Global journal on quality and safety in healthcare最新文献

{"title":"Ethical and Safety Implications of Medical Emergency Landing Exploitations: A Call for Policy Action.","authors":"Chokri Kooli","doi":"10.36401/JQSH-25-1","DOIUrl":"10.36401/JQSH-25-1","url":null,"abstract":"<p><p>The misuse of emergency landings by passengers fabricating medical crises presents serious healthcare quality and patient safety challenges in aviation. Such incidents undermine the integrity of medical protocols, divert critical healthcare resources, and erode trust in emergency response systems. This article examines the ethical, operational, and legal implications of these exploitations, applying the Ethical Decision-Making Model and drawing parallels to patient safety policies in healthcare systems. It highlights how the misuse of emergency protocols in aviation mirrors the misuse of emergency medical services in hospitals, leading to resource misallocation and potential harm to genuine patients. The discussion explores existing aviation and healthcare policies, including Federal Aviation Administration regulations, International Civil Aviation Organization guidelines, and hospital triage models, to propose policy interventions that reinforce safety without compromising access to emergency care. Strengthening penalties for fraudulent claims, enhancing telemedicine verification, and improving data collection on in-flight medical incidents are crucial steps toward ensuring passenger safety, maintaining trust in emergency systems, and protecting public health.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044251","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":"Evaluating the Effectiveness of Targeted Interventions on the Quality of Life for Patients with Ischemic Stroke.","authors":"Sultanah Al Harbi, Mohammed Al Ghetami, Mohamed Ahmed, Mohammed Al Althobaiti, Ahmed Newera, Hadeel Al Talhi, Fatmah Alzobidi, Frenk Lee Baldovino, Kamille Bianca Raviz, Leo Medalla, Andyson Mocorro","doi":"10.36401/JQSH-24-40","DOIUrl":"10.36401/JQSH-24-40","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is a prevalent health issue that poses substantial challenges for individuals and healthcare providers alike. It not only results in physical disabilities but also significantly affects the overall quality of life (QoL) for stroke survivors. Addressing these challenges necessitates a comprehensive approach that prioritizes improving functional abilities, fostering independence, and enhancing overall well-being of stroke survivors. A critical issue was observed at Al Hada Armed Forces Hospital (Taif, Saudi Arabia), where the average modified Rankin Scale (mRS) score for ischemic stroke survivors was estimated at 3.33, reflecting a poor QoL in terms of holistic limitations and, more importantly, limitations in daily activities.</p><p><strong>Methods: </strong>This improvement project, conducted from May 2022 to July 2023, focused on establishing a comprehensive case management approach for patients with ischemic stroke, involving evidence-based best practices. The study was conducted in three phases: performing a literature review, development of an intervention protocol, and implementation and evaluation to assess feasibility and effectiveness. The evaluation used a quasi-experimental preintervention and postintervention evaluation approach, with qualitative data assessing the effect of the case management strategies on patient QoL as well as qualitative data estimating patient compliance and satisfaction.</p><p><strong>Results: </strong>The target population of the study consisted of 136 patients diagnosed with ischemic stroke. This project yielded significant improvements in the QoL of patients with ischemic stroke, evident by the reduction in the average mRS score from 3.33 to 0.91 (<i>p</i> < 0.001). The effective implementation of case management services also had a positive effect on postdischarge patient satisfaction, which rose from 45% to 94%, as well as on readmission rates secondary to stroke, reduced from an average of 6.2% to 4%. Additionally, improving the QoL of patients with ischemic stroke resulted in a gain of approximately 0.41 quality-adjusted life-years per patient, with estimated cost savings of 76,897-153,794 Saudi riyals (20,467-40,935 US dollars [USD]).</p><p><strong>Conclusion: </strong>This study highlights the effectiveness of an evidence-based case management intervention in improving outcomes for individuals facing poststroke challenges. Our findings support the importance of case management-based interventions in addressing the unique needs of this population.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"76-88"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057885","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":"Guest Editor and Reviewer Acknowledgments: 2024.","authors":"","doi":"10.36401/JQSH-25-X2","DOIUrl":"https://doi.org/10.36401/JQSH-25-X2","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"97"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051662","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":"Global Digital Transformation in Healthcare: Impact of Connected Healthcare Systems on Patient Safety.","authors":"Shaikh Muhammad Saif Ud Din","doi":"10.36401/JQSH-25-X1","DOIUrl":"10.36401/JQSH-25-X1","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057631","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":"Medication Administration Error Reporting Among Nurses: A Descriptive Qualitative Study.","authors":"Dzidefo Tuvor, Augustine Kumah, Rebecca Abiti, Stephen Henry Afakorzi, Peter K Agbemade, Christine Ahiale, Mac Dzodzodzi, Anthony Bless Dogbedo, Adanu Peter Worlasi, Emmanuel Obot, Janet Mawunyo Tornyi, Abdul-Razak Issah, Innocent Dzubey, Deborah Terkperkie Kanamitie","doi":"10.36401/JQSH-24-33","DOIUrl":"10.36401/JQSH-24-33","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses are integral to the healthcare delivery team (multidisciplinary team). They are involved and play vital roles with responsibilities to ensure the quality of healthcare for their patients. The key to those varied roles is the administration of medication. Depending on the clinical setting, nurses spend up to 40% of their hours on medication administration and its management processes. They are liable to identify and prevent medication administration errors (MAEs) and their consequences. This study aimed to explore the barriers and facilitators to the reporting behavior for MAEs among nurses in Ghana.</p><p><strong>Methods: </strong>A descriptive qualitative cross-sectional study was conducted among nurses in a district catholic hospital in Ghana. The level of nurses' knowledge of MAEs, causes of such errors, barriers to reporting, and strategies for minimizing errors were assessed. Purposive sampling was used to select a total sample of 20 nurses interviewed face-to-face using an in-depth method. The interviews were recorded, transcribed, and analyzed thematically.</p><p><strong>Results: </strong>The study found that all nurses are aware of MAEs, which serve as the basis for decision-making. However, some nurses do not report these errors when they occur. Factors such as workload, stress and tiredness, staff shortage, difficulty calculating drug dosage, inadequate knowledge about specific medications, distractions during administration, and patient-related factors were identified as common causes of MAEs. The study also revealed that hospital management and the potential negative consequences of reporting errors, such as unpleasant reactions, lawsuits, and loss of a job, are significant barriers to reporting.</p><p><strong>Conclusion: </strong>Regular training workshops should be conducted to update nurses' knowledge about the importance of reporting medication errors, the reporting process, new medications and their administration, to develop a policy document that promotes a nonblaming, nonpunitive, and supportive learning culture for MAE medic reporting.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"63-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029266","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":"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":"Using Human Factors Science to Improve Quality and Safety of Healthcare.","authors":"Paul Bowie, Alia Al Baharnah, Rabab Alkutbe, Muhammad Mohsin Abid, Abdullah Almelaifi, Muhammad Hasan Abid","doi":"10.36401/JQSH-24-X8","DOIUrl":"10.36401/JQSH-24-X8","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"8 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999400","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}