Global journal on quality and safety in healthcare最新文献

{"title":"Abstracts Presented at the 2022 International Pharmacoeconomics Forum: December 2-3, 2022, Riyadh, Saudi Arabia.","authors":"","doi":"10.36401/JQSH-23-X1","DOIUrl":"https://doi.org/10.36401/JQSH-23-X1","url":null,"abstract":"the involvement level was more associated with years of experience. Conclusion : This study shows that community pharmacists should play an important role in health promotion and prevention; they recognize a wide gap between ideal and actual levels of participation; however, many obstacles limit the role of the pharmacist in public health","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"6 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dd/0e/i2589-9449-6-1-27.PMC10229025.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561989","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":"Implementation of Business Excellence Models in Healthcare for Quality Assessment: A Systematic Review.","authors":"Eman Kamal","doi":"10.36401/JQSH-22-10","DOIUrl":"https://doi.org/10.36401/JQSH-22-10","url":null,"abstract":"<p><p>The assessment of healthcare facility quality using business excellence models provides valuable information about performance gaps, which can be used to improve performance. Within the excellence framework, the \"result\" domain presents more challenges in terms of improvement over time. Using European and American business excellence-based models (EFQM and Balridge, respectively), this review aims to highlight the impact of quality assessment on the improvement of healthcare performance results. A literature search was performed using PubMed, SCOPUS, and CINAHL databases. PRISMA guidelines were followed. All the articles were evaluated using the Critical Appraisal Skills Programme (CASP) Tool. Thematic analysis was conducted following Thomas and Harden's approach, and confidence levels were determined using the GRADE-CERQual method. Nine studies were included. Two main themes emerged: 1) the assessment highlighted improvement in some results; and 2) the assessment highlighted areas that need improvement. The assessments focused mostly on customer-based results and least on society-based results. Six out of nine included studies did not show improvement in the desired results after a one-time assessment; however, no recommendations to improve quality were given to the facility after the assessments. Unless there is continuity in the assessment process, the desired results may not improve.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"6 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/36/86/i2589-9449-6-1-15.PMC10229027.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565467","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":"Overview of Failure Mode and Effects Analysis (FMEA): A Patient Safety Tool.","authors":"Shaymaa M M El-Awady","doi":"10.36401/JQSH-23-X2","DOIUrl":"https://doi.org/10.36401/JQSH-23-X2","url":null,"abstract":"Patient safety has become a strategic pillar in healthcare organizations, requiring significant resources to avoid accidents during the hospital stay. Patient care processes are documented precisely in detailed policy and procedure manuals. The expectation has been that competent healthcare providers, acting per defined policies and procedures, will create a safe environment for patients. This expectation, although laudable, has proven to be unrealistic. Safety studies in healthcare and other socio-technological industries have repeatedly demonstrated that human error is the cause of many accidents in complex systems. Because the error is inherent to human nature, its consequences must be minimized. Healthcare may create risks, and patient safety is the most important care quality objective. The importance of patient safety, or protecting patients from harm incurred in medical care, is a topic of much discussion, which has been demonstrated in various international and national publications since the late 1990s. Most reporting systems concentrate on analyzing adverse events; this means that injury has already occurred. More progressive systems also concentrate on analyzing close calls, which facilitates learning from an event that did not result in injury or harm to a patient. Systems also permit proactive evaluation of vulnerabilities before close calls occur.","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"6 1","pages":"24-26"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/13/i2589-9449-6-1-24.PMC10229026.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565468","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":"Awareness of Radiation Protection and Common Radiation Dose Levels Among Healthcare Workers.","authors":"Khalid Alyousef,&nbsp;Amjad Assiri,&nbsp;Samiah Almutairi,&nbsp;Thekra Aldalham,&nbsp;Ghadah Felimban","doi":"10.36401/JQSH-22-14","DOIUrl":"https://doi.org/10.36401/JQSH-22-14","url":null,"abstract":"<p><strong>Introduction: </strong>Access to ionizing radiation has become widely available for diagnosis and treatment. The increased use of ionizing radiation has been associated with radiation exposure hazards for patients and radiation workers. Raising the level of radiation protection awareness is important to maintain the safety of healthcare settings.</p><p><strong>Methods: </strong>Online questionnaires were distributed to 755 healthcare workers and students at King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. The questionnaire consisted of 14 multiple-choice questions divided into two sections (questions related to radiation protection and common radiologic examination doses).</p><p><strong>Results: </strong>In total, 443 participants completed the questionnaire, including 142 (32%) medical students, 107 (24%) radiology technologists, 105 (24%) radiography students, and 89 (20%) physicians. Of the participants, 245 (55%) were men. A total of 74 (84%) physicians and 51 (47%) radiology technologists had more than 5 years of experience. Eleven (12%) physicians and 44 (41%) radiology technologists had 1-4 years of experience, whereas the rest had less than 1 year of experience. Only 16% of participants attended training courses on a regular basis. However, 15% of the participants thought that they had excellent knowledge of radiation protection, whereas 18% admitted that they did not have sufficient knowledge. Sixty-two percent of the questions related to radiation protection awareness were answered correctly. Forty-five percent of the participants correctly answered questions related to doses from common radiologic examinations. Only 23% and 16% of participants were aware of the noncontrast chest CT and lumbar x-ray doses, respectively. Moreover, 35% and 24% of participants did not know that pelvic MRI and abdominal ultrasound do not contribute any radiation dose, respectively.</p><p><strong>Conclusion: </strong>The results showed a knowledge gap regarding radiation protection and dose levels; therefore, periodic refresher courses are recommended for healthcare workers in order to increase the level of awareness.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"6 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/8c/i2589-9449-6-1-1.PMC10229030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565473","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 Magnet Recognition Program and Quality Improvement in Nursing.","authors":"Yacoub Abuzied, Rasmieh Al-Amer, Mohammed Abuzaid, Shreemathie Somduth","doi":"10.36401/JQSH-22-12","DOIUrl":"10.36401/JQSH-22-12","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 4","pages":"106-108"},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/50/i2589-9449-5-4-106.PMC10229039.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568250","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":"Disclosing Adverse Events in Healthcare: Understanding the Gap Between Knowledge and Practice in Developing Countries.","authors":"Mahmoud Abdelfattah Radwan","doi":"10.36401/JQSH-22-X4","DOIUrl":"10.36401/JQSH-22-X4","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 4","pages":"82-83"},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/4d/i2589-9449-5-4-82.PMC10229041.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9571289","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":"Implementing a Diabetic Algorithm for Ophthalmology Surgery Patients: A Quality Improvement Initiative.","authors":"Simrenjeet Sandhu,&nbsp;Aleena Virani,&nbsp;Hilary Salmonson,&nbsp;Karim Damji,&nbsp;Pamela Mathura,&nbsp;Rany Al-Agha","doi":"10.36401/JQSH-21-18","DOIUrl":"https://doi.org/10.36401/JQSH-21-18","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this quality improvement, interventional study regarding patients with diabetes undergoing diabetic ophthalmology outpatient surgery aimed to develop, implement, and evaluate a new diabetic algorithm to improve safety, operating room efficiency, and decrease supply cost.</p><p><strong>Methods: </strong>A multidisciplinary study team was assembled, including ophthalmologists, endocrinologists, anesthesiologists, management, and nurses to review the current diabetic protocol. From August 2016 to July 2017, 13 patient safety concerns or incident reports were reviewed that identified two serious cases of hypoglycemia. Using the concerns data, frontline perspectives, and reviewing best practice guidelines, a new diabetic algorithm was developed and trialed for 24 months. The new algorithm limited the use of an existing preoperative insulin protocol and reduced the number of nurses required. The number of adverse events, nursing setup process steps, setup time, and preoperative insulin infusion protocols used were collected. An evaluation of the supply costs was performed.</p><p><strong>Results: </strong>After implementing the new diabetic algorithm, zero safety incidents were reported, and a 97.5% reduction in the use of preoperative insulin protocol resulted. Nursing staff perceived that the new diabetic algorithm was easier to configure, 23 minutes faster to set up, and required one nursing staff member. Supply cost was reduced by $30.63 (Canadian Dollars, CAD) per patient.</p><p><strong>Conclusion: </strong>Perioperative glucose irregularities may threaten patient safety and surgical outcomes. Healthcare professionals must improve patient safety, decrease healthcare expenditure, and prevent unnecessary delays. Multidisciplinary frontline staff experiential knowledge aided in the recognition of potential problems and comprehensive solutions to optimize patient care.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 4","pages":"93-99"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/3b/i2589-9449-5-4-93.PMC10229036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568251","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 of an Assessment Scale for the Risk of Falling in Pregnant Women.","authors":"Emine Koç,&nbsp;Nevin Hotun Şahin","doi":"10.36401/JQSH-22-9","DOIUrl":"https://doi.org/10.36401/JQSH-22-9","url":null,"abstract":"<p><strong>Introduction: </strong>In pregnant women, the rate of falling is similar to that of women older than 70 years. According to the literature review, there is no risk of falling assessment tool that is specific to pregnancy. The aim of the study was to develop a risk of falling assessment scale for pregnant women.</p><p><strong>Methods: </strong>This is a methodological study. The study's population consisted of pregnant women who sought follow-up care at a state hospital's maternity ward between November 2016 and November 2017. The study sample included 630 pregnant women who met the inclusion criteria and volunteered for the study. The Pregnant Women Information Form and Assessment Scale for Risk of Falling in Pregnant Women were used as data collection tools.</p><p><strong>Results: </strong>During the scale development process, an item pool draft of 63 questions was developed and submitted to 10 experts for feedback. The findings of the content validity analysis revealed that the average of the items was 0.95, validity was good, and the number of items on the scale was reduced to 42 according to the experts' suggestions. The Cronbach α coefficient of the scale was found to be 0.604 (moderately reliable). It was discovered that the CART and QUEST algorithms on the scale were successful models for estimating the status of falls in pregnant women.</p><p><strong>Conclusion: </strong>A 42-item assessment scale for the risk of falling in pregnant women was developed, and it was determined that the scale was a valid and reliable tool.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 4","pages":"100-105"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/cc/i2589-9449-5-4-100.PMC10229038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568249","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":"Reducing Central-Line-Associated Bloodstream Infections (CLABSI): An Improvement Project in a Specialized Tertiary Hospital.","authors":"Fadwa Abu Mostafa,&nbsp;Khaled Alnafee,&nbsp;Khadijah Al Shanqiti,&nbsp;Najlaa Siddiq,&nbsp;Sabah Alshuhri,&nbsp;Duaa Badawi","doi":"10.36401/JQSH-22-4","DOIUrl":"https://doi.org/10.36401/JQSH-22-4","url":null,"abstract":"<p><strong>Introduction: </strong>Central-line-associated bloodstream infections (CLABSI) are preventable hospital-acquired infections that harm and prolong a patient's hospital stay and increase unnecessary hospital expenditure. In collaboration with infection control and hospital epidemiology, the quality management department initiated a performance improvement project to address 144 CLABSI events in 2017.</p><p><strong>Methods: </strong>The performance improvement project team used brainstorming to create change ideas presented in a driver diagram. The team then applied plan-do-study-act (PDSA) cycles to implement and monitor the improvements. Finally, the team applied a bundle of interventions that included the following: (a) policies and procedures for central line insertion, maintenance and removal processes standardization, (b) physicians training for line insertion by simulation, (c) an awareness campaign that included recognizing healthcare workers and enhancing patient engagement, (d) performing root cause analysis for the CLABSI events, and (e) automation of central line insertion, and (f) maintenance bundles documentation in the hospital information system.</p><p><strong>Results: </strong>The CLABSI rate per 1000 patient days dropped from 1.5 per 1000 device days to 1.03 per 1000 device days. In addition, CLABSI events reduction was 24% by 2018. Then further reduction of 15% occurred by the end of 2019. Thus, the overall decrease in CLABSI events was 35% from the baseline number of events (i.e., 144 events) in 2017. Another achievement of the project is that 10 units reported zero CLABSI events in 2018 and 2019, of which four units had a high central line utilization rate, more than 40%.</p><p><strong>Conclusion: </strong>The implemented interventions effectively reduced the CLABSI events in the hospital<b>.</b> The project team will continue implementing more interventions with monitoring, aiming to achieve zero CLABSIs over time in all the hospital units.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 4","pages":"84-92"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cb/ae/i2589-9449-5-4-84.PMC10229040.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568252","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: 2022.","authors":"","doi":"10.36401/JQSH-22-X5","DOIUrl":"https://doi.org/10.36401/JQSH-22-X5","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 4","pages":"109"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/de/ee/i2589-9449-5-4-109.PMC10229037.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568253","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}