Risk Management and Healthcare Policy最新文献

{"title":"Analysis of the Clinical Symptom Improvement and Recurrence Rate in Chronic Suppurative Otitis Media Patients Treated with Combination Therapy: Combination of Ofloxacin and Dexamethasone.","authors":"Feng Sun, Mingqiu Liu, Yongli Qi, Wenjing Qi, Junyi Li","doi":"10.2147/RMHP.S520505","DOIUrl":"10.2147/RMHP.S520505","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the clinical symptom improvement and recurrence rate of chronic suppurative otitis media (CSOM) patients treated with a combination therapy regimen (combination of ofloxacin and dexamethasone).</p><p><strong>Methods: </strong>Based on the treatment regimen, patients were divided into two groups: the control group was treated with dexamethasone, while the treatment group received a combination of ofloxacin and dexamethasone. The clinical symptom improvement, hearing evaluation, pathogen clearance rate, inflammatory marker detection, adverse reactions, recurrence rate and recurrence rate post-treatment were compared between the two groups.</p><p><strong>Results: </strong>There were no significant differences in the baseline clinical data between the two groups (P > 0.05). The overall clinical efficacy of the treatment group was significantly higher than that of the control group (P < 0.05). After treatment, the improvements in air conduction (AC) and air-bone gap (ABG) in the treatment group were significantly greater than those in the control group (P < 0.05). The time for the resolution of tympanic membrane congestion and the healing of perforations was shorter in the treatment group compared to the control group (P < 0.05). The pathogen clearance rate in the treatment group was significantly higher than in the control group (P < 0.05). After treatment, levels of inflammatory markers IL-8, TGF-β1, and PCT in the treatment group were significantly lower than those in the control group (P < 0.05).</p><p><strong>Conclusion: </strong>The combination therapy of ofloxacin and dexamethasone significantly improves the clinical symptoms, reduces the recurrence rate, and lowers the incidence of adverse reactions in chronic suppurative otitis media patients. It shows significant clinical efficacy with improved hearing outcomes, and is worthy of clinical promotion. However, this study still has certain limitations, such as the possibility of introducing selection bias. In the future, prospective clinical trials with multiple centers and large samples can be conducted.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2275-2285"},"PeriodicalIF":2.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12236466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592995","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":"National Healthcare Transformation Program in Saudi Arabia: Awareness of the New Models of Care Among Health Professionals.","authors":"Mohammed A Althuwaybi, Thamir M Alshammari, Shabana Tharkar, Abdulaziz A Alodhayani, May Al-Muammar, Mahmoud Abulmeaty, Khalid M Almutari","doi":"10.2147/RMHP.S509155","DOIUrl":"10.2147/RMHP.S509155","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the level of awareness of the new Models of Care (MoC) implemented under Vision 2030's National Transformation program among healthcare professionals in the Al-Qassim region of Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional approach was employed to collect data from 323 healthcare professionals, including physicians and nurses, through an online survey designed to evaluate their awareness of six distinct models of care and their respective components.</p><p><strong>Results: </strong>A significant majority (63.5%) of healthcare providers demonstrated a high level of overall awareness of the MoC. Factors such as holding a higher university degree (p = 0.007), being a physician (p = 0.018), possessing greater work experience (p = 0.017), and having undergone training (p < 0.000) were found to be significantly correlated with increased awareness of the overall model of care. Participants exhibited a strong awareness of preventive care (91%), urgent care (84%), chronic disease care (84%), and mother and childcare (70%) models, whereas awareness of elective (54.8%) and palliative care (55.4%) was notably lower. Both overall and specific awareness levels of MoC were significantly linked to the training received on the subject.</p><p><strong>Conclusion: </strong>The findings indicate a good understanding of the MoC. However, there is substantial potential for improving awareness through structured training programs. Consequently, healthcare policymakers must prioritize the development of structured training programs through training and reinforcement that address all six MoC components.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2259-2274"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585728","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":"Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study.","authors":"Osama Samarkandi, Fahad Abdulrahman Alamri, Jumanah Alhazmi, Ghadah Sulaiman Alsaleh, Kwather Atteyah Alsehdwei, Lames Alabdullatif, Waleed Alazmy, Anas Khan","doi":"10.2147/RMHP.S521097","DOIUrl":"10.2147/RMHP.S521097","url":null,"abstract":"<p><strong>Background and objective: </strong>The Hajj, a massive annual pilgrimage to Mecca, attracts over 2 million participants. The physically demanding rituals, extreme heat, and crowding increase the risk of injuries worsen chronic conditions, and facilitate infectious disease transmission. Therefore, this study aims to assess the risk behavior and associated factors among pilgrims during the Hajj season of 2024.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among pilgrims during the Hajj season from June 25 to July 30, 2024. The data were randomly collected from departures at Jeddah's King Abdulaziz International Airport and analyzed using the Statistical Package for the Social Sciences (SPSS).</p><p><strong>Results: </strong>Out of the 1183 pilgrims, 47.5% were male (n=562). The mean age was 54.98±13.96. Risky behaviors were common among pilgrims: 26.9% (n = 318) did not use umbrellas in direct sunlight, and 49.6% preferred walking over using transportation. Additionally, 51.7% did not take prescribed medication, and 59.9% did not seek urgent care for severe symptoms. The mean risk-taking behavior score was 3.24±1.05, with 36.6% of pilgrims exhibiting high-risk behavior and 63.4% exhibiting low-risk behavior. Significant associations were found between risk behavior and education (χ² = 96.502, p < 0.001), nationality (χ² = 69.681, p < 0.001), and certain health conditions (asthma, hearing and vision impairment, and heart disease). Multiple linear regression identified gender (B=0.218, SE=0.059, CI=0.102 to 0.334, p<0.001), education (B=-0.044, SE=0.019, CI=-0.082 to -0.006, p=0.023), nationality (B=-0.168, SE=0.024, CI=-0.215 to -0.122, p<0.001), presence of vision impairment (B=-3.177, SE=1.429, CI=-5.981 to -0.372, p=0.026), and heart disease (B=2.118, SE=1.013, CI=0.130 to 4.106, p=0.037) as predictors of risky behavior (p<0.001).</p><p><strong>Conclusion: </strong>Minor risk behaviors among pilgrims can lead to increased morbidity, mortality, and logistical challenges. Guidance promoting healthy practices before and during the pilgrimage is essential to mitigate these risks and reduce adverse outcomes.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2233-2245"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577050","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":"Patient Safety Leaders' Perception of Patient Safety Practices in Eight Asia-Pacific Countries: Survey Based on the Global Patient Safety Action Plan Framework.","authors":"Jacob Yongsu Ahn, Mabel Wan Chi Sim, Zann Sue Ting Foo, Kok Hian Tan","doi":"10.2147/RMHP.S487580","DOIUrl":"10.2147/RMHP.S487580","url":null,"abstract":"<p><strong>Introduction: </strong>This study aim was to assess patient safety leaders' perception of patient safety practices in the Asia-Pacific region based on Strategic Objectives of the Global Patient Safety Action Plan (GPSAP) Framework.</p><p><strong>Methodology: </strong>A self-assessment survey tool with quantitative and qualitative components was sent to patient safety leaders from 25 healthcare facilities in 17 countries participating in the Global Action for Leaders & Learning Organizations on Patient Safety (GALLOPS) initiative, the majority of which were from LMICs in the Asia-Pacific region. The survey, based on the GPSAP's 7 strategic objectives, covered 35 patient safety areas. Each area was rated on a scale from 1 (not established) to 5 (strongly established with good practices). The mean score of each strategic area, strategic objective, and overall strategic objective establishments were calculated. Good and sub-optimal practices of GALLOPS-participating countries were identified and tabulated according to GPSAP-defined patient safety strategies.</p><p><strong>Results: </strong>A total of 15 self-rated responses were received from patient safety leaders of 8 GALLOPS-participating Asia-Pacific countries' healthcare facilities. The overall mean scores of the establishment level of all self-assessed strategic objectives were: Singapore (3.84), Malaysia (3.66), South Korea (3.56), India (3.20), Sri Lanka (3.09), Indonesia (2.48), Nepal (2.12), Maldives (1.94). The total mean score of the establishment level of all healthcare facilities' strategic objectives was 2.99. Strategic Objective 3 - Safety of clinical processes had the highest mean score of 3.41, while Strategic Objective 4 - Patient and family engagement and Strategic Objective 7 - Synergy, partnership and solidarity had 2.60 and 2.72, having two lowest mean scores for all countries' healthcare facilities, respectively.</p><p><strong>Conclusion: </strong>Our study revealed substantial differences in perception of patient safety practices across healthcare facilities of Asia-Pacific countries and across the strategic objectives. This helped to establish a baseline of patient safety landscape in Asia-Pacific and represented opportunities for promoting equity and sustainability in healthcare as well as improving patient safety system and culture.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2217-2231"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585729","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":"Time Series Analysis of Daily Bed Costs and Consumption Ratio of Inpatients with CHD in a Children's Hospital in Chengdu.","authors":"Honglin Yang, Siyu Xiang, Yuwei Yang","doi":"10.2147/RMHP.S522080","DOIUrl":"https://doi.org/10.2147/RMHP.S522080","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the evolving trends in daily bed costs and the ratios of consumables costs for inpatients with congenital heart disease (CHD) at a pediatric hospital in Chengdu from 2019 to 2024 and to project these metrics for the year 2025.</p><p><strong>Methods: </strong>Utilizing SPSS version 23.0, we employed exponential smoothing and ARIMA models to analyze the daily bed cost data of CHD inpatients from 2019 to 2023, constructing predictive models accordingly. The annual data for 2024 were forecasted and subsequently compared with actual values to assess model accuracy. Visualization of Mean Absolute Percentage Error (MAPE) charts was conducted to identify the optimal model, which was then utilized to predict daily bed costs and consumables cost ratios for 2025.</p><p><strong>Results: </strong>Between 2019 and 2023, both daily bed costs and consumables cost ratios for CHD patients exhibited a consistent annual increase. A decline was noted in 2024, with projections for 2025 suggesting increases to approximately 5,600 CNY and 47%, respectively.</p><p><strong>Conclusion: </strong>For operational recommendations, it is advised that the hospital prioritizes the management of high-value consumables in CHD care and considers piloting disease-specific cost accounting within cardiovascular departments. From a policy perspective, there is an urgent need to optimize China's existing medical insurance payment system for pediatric hospitals to address the rising healthcare costs.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2247-2257"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585730","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":"Evaluation of Medical Device Aging and Replacement Decisions within Hospital Environments: A User-Centered Approach.","authors":"Sewon Park, Gihong Seo, Yoonseo Park, Eun-Ji Kim, Haengjun Lee, Munjae Lee, Mihajlo Jakovljevic","doi":"10.2147/RMHP.S478245","DOIUrl":"10.2147/RMHP.S478245","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the factors influencing medical device replacement decisions from a user-centered perspective: medical technicians, engineers, and healthcare professionals. We seek to prioritize criteria for medical device replacement and develop feasible strategies applicable to real-world healthcare settings.</p><p><strong>Methods: </strong>This analysis was conducted by reviewing previous studies to identify the key factors in medical device replacements. The key variables were selected from the review, and the significant factors for analysis were determined.</p><p><strong>Results: </strong>An analytic hierarchy process (AHP) analysis was used to compare and analyze the priority of medical device replacement, which revealed that clinical factors emerged as the crucial in medical device replacement decisions. Additionally, unlike medical technicians, doctors, nurses, and pharmacists, for whom clinical factors are the primary considerations when replacing medical devices, safety is the most important factor for medical engineers.</p><p><strong>Conclusion: </strong>Medical device obsolescence significantly affects patient safety and healthcare operations. Therefore, the maintenance plans for medical devices should focus on clinical factors. Moreover, a more systematic medical device replacement system must be established, prioritizing the factors according to the occupations of medical workers.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2201-2215"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577049","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":"Critical Analysis of Markov Modeling for the Economic Evaluation of Obesity Interventions: A Systematic Review.","authors":"Qiucen Lin, Carolina Oi Lam Ung, Yunfeng Lai, Hao Hu, Mihajlo Jakovljevic","doi":"10.2147/RMHP.S528064","DOIUrl":"10.2147/RMHP.S528064","url":null,"abstract":"<p><strong>Background: </strong>Obesity poses significant health and economic burdens globally, with interventions requiring robust cost-effectiveness evaluations. Markov models are widely utilized in economic evaluation of obesity interventions, their structure, assumptions, and related uncertainties have not yet been thoroughly evaluated.</p><p><strong>Objective: </strong>This study aimed to systematically review the Markov models used for the economic evaluation of anti-obesity interventions, describe their structural characteristics, identify key uncertainties, and provide insights for future research.</p><p><strong>Methods: </strong>The review was conducted across three databases (PubMed, Embase, the Cochrane Library) and health technology assessment agency websites to identify published Markov model-based full economic evaluations in adults with obesity from their inception to 2 June 2024. Model structure, model uncertainty, and validation were extracted from the included studies. Philips checklist for the methodology quality of modeling studies was performed.</p><p><strong>Results: </strong>The review included 21 primary publications with 21 unique Markov models. Two modeling approaches regarding the progression of obesity and its impact were identified: direct BMI to cost and utility; and BMI-linked complications, with diabetes and cardiovascular diseases most frequently modeled. Validation practices were inconsistently reported (43% of models), and structural uncertainty (eg, BMI trajectory assumptions) was rarely addressed. Quality assessment revealed moderate rigor (a mean compliance rate of 78% across all criteria), with gaps in transparency and generalizability, particularly for non-Western populations. Probabilistic sensitivity analysis was universal, yet scenario analyses highlighted outcome sensitivity to complication inclusion and time horizons.</p><p><strong>Conclusion: </strong>While Markov models are commonly utilized in obesity intervention evaluations, methodological heterogeneity and insufficient validation limit comparability and reliability. Future models should prioritize standardized validation (eg, ISPOR guidelines), broader complication spectrum, and diverse population data. Enhancing transparency in structural assumptions and uncertainty analysis is critical for robust policy recommendations.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2169-2187"},"PeriodicalIF":2.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555925","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":"Global and Regional Trends in Autism Burden from 1990 to 2021: A Data Re-Analysis and Prediction from the Global Burden of Disease Study.","authors":"Lingping Zhu, Haiyan Zhang, Lili Wang, Xuefeng Yang","doi":"10.2147/RMHP.S510506","DOIUrl":"10.2147/RMHP.S510506","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate global incidence rates and disability-adjusted life-years (DALYs) for autism spectrum disorder (ASD) from 1990 to 2021 and forecast trends for the next 25 years.</p><p><strong>Methods: </strong>Utilizing data from the Global Burden of Disease (GBD) study, we examined global and country-specific ASD incidence, prevalence, and burden. We also calculated age-standardized prevalence, analyzed by sex, age groups, sociodemographic index (SDI) regions, and GBD regions, and made predictions for the future.</p><p><strong>Results: </strong>In 2021, the GBD reported global age-standardized ASD incidence and prevalence at 0.019% and 0.788%, respectively. High-income Asia-Pacific had the highest burden, while Tropical Latin America had the lowest. From 1990 to 2021, global age-standardized prevalence rose by 1.95%, and incidence by 5.20%. Females and low-middle SDI regions saw the most significant increases in incidence, while the Caribbean and Serbia saw decreases. High-income Asia Pacific and Japan experienced the largest prevalence increases, and Middle SDI, East Asia, high-income Asia Pacific, and Equatorial Guinea saw the most significant DALY increases, with Oceania showing the largest decrease. Predictive models forecast continued increases in incidence, prevalence, and DALYs from 2022 to 2046.</p><p><strong>Conclusion: </strong>ASD incidence, prevalence, and DALYs are rising annually, with notable increases in females and middle-low income countries and a decline in the Caribbean. Tailored screening and interventions based on regional rates are essential for improving the health of individuals with autism.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2151-2168"},"PeriodicalIF":2.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562098","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":"Bronchial Blockers versus Double-Lumen Endotracheal Tubes: Impact on Postoperative Pneumonia in Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Surgery - A Propensity Score-Matched Study.","authors":"Xiaoxi Li, Ling Yu, Jiaonan Yang, Jin Wei, Miao Fu, Hongyu Tan","doi":"10.2147/RMHP.S521884","DOIUrl":"10.2147/RMHP.S521884","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the differential effects of bronchial blockers (BBs) versus double-lumen endotracheal tubes (DLETs) on postoperative pulmonary complications (PPCs) in patients undergoing video-assisted thoracoscopic surgery (VATS) for lung cancer.</p><p><strong>Patients and methods: </strong>This retrospective cohort study analyzed patients undergoing VATS requiring one-lung ventilation under general anesthesia from April 2023 to August 2024. Lung isolation was achieved using either BBs with single-lumen endotracheal tubes or DLETs. Propensity score matching was implemented to mitigate differences in patients' baseline characteristics. The primary outcome was the incidence of PPCs during hospitalization.</p><p><strong>Results: </strong>Propensity score matching resulted in 152 matched pairs of patients in the BB and DLET groups. The incidence rates of PPCs (6.6% vs 16.4%; <i>P</i> = 0.007) and pneumonia (3.9% vs 11.8%; <i>P</i> = 0.011) during hospitalization were significantly lower in the BB group than in the DLET group. Average oxygen saturation (<i>P</i> = 0.024), end-tidal carbon dioxide (<i>P</i> = 0.009), fraction of inspired oxygen (<i>P</i> = 0.010), and respiratory rate (<i>P</i> < 0.001) were significantly higher in the BB group. Mechanical ventilation parameters, including average peak airway pressure (<i>P</i> < 0.001), mean airway pressure (<i>P</i> < 0.001), and tidal volume (<i>P</i> = 0.003), were significantly lower in the BB group.</p><p><strong>Conclusion: </strong>Compared with patients intubated using a DLET, patients with lung cancer undergoing VATS and intubated using a BB experienced a lower incidence of PPCs.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2189-2199"},"PeriodicalIF":2.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555924","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":"Tracing Missing Surgical Specimens: A Quality Improvement Strategy for Adverse Events Based on Root Cause Analysis.","authors":"Li-Li Huang, Ju-Hong Yang, Wei-Wen Hong, Bin-Liang Wang, Hai-Fei Chen","doi":"10.2147/RMHP.S527015","DOIUrl":"10.2147/RMHP.S527015","url":null,"abstract":"<p><strong>Background: </strong>In 2022, a critical incident occurred at a Chinese hospital where a surgical specimen from a rectal prostate procedure was misplaced, necessitating repeat surgery for the patient. This event underscored systemic vulnerabilities in specimen handling processes and catalyzed an investigation into how healthcare systems manage medical errors to uphold patient safety.</p><p><strong>Methods: </strong>Using root cause analysis (RCA), we dissected the workflow gaps and organizational factors contributing to the specimen loss. Key failures identified included unclear role delineation among staff, inadequate specimen labeling protocols, and lack of real-time tracking mechanisms. Three interventions were implemented: (1) Redesigning specimen handling workflows with explicit role responsibilities; (2) Developing standardized, color-coded specimen bottles and racks to improve visual identification; (3) Integrating an electronic tracking system for closed-loop management of specimens.</p><p><strong>Results: </strong>Post-intervention, the recognition rate of post-use specimen vials improved from 0% to 100% after implementing a dual-color sealing system (white cap with red ring), enabling visual confirmation of proper sealing. Over two years, no surgical pathology specimens were lost post-intervention.</p><p><strong>Conclusion: </strong>The RCA-driven reforms effectively addressed systemic flaws in specimen management, demonstrating that targeted process redesign, ergonomic tools, and digital tracking can mitigate risks of medical errors. This case highlights the importance of analyzing localized workflow failures within broader systemic contexts to build resilient, patient-centered medical care systems.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2139-2150"},"PeriodicalIF":2.7,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546293","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}