Journal of patient safety and risk management最新文献

Patient and family engagement in patient safety practices: A Making Healthcare Safer rapid response review 患者和家属参与患者安全实践：让医疗保健更安全》快速反应审查

Journal of patient safety and risk management Pub Date : 2024-05-15 DOI: 10.1177/25160435241255155

Vadim Dukhanin, Sydney M. Dy, Ritu Sharma, Montrell Vass, Allen Zhang, EricB . Bass, Michael Rosen

{"title":"Patient and family engagement in patient safety practices: A Making Healthcare Safer rapid response review","authors":"Vadim Dukhanin, Sydney M. Dy, Ritu Sharma, Montrell Vass, Allen Zhang, EricB . Bass, Michael Rosen","doi":"10.1177/25160435241255155","DOIUrl":"https://doi.org/10.1177/25160435241255155","url":null,"abstract":"Patient and family engagement (PFE) is a developing area in reducing patient harm. This review addresses two questions: 1) What PFE patient safety practices (PSPs) have been used to prevent, report, or mitigate harms to patients and in what settings have they been used? 2) What evidence of effectiveness and unintended effects of PFE PSPs has been published since the Making Healthcare Safer (MHS) III report? We searched PubMed and the Cochrane Library for studies published between January 2019 and April 2023. We included reviews of and primary studies on safety, quality, or utilization outcomes associated with any intervention focused on PFE in reporting and/or reducing patient safety events and harms. We retrieved 768 citations and found one systematic review and five studies meeting the inclusion criteria. The studies were either multi-component patient fall interventions or patient portals and information tools. Patient fall intervention PFE PSPs demonstrated significant decreases in overall rate of fall (15%–71% reductions) and fall with injury (34%–67% reductions) across three studies and a 17% decrease in the hospital length of stay in one study. Across three studies employing portals and information tools, PFE PSPs facilitated the identification of errors and significantly decreased the hospital length of stay and readmissions. Research on PFE PSPs provides emerging evidence of the effectiveness of including PFE as a component of interventions targeting specific preventable harms. More research is needed to support the measurement of and better determine the overall effectiveness of a broader implementation of PFE PSPs.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140972624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia 印度尼西亚综合公立医院护士赋权计划对患者安全文化的影响

Journal of patient safety and risk management Pub Date : 2024-05-01 DOI: 10.1177/25160435241244664

L. Suryani, Santhna Letchmi, Faridah Binti Moch Said

{"title":"The impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia","authors":"L. Suryani, Santhna Letchmi, Faridah Binti Moch Said","doi":"10.1177/25160435241244664","DOIUrl":"https://doi.org/10.1177/25160435241244664","url":null,"abstract":"Patient safety is crucial to health-care quality and is one of the major parameters monitored by all health-care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because of their intensity in caring patients and families. This study aimed to determine the impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia. This study was designed as a quasi-experimental design in Indonesia. This program was conducted for three months with a five-day workshop (4 h for each day), followed by hanging up posters and handing out informative pamphlets to the experimental group's nurses and supervisors at their place of work in three common place that visited by nurses such as changing room, nurse station and near toilet. In the intervention group, patient safety culture practice score was significantly increased from 3.11(standard deviation [SD] = 1.43) before intervention to 4.89 (SD = 1.33) after three-month intervention (T2), with the t was 5.78, and p = .001. While in the control group, no significant increased score of patient safety culture practice before intervention and after three months intervention (3.05 ± 1.49 vs. 3.09 ± 1.25, t = 0.76, p = .516). The implementation of this innovative empowerment program, which included nurses and supervisors, resulted in an increase in patient safety culture scores as well as growth in domain score. Therefore, this program can be used to advance these critical facets of patient safety culture, which are currently underdeveloped.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Updating Eindhoven: Clarifying the features of a patient safety near miss 更新埃因霍温：明确患者安全险情的特征

Journal of patient safety and risk management Pub Date : 2024-04-18 DOI: 10.1177/25160435241247096

Nick Woodier, Charlotte Burnett, Paul Sampson, Iain Moppett

{"title":"Updating Eindhoven: Clarifying the features of a patient safety near miss","authors":"Nick Woodier, Charlotte Burnett, Paul Sampson, Iain Moppett","doi":"10.1177/25160435241247096","DOIUrl":"https://doi.org/10.1177/25160435241247096","url":null,"abstract":"There are benefits to healthcare from reporting and learning from near misses in patient care. However, there have been longstanding issues with identifying near misses, with variation in definitions. Learning is being lost, unlike in other industries that have harnessed their learning potential. The features of a healthcare near miss have never been described nor modelled. This study aimed to identify those features to support near-miss identification, reporting and learning. This study took a mixed-methods approach with participants from healthcare and four high-reliability industries – aviation, maritime, nuclear and rail. Qualitative exploration helped identify the features of a near miss, while quantitative supported assessment of agreement on features between participants through the use of a scenario. Participants from 17 healthcare and 35 industry organisations took part. Quantitative findings demonstrated variation in agreement of the features of a near miss using Fleiss Kappa. Qualitative findings identified the following themes in relation to the features of a near miss – context dependent, involve control, are complex and represent vulnerabilities. In particular, several industries have lists of specific situations that constitute near misses that support reporting and focus. Without clear agreement of the features of a healthcare near miss, definitions will continue to vary. This study has, for the first time, provided exploration and clarification of the features of a near miss with the offer of a healthcare model for future validation. Without addressing the fundamentals, such as agreeing what a near miss is, healthcare cannot hope to learn from them.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140686784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shared decision-making in an era of silo-based care (or what it takes to Tango) 筒仓式医疗时代的共同决策（或探戈需要什么？）

Journal of patient safety and risk management Pub Date : 2024-04-15 DOI: 10.1177/25160435241246348

A. Hannawa

引用次数: 0

Turkish adaptation and verification of the incident-reporting attitude scale used for staff in long-term care facilities 土耳其对用于长期护理机构工作人员的事件报告态度量表进行了改编和验证

Journal of patient safety and risk management Pub Date : 2024-04-13 DOI: 10.1177/25160435241246347

Ayşegül Yılmaz, Ayşe Yıldız Keskin, S. Duygulu, Müjdat Yeşildal

{"title":"Turkish adaptation and verification of the incident-reporting attitude scale used for staff in long-term care facilities","authors":"Ayşegül Yılmaz, Ayşe Yıldız Keskin, S. Duygulu, Müjdat Yeşildal","doi":"10.1177/25160435241246347","DOIUrl":"https://doi.org/10.1177/25160435241246347","url":null,"abstract":"Determining nurses’ attitudes and behaviors toward error reporting is important in providing safe, high-quality patient care. The current study aimed to test Turkish validity and reliability of the Incident-Reporting Attitude Scale for Staff in Long-Term Care Facilities. This psychometric study was conducted in two stages with 395 nurses and nurse managers in long-term care at a university hospital between May 2021 and January 2022. First, the Turkish adaptation of the scale was performed. The scale's internal consistency was evaluated using Cronbach's alpha and corrected item-total score correlation. Content validity indices were used for content validity, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used for construct validity. Discriminant analysis and internal consistency coefficient were used for reliability analyses. The results showed that the Turkish scale adaptation is adequate for language and content equivalence. According to CFA, the scale comprising 31 items and two subscales in the original version showed a significantly good fit in a 26-item and five-factor model. The Cronbach's alpha of the modified scale was 0.92; it was 0.88, 0.94, 0.82, 0.96, and 0.90 for the subscales, respectively. The Turkish scale adaptation has consistently shown acceptable psychometric reliability and validity characteristics. It can be used by healthcare services and nursing managers to evaluate nurses’ attitudes toward incident reporting in healthcare facilities providing long-term care.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Falls in the hospital: An Italian clinical risk management perspective 医院中的跌倒：意大利临床风险管理视角

Journal of patient safety and risk management Pub Date : 2024-04-07 DOI: 10.1177/25160435241246344

Luigi Buongiorno, Federica Mele, B. Solarino, D. Ferorelli, F. Zotti, Alessandro Dell’Erba, F. Carabellese, R. Catanesi, Stefano Ferracuti, G. Mandarelli

{"title":"Falls in the hospital: An Italian clinical risk management perspective","authors":"Luigi Buongiorno, Federica Mele, B. Solarino, D. Ferorelli, F. Zotti, Alessandro Dell’Erba, F. Carabellese, R. Catanesi, Stefano Ferracuti, G. Mandarelli","doi":"10.1177/25160435241246344","DOIUrl":"https://doi.org/10.1177/25160435241246344","url":null,"abstract":"Hospital falls are a frequent sentinel event worldwide, yet prevention remains challenging. There is a need to standardize hospital fall management in healthcare facilities. This study aimed to analyze policies and procedures used by Italian healthcare facilities to reduce hospital falls. The Italian hospitals’ public procedures on patients’ falls issued between November 2011 and June 2022 were retrieved by a web search using the Google search engine and further evaluated according to their compliance with the 2011 Italian Ministerial recommendation for the prevention of patients’ falls. We found 37 official online procedures, of which 45.6% showed full compliance with the 2011 Ministerial recommendation. All the documents explicitly addressed the issue of identifying patient-related fall risk profiles, whereas 28 set appropriate environmental risk factors. More than 80% of the retrieved procedures used the Conley scale. Forty-three percent of the procedures did not provide for national monitoring and reporting of patient falls. Public procedures for preventing patient falls in Italian hospitals are scarcely compliant with the 2011 Ministerial recommendation. Local monitoring, compliance, and reporting of hospital falls are needed to improve patient outcomes and reduce the risk of litigation for staff and organizations. Additionally, standardized tools for evaluating the risk of falls, healthcare professionals’ training, and implementing environmental prevention strategies are needed to contrast this issue.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consequences of erroneous reporting and interpretation of positive antibody screen in Rhesus (Rh) negative pregnancy: A report of two cases 恒河猴（Rh）阴性妊娠抗体筛查阳性的错误报告和解释的后果：两个病例的报告

Journal of patient safety and risk management Pub Date : 2024-04-03 DOI: 10.1177/25160435241245172

Bengt-Ola S. Bengtsson, J. V. van Houten

引用次数: 0

Is something missing in our approaches to ‘just culture’ in healthcare? What about the patient? 我们在医疗保健 "公正文化 "方面是否有所欠缺？病人怎么办？

Journal of patient safety and risk management Pub Date : 2024-04-03 DOI: 10.1177/25160435241241101

Peter Walsh

引用次数: 0

Determinants influencing implementation of clinical risk management – Qualitative results of a national survey among clinical risk managers in Germany (KHaSiMiR21) 影响临床风险管理实施的决定因素--德国临床风险管理人全国调查的定性结果 (KHaSiMiR21)

Journal of patient safety and risk management Pub Date : 2024-03-20 DOI: 10.1177/25160435241240831

Hannah Roesner, Karl Blum, Nikoloz Gambashidze, Martina Schmiedhofer, Matthias Weigl, Reinhard Strametz

{"title":"Determinants influencing implementation of clinical risk management – Qualitative results of a national survey among clinical risk managers in Germany (KHaSiMiR21)","authors":"Hannah Roesner, Karl Blum, Nikoloz Gambashidze, Martina Schmiedhofer, Matthias Weigl, Reinhard Strametz","doi":"10.1177/25160435241240831","DOIUrl":"https://doi.org/10.1177/25160435241240831","url":null,"abstract":"The improvement of patient safety requires management of clinical risks in hospitals. However, implementation status of clinical risk management (CRM) varies substantially across hospitals. Investigations into facilitators and barriers for effective implementation are thus necessary. Using an in-depth interview study with CRM experts in hospitals, this study aimed to investigate factors accountable for effective development and implementation status of CRM measures in Germany. As part of a nationwide survey, we conducted semi-standardized interviews with n = 10 selected clinical risk managers from general hospitals. We used qualitative content analysis to identify barriers and facilitators to the implementation of CRM. A broad range of determinants influencing CRM implementation were identified. Determinants were categorized into five thematic categories: general knowledge of CRM, safety culture, availability of resources, multi-level engagement and organizational structures. While numerous barriers to CRM implementation were identified, interviewees reported only a few supporting factors in comparison. Results suggest further challenges in effective CRM implementation and inform future research and implementation efforts.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140224968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare workers’ safety and emotional exhaustion: Exploring the impact of violence and trust in emergency departments 医护人员的安全与情感疲惫：探讨急诊科暴力和信任的影响

Journal of patient safety and risk management Pub Date : 2024-03-20 DOI: 10.1177/25160435241240517

M. Özel, Habip Balsak, Talat Yıldız

{"title":"Healthcare workers’ safety and emotional exhaustion: Exploring the impact of violence and trust in emergency departments","authors":"M. Özel, Habip Balsak, Talat Yıldız","doi":"10.1177/25160435241240517","DOIUrl":"https://doi.org/10.1177/25160435241240517","url":null,"abstract":"In the challenging and often high-stress environment of emergency departments (EDs), healthcare workers (HCWs) frequently encounter a concerning issue of workplace violence (WPV). This study delves into the effects of WPV management and safety on the emotional well-being of ED HCWs. Data collected between 15 March 2023 and 15 May 2023 from 186 HCWs across Obstetrics and Gynecology, Pediatrics, and Adult EDs are analyzed. The survey includes the Safety and Confidence Scale (SCS) to gauge HCWs' perceptions of violence and the Job-Related Emotional Exhaustion Scale (JREES). Key findings highlight the prevalence of various forms of WPV in the ED, such as verbal violence (77.4%), threats, and insults (68.8%), with patients and their relatives identified as the primary perpetrators. Male HCWs scored significantly higher on the Violence Management and Safety (VMS) scale compared to their female counterparts. In summary, within the demanding ED setting, this study sheds light on the profound impact of WPV on HCWs' emotional exhaustion and their overall sense of safety. It underscores the urgent need to build trust and bolster support mechanisms to alleviate emotional exhaustion among HCWs. Addressing WPV in the ED is paramount for the mental well-being of healthcare workers, particularly when faced with violence from patients and their families.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140388933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0