Why Is Patient Safety a Challenge? Insights From the Professionalism Opinions of Medical Students’ Research
Conclusions Opinions on the acceptability of medical students’ patient safety–related behaviors were influenced by the demographics of the cohort and the contextual complexity of the scenario. Although the survey used hypothetical scenarios, doctors and medical students’ opinions seem to be influenced by cognitive dissonances, biases, and heuristics, which may negatively affect patient safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Patient Safety and Legal Regulations: A Total-Scale Analysis of the Scientific Literature
Conclusions Approximately 78.8% of the publications on patient safety and its legal implications were published since 2010, and the United States was the top contributor. Approximately 79.2% of the publications were original articles, whereas 12.5% were reviews. Healthcare sciences services was the most recurring journal category, with internal medicine, surgery, and nursing being the most recurring clinical disciplines. Key relevant laws around the globe were identified from the literature set, with some examples highlighted from the United States, Germany, Italy, France, Sweden, Poland, and Indonesia. Our findings hi...
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Cost-effectiveness Analysis of Peripherally Inserted Central Catheters Versus Central Venous Catheters for in-Hospital Parenteral Nutrition
Objective Our objective was to evaluate the cost-effectiveness of the use of peripherally inserted central venous catheters (PICCs) by a vascular access team (VAT) versus central venous catheters (CVCs) for in-hospital total parenteral nutrition (TPN). Methods The study used a cost-effectiveness analysis based on observational data retrospectively obtained from electronic medical records from 2018 to 2019 in a teaching hospital. We included all interventional procedures requiring PICCs or CVCs with the indication of TPN. We recorded the costs of insertion, maintenance, removal, and complications. The main outcom...
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Scientific View of the Global Literature on Medical Error Reporting and Reporting Systems From 1977 to 2021: A Bibliometric Analysis
Conclusions This bibliometric analysis shows that the number of publications and authors and cross-country cooperation are low regarding error reporting. The low number of publications and the lack of cooperation, especially in developing countries, reveal the importance of global cooperation. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

A Longitudinal Evaluation of Computed Tomography Radiation Incidents Within a Multisite NHS Trust
Conclusions Computed tomography departments need to focus on a system approach instead of the “person approach” to identify areas where efficiencies can be implemented. Staff should feel open to discuss system inefficiencies that they experience and may highlight problems the management is unaware of. The reporting of all types of incidents, including near misses, should be encouraged, to foster an open culture and to expand learning. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Hospital-Acquired Conditions Reduction Program, Racial and Ethnic Diversity, and Magnet Designation in the United States
Conclusions Results from this study show community’s racial and ethnic differences in hospital-acquired conditions occurrence differ between Magnet and non-Magnet hospitals for MRSA, indicating its association with nursing practice. However, because this improvement is limited to only MRSA, there are likely opportunities for Magnet hospitals to continue process improvements focused on additional Hospital-Acquired Condition Reduction Program measures. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Pressure Injury Prediction Model Using Advanced Analytics for At-Risk Hospitalized Patients
Conclusions We developed a prediction model using advanced analytics to predict PI in at-risk hospitalized patients. This will help address appropriate interventions before the patients develop a PI. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Identification of Prescribing Errors in an Electronic Health Record Using a Retract-and-Reorder Tool: A Pilot Study
Conclusions Our adapted RAR tool identified a variety of near-miss prescribing errors not otherwise reported. The tool has been implemented in the study hospital as a patient safety resource. Further implementations are planned across Irish hospitals. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

The Barriers and Enhancers to Trust in a Just Culture in Hospital Settings: A Systematic Review
Conclusions This systematic review identified barriers and enhancers to trust in error reporting in a just culture. The barriers and enhancers can be divided into 3 main themes: organizational factors, team factors, and experience. Findings show that trust can be learned and created based on practical principles. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Review Article Source Type: research

Delays in Diagnosis, Treatment, and Surgery: Root Causes, Actions Taken, and Recommendations for Healthcare Improvement
Conclusions Results supported the need for standardization of care processes and procedures, improved communication between and within department personnel, and improved policies and procedures that will be followed as intended. By reviewing adverse events, root causes, and contributing factors identified by local RCA teams, strategies can be developed to reduce delays in diagnosis and treatment of patients and lead to safer care. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Preventing Medication Errors in Pediatric Anesthesia: A Systematic Scoping Review
Discussion Medication error situations that might occur in pediatric anesthesia and recommendations on how to eliminate/minimize medication errors were also qualitatively synthesized. Adherence to recommendations might reduce the incidence of medication errors in pediatric anesthesia. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Awareness of Peripheral Intravenous Catheters Among Nurses, Physicians, and Students
Conclusions Health care services must recognize the implications of this lack of awareness and implement and evaluate tailored quality improvement efforts to address this. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

The Impact of a 22-Month Multistep Implementation Program on Speaking-Up Behavior in an Academic Anesthesia Department
Background Speaking-up is a method of assertive communication that increases patient safety but often encounters barriers. Numerous studies describe programs introducing speaking-up with varying success; the common denominator seems to be the need for a multimodal and sustained approach to achieve the required change in behavior and culture for safer health care. Methods Before implementing a 22-month multistep program for establishing and strengthening speaking-up at our institution, we assessed perceived safety culture using the “Safety Attitudes Questionnaire.” After program completion, participants compl...
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

The Association Between Time to First Dose of Venous Thromboembolism Prophylaxis and the Incidence of Hospital-Acquired Venous Thromboembolism
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Letter to the Editor Source Type: research

We Are Not There Yet: A Qualitative System Probing Study of a Hospital Rapid Response System
Conclusions Through system probing, we described the inner workings of RRS and revealed the challenges that require more attention. Healthcare professionals depend on structured RRS education, training, and resources to operate such a system. In this study, they request interventions like in situ simulation training as an interprofessional educational arena to improve patient care. This is a relevant field for further research. The Consolidated Criteria for Reporting Qualitative Studies Checklist was followed to ensure rigor in the study. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research