引用次数: 0

Issue Information - Editorial Review Board 发行信息-编辑审查委员会

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-04-06 DOI: 10.1002/jhrm.21430

引用次数: 0

Patient falls in the operating room setting: An analysis of reported safety events. 病人在手术室摔倒:安全事件报告分析。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-04-01 DOI: 10.1002/jhrm.21503

Joy Tan, S. Krishnan, Joshua C. Vacanti, Kimberly K Wheeler, Sheila T Giovannini, M. P. Pimentel, R. Urman

{"title":"Patient falls in the operating room setting: An analysis of reported safety events.","authors":"Joy Tan, S. Krishnan, Joshua C. Vacanti, Kimberly K Wheeler, Sheila T Giovannini, M. P. Pimentel, R. Urman","doi":"10.1002/jhrm.21503","DOIUrl":"https://doi.org/10.1002/jhrm.21503","url":null,"abstract":"INTRODUCTION\u0000Patient falls are a preventable public health problem, and they are among the most reported safety incidents in the hospital. We used a hospital safety reporting system to examine the nature of reported falls in the perioperative setting at an academic tertiary center.\u0000\u0000\u0000METHODS\u0000In this retrospective study, reports of perioperative safety events listed as \"Falls\" between 2014 and 2020 were analyzed for severity level and specific event type.\u0000\u0000\u0000RESULTS\u0000Out of 8337 safety reports from 2014 to 2020, 86 were \"fall\" related (1%). The most common \"fall\" event type was \"ambulating with assistance and the severity level reported was mainly level 1 (no harm, did reach patient, 63%) followed by level 2 (temporary or minor harm, 28%). One of the most frequently reported types of perioperative falls was from a bed or stretcher (15% of falls)\".\u0000\u0000\u0000CONCLUSIONS\u0000Our safety data reporting system identified falls as a safety event that causes patient harm in the perioperative setting that could be preventable with a multifaceted interdisciplinary approach. Risk managers can use these data to implement strategies to reduce falls such as creating screening protocols to identify high-risk patients, educating and training healthcare personnel, and optimizing operating room, hospital, and equipment design.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89563699","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

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 : 2022-03-26 DOI: 10.1002/jhrm.21501

Barbara McCarthy RN, MPH, CPHQ, CPHRM, DFASHRM

引用次数: 0

The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. 在急性医疗保健组织中采用高可靠性组织框架所需的领导技能。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-02-28 DOI: 10.1002/jhrm.21500

Amanda L Logan-Athmer

引用次数: 1

Qualitative content analysis: A framework for the substantive review of hospital incident reports 定性内容分析:对医院事件报告进行实质性审查的框架

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-02-25 DOI: 10.1002/jhrm.21498

Seth Stephens DNP, APRN, ACNP-BC, CPHQ

引用次数: 1

The assessment of a growing mobile anesthesia practice from 2016 to 2019: A retrospective observational cohort study of 89,999 cases comparing ambulatory surgery (ASC) and office-based surgery (OBS) centers using a high-fidelity, anesthesia-specific electronic medical record (EMR) 2016年至2019年不断增长的移动麻醉实践评估:一项回顾性观察队列研究，89999例病例，使用高保真、麻醉专用电子病历(EMR)比较门诊手术(ASC)和办公室手术(OBS)中心。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-02-20 DOI: 10.1002/jhrm.21499

Fred E. Shapiro DO, FASA, Brian H. Park MD, Tal S. Levy MD, Brian M. Osman MD

{"title":"The assessment of a growing mobile anesthesia practice from 2016 to 2019: A retrospective observational cohort study of 89,999 cases comparing ambulatory surgery (ASC) and office-based surgery (OBS) centers using a high-fidelity, anesthesia-specific electronic medical record (EMR)","authors":"Fred E. Shapiro DO, FASA, Brian H. Park MD, Tal S. Levy MD, Brian M. Osman MD","doi":"10.1002/jhrm.21499","DOIUrl":"10.1002/jhrm.21499","url":null,"abstract":"Office-based surgery (OBS) has emerged as a significant subspecialty of ambulatory surgery. There are few clinical trials and limited published data on patient characteristics, anesthesia, or outcomes distinguishing OBS from ambulatory surgery centers (ASCs). We examined retrospective data from a large mobile anesthesia practice for 89,999 procedures from 2016 to 2019. Data was abstracted from billing and an anesthesia-specific electronic medical record, segregating procedures performed in ASCs versus OBS. The number and breadth of procedures increased substantially. Compared to ASCs, OBS patients were more likely male (52% vs. 48%), older (61 years vs. 55 years), and to have a higher American Society of Anesthesiologists (ASAs) status (33% vs. 20% ASA 3 or higher). The procedure mix varied substantially between the two settings. The major complication rate was 0.07% for the ASCs and 0.24% for OBS (p = 0.2, confidence interval [CI] −0.15 to 0.04). Minor complications were 11.2% in OBS versus 17.3% the ASCs (p < 0.0001, 95% CI 5.2–7). The practice demonstrates a low rate of complications, and despite the limitations of this study, the organization and structure of this large mobile anesthesia practice serves as a template for effective risk mitigation and patient safety.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 4","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39938233","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: 3

Quantification of the impact of factors affecting the technical performance of operating room personnel: Expert judgment approach 手术室人员技术绩效影响因素的量化:专家判断法

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-02-19 DOI: 10.1002/jhrm.21497

Reza Jafari Nodoushan, Khalil Taherzadeh Chenani, Mehdi Jahangiri, Farzan Madadizadeh, Hossein Fallah

{"title":"Quantification of the impact of factors affecting the technical performance of operating room personnel: Expert judgment approach","authors":"Reza Jafari Nodoushan, Khalil Taherzadeh Chenani, Mehdi Jahangiri, Farzan Madadizadeh, Hossein Fallah","doi":"10.1002/jhrm.21497","DOIUrl":"10.1002/jhrm.21497","url":null,"abstract":"Incorrect assessment of the performance shaping factors (PSFs), especially in health care systems, may lead to irreversible consequences such as death. The current study aimed to adapt PSFs taxonomy given in standardized plant analysis risk human reliability analysis (SPAR-H) technique to surgical context. PSFs taxonomy of the SPAR-H technique was revised, and more contextspecific definitions to surgical context were suggested. Step-wise weight assessment ratio analysis (SWARA) and eleven-digit numerical scale were used for quantification of the weight and negative influence rate of the PSFs during surgical processes, respectively. Nine PSFs were proposed following the SPAR-H taxonomy. The order of the importance of the PSFs was quietly conflicting in terms of weight and negative influence rate. From the perspective of experts, fatigue and threat stress were assessed as the most important PSFs in terms of both weight and negative influence rate. Current study has offered a domain-based understanding of the PSFs, particularly in the surgical context. Results of this study could be used to evaluate human error behaviors during the performance of tasks in the operating room. Moreover, these results could be used for improving patient safety programs in health care systems.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 4","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2022-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39645662","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