Risk Management and Healthcare Policy最新文献

{"title":"The Bibliometric and Visualized Analysis of Research for Hospital Medication Management Based on the Web of Science Database.","authors":"Chenxiao Hu, Mingwei Sheng, Ke Wang, Zi Yang, Shiping Che","doi":"10.2147/RMHP.S464456","DOIUrl":"10.2147/RMHP.S464456","url":null,"abstract":"<p><strong>Objective: </strong>Identify the collaborations between authors, countries, and institutions, respectively, and explore the hot issues and prospects for research on hospital medication management.</p><p><strong>Materials and methods: </strong>Publications on hospital medication management were retrieved from the Web of Science Core Collection. Bibliometric analyses were performed using CiteSpace 6.1.R3, HistCite 2.1, and VOSviewer 1.6.16. The network maps were created between authors, countries institutions, and keywords.</p><p><strong>Results: </strong>A total of 18,723 articles related to hospital medication management studies were identified. Rapid growth in the number of publications since 2017. The high papers were published in AM J HEALTH-SYST PH, while JAMA-J AM MED ASSOC was the most co-cited journal. Manias E and WHO ranked first in the author and cited author. There were active collaborations among the top authors. Bates DW was the key author in this field. The authors have active collaborations in adverse drug events, acute coronary syndrome, in-hospital major bleeding, and so on. The US was the leading contributor in this field. The UK, Australia, and China are also very active. Active cooperation between countries and between institutions was observed. The main hot topics included matters related to outcome indicators, hospital pharmacy service behaviors, and medication use in pain management. More recent keywords focus on chronic disease medication management and clinical medication management.</p><p><strong>Conclusion: </strong>Hospital medication management studies have significantly increased after 2017. There was active cooperation between authors, countries, and institutions. The application of hospital medication management in the emergency department and the relationship between medication management and medication adherence are current research hotspots. In addition, with the continuous progress of society, chronic diseases have become an important factor affecting people's health, and medication management is becoming more and more subdivided, so the direction of chronic disease medication management as well as precise medication may become the development direction of future research.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11179643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Multi-Dimensional Health Index System for a General Occupational Population in the Light of Health Ecology Theory: A Delphi Study.","authors":"Xiaoling Zhou, Jing Wu, Ying Liu, Yuzhong Yan, Geyao Zhou, Ming Li","doi":"10.2147/RMHP.S459216","DOIUrl":"10.2147/RMHP.S459216","url":null,"abstract":"<p><strong>Background: </strong>The health status of the occupational population is critical to the development of countries and regions as it is the main force of social and economic development. However, there is a dearth of comprehensive and systematic indicators to evaluate the health of occupational groups. This study aimed to construct a multi-dimensional evaluation index system for the general population.</p><p><strong>Methods: </strong>This study combined a literature review and initially established a multidimensional health system framework for the occupational population based on health ecology theory and then used two rounds of Delphi expert consultation to construct the final multidimensional health index system for the occupational population. Fifteen experts from related fields were selected for two rounds of Delphi expert consultation.</p><p><strong>Results: </strong>The recovery rates of the two rounds of expert questionnaires were 100.00% and 93.33% respectively, the expert authority coefficient were 0.90, and the Kendall's coordination coefficients of the first and second level indexes were 0.32 and 0.42 (<i>P</i> ≥ 0. 001). The final index system includes four primary indicators (individual characteristics, health knowledge, health behavior, and health skills), 13 second-level indicators, and 41 third-level indicators; the weight coefficients of the four primary health dimensions are relatively close, and the \"health knowledge\" is slightly higher.</p><p><strong>Conclusion: </strong>The multi-dimensional health index system of the occupational population established in this study is comprehensive and reasonable from the perspective of health ecology, which can provide a solid foundation for the further development of a comprehensive health status prediction model for the occupational population.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral Distress Healthcare Providers in Spain: Observational Study.","authors":"Marta Mellides González, Marta Elena Losa Iglesias, Inmaculada Corral-Liria, Ricardo Becerro-de-Bengoa-Vallejo, Eva Maria Martinez-Jimenez, Sandra Fares-Medina, Sara González-Martín, Marta San-Antolín, Raquel Jiménez-Fernández","doi":"10.2147/RMHP.S460360","DOIUrl":"10.2147/RMHP.S460360","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the moral distress (MD)in health professionals of pediatric and adult units to show how the complexity of care in the pediatric field causes the professionals who carry out their activity in these units to present a higher level of moral distress and a worse climate ethical.</p><p><strong>Design: </strong>Observational study with health professionals who currently work in Spanish Hospitals.</p><p><strong>Methods: </strong>A 58-item questionnaire was electronically distributed which included sociodemographic and employment characteristics, the Spanish version of the Measure of Moral Unrest for Healthcare Professionals (MMD-HP-SPA) and the Hospital Ethical Climate Survey (HECS).</p><p><strong>Results: </strong>A total of 169 health professionals completed the questionnaire. The moral distress was significantly higher among nurses than among physicians and nursing assistant care technicians. Focusing on the type of unit, moral distress it was only significantly higher for those physicians treating adult patients compared to those treating pediatric patients. Regarding the total score of the HECS survey, the medical group shows higher scores compared to the nursing group.</p><p><strong>Conclusion: </strong>Statistically significant differences have been found only in the medical group that treats adult patients, presenting a higher level of moral unrests than the pediatrician group. The MMD-HP-SPA questionnaire is a valid and useful instrument to detect MD in our hospital units in order to be able to implement strategies/interventions that improve the ethical climate and other factors that can mitigate and prevent this MD.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11166161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Management for Whole-Process Safe Disposal of Medical Waste: Progress and Challenges.","authors":"Ting Yang, Yanan Du, Mingzhen Sun, Jingjing Meng, Yiyi Li","doi":"10.2147/RMHP.S464268","DOIUrl":"10.2147/RMHP.S464268","url":null,"abstract":"<p><p>Over the past decade, the global outbreaks of SARS, influenza A (H1N1), COVID-19, and other major infectious diseases have exposed the insufficient capacity for emergency disposal of medical waste in numerous countries and regions. Particularly during epidemics of major infectious diseases, medical waste exhibits new characteristics such as accelerated growth rate, heightened risk level, and more stringent disposal requirements. Consequently, there is an urgent need for advanced theoretical approaches that can perceive, predict, evaluate, and control risks associated with safe disposal throughout the entire process in a timely, accurate, efficient, and comprehensive manner. This article provides a systematic review of relevant research on collection, storage, transportation, and disposal of medical waste throughout its entirety to illustrate the current state of safe disposal practices. Building upon this foundation and leveraging emerging information technologies like Internet of Things (IoT), cloud computing, big data analytics, and artificial intelligence (AI), we deeply contemplate future research directions with an aim to minimize risks across all stages of medical waste disposal while offering valuable references and decision support to further advance safe disposal practices.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Critical Role of Leadership in Patient Safety Culture: A Mediation Analysis of Management Influence on Safety Factors [Corrigendum]","authors":"Chih-Hsuan Huang, Hsin-Hung Wu, Yii-Ching Lee, Xiumei Li","doi":"10.2147/rmhp.s480246","DOIUrl":"https://doi.org/10.2147/rmhp.s480246","url":null,"abstract":"Corrigendum for the article The Critical Role of Leadership in Patient Safety Culture: A Mediation Analysis of Management Influence on Safety Factors","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141255088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equity and Prediction of Bed Allocation of the Department of Stomatology in Chinese Hospitals","authors":"Hong Tan","doi":"10.2147/rmhp.s461085","DOIUrl":"https://doi.org/10.2147/rmhp.s461085","url":null,"abstract":"<strong>Objective:</strong> To analyze the equity of bed allocation of the department of stomatology in Chinese hospitals and predict the development in the next 5 years, so as to provide a scientific basis for promoting the development of oral health.<br/><strong>Methods:</strong> Data on the beds of the department of stomatology in Chinese hospitals from 2017 to 2021 were obtained from the China Health Statistical Yearbook. The Gini coefficient, Lorenz curve, Theil index and agglomeration degree were used to analyze the equity of the bed allocation, and the grey prediction model GM(1,1) was used to predict the development from 2022 to 2026.<br/><strong>Results:</strong> From 2017 to 2020, the Gini coefficient of bed allocation of the department of stomatology in Chinese hospitals was below 0.2 by population. From 2017 to 2021, the Gini coefficient of beds was above 0.6 by geography and between 0.2 and 0.3 by economy. The Theil index of beds ranged from 0.022 to 0.056 by population, from 0.532 to 0.564 by geography, and from 0.042 to 0.047 by economy. The inequity in the allocation by population was mainly from between regions, and the inequity in the allocation by geography and economy was mainly from within regions. Health resource agglomeration degree (HRAD) was greater than 2 in the eastern and central regions and less than 1 in the western region. HRAD/ population agglomeration degree (PAD) was greater than 1 in the northeast, eastern, and central regions and less than 1 in the western region. According to the prediction, the number of beds of the department of stomatology in Chinese hospitals will continue to increase, reaching 47,862.485 in 2026.<br/><strong>Conclusion:</strong> The equity of bed allocation was better by population and economy than by geography. The equity of beds in the western region is insufficient equity by population and geography, and the equity of beds in the eastern region is insufficient equity by economy.<br/><br/><strong>Keywords:</strong> department of stomatology, beds, equity, prediction, China<br/>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141259954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Pandemic-Driven Care Redesign on Hospital Efficiency","authors":"Mihajlo Jakovljevic, Yuriy Timofeyev, Tatyana Zhuravleva","doi":"10.2147/rmhp.s465167","DOIUrl":"https://doi.org/10.2147/rmhp.s465167","url":null,"abstract":"<strong>Purpose:</strong> This study aims to identify medical care transformations during the COVID-19 pandemic and to assess the economic efficiency of these care transformations.<br/><strong>Methods:</strong> A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. The databases used in the search protocol included PubMed, RSCI, and Google Scholar.<br/><strong>Results:</strong> Ten eligible studies in English and one publication in Russian were identified. In general, the following changes in organization of health care processes since 2020 are observed: hospital at home, telemedicine (physician-to-patient), and the adoption of new information communication technologies within physician-to-physician and physician-to-nurse communication. Earlier trends, such as (a) wider use of electronic devices, (b) adoption of Lean techniques, (c) the incorporation of patient and other customer experience feedback, and (d) the implementation of clinical decision support systems and automation of workflow, tend to be preserved.<br/><strong>Conclusion:</strong> The most common changes in hospital care organization and the respective impacts of workflow changes (ie, workflow interventions, redesign, and transformations) on the efficiency of hospital care were summarized and avenues for future research and policy implications were discussed. The pandemic demonstrated a need for building more resilient and adaptive healthcare systems, enhancing crisis preparedness along with rapid and effective responses.<br/><br/><strong>Keywords:</strong> hospital care, care transformation, care redesign, workflow redesign, workflow improvements, efficiency<br/>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141255090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Current Status of Nurses’ Knowledge of Pressure Injuries and Factors Influencing It in Shaanxi Province, China: A Cross-Sectional Study","authors":"Liqun Luo, Xiulin Wen, Jingrong Wang, Qian Xiao, Liuju Su, Min Zhou","doi":"10.2147/rmhp.s458522","DOIUrl":"https://doi.org/10.2147/rmhp.s458522","url":null,"abstract":"<strong>Background:</strong> Pressure injuries are present in all healthcare environments and not only pose a significant health risk to individuals but also impose a heavy economic burden on society and families. Nurses, as the primary caregivers responsible for the prevention and management of pressure injuries, have knowledge that directly determines the incidence of pressure injuries.<br/><strong>Aim:</strong> To understand the current status of nurses’ knowledge of pressure injuries in Shaanxi Province and the factors influencing it.<br/><strong>Design:</strong> A cross-sectional survey.<br/><strong>Methods:</strong> In April - May 2022, 16,599 nurses from hospitals at all levels in Shaanxi Province were selected as survey subjects by convenience sampling method. They were surveyed using the general information questionnaire and the Pieper-Zulkowski pressure injury Knowledge Questionnaire through the Questionnaire Star platform.<br/><strong>Results:</strong> 16,599 nurses had a pressure injury knowledge score of (44.32± 10.11). Wound description and pressure ulcer staging dimensions were less than 60% correct. Comparison of pressure injury knowledge scores of nursing staff with different genders, hospital levels, titles, education, whether they were specialized nurses in wound stoma when they last attended a lecture on pressure ulcers, when they last read literature or books on pressure ulcers, and whether they ever looked for information about pressure ulcers on the Internet showed that the differences were statistically significant (<em>P</em> &lt; 0.05), which were the influencing factors of the knowledge scores of the nursing staff in Shaanxi Province.<br/><strong>Conclusion:</strong> Clinical nurses’ awareness of stress-related injuries still needs to be improved, and nursing administrators can improve the quality of pressure-related injury care by increasing nursing staff’s awareness through continuing education, tiered training, and other measures.<br/><br/>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141195883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does Psychological Distance Influence Public Risky Behavior During Public Health Emergencies","authors":"Yu Gao, Yuechi Sun","doi":"10.2147/rmhp.s458168","DOIUrl":"https://doi.org/10.2147/rmhp.s458168","url":null,"abstract":"<strong>Background:</strong> Public health emergencies not only threaten the physical and mental health of the public but also trigger a series of risky behaviors of the public, which in turn lead to the emergence or intensification of risk events, disrupting existing economic and social order.<br/><strong>Purpose:</strong> Based on construal level theory, cognitive appraisal theory of emotions and mood maintenance hypothesis, the study aims to investigate the collectively effect of risk perception and psychological insecurity in the connection between psychological distance and public risky behavior.<br/><strong>Participants and Methods:</strong> Cross-sectional data was derived from 257 China urban residents. All participants finished the psychological distance scale, risk perception scale, psychological insecurity scale, and risky behavior scale. The research hypothesis was tested using the PROCESS macro.<br/><strong>Results:</strong> The direct impact of psychological distance on risky behavior was not significant (β=− 0.018, p&gt; 0.05). The indirect impact of psychological distance on risky behavior was significant. In other words, the impact of psychological distance on risky behavior was serially mediated via risk perception and psychological insecurity (β=0.011, 95% CI= [0.0013, 0.025]).<br/><strong>Conclusion:</strong> Risk perception and psychological insecurity play serial mediating roles in the relationship between psychological distance and public risky behavior. We conclude that during public health emergencies, public health managers should pay extra attention to the risk perception and psychological insecurity level of the public with closer psychological distance, take measures to reduce their risk perception, enhance their psychological security, and reduce their risky behavior, thereby ensuring the physical and mental health of the public and maintaining the stability of economic and social order.<br/><br/>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141195663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout Among Saudi Radiographers","authors":"Kamal Dahan Alsultan, Moawia Gameraddin, Sultan Talal, Mohammad Osama Alhujaili, Sultan Abdulwadoud Alshoabi, Suliman Salih, Bushra HA Abdelmalik, Fahad H Alhazmi, Awadia Gareeballah, Abdulmannan Mohamed Aman","doi":"10.2147/rmhp.s464635","DOIUrl":"https://doi.org/10.2147/rmhp.s464635","url":null,"abstract":"<strong>Introduction:</strong> Burnout research is limited in Saudi Arabia, particularly among radiographers. Burnout among Saudi radiographers may have a negative impact on the services offered.<br/><strong>Objective:</strong> This study aims to assess the burnout among radiographers in Medina hospitals.<br/><strong>Materials and Methods:</strong> This quantitative cross-sectional study included 104 radiographers from government and private Medina hospitals. The Maslach Burnout Inventory-Human Services Survey for Medical Personnel, which consists of 22 questions, was used to measure the burnout level. The data were evaluated descriptively using the Statistical Package for the Social Sciences (version 25), and independent <em>t</em>-tests and analysis of variance were applied to assess group differences and linear regression analysis to evaluate associations between the burnout level and sociodemographic variables (ie sex, age, experience, and department).<br/><strong>Results:</strong> The emotional exhaustion (EE) and depersonalization (DP) scores were moderate, while the personal accomplishment (PA) score was high, with total scores of 23.53 (9.32), 7.29 (5.95), and 29.70 (1.35), respectively. The DP score was influenced by the participants’ experience. Specifically, an experience of 1– 5 years yielded a substantially higher burnout score than did an experience of &gt; 10 years (p&gt; 0.05). Conversely, sex, age, and department did not affect the DP score (p&lt; 0.05). Similarly, the EE and PA scores were not influenced by sex, age, experience, or department (p&lt; 0.05).<br/><strong>Conclusion:</strong> Burnout is prevalent among radiographers in Medina hospitals in Saudi Arabia. The EE and DP scores are moderate, while the PA score is high, indicating a suitable work environment. Policymakers should take the required steps to identify the variables contributing to employee burnout and enhance the work environment.<br/><br/><strong>Keywords:</strong> burnout, radiographers, emotional exhaustion, EE, depersonalization, DP, personal accomplishment, PA<br/>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141195888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}