Global journal on quality and safety in healthcare最新文献

{"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}

{"title":"3rd Annual International Pharmacoeconomic Forum Highlights.","authors":"Francisco Rocha Gonçalves","doi":"10.36401/JQSH-22-X3","DOIUrl":"10.36401/JQSH-22-X3","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 3","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/4b/i2589-9449-5-3-75.PMC10228998.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565954","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 the Kaizen Approach as a Quality Improvement Tool.","authors":"Yacoub Abuzied","doi":"10.36401/JQSH-22-11","DOIUrl":"10.36401/JQSH-22-11","url":null,"abstract":"","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 3","pages":"79-81"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/74/i2589-9449-5-3-79.PMC10229000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565959","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 Improve Patients' Perceived Quality of Sleep During Hospitalization Through a Multicomponent \"Good Sleep Bundle\": A Prospective Before and After Controlled Study.","authors":"Barbara Ragonese,&nbsp;Valeria Denotti,&nbsp;Vincenzina Lo Re,&nbsp;Giovanni Vizzini,&nbsp;Brigida Corso,&nbsp;Giuseppe Arena,&nbsp;Rosario Girgenti,&nbsp;Maria Luisa Fazzina,&nbsp;Fabio Tuzzolino,&nbsp;Michele Pilato,&nbsp;Angelo Luca","doi":"10.36401/JQSH-22-1","DOIUrl":"https://doi.org/10.36401/JQSH-22-1","url":null,"abstract":"<p><strong>Introduction: </strong>Despite sound evidence on the importance of sleep for human beings and its role in healing, hospitalized patients still experience sleep disruption with deleterious effects. Many factors affecting patients' sleep can be removed or minimized. We evaluated the efficacy of a multicomponent Good Sleep Bundle (GSB) developed to improve patients' perceived quality of sleep, through which we modified environmental factors, timing of nighttime clinical interventions, and actively involved patients in order to positively influence their experience during hospitalization.</p><p><strong>Methods: </strong>In a prospective, before and after controlled study, two different groups of 65 patients each were admitted to a cardiothoracic unit in two different periods, receiving the usual care (control group) and the GSB (GSB group), respectively. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) at the admission, discharge, and 30 days after discharge in all patients enrolled. Comparisons between the two groups evaluated changes in PSQI score from admission to discharge (primary endpoint), and from admission to 30 days after discharge (secondary endpoint).</p><p><strong>Results: </strong>The mean PSQI score difference between admission and discharge was 4.54 (SD 4.11) in the control group, and 2.05 (SD 4.25) in the GSB group. The mean difference in PSQI score change between the two groups, which was the primary endpoint, was 2.49 (SD 4.19). This difference was highly significant (<i>p</i> = 0.0009).</p><p><strong>Conclusion: </strong>The GSB was associated with a highly significant reduction of the negative effects that hospitalization produces on patients' perceived quality of sleep compared with the usual care group.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 3","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/e8/i2589-9449-5-3-56.PMC10228997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565961","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":"Views, Experiences, and Challenges of Anesthetists and Anesthesia Technologists on Parental Presence During Induction of Anesthesia in Children: A Mixed Method Study.","authors":"Dalia Mohammed Aljohani","doi":"10.36401/JQSH-22-2","DOIUrl":"https://doi.org/10.36401/JQSH-22-2","url":null,"abstract":"<p><strong>Introduction: </strong>Parental presence during induction of anesthesia (PPIA) has a potential positive impact on the pediatric patient, parents, and anesthesia staff. Several studies have explored the effectiveness of PPIA. However, there are no recent studies that explore the anesthesia staff's views, experiences, and challenges toward PPIA. The aim of this study was to discover the views, experiences, and challenges of anesthetists and anesthesia technologists regarding PPIA within a hospital in Saudi Arabia.</p><p><strong>Methods: </strong>This study followed a mixed-method design with a qualitative descriptive approach. A methodologic triangulation of data collection, comprising phase one, quantitative Likert-scale questionnaires, and phase two, qualitative semi-structured interviews. Thirteen anesthetic practitioners were recruited in the questionnaire phase, and then six anesthetic practitioners participated in the interviews. The quantitative data set was analyzed using Microsoft Excel and results are given using descriptive statistics. The qualitative data set used thematic analysis and results are given using themes and participants' quotes.</p><p><strong>Results: </strong>The data analysis identified representative themes and revealed no major differences in the opinions and experiences of anesthetists and anesthesia technologists on PPIA support. Based on the anesthesia staff's experiences, they believed in PPIA benefits, such as reduction in sedation use, minimizing the child's anxiety, and enhanced level of cooperation with the staff. Several points were raised indicating that there were challenges of PPIA with anxious parents and hospital policy being the main concern.</p><p><strong>Conclusion: </strong>The study provides evidence from anesthetic practitioners that PPIA is seen in a positive light within the Saudi hospital. The study's findings support further research to improve pediatric anesthesia practice, including a review of the hospital guidelines and policy.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 3","pages":"65-74"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/9c/i2589-9449-5-3-65.PMC10228996.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9565955","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":"Perception of the Disclosure of Adverse Events in a Latin American Culture: A National Survey.","authors":"Thiago Gomes Romano,&nbsp;Joao Gabriel Rosa Ramos,&nbsp;Viviane Martins Almeida,&nbsp;Helidea de Oliveira Lima,&nbsp;Rodolpho Pedro","doi":"10.36401/JQSH-22-3","DOIUrl":"https://doi.org/10.36401/JQSH-22-3","url":null,"abstract":"<p><strong>Introduction: </strong>Adverse events are common and are responsible for a significant burden in the healthcare setting. Such issues can vary according to the local culture and relevant policies. The current literature on the subject primarily addresses Anglo-Saxon cultures; this study focused on understanding the perception of disclosure in a middle-income country in Latin America.</p><p><strong>Methods: </strong>In this descriptive study conducted from June-August, 2021, an online self-administered survey about disclosure practice used a convenience sample of 995 Brazilian healthcare professionals.</p><p><strong>Results: </strong>Based on two different outcomes presented following a hypothetical adverse event (outcome 1: death; outcome 2: no permanent damage), 77.9% of participants fully agree that disclosure should be performed in both scenarios. Although 67.1% claimed that disclosure changes the perception of the institution by those involved, only 8.3% fully agree that there would be a reduction in trust regarding the institution. Despite only 11.5% of participants fully agreeing that disclosure increases the chance of legal action against professionals and institutions, 92.7% fully or partially agree that judicialization was possible in scenario 1, and 72.4% agree it was possible in scenario 2. Of the participants, 64.2% claimed they already faced a \"disclosure\" situation, and 44.3% fully believe that the person directly involved in the adverse event should participate in the disclosure.</p><p><strong>Conclusion: </strong>In this sample of professionals from a middle-income country in Latin America, the practice of disclosure was considered ethical, and the majority of respondents affirmed that it should always be performed. Nonetheless, this call for transparency collides with participants' perception of a higher risk of legal action when disclosure is performed after a negative outcome situation.</p>","PeriodicalId":73170,"journal":{"name":"Global journal on quality and safety in healthcare","volume":"5 3","pages":"47-55"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/78/i2589-9449-5-3-47.PMC10228999.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9571323","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":"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":"5 2","pages":"44-46"},"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":"5 2","pages":"27-30"},"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":"5 2","pages":"31-38"},"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}