Global journal on quality and safety in healthcare最新文献

{"title":"Do We Feel Safe About the Surgical Safety Checklist? A Cross-Sectional Study Between Two Periods.","authors":"Danah Alsadun,&nbsp;Hassan Arishi,&nbsp;Abdullah Alhaqbani,&nbsp;Reema Alzighaibi,&nbsp;Emad Masuadi,&nbsp;Yazeed Aldakhil,&nbsp;Zeyad Yousef,&nbsp;Sami Almalki,&nbsp;Mohammed Alnaser,&nbsp;Sami Boghdadly","doi":"10.36401/JQSH-20-46","DOIUrl":"https://doi.org/10.36401/JQSH-20-46","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to evaluate the change in the healthcare providers' perceptions regarding the World Health Organization Surgical Safety Checklist (WHO SSC) and patient safety in the operating room (OR) at a tertiary hospital in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at King Abdulaziz Medical City. Data were collected from two years (2011 and 2019) for comparison. The co-investigators distributed a self-administered Likert scale questionnaire in the various operating areas (35 ORs).</p><p><strong>Results: </strong>The total sample was 461. Number of participants enrolled from both years was 235 (51%) and 226 (49%), respectively. The results indicated a statistically significant difference in the attitude of the participants regarding all aspects of patient safety in the OR when the two periods were compared (<i>p</i> < 0.001). Similarly, healthcare providers' perceptions regarding the importance of the WHO SSC increased from 50% (2011) excellent to 68% excellent (2019) (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Currently, more healthcare providers recognize the importance of the WHO SSC, and more have a positive attitude toward teamwork, communication, and feeling free to speak out when surgical safety is compromised. All of these cultural changes have positive impact on the overall safety of the OR; however, there are still aspects requiring improvement to provide a safer OR and surgery. Educational interventions regarding the importance of communication and teamwork would improve the safety of surgical care in the OR.</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/77/36/i2589-9449-4-4-135.PMC10229031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9559035","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":"Hospital at Home: An Evolving Model for Comprehensive Healthcare.","authors":"Henil Y Patel,&nbsp;Daniel J West","doi":"10.36401/JQSH-21-4","DOIUrl":"https://doi.org/10.36401/JQSH-21-4","url":null,"abstract":"<p><p>Hospital at Home (HaH) is a sustainable, innovative, and next-generation model of healthcare. From the healthcare management point of view, this model provides cost benefits and quality improvement, and from the physicians' point of view, it helps in providing patient-centered medical care and keeps patients away from hospital admission and its complications. The HaH model was first introduced at John Hopkins in the United States in 1995, which showed very promising results in context to the length of stay, readmission rates, patient satisfaction, and hospital-acquired infections. The HaH model of care provides acute critical care to patients at home and reduces unnecessary hospitalization and related complications. The identified patients for this model of care are elderly patients with chronic conditions and multiple comorbidities. The emergence of technology in today's world and the impact of coronavirus disease 2019 (COVID-19) have increased the demand for the HaH model of care. Although there are many benefits and advantages, the HaH model of care has significant barriers and limitations, such as reimbursement for payment, physician and patient resistance, patient safety, and lack of quantifying research data to support the use of this model. Specific training for the physician, nursing, and other members of the HaH multidisciplinary team is necessary for HaH treatment protocols, along with patient and family caregiver education for those who elect the HaH model of care. HaH is the future of comprehensive healthcare services and helps in achieving the triple aim of access to healthcare, improved quality of care, and reduced cost for healthcare.</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/8a/a9/i2589-9449-4-4-141.PMC10229033.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9559038","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":"Psychological Responses Among Healthcare Workers Providing Care for Patients with COVID-19: A Web-Based Cross-Sectional Survey in Riyadh, Saudi Arabia.","authors":"Yacoub Abuzied,&nbsp;Rasmieh Al-Amer,&nbsp;Shreemathie Somduth,&nbsp;Gerald Silva,&nbsp;Anitha Muthuraj,&nbsp;Saad AlEnizi,&nbsp;Khalid AlGhamdi","doi":"10.36401/JQSH-21-1","DOIUrl":"https://doi.org/10.36401/JQSH-21-1","url":null,"abstract":"<p><strong>Introduction: </strong>Coronavirus disease (COVID-19) is a pandemic of international concern that has caused significant physical and psychological health challenges to healthcare workers worldwide. This study aimed to assess and evaluate the psychological responses of healthcare workers who provided hands-on care for patients with COVID-19 at King Fahad Medical City (KFMC), Riyadh, Saudi Arabia, as it was converted to a dedicated COVID-19 hospital during the pandemic.</p><p><strong>Methods: </strong>This study used a descriptive cross-sectional design to recruit 500 participants at KFMC between April 10 and May 5, 2020. This study used the 21-item Depression, Anxiety, and Stress Scale (DASS-21) to assess the psychological responses among the study participants.</p><p><strong>Results: </strong>The findings of this study showed that of 500 respondents, 304 (60.9%) reported having depressive symptoms, 281 (56.3%), 318 (63.3%) having stress and anxiety symptoms. Moreover, 250 participants (50%) who lived with their families reported severe stress and anxiety. However, the results of our study indicated that healthcare workers were committed to providing care to COVID-19 patients.</p><p><strong>Conclusions: </strong>Depression, anxiety, and stress symptoms were highly prevalent among healthcare workers at KFMC. Therefore, there is an urgent need for psychological interventions to identify healthcare workers with heavy psychological burdens.</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/c0/5c/i2589-9449-4-4-131.PMC10229035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9567418","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":"Impact of Accreditation Certification on Improving Healthcare Quality and Patient Safety at Johns Hopkins Aramco Healthcare.","authors":"Huda Al-Sayedahmed, Jaffar Al-Tawfiq, Basma Al-Dossary, Saeed Al-Yami","doi":"10.36401/JQSH-21-8","DOIUrl":"10.36401/JQSH-21-8","url":null,"abstract":"<p><strong>Introduction: </strong>Accreditation gained worldwide attention as a means of increasing awareness of medical errors, improving healthcare quality, and ensuring a culture of safety. Johns Hopkins Aramco Healthcare has been accredited by Joint Commission International (JCI) since 2002. The aim of this study was to evaluate the effect of the accreditation process on healthcare quality performance by maintaining compliance with the requirements of JCI's international patient safety goals (IPSGs) over a 4-year period and how this was reflected by patient safety and satisfaction.</p><p><strong>Methods: </strong>In Johns Hopkins Aramco Healthcare, the six JCI IPSGs are part of the as key performance indicators that reflect organizational performance in different services. For this study, data from January 2017 to the end of 2020 were analyzed apropos performance and correlation with patient experience.</p><p><strong>Results: </strong>The IPSGs data analysis showed that general performance was maintained above the target values (> 90%-96%) in all IPSGs. This was significantly reflected in high patient satisfaction during this period, with Pearson correlation of 0.9 and <i>p <</i> 0.000.</p><p><strong>Conclusions: </strong>Maintaining accreditation status over time enhances patients' confidence in an organization and its leadership as providers of safe, quality healthcare services. However, individual staff perception, commitment, accountability, and responsibility have an influence on performance, the organization's accreditation status, and patients' experiences.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228990/pdf/i2589-9449-4-3-117.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939412","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":"A Physician-Driven Quality Improvement Stewardship Intervention Using Lean Six Sigma Improves Patient Care for Community-Acquired Pneumonia.","authors":"Lea M Monday,&nbsp;Omid Yazdanpaneh,&nbsp;Caleb Sokolowski,&nbsp;Jane Chi,&nbsp;Ryan Kuhn,&nbsp;Kareem Bazzy,&nbsp;Sorabh Dhar","doi":"10.36401/JQSH-21-2","DOIUrl":"https://doi.org/10.36401/JQSH-21-2","url":null,"abstract":"<p><strong>Introduction: </strong>The Infectious Diseases Society of America (IDSA) recommends a minimum of 5 days of antibiotic therapy in stable patients who have community-acquired pneumonia (CAP). However, excessive duration of therapy (DOT) is common. Define, measure, analyze, improve, and control (DMAIC) is a Lean Six Sigma methodology used in quality improvement efforts, including infection control; however, the utility of this approach for antimicrobial stewardship initiatives is unknown. To determine the impact of a prospective physician-driven stewardship intervention on excess antibiotic DOT and clinical outcomes of patients hospitalized with CAP. Our specific aim was to reduce excess DOT and to determine why some providers treat beyond the IDSA minimum DOT.</p><p><strong>Methods: </strong>A single-center, quasi-experimental quality improvement study evaluating rates of excess antimicrobial DOT before and after implementing a DMAIC-based antimicrobial stewardship intervention that included education, prospective audit, and feedback from a physician peer, and daily tracking of excess DOT on a Kaizen board. The baseline period included retrospective CAP cases that occurred between October 2018 and February 2019 (control group). The intervention period included CAP cases between October 2019 and February 2020 (intervention group).</p><p><strong>Results: </strong>A total of 123 CAP patients were included (57 control and 66 intervention). Median antibiotic DOT per patient decreased (8 versus 5 days; <i>p</i> < 0.001), and the proportion of patients treated for the IDSA minimum increased (5.3% versus 56%; <i>p</i> < 0.001) after the intervention. No differences in mortality, readmission, length of stay, or incidence of <i>Clostridioides difficile</i> infection were observed between groups. Almost half of the caregivers surveyed were aware that as few as 5 days of antibiotic treatment could be appropriate.</p><p><strong>Conclusions: </strong>A physician-driven antimicrobial quality improvement initiative designed using DMAIC methodology led to reduced DOT and increased compliance with the IDSA treatment guidelines for hospitalized patients with CAP reduced without negatively affecting clinical outcomes.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228994/pdf/i2589-9449-4-3-109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923127","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":"Comparison of the Assessment of Patient Satisfaction Using Active and Passive Feedback.","authors":"Manju Christopher,&nbsp;Lallu Joseph","doi":"10.36401/JQSH-20-36","DOIUrl":"https://doi.org/10.36401/JQSH-20-36","url":null,"abstract":"<p><strong>Introduction: </strong>The outpatient department of any hospital is the first direct point of contact to the patients with the hospital. To understand the difficulties faced by the patients and to understand their perceptions, it is important to assess patient satisfaction. This study was designed to compare the difference in patient satisfaction responses and outcomes using two methods: active feedback collection (AFC) and passive feedback collection (PFC).</p><p><strong>Methods: </strong>The study was conducted for a period of 2 months using a validated, structured questionnaire in four languages. To differentiate the questionnaires, those for PFC were marked <i>P</i> and those for AFC as <i>A</i>. The questionnaire consisted of 21 questions. PFC was obtained when patients voluntarily filled out the feedback forms placed at different locations, and AFC was obtained by systematically approaching randomly selected patients.</p><p><strong>Results: </strong>Of the 809 patients who participated in the study, 131 were passive and 678 active. The study revealed that the satisfaction level was higher in the AFC group. It was observed that 82% of those in the PFC group and 35% of those in the AFC group had given specific written comments. The negative comments were higher in the PFC group than in the AFC group.</p><p><strong>Conclusions: </strong>The AFC method gives a good overview of the patients' journeys through the system and it can be used for systemic feedback collection. The PFC method provides an avenue to get more written suggestions and adverse comments that could help in planning remedial measures. The study showed that both methods collect complementary information for the managers to facilitate improvement of services.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228992/pdf/i2589-9449-4-3-105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9922677","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":"Primary Healthcare in Saudi Arabia: An Evaluation of Emergent Health Trends.","authors":"Angela Caswell,&nbsp;Joyce Kenkre","doi":"10.36401/JQSH-20-33","DOIUrl":"https://doi.org/10.36401/JQSH-20-33","url":null,"abstract":"<p><strong>Introduction: </strong>The Kingdom of Saudi Arabia (KSA) is experiencing an increasing demand for healthcare due to a growing population and unhealthy changes in lifestyle, fostering the need for critical examination of the current status of primary healthcare in the KSA with analysis of health-related trends among its growing population.</p><p><strong>Methods: </strong>A review of the literature was therefore undertaken, followed by a survey of primary healthcare centers at three facilities in Riyadh, to assess the current activities, understand challenges, compare existing practices with international best practices, and asses the level of patient satisfaction. The level of satisfaction with primary care services was examined by using observational surveys and retrospective reviews from the previous 20 years.</p><p><strong>Results: </strong>The more rural areas with populations with lower education and income ranked factors such as cleanliness, competence of staff, and environment the highest (82-95%), whereas urban areas with populations with higher education and income rated their level of satisfaction lower (74-82%). The influence of population diversity and the country's unique cultural sensitivities on the awareness and uptake of cancer surveillance services available in the community was examined. The incidence of diabetes, asthma, obesity, along with breast and cervical cancer trends, has illustrated the importance of health education and disease prevention.</p><p><strong>Conclusion: </strong>An investment in resources for primary healthcare staff and medical facilities is strongly recommended to support primary care providers in becoming the accepted and preferred community frontline for healthcare needs' assessment and care delivery. With its nursing staff comprised predominantly of expatriates, the emphasis needs to be on recruitment and training of a Saudi national workforce in line with succession planning strategy toward a sustainable Saudi workforce.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228993/pdf/i2589-9449-4-3-96.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923128","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 Impact of Financial Incentives on Behavior and Self-Management of Uncontrolled Type 2 Diabetes: Pre- and Post-Quasiexperimental Study.","authors":"Dalal Abdulaziz Al Kathiry,&nbsp;Fatima Al Slail,&nbsp;Khaled Al-Surimi,&nbsp;Raghib Abusaris","doi":"10.36401/JQSH-20-45","DOIUrl":"https://doi.org/10.36401/JQSH-20-45","url":null,"abstract":"<p><strong>Introduction: </strong>Noncommunicable diseases are one of the main challenges that affect health worldwide and have been found to be increasing in both low- and middle-income countries compared with high-income countries. The aim of this study was to assess the impact of financial incentives and a comprehensive care program focusing on patients' behavior and self-management of uncontrolled type 2 diabetes (glycosylated hemoglobin [HbA1c] ≥ 7), as well as modifiable risk factors for disease complications in a Saudi Arabian population.</p><p><strong>Methods: </strong>This quasiexperimental study, using a pre- and postevaluation approach, was used to compare the level of HbA1c among patients with uncontrolled diabetes before and after the financial incentives and comprehensive care program were implemented. Financial awards were given to patients who achieved a significantly greater decrease in HbA1c levels with his/her responsible physician. The study population included 702 Saudi Arabian patients with type 2 diabetes from 14 regions and 34 primary healthcare centers in the Kingdom of Saudi Arabia. All of these patients (≥ 15 years old) with uncontrolled type 2 diabetes who attended local primary healthcare centers in Saudi Arabia for a follow-up visit from February to October 2018.</p><p><strong>Results: </strong>The mean age, in years, of the sample was 56.14 (± SD = 9.909); slightly more than half of the patients 401 (57.1%) were females. Most of the participants 645 (91.9%) were married, and 381(54.3%) patients were housewives. Linear mixed modeling revealed that all groups showed improvements over time in the primary outcome of HbA1c levels (<i>p</i> = 0.009), Including the secondary outcomes of body mass index and systolic and diastolic blood pressure (<i>p</i> = 0.04, < 0.001, 0.019 respectively).</p><p><strong>Conclusions: </strong>Patient behavior was improved, which was reflected by decreases in HbA1c, body mass index, and blood pressure levels. A comprehensive care program is recommended by healthcare providers to increase awareness among patients with diabetes to reduce other risk factors. These kinds of interventions positively motivate patients with diabetes to control their health measurements and to adopt a healthy lifestyle.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228991/pdf/i2589-9449-4-3-88.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9922674","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 Therapy Management Clinics: A Model to Improve Healthcare Access.","authors":"Rizah Anwar Assadi,&nbsp;Shabaz Mohiuddin Gulam","doi":"10.36401/JQSH-21-6","DOIUrl":"https://doi.org/10.36401/JQSH-21-6","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228995/pdf/i2589-9449-4-3-85.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923131","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":"A Practical Guide to Creating a Pareto Chart as a Quality Improvement Tool.","authors":"Mohammad Alkiayat","doi":"10.36401/JQSH-21-X1","DOIUrl":"https://doi.org/10.36401/JQSH-21-X1","url":null,"abstract":"Quality is always a hot topic in healthcare, and the ultimate goals are to maintain a high level of patient satisfaction and improve the financial aspects. These two goals are rapidly changing, and they could be affected by many of the surrounding factors. When a healthcare organization faces a problem in achieving these two goals, it is important to understand the causes and immediately start the appropriate interventions. One principle of quality improvement in healthcare is to do it right the first time, so it is important to do the right intervention promptly by targeting the most vital contributing factors that led to the problem at hand. By nature, healthcare organizations are complicated, also have been described as a complex adaptive system, which is one of the most difficult systems to understand and manage because one problem could be linked to many contributing factors at the same time. The concept of the Pareto principle was developed in the 19th century by the economist Vilfredo Pareto, who noticed that 80% of the land in Italy was owned by just 20% of the population. Moreover, he found that 80% of production usually came from only 20% of the companies. This led him to a general hypothesis that 80% of the results are originated from 20% of the factors or causes that influence the results. The Pareto principle, which is also known as the rule of 20/80, has become an important quality tool, recognized by the American Society for Quality (ASQ) as one of seven basic quality tools for process improvement. HOW IS A PARETO CHART USED FOR QUALITY IMPROVEMENT?","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228985/pdf/i2589-9449-4-2-83.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939385","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}