Global journal on quality and safety in healthcare最新文献

{"title":"Strengthening Reliability and Sustainability: Integrating Training Within Industry (TWI) in a Quality Improvement Collaborative.","authors":"Paulo Borem, Rafaela Moraes de Moura, Helena Barreto Dos Santos, Guilherme Cesar Silva Dias Santos, Patrícia Dos Santos Bopsin, Beatriz Ramos, Andrea Keiko Fujinami Gushken, Samara de Campos Braga, Edileusa Novaes Piusi, Priscila Martini Bernardi Garzella, Lais Silvestre Bizerra Baltazar, Karen Cristina da Conceição Dias Silva, Teilor Ricardo Dos Santos, Marco Antonio Saavedra Bravo, Ademir Jose Petenate, Cristiane Maria Reis Cristalda, Luciana Yumi Ue, Claudia Garcia de Barros, Sebastian Vernal","doi":"10.36401/JQSH-24-37","DOIUrl":"10.36401/JQSH-24-37","url":null,"abstract":"<p><strong>Introduction: </strong>Integrating process improvement tools into healthcare has shown promising results, yet the application of \"training within industry\" (TWI) still needs to be explored in this context. This study focuses on implementing job instruction (JI), one of the three components of TWI, within a large breakthrough series collaborative (BTS) in a middle-income country.</p><p><strong>Methods: </strong>We evaluated the deployment of JI during a nationwide initiative aimed at reducing three critical healthcare-associated infections (HAIs)-central line-associated bloodstream infections (CLABSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infections (CAUTI)-across 189 Brazilian public intensive care units (ICUs). Our quality improvement (QI) project outlines the integration of JI to enhance the reliability of care bundles and empower frontline teams to reduce variation, one fundamental condition to maintain ongoing improvements.</p><p><strong>Results: </strong>The implementation strategy included structured JI training for the hub's leaders, which facilitated the gradual adoption and customization of JI and visual management techniques into daily ICU care. We detailed the four stages of JI training, the content of each session, and how they were incorporated into the existing BTS framework alongside visual management tools. The mean compliance to prevention bundles exceeded 90%, and the project results reached an overall reduction of 44%, 52%, and 54% for CLABSI, VAP, and CAUTI, respectively.</p><p><strong>Conclusion: </strong>Our findings suggest that JI can be seamlessly integrated into routine QI activities. This structure promotes consistency in carrying out each aspect of care bundles, preventing HAI and strengthening patient safety.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connected Healthcare System Technology Interventions to Improve Patient Safety by Reducing Medical Errors: A Systematic Review.","authors":"Ramkrishna Mondal, Mohammed Sameer","doi":"10.36401/JQSH-24-23","DOIUrl":"10.36401/JQSH-24-23","url":null,"abstract":"<p><p>Medication or medical mistakes, the third highest cause of death in the United States, occur from prescription writing to administering the therapy, with serious clinical and cost repercussions. Digital health technologies, such as connected healthcare systems, have the potential to reduce pharmaceutical errors and increase patient safety. This systematic review was conducted to find literature evidence to improve patient safety and reduce medication errors with connected healthcare interventions. This systematic review was conducted using the PRISMA 2020 guidelines. PubMed, SCOPUS, EBSCO, and Google Scholar databases were searched from January 1, 2000 to June 30, 2024 using keywords: medication errors, patient safety, and connected healthcare. A qualitative narrative analysis was conducted for the review. The detailed search yielded 9524 papers in total. In the process of duplicate removal, 4856 duplicate articles were found. After the removal of duplicate articles, 4615 were found not suitable or relevant to the topic of this study and were removed. Finally, 53 articles were chosen for the review study after screening and duplication removal. Ten of the 53 articles were review articles (18.9%), and 43 (81.1%) were original. The research indicates that various connected healthcare system technologies are more effective in minimizing errors and enhancing care quality. Integrating computerized physician order entry and clinical decision support systems may further reduce medical errors. However, many areas require additional research, and the outcomes are mixed. A balanced strategy that combines innovation, practical safety, and outcome evaluation is preferable.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Patient Safety Culture and Adverse Events Reporting Among Nurses: A Cross-Sectional Study in Ghana.","authors":"Samson Alhassan, Abdul-Malik Abdulai, Farouk Amidu, Mohammed Iddrisu, Feruza Abdulai","doi":"10.36401/JQSH-24-29","DOIUrl":"10.36401/JQSH-24-29","url":null,"abstract":"<p><strong>Introduction: </strong>Patient safety is a global concern for both health professionals and the public. Research indicates that assessing patient safety culture can help improve patient safety outcomes. Nursing care strategically positions nurses at the center of patient safety promotion, and their proximity to patients makes them the drivers of patient safety. The actions of frontline staff in healthcare organizations have a notable influence on healthcare outcomes, particularly reporting of adverse events. This study aimed to evaluate the actions of frontline staff on adverse event reporting among nurses in three hospitals in the Savannah Region, Ghana.</p><p><strong>Methods: </strong>A quantitative cross-sectional method was used to gather data from 210 respondents across three hospitals. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical linear regression.</p><p><strong>Results: </strong>The findings revealed that teamwork within units had a good positive rating score of 82.9%. This was followed by teamwork across hospital units (68.0%) and handover of care (69.8%). Overall, nurses demonstrated a negative attitude toward adverse events reporting (37.3%). Furthermore, enacting safety practices that had a significant relationship with adverse events reporting were teamwork across units (<i>r</i> = .24, <i>p</i> < 0.001) and handover and transition of patient care (<i>r</i> = .19, <i>p</i> < 0.001). Again, the significant predictor of adverse events reporting was teamwork across units (β = .20, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Nurses' perceptions of patient safety culture within and across hospital units as well as handover of patient care were positive. Though the attitude of nurses toward adverse event reporting was low, teamwork across hospital units significantly predicted adverse event reporting. Therefore, frontline staff should continually strengthen teamwork processes and handover practices to achieve the best healthcare outcomes.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on \"Transforming Hospital Housekeeping: The Kayakalp Journey\" by Pillai et al.","authors":"Passant Hafez","doi":"10.36401/JQSH-24-X7","DOIUrl":"10.36401/JQSH-24-X7","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care.","authors":"Tara Danielle Kinra, Vanisree Ramanathan, Chinmay Pramod Umarji, Peg Dublin, Sharon Schindler Rising","doi":"10.36401/JQSH-24-5","DOIUrl":"https://doi.org/10.36401/JQSH-24-5","url":null,"abstract":"<p><strong>Introduction: </strong>The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward a more integrated model to improve quality in care and outcomes for mothers and children. The aim of this study was to better understand the challenges and benefits of implementation of the group model of antenatal care in the Indian private health sector for the purpose of improving quality of care.</p><p><strong>Methods: </strong>Through a collaborative innovation project led by a master's student of public health and an international organization with expertise in implementing this model, an urban 35-bed private hospital in Pune was identified with readiness to explore the model with stakeholders, train hospital staff as facilitators, and initiate group antenatal care. Semi-structured interviews with facilitators, along with feedback from participants in cohorts and observation of the groups by the trainer, were done for qualitative analysis of themes related to the strengths and barriers in implementing the model.</p><p><strong>Results: </strong>A total of 31 pregnant women participated in two cohorts over their second to third trimesters for group antenatal care with a team of three facilitators from November 2022 to June 2023. On review of experiences in implementing the model, the top strengths demonstrated were meeting of felt needs of the participants, high engagement, and relative advantage of the model. Challenges for implementation included for scheduling and attendance, adapting the model for compatibility, capacity-building, and need for more ongoing planning, monitoring, and evaluation.</p><p><strong>Conclusions: </strong>Through this innovation project, important lessons were learned for robust planning for a future pilot study. Patient-centered and integrated antenatal care are markers of quality of care that this group model can bring not only in the private healthcare sector but throughout India.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 4","pages":"191-196"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing use of the WHO surgical safety checklist for pediatric surgery in Senegal: A nationwide survey.","authors":"Florent Tshibwid A Zeng, Cheikh Seye, Seynabou Niang, Mansour Diène, Cheikh Tidiane Mbaye, Nankouman Konaté, Babacar Faye, Teigne Ndiaye, Souleymane Faye, Salsabil Mohamed Sabounji, Papa Balla Sarr, Aminah Oumou Rassoul Niane, Abou Bakry Daff, Madawase Mboup, Daniel Aubin Yonga Tenfa, Ndeye Fatou Seck, Alida Sidi Ngandjio, Faty Balla Lô, Souleymane Camara, Dior Ndiaye, Juvénal Nibogora, Papa Alassane Mbaye, Oumar Ndour, Gabriel Ngom","doi":"10.36401/JQSH-24-31","DOIUrl":"10.36401/JQSH-24-31","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization (WHO) introduced the surgical safety checklist (SSC) to reduce postoperative morbidity and mortality; however, its use in low- and middle-income countries is still low.</p><p><strong>Methods: </strong>We conducted a survey from January 2 to 22, 2024, in public hospitals' pediatric surgery departments and units in Senegal to assess the use of the WHO SSC or an adapted version.</p><p><strong>Results: </strong>The participation rate was 100% (23 hospitals), with 11 second-level hospitals (47.8%) and 10 (43.5%) having at least two pediatric surgeons. All hospitals had an anesthetist nurse, and 18 hospitals (78.3%) had at least two scrub nurses. For the surgical workload, 14 hospitals (60.9%) had five to 10 surgical interventions weekly. Eleven hospitals (47.8%) had training on use of the SSC, and 8 of the 23 hospitals (34.8%) used the SSC. The WHO SSC nonutilization was mainly due to a lack of training in nine hospitals (60%) and SSC unavailability in five hospitals (33.3%). Members of 22 hospitals (95.6%) were available for training on use of the SSC.</p><p><strong>Conclusion: </strong>The WHO SSC is poorly used in pediatric operating rooms of public hospitals in Senegal. The main reasons for nonutilization are remediable.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accreditation Made Easy: Step-by-Step Guide for Healthcare Institutions.","authors":"Ahmed Newera, Fahad Khamis Alomari, Abdullah Muhammad Al-Ghamdi, Mohammed Fouda","doi":"10.36401/JQSH-24-X5","DOIUrl":"https://doi.org/10.36401/JQSH-24-X5","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 4","pages":"232-235"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Workflow Instrument to Evaluate the Success of Electronic Health Records Implementation from a Nursing Perspective: An Exploratory and Descriptive Study.","authors":"Mohammad J Jaber, Ahmad M Al-Bashaireh, Osama Kouri, Mohannad A Aldiqs, Ola M Alqudah, Omar M Khraisat, Alanoud A Bindahmsh, Abeer M Alshodukhi, Amer O Almutairi, Nevin A Hakeem","doi":"10.36401/JQSH-24-16","DOIUrl":"10.36401/JQSH-24-16","url":null,"abstract":"<p><strong>Introduction: </strong>Electronic medical records (EMR) have been recognized as practical tools for the improvement of the quality and safety of healthcare despite their occasional use in hospitals worldwide. Epic is an integrated software suite with functionality ranging from patient administration through systems for healthcare providers to billing systems, integration to the primary health sector, and a facility for granting patients access to their data. The implementation process is complicated; creating effective methods requires understanding users' attitudes about these information technologies. This study aimed to develop and validate a questionnaire that measures the efficacy of using workflow during the EMR (Epic) implementation. Furthermore, it describes the nurses' views on the use of quality and satisfaction of workflow.</p><p><strong>Methods: </strong>Following a literature review, an initial pool of 57 items was generated based on the following three primary constructs: use, quality, and user satisfaction with the tool's workflow. Internal consistency reliability was assessed by calculating Cronbach's alpha and correlation coefficients for construct validity.</p><p><strong>Results: </strong>The final scale comprised 53 items corresponding to the following five distinct factors: use of workflow, information quality, service quality, use of EMR, and user satisfaction and the influence of workflow on clinical care. The full scale was assessed, and Cronbach's alpha of 0.95 was found. The construct validity was assessed using the Kaiser-Meyer-Olkin measure of sampling adequacy and Bartlett's Test of Sphericity (0.976). Construct validity was tested twice using Exploratory Factor Analysis-Principal Component Analysis.</p><p><strong>Conclusion: </strong>The use of workflow, quality of information, quality of service, use of EMR, and user satisfaction scale have good reliability and validity and can be used to implement technology in healthcare.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summary of the 5^th International Pharmacoeconomics Forum.","authors":"Francisco Nuno Rocha Gonçalves","doi":"10.36401/JQSH-24-X6","DOIUrl":"https://doi.org/10.36401/JQSH-24-X6","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 4","pages":"224-227"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescribing Errors in an Ambulatory Care Setting: Mitigating Risks in Outpatient Medication Orders, Cross-Sectional Review.","authors":"Wesam S Abdel-Razaq, Ghada Mardawi, Aiman A Obaidat, Lama Aljahani, Maram Almutairi, Reham Almotiri, Nataleen A Albekairy, Tariq Aldebasi, Abdulkareem M Albekairy, Mohammad S Shawaqfeh","doi":"10.36401/JQSH-24-2","DOIUrl":"https://doi.org/10.36401/JQSH-24-2","url":null,"abstract":"<p><strong>Introduction: </strong>Prescribing errors (PEs) are the most common type of medication error, which may occur by prescribing the wrong medication, improper dose, dosage, and/or even prescribing a drug to the wrong patient. The present study aims to compile PEs that were generated in an ambulatory care setting at a tertiary-care hospital in Saudi Arabia.</p><p><strong>Methods: </strong>A retrospective cross-sectional review was conducted for all reported PEs in ambulatory care clinics for 3 years. The potential hazardous outcomes of these PEs were classified according to the medication error index.</p><p><strong>Results: </strong>A total of 897 records containing 1199 PEs were retrieved. More than a third of prescribers had frequently committed PEs-ranging from 2 to 39 times. The most encountered errors were prescribing incorrect doses, medication duplication, incorrect dosing frequency, and inappropriate duration (34.5%, 14.1%, 11.6%, and 9.8%, respectively). The most frequent mistakes were when prescribing antibiotics (22.9%) and drugs for cardiovascular conditions (18.5%). Most errors were of mild to moderate severity, mostly type-B near-miss errors and did not reach patients. Only two prescription events (0.17%) had severe consequences that required intervention to avoid any subsequent harm or damage.</p><p><strong>Conclusion: </strong>The current investigation has revealed a substantial percentage of PEs, mostly in internal medicine and cardiology departments. Although PEs are undoubtedly not easy to avoid, monitoring and recognizing these inaccuracies is pivotal to preventing potential harm and promoting patient safety.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"7 4","pages":"175-181"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}