D. A. P. Dissanayake, Kumudini Paba Dharmasena, S. Warnakulasuriya
{"title":"Challenges of integrating patient safety into nursing curricula: An integrative literature review","authors":"D. A. P. Dissanayake, Kumudini Paba Dharmasena, S. Warnakulasuriya","doi":"10.1177/25160435231222808","DOIUrl":"https://doi.org/10.1177/25160435231222808","url":null,"abstract":"The World Health Organization's Multi-Professional Patient Safety (PS) Curriculum (WHO-MPSC) was introduced in 2011, which made PS content easily available for nursing educators to integrate into their own curricula. With the exception of a few developed countries that have their own PS frameworks, many countries have yet to fully integrate PS concepts in pre-licensure healthcare education. The literature reveals numerous challenges when attempting to integrate new patient safety (PS) concepts. Due to the lack of updated synthesis and appraisal of these challenges, a synthesis of findings from the literature was deemed timely and significant. Hence, a literature review was carried out to comprehensively understand the challenges. An integrative review was conducted by searching electronic databases for the years 2011–2022. The Cumulative Index of Nursing and Allied Health Literature (CINAHL), MEDLINE databases and Google Scholar were searched. The search terms were barriers, challenges, nursing students and PS education. Twenty reviews met the inclusion criteria. Through this review, investigators were able to identify 5 major categories of challenges (educators’ characteristics, administration, programme structure, curriculum, theory–practice gap) and 17 individual challenges of PS education implementation. The theory-practice gap, curriculum development, and programme structure are areas that should be targeted by curriculum developers in nursing education. Furthermore, it was revealed that there is a need for further research on topics such as resistance to change and individual innovativeness among nurse educators.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"8 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139384067","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}
{"title":"The Health Services Safety Investigations Body (HSSIB) and safety management systems: An integrated approach to managing safety in healthcare","authors":"Jonathan Back, Deinniol Owens, Rosie Benneyworth","doi":"10.1177/25160435231224583","DOIUrl":"https://doi.org/10.1177/25160435231224583","url":null,"abstract":"The Health Services Safety Investigations Body (HSSIB) was established by the Health and Care Act 2022 as a new non-departmental arm's length body, replacing the former Healthcare Safety Investigation Branch. HSSIB exists to help reduce patient harm by understanding the complex interactions that exist within healthcare that may lead to patient safety events occurring. In other safety critical industries, a safety management system (SMS) approach is used to help enable proactive assessments of risks, specification of how risks should be managed, and set clear lines of accountability and responsibility in addressing risks. HSSIB has begun to explore how an SMS may operate in healthcare to help better equip the system to identify, respond, and proactively identify emerging and recurring concerns that may impact on the safety of patients.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"19 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139383685","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}
H. Smith, Raman Bhutani, Angana Mitra, Victoria Goulden, Walayat Hussain, Rajib Rahim, Claire Machin, Graeme I Stables
{"title":"A five-step approach to safer skin surgery","authors":"H. Smith, Raman Bhutani, Angana Mitra, Victoria Goulden, Walayat Hussain, Rajib Rahim, Claire Machin, Graeme I Stables","doi":"10.1177/25160435231220229","DOIUrl":"https://doi.org/10.1177/25160435231220229","url":null,"abstract":"Wrong site skin surgery is a never event with implications for patient well-being, in addition to potential medicolegal ramifications. There is no standardised approach to wrong site surgery (WSS) prevention in the United Kingdom. However, the World Health Organisation surgical checklist and NHS England's safety standards for invasive procedures (NatSSIP) have been useful in guiding the direction of change. We describe our experience over the past decade, detailing five cases of WSS including three wrong site biopsies and two re-excisions of the wrong scar. Each provided a learning opportunity, identifying vulnerabilities in the skin surgery pathway. By reflecting on our experience, we created a simple five-step approach to safer skin surgery which could easily be adopted by other dermatology departments. This includes, developing a Standard operating procedure, requesting a surgical procedure, medical photography, in theatre, and education/governance. Our approach provides a step in the right direction for national standardisation of the skin surgery pathway.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"347 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996857","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}
Nick Woodier, Charlotte Burnett, Paul Sampson, Iain Moppett
{"title":"Patient safety near misses – Still missing opportunities to learn","authors":"Nick Woodier, Charlotte Burnett, Paul Sampson, Iain Moppett","doi":"10.1177/25160435231220430","DOIUrl":"https://doi.org/10.1177/25160435231220430","url":null,"abstract":"A patient safety near miss is a safety event that had the potential to cause harm, but did not reach the patient. For over 20 years healthcare has been exhorted to learn from patient safety near misses to support improvements in patient safety. The belief is that, by addressing the factors that contribute to patient safety near misses, harmful incidents will be avoided. However, there seems to have been little progress made to learn from patient safety near misses. This study aimed to explore why there has been limited progress, and how best patient safety near misses may be learned from. A qualitative case study was undertaken to explore the learning from patient safety near misses in different National Health Service contexts. Semi-structured interviews were conducted with patient safety leads in secondary care, primary care, and regional/national bodies. Interviews were recorded, transcribed, and thematically analysed. Seventeen interviews were undertaken across the National Health Service, with further data collected from policy, guidance, field notes, and research memos. Thematic analysis identified the following: variations in safety event schema; limited processes for patient safety near misses; unsupportive reporting contexts; and assumed, but non-evidenced improvements in patient safety. Participants also shared their thoughts on how learning from patient safety near misses could be improved. A lack of progress has been made to learn from patient safety near misses in the National Health Service. This is contributed to by a lack of agreement about what is and how best to learn from a patient safety near miss. The learning value of patient safety near misses lies in the focus they place on controls to hazards, but they should not be learned from in isolation.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"17 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138970656","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}
Albert W Wu, Charles Vincent, J. Øvretveit, Alpana Mair, Peter Buckle, E. García Elorrio, Tommaso Bellandi, Mondher Letaief, Shin Ushiro, Shunzo Koizumi
{"title":"Gaps in patient safety: Areas that need our attention","authors":"Albert W Wu, Charles Vincent, J. Øvretveit, Alpana Mair, Peter Buckle, E. García Elorrio, Tommaso Bellandi, Mondher Letaief, Shin Ushiro, Shunzo Koizumi","doi":"10.1177/25160435231218489","DOIUrl":"https://doi.org/10.1177/25160435231218489","url":null,"abstract":"","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"111 51","pages":"246 - 252"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138609330","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}
Anatoliy G Goncharuk, Bojana Knežević, Sandra C Buttigieg, José Joaquín Mira
{"title":"How deep is a problem of second victims for medical staff? A pilot study in Croatia","authors":"Anatoliy G Goncharuk, Bojana Knežević, Sandra C Buttigieg, José Joaquín Mira","doi":"10.1177/25160435231213296","DOIUrl":"https://doi.org/10.1177/25160435231213296","url":null,"abstract":"Adverse events lead to the emergence of several groups of victims, among which the second victims are medical staff involved in them. The suffering of second victims can lead to new adverse events and new victims. This study describes the cycle of an adverse event and its victims. Using the example of the largest Croatian hospital centre, authors try to understand how deep medical staff experience adverse events, and how different groups of medical staff (by profession, gender, qualification, and position) perceive adverse events. With the help of a special survey using the Bonferroni method from ANOVA, it was established that males feel more mental stress after adverse events than females. The results indicate that medical staff of different professions perceive adverse events differently, e.g. they are the least painful for psychiatrists and microbiologists and the most stressing for emergency and intensive care workers. In addition, nurses are more vulnerable to adverse events and experience various types of mental disorders more deeply than doctors. However, qualifications do not seem to affect the extent to which medical staff perceive adverse events. The results of this study differ from previous data for other countries and suggest new implications.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"130 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136351976","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}
{"title":"Patient safety competence of nursing students and affecting factors","authors":"Ayşegül Yılmaz, Özlem Erdem","doi":"10.1177/25160435231213302","DOIUrl":"https://doi.org/10.1177/25160435231213302","url":null,"abstract":"Objectives Patient safety competencies (PSC) of nursing students are, in particular, critical for quality and safe care. In the study, it was aimed to determine the PSC of nursing students and the factors affecting them. Methods This descriptive cross-sectional, relationship-seeking, and comparative study was conducted between February 1st and May 15th, 2022. The sample of the study consisted of 441 students studying at three universities. The data were collected online using the Sociodemographic Data Form and PSC Self-Evaluation Tool. Results In institutions where the study was conducted, students rated their level as above moderate in the PSC. Those aged 23 and over, and those who had received education on patient safety in patient care and drug administration were found to have a higher level of PSC. When the scores that all students obtained from the overall scale and its subscales were compared, it was determined that students of University C had statistically higher overall and subscale scores than those in the other two universities. Conclusion The assessment of PSC and the determination of the influencing variables may shed light on the regulations to be conducted in this regard. Patient safety courses should be included in the nursing curriculum as a compulsory course in two semesters at basic and advanced levels.","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":" 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135290616","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}
{"title":"Lucy Letby inquiry could be a missed opportunity if it does not look at the wider issue","authors":"Paul Whiteing","doi":"10.1177/25160435231212956","DOIUrl":"https://doi.org/10.1177/25160435231212956","url":null,"abstract":"","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135476549","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}
{"title":"Times of multiple crises: Reasons and ways to keep patient safety on the agenda","authors":"Mirka Cikkelova, Penilla Gunther, Stéphane Boulanger","doi":"10.1177/25160435231207191","DOIUrl":"https://doi.org/10.1177/25160435231207191","url":null,"abstract":"","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136078644","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}
{"title":"WHO Five Moments for Medication Safety: A time to organize?","authors":"Albert W Wu","doi":"10.1177/25160435231207448","DOIUrl":"https://doi.org/10.1177/25160435231207448","url":null,"abstract":"","PeriodicalId":73888,"journal":{"name":"Journal of patient safety and risk management","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136093502","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}