Global journal on quality and safety in healthcare最新文献

{"title":"Define, Measure, Analyze, Improve, Control (DMAIC) Methodology as a Roadmap in Quality Improvement.","authors":"Lea M Monday","doi":"10.36401/JQSH-22-X2","DOIUrl":"10.36401/JQSH-22-X2","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/bc/i2589-9449-5-2-44.PMC10229001.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620796","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":"The Importance of Patient Engagement to Improve Healthcare Research and Safety.","authors":"Laura D Porter","doi":"10.36401/JQSH-22-X1","DOIUrl":"10.36401/JQSH-22-X1","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/25/i2589-9449-5-2-27.PMC10229004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9567799","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":"Rates and Factors Associated With Serious Outcomes of Patient Safety Incidents in Malaysia: An Observational Study.","authors":"Khairulina Haireen Khalid,&nbsp;Eiko Yamamoto,&nbsp;Nobuyuki Hamajima,&nbsp;Tetsuyoshi Kariya","doi":"10.36401/JQSH-21-19","DOIUrl":"https://doi.org/10.36401/JQSH-21-19","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to examine the reporting rate and the factors associated with serious outcomes of patient safety incidents at public hospitals in Malaysia.</p><p><strong>Methods: </strong>All patient safety incidents reported in the e-Incident-Reporting System from January to December 2019 were included in the study. A descriptive study was used to describe the characteristics of incidents, and logistic models were used to identify factors associated with low reporting rates and severe harm or death outcomes of incidents.</p><p><strong>Results: </strong>There were 9431 patient safety incidents reported in the system in 2019. The mean reporting rate was 2.1/1000 patient bed-days or 1.5% of hospital admissions. The major category of incidents was drug-related incidents (32.4%). No-harm incidents contributed to 56.1% of all the incidents, while 1.1% resulted in death. More hospitals in the eastern (odds ratio [OR], 12.1) and southern regions (OR, 6.1) had low reporting rates compared to the central region. Incidents with severe harm or death outcomes were associated with more males (OR, 1.4) than females and with the emergency department (OR, 10.6), internal medicine (OR, 5.7), obstetrics and gynecology (OR, 2.4), and surgical department (OR, 5.0) more than the pharmacy department. Compared to drug-related incidents, operation-related (OR, 3.0), procedure-related (OR, 3.5), and therapeutic-related (OR, 4.8) incidents had significantly more severe harm or death outcomes, and patient falls (OR, 0.4) had less severe harm or death outcomes.</p><p><strong>Conclusion: </strong>The mean reporting rate was 2.1/1000 patient bed-days or 1.5% of hospital admissions. More hospitals in the eastern and southern regions had low reporting rates. Certain categories of incidents had significantly more severe outcomes.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/c3/i2589-9449-5-2-31.PMC10229002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620798","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":"How to Build and Assess the Quality of Healthcare-Related Research Questions.","authors":"Sergio Ramón Gutiérrez Ubeda","doi":"10.36401/JQSH-21-17","DOIUrl":"https://doi.org/10.36401/JQSH-21-17","url":null,"abstract":"<p><p>The objective of this article is to describe a simplified process for building and assessing the quality of healthcare-related research questions. This process consisted of three stages. The first stage aimed to select and explore a field of science. This field would be the area for which to identify outputs, such as units of analysis, variables, and objectives. The second stage aimed to write structured research questions, taking into account the outputs of the first stage. In general, the structure of research questions starts with interrogative adverbs (e.g., <i>what</i> and <i>when</i>), auxiliary verbs (e.g., <i>is there</i> and <i>are there</i>), or other auxiliaries (e.g., <i>do</i>, <i>does</i>, and <i>did</i>); followed by nouns nominalized from verbs of research objectives, such as <i>association</i>, <i>correlation</i>, <i>influence</i>, <i>causation</i>, <i>prediction</i>, <i>application</i>; research variables (e.g., risk factors, efficiency, effectiveness, and safety); and units of analysis (e.g., patients with hypertension and general hospitals). The third stage aimed to assess the quality and feasibility of the research questions against a set of criteria such as relevance, originality, generalizability, measurability, communicability, availability of resources, and ethical issues. By following the proposed simplified process, novice researchers may learn how to write structured research questions of sound scientific value.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/0b/i2589-9449-5-2-39.PMC10229003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620797","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 Safety Practices and Perceived Barriers Among Nurses: A Cross-Sectional Study in Northern Nigeria.","authors":"Yahaya Jafaru, Danladi Abubakar","doi":"10.36401/JQSH-21-11","DOIUrl":"10.36401/JQSH-21-11","url":null,"abstract":"<p><strong>Introduction: </strong>Safe medication administration is a vital process that ensures patients' safety and quality of life. However, reports of medication errors and their solutions are lacking. The aim of this study was to examine the correlation between medication administration safety practices and perceived barriers among nurses in northern Nigeria.</p><p><strong>Methods: </strong>A descriptive approach to research and cross-sectional design was applied to this study. The study population included nurse employees of the Zamfara State Government in northern Nigeria. Simple random sampling and systematic sampling were used in selecting the respondents of the study. Descriptive analysis and the Spearman rank-order correlation were used in data analysis.</p><p><strong>Results: </strong>Fewer than 50% of the respondents were found to agree or strongly agree that they identify allergic patients before administering medication. Most of the respondents had agreed or strongly agreed with the following as barriers to medication administration safety practices: lack of appropriate coordination between physicians and nurses, and lack of favorable policies and facilities. There was a very weak positive correlation between medication safety practices and barriers to medication safety practices, and the correlation was statistically significant <i>(r_s</i> = 0.180, <i>P</i> = 0.009).</p><p><strong>Conclusion: </strong>There was a high level of desirable medication administration safety practices that the respondents followed. Nonidentification of a patient's allergic status and inadequate information on the effects of medications were among the identified medication administration practice gaps. There should be policies guiding medication administration in all hospitals in Zamfara, Nigeria.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/c3/i2589-9449-5-1-10.PMC10229023.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9566939","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":"Patterns Among Healthcare Workers of Bangalore About Face Mask Usage: A Single-Center Observational Study.","authors":"Arun Mavaji,&nbsp;Umashankar Raju,&nbsp;Suresh Kirubakaran,&nbsp;Chinmayee Khanderi,&nbsp;Madhu Hiremath","doi":"10.36401/JQSH-21-12","DOIUrl":"https://doi.org/10.36401/JQSH-21-12","url":null,"abstract":"<p><strong>Introduction: </strong>Face masks prevent acute respiratory infections. Healthcare workers are prone to infections owing to their direct and constant exposure to infected patients. This pioneering study in Bangalore city, analyzed the awareness and attitude of healthcare staff toward using a face mask.</p><p><strong>Methods: </strong>This observational study was conducted among 290 subjects (mean age, 33.89 ± 7.88 years; male:female ratio, 1:2.67). The study included all the healthcare workers from various departments. Data on basic demographic characteristics, attitude, awareness, and observations on the use of face mask were collected.</p><p><strong>Results: </strong>A large proportion of the sample were from the nursing department (<i>n</i> = 161, 55.51%). Most of the healthcare workers believed that making wearing a mask mandatory in public was very effective (80%) and 79% believed that wearing a mask could prevent the spread of coronavirus. Most of the healthcare workers said they would wear masks even when not mandatory. Most of them used an N95 mask or an N95 mask along with a surgical mask. Almost all were conscious of wearing the mask above the nose, covering the mouth and chin (289, 99.65%). A significantly higher number of doctors (medical postgraduates) (17, 45.95%, <i>p</i> = 0.01) used two masks when compared with others. Significantly fewer doctors (4, 10.81%) and other healthcare staff (8, 22.22%) reused masks (<i>p</i> = 0.002). Most of them used the mask only once, and those who reused it, cleaned it on alternate days (< 0.001). Sun-drying or air-drying, preceded by washing with detergent or soap, were the cleaning methods used, and most used paper or plastic bags to store the masks when not in use. Most of them did not use hand sanitizer before wearing the mask but followed all other precautions and measures to prevent infection.</p><p><strong>Conclusions: </strong>Most of the healthcare workers believed the use of masks could prevent virus transmission. A significantly higher number of doctors used two masks when compared with other healthcare staff. Significantly fewer doctors and other healthcare staff reused masks when compared with nurses and technicians.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/06/i2589-9449-5-1-18.PMC10229022.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9566940","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":"Assessment of Medication Errors Among Anesthesia Clinicians in Saudi Arabia: A Cross-Sectional Survey Study.","authors":"Deemah Nassir Aldossary,&nbsp;Hussah Khalid Almandeel,&nbsp;Jumanah Hashim Alzahrani,&nbsp;Hasnaa Obaid Alrashidi","doi":"10.36401/JQSH-21-9","DOIUrl":"https://doi.org/10.36401/JQSH-21-9","url":null,"abstract":"Introduction Anesthetic drugs are prepared and administrated without referral to the pharmacy or other medical departments. We aimed to assess the occurrence of anesthetic drug errors in Saudi Arabia. We also determined the contributing factors, reporting strategies, and clinicians' opinions of the preventive measures. Methods We conducted a cross-sectional web-based survey study using a validated tool. A total of 300 anesthesia clinicians completed the survey (146 anesthesiologists and 154 anesthesia technology specialists). We measured descriptive statistics to describe the demographic characteristics and performed inferential statistics to examine associations and differences. Results Sixty-nine percent of respondents had experienced an anesthetic drug error at least once in their career. The two primary factors that caused drug errors were haste (60.3%) and heavy workload (60.3%). On syringe labeling, 56.3% withdrew the drug then labeled the syringe, and 43.7% labeled the syringe then withdrew the drug. The chi-square test revealed that clinicians who labeled the syringe first then withdrew the drug made errors more frequently (p = 0.036). The test also showed that clinicians with less experience had committed more errors (p = 0.015). On reporting drug errors, 77.7% of respondents identified the fear of medicolegal issues as the most common barrier to reporting errors. Respondents believed that double-checking the medication and color-coded syringe labels were the most effective strategies to reduce errors (82% and 64%, respectively). The Mann-Whiney U test revealed significant differences between the two specialties about their opinions of the preventive measures. Conclusions There was a high occurrence rate of anesthetic drug errors in Saudi Arabia. Policymakers need to unify the syringe-labeling practice, and future research needs to focus on what makes a nonpunitive culture to encourage reporting errors.","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/a2/i2589-9449-5-1-1.PMC10229021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9566942","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":"Breast Cancer Stage Migration in Saudi Arabia: Examining the Influence of Screening.","authors":"Atlal Abusanad","doi":"10.36401/JQSH-21-15","DOIUrl":"https://doi.org/10.36401/JQSH-21-15","url":null,"abstract":"In 1992, the Saudi Cancer Registry (SCR), a population-based registry, was established under the authority of the Ministry of Health (MOH). In 2014, the SCR was moved to the Saudi Health Council under the department of national registries in the National Center for Health Information. The SCR consists of the main office, which oversees data collection from all over the country through five regional offices to ensure full coverage of all healthcare facilities in the Kingdom. Cancer data are abstracted from patients’ medical records based on clinical and/or histopathological diagnosis by SCRtrained cancer registrars. Breast cancer is the most common malignancy among women in Saudi Arabia, with 2463 cases diagnosed between January and December of 2017. Breast cancer accounted for 17.7% of all cancers reported in Saudi citizens, and 30.9% of all cancers recorded among women of all ages. SCR statistics for annual breast cancer incidence (BCI) and the percentage of each stage/ year were analyzed to describe the impact of breast cancer screening on improving early-detection rates. Annual reports are available online where data from time points that corresponded to a milestone were extracted. A total of 10,970 incident breast cancer cases spanning 17 years were included in the analysis; data were graphed and trends were compared. In the SCR, stages were constantly classified as localized, regional, distant, and unknown, described in its own manual (staging is the grouping of cancer cases into broad categories based on the extent of the disease staging according to the Surveillance, Epidemiology, and End Results [SEER] Summary Stage 2000). The annual BCI increased by fivefold over 17 years (Fig. 1A). Until 2006–2007, there was a remarkably high percentage of regional stage, followed by a decrease in subsequent years, which was mirrored by a steady increase in localized stage. (Fig. 1B). The low percentage of early-stage disease in this review during the prescreening era (2001–2006) is likely because of delayed presentation and referral and lack of screening and awareness. Additionally, women aged 40 or older between 2001 to 2006 were born in the 1960s and preceding years when education and schooling for girls were limited, resulting in less self-care and health awareness. In recent years, the incidence of localized stages has surpassed that of regional stages, and 2007– 2008 marked the beginning of stage migration. (Fig. 1B). This considerable shift in stage distribution was caused by a change either in the staging system, which did not occur in this case, or an improvement in breast cancer awareness and screening programs. The breast cancer awareness–raising activity developed with the formation of the national breast cancer awareness program committee in 2003 as a non-profit initiative by the founder of the Zahra Breast Cancer Association, which was established later in 2007. Several nongovernmental organizations have also founded breast screening progr","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/11/i2589-9449-5-1-24.PMC10229020.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9938854","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":"Achieving Continuous Improvement in CSSD Management through Performance Measurements using User Satisfaction Surveys and Interventions.","authors":"Lallu Joseph,&nbsp;B Rabindranath,&nbsp;Florence Ponnie,&nbsp;Premila Lee","doi":"10.36401/JQSH-20-43","DOIUrl":"https://doi.org/10.36401/JQSH-20-43","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of the study was to achieve continuous improvement in Central Sterile Supply Department (CSSD) management through performance measurements using user satisfaction surveys and interventions.</p><p><strong>Methods: </strong>A brainstorming session was conducted with the multidisciplinary process improvement team in 2012 on the reasons for dissatisfaction with CSSD services. A baseline survey questionnaire was prepared to assess levels of dissatisfaction for key indicators and to establish target benchmarks for improvement. Charge nurses in the wards were chosen as respondents. The report was presented by the Quality Management Cell (QMC) to the steering committee in the presence of the CSSD managers. Solutions and support were offered to the team for improvement. Similar surveys were conducted in 2014, 2016, 2017, 2018, and 2019 to understand the impact of the changes implemented.</p><p><strong>Results: </strong>The overall satisfaction of the respondents with the CSSD services increased from 54% in 2012 to 89% in 2019, which is statistically significant (95% Cl: -0.56 to -0.25) with <i>p-</i>value < 0.001.</p><p><strong>Conclusion: </strong>This exercise helped to build a strong team and create a culture of openness in the CSSD. Improvement measures were data driven and other departments like Radiology and Laundry were motivated to embrace the idea of understanding their user perceptions. This study demonstrates the effectiveness of internal user satisfaction surveys as a valuable tool for continuous quality improvement. This exercise proved beyond doubt that regular monitoring improves quality of services.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/eb/i2589-9449-4-4-123.PMC10229034.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9559041","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: 2021.","authors":"","doi":"10.36401/JQSH-21-X2","DOIUrl":"https://doi.org/10.36401/JQSH-21-X2","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/3e/i2589-9449-4-4-147.PMC10229032.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9559039","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}