Research Priorities in the Field of Patient Safety in Iran: Results of a Delphi Study
This study, which was built on the World Health Organization work, aimed to identify and prioritize research topics for patient safety in Iran. A 3-round Modified Delphi process was used. We purposefully recruited a panel of 45 policy makers, planners, health care managers and staff, and academic members with experience or expertise in patient safety research. A review of the literature was used to develop the first questionnaire, including 24 research topics. Respondents were asked to rate their agreement with each research topic and propose new topics. Based on the results of round 1, the second questionnaire was develop...
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

ABCs of Hospitalized Patients: A Simple Before-After Study of a Communication Tool to Improve Quality of Inpatient Care
This study evaluated the effectiveness of a communication tool in reducing risk factors for HACs. Methods A communication tool aimed at reducing HAC risk factors was developed by an interdisciplinary team of physicians and nurses and tested in a simple before-after quality improvement study. It included 8 components: ambulation/fall risk, blood glucose greater than 200 mg/dL, central venous catheters, deep venous thrombosis prophylaxis, erosions of the skin/dermal ulcers, Foley/urinary catheters, got communication, and heart monitor/telemetry. This communication tool facilitated multidisciplinary communication. The nurs...
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings
Conclusions The study findings demonstrate gaps between incident-reporting policy and practice, and opportunities to address these gaps. Organizational leaders can work with all health care professions to support their roles in reporting. Interprofessional team building, focused on valuing all team members, may improve interprofessional communication and reporting. Setting standards for classifying events could increase consistency in reporting. Ultimately, encouraging reporting of near misses and incidents can create a culture of learning focused on problem solving and improved patient safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Considerations for Multiteam Systems in Emergency Medical Services
Conclusions MTSs are prevalent in prehospital care, as they define how multiple component healthcare teams work together to intervene in emergency situations. We provided some initial directions regarding considerations for success in EMS MTSs based on existing research, but we also recognize the need for further study on these issues. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Factors Associated With the Management of Adverse Drug Reactions Among Community Pharmacists in South Korea
Conclusions Strengthening community pharmacists' performance of population-based ADR management should be prioritized over patient-oriented ADR management. To improve public health, community pharmacists should make an effort at ADR reporting. This can be done with appropriate government support, such as incentives to community pharmacists, public awareness campaigns, education, and establishment of feedback systems. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Standardizing Falls Reporting: Using Data From Adverse Event Reporting to Drive Quality Improvement
Conclusions The PA-PSRS falls reporting program's standardized definition of falls offers new analytic reports that include falls rates with benchmarking data and a falls dashboard. The benchmarking data allow hospitals to compare themselves to peer hospitals statewide. The newly expanded PA-PSRS falls reporting program has turned an adverse event-reporting program into a quality improvement tool. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Bibliometric Analysis of Medication Errors and Adverse Drug Events Studies
Conclusions The mapping results provide a valuable tool for researchers to access the literature in this field and can be used to help identify the direction of medication errors and adverse drug events research. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Comparison of Health Care Costs Between Claimants and Nonclaimants in the No-Fault Compensation System of Finland
Conclusions Although the precise cost differentials may be specific to Finland, the implications may apply also to other countries. (1) Excess costs of claimants should motivate efforts to reduce adverse events. (2) Analyses of claims to improve patient safety should not be restricted to compensated claims only but should equally concern uncompensated claims. A further implication regarding Finland is that additional approaches to identify and report adverse events are necessary. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process
Conclusions The expert group recommends that the 5 topics identified in this consensus process should be the main focus when health care simulation is implemented in patient safety curricula. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Analysis of a Standardized Perioperative Pain Management Order Set in Highly Opioid-Tolerant Patients
Objective The aim was to assess a standardized order set for perioperative pain management in highly opioid-tolerant patients undergoing elective orthopedic surgery. Methods This retrospective chart review evaluated a pain order set in highly opioid-tolerant patients undergoing elective total knee or total hip arthroplasty from January 2010 through August 2012. Based on the date of the surgery, patients were allocated into preimplementation or postimplementation order set groups. The primary outcome assessed whether an adjustment in daily opioid dosage was required within the first 48 hours postoperatively. Secondary ...
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

A Systematic Review of Systemic Cobaltism After Wear or Corrosion of Chrome-Cobalt Hip Implants
Objectives We sought to synthesize data on systemic arthroprosthetic cobaltism, a recently described syndrome that results from wear or corrosion of chrome-cobalt hip components. Methods We conducted a systematic literature review to identify all reported cases of systemic arthroprosthetic cobaltism. To assess the epidemiologic link between blood cobalt levels (B[Co]), we developed a symptom scoring tool that evaluated 9 different symptom categories and a category of medical utilization. Results We identified 25 patients reported between 2001 and 2014 with a substantial increase in case reports over the past 3 year...
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Review Article Source Type: research

A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution
Conclusions This PSR pilot program was viewed as a success by participants because it identified provider perspective concerns, which led to the identification and resolution of numerous patient safety issues. This interesting pilot program, however, was discontinued owing to the departure of key leadership and the reorganization and reprioritization of resources. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Physician Perspectives on Interhospital Transfers
Conclusions Expectations of care, delays and timing of transfer, and information exchange at time of transfer were identified as all too common problems in IHT, which creates a risk for patient safety. These areas are important targets for investigation and the development of interventions to improve patient safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Electronic Health Record–Related Events in Medical Malpractice Claims
Background There is widespread agreement that the full potential of health information technology (health IT) has not yet been realized and of particular concern are the examples of unintended consequences of health IT that detract from the safety of health care or from the use of health IT itself. The goal of this project was to obtain additional information on these health IT–related problems, using a mixed methods (qualitative and quantitative) analysis of electronic health record–related harm in cases submitted to a large database of malpractice suits and claims. Methods Cases submitted to the CRICO cl...
Source: Journal of Patient Safety - May 21, 2019 Category: Health Management Tags: Original Articles Source Type: research

Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees
Conclusions We recommend immediate introduction of the enhanced M&M meetings focusing on patient safety in the other disciplines and postgraduate deaneries. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 1, 2019 Category: Health Management Tags: Original Articles Source Type: research

The Association Between Organizational Culture and the Ability to Benefit From “Just Culture” Training
Conclusions There was a significantly greater reduction in PPR on the “Just Culture” Assessment Tool in the hospital with the more group-oriented organizational culture. Given the cost and effort required to conduct “Just Culture” training in an organization, it seems to be important to address the organizational culture before the implementation of this type of training. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 1, 2019 Category: Health Management Tags: Original Articles Source Type: research

Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department
Conclusions The reporting methods more effectively captured greater numbers of adverse events, whereas the adverse events captured by the trigger tool methods were more likely to be severe physical impacts. The combined use of the different methods had synergistic benefits for monitoring adverse events in the ED. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 1, 2019 Category: Health Management Tags: Original Articles Source Type: research

Attitudes Toward Patient Safety and Tendencies to Medical Error Among Turkish Cardiology and Cardiovascular Surgery Nurses
Conclusions This study showed that the tendencies to medical error among cardiology and cardiovascular surgery nurses working in a Turkish facility were low, whereas their attitudes toward patient safety were not at a particularly satisfactory level. The cardiology nurses were found to have a more positive attitude toward patient safety than their colleagues in cardiovascular surgery. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 1, 2019 Category: Health Management Tags: Original Articles Source Type: research

Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays
Conclusions These findings support our assumption that potential serious harm can happen when IV infusions are administered with outdated drug limit settings due to delays in drug library updates on the pump. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

The Association Between Organizational Culture and the Ability to Benefit From “Just Culture” Training
Conclusions There was a significantly greater reduction in PPR on the “Just Culture” Assessment Tool in the hospital with the more group-oriented organizational culture. Given the cost and effort required to conduct “Just Culture” training in an organization, it seems to be important to address the organizational culture before the implementation of this type of training. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

OD, OS, and OU: Talking in Code?
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Letter to the Editor Source Type: research

Evaluation of a Program for Improving Advanced Imaging Interpretation
The objective of this program evaluation was to compare self-referral rates before and after institution of the imaging interpretation criteria program. Methods The imaging interpretation criteria program allocated privileges to bill for advanced imaging interpretation according to physician specialty. Nonradiologist physicians could obtain exemptions by appeal. Some physicians were not restricted in their billing because of successful appeals of the restrictions or the timing of their contract renewals. Self-referral rates were compared between the period 12 months before and 25 months after the program was initiated u...
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department
Conclusions The reporting methods more effectively captured greater numbers of adverse events, whereas the adverse events captured by the trigger tool methods were more likely to be severe physical impacts. The combined use of the different methods had synergistic benefits for monitoring adverse events in the ED. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Prescriber Compliance With Liver Monitoring Guidelines for Pazopanib in the Postapproval Setting: Results From a Distributed Research Network
Conclusions In this population-based study, prescriber compliance was reasonable near pazopanib initiation but low during subsequent weeks of treatment. This study provides information from real-world community practice settings and offers feedback to regulators on the effectiveness of label monitoring guidelines. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach During 3 Years in 6 Hospitals in 3 Mexican Cities
Conclusions Hand hygiene programs should focus on variables found to be predictors of poor HH compliance. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees
Conclusions We recommend immediate introduction of the enhanced M&M meetings focusing on patient safety in the other disciplines and postgraduate deaneries. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

“I Am Administering Medication—Please Do Not Interrupt Me”: Red Tabards Preventing Interruptions as Perceived by Surgical Patients
Conclusions On the basis of the findings that emerged, the adoption of the tabards should be evaluated considering the benefits already documented, and the potential negative effects that emerged on patients, which may be influenced by cultural and linguistic aspects. Wearing the tabard with the message reported on the back, directed to the staff and not the patients, may have less negative effects on patients; in addition, using a different color not to alarm the patients may be useful. In addition, comparing the red tabard effects with other strategies introduced to deal with avoidable interruptions (e.g., “no in...
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Curbing Inappropriate Usage of STAT Imaging at a Large Academic Medical Center
Purpose To evaluate a new system for processing and performing inpatient STAT diagnostic imaging with respect to utilization and time-based performance metrics. Materials and Methods This HIPAA-compliant study had institutional review board approval; informed consent was not required. The radiology information system of a large academic medical center was queried for all inpatient diagnostic imaging exams performed and interpreted from August 1, 2010, to October 31, 2012. Using customized software, data were evaluated based on order priority (non-STAT or STAT) and exam modality with respect to exam volume and time-bas...
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Concepts for the Development of a Customizable Checklist for Use by Patients
Conclusions Developed by physicians with input from patients and other involved health-care providers such as nurses, this relatively novel concept of a patient’s checklist creates a role for the patient to ensure their own safety. With increasing attention to high-quality and cost-effective health care, patient satisfaction surveys will be assessed to rate overall health care. Further development of checklists will need to be guided by specific medical conditions and acceptance by patients and providers. Providers can use these checklists as a method to gauge a patient’s understanding of an intervention, sol...
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Predictors of 2010–2011 Michigan Medicaid Beneficiary Adverse E-Code Health Care Encounters
To inform Medicaid medication management and public health policymaking, the authors analyzed the major predictive factors influencing program-approved therapeutic use or poisoning E-coded encounters leading to emergency department visits and hospital admission for the totality of Michigan Medicaid beneficiaries during a 12-month 2010–2011 period. The analytic cohort was composed of 26,134 approved E-code encounters submitted for 19,865 discrete Michigan Medicaid beneficiaries. More than 1% of all beneficiaries experienced at least one adverse medication/agent-related E-code encounter during the period. More such en...
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Structured Handover in General Surgery: An Audit of Current Practice
Introduction Verbal handover alone compromises patient safety, and supporting written documents significantly increases retention of information, with printed handover sheets being the best at avoiding data loss. The Royal College of Surgeons (RCS) has produced guidelines on safe handover practice, in which a minimum dataset is recommended for inclusion when handing over patients to incoming surgical teams, and studies have indicated better adherence to these guidelines when preprinted handover proformas are used. Methods All surgical handover sessions were attended for a one-week period, and copies of handover sheets...
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Attitudes Toward Patient Safety and Tendencies to Medical Error Among Turkish Cardiology and Cardiovascular Surgery Nurses
Conclusions This study showed that the tendencies to medical error among cardiology and cardiovascular surgery nurses working in a Turkish facility were low, whereas their attitudes toward patient safety were not at a particularly satisfactory level. The cardiology nurses were found to have a more positive attitude toward patient safety than their colleagues in cardiovascular surgery. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 16, 2019 Category: Health Management Tags: Original Articles Source Type: research

Patient Experiences With Handling of Analgesic Transdermal Patches and Challenges in Correct Drug Administration: A Pilot Study on Patient Education
Conclusions Patients encountered numerous problems with transdermal patch administration although on long-term use. Patient education can improve knowledge on correct patch administration. However, the pilot study demonstrated the need for further efforts to improve ease of use of transdermal patch, such as patch adhesion. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

An Analysis of the FDA MAUDE Database and the Search for Cobalt Toxicity in Class 3 Johnson & Johnson/DePuy Metal-on-Metal Hip Implants
Conclusions We were not able find in the FDA MAUDE database meaningful warning signs to support the contention that chromium-cobalt–containing Class 3 J&J and DePuy hip implants caused systemic neurological or thyroid symptoms in patients. The incidence of reported cardiomyopathy was rare but frequent enough to be cause of concern. The redaction of most patient data along with the nonstructured nature of data entry would be expected to hinder the identification of warning signs. Even identification of the type of device could not be consistently carried out. In addition, the FDA needs to implement a methodology...
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Quality Improvement Program Outcomes for Endotracheal Intubation in the Emergency Department
We describe our 3-year experience with endotracheal intubation (ETI) outcomes during a multidisciplinary emergency department (ED)-based quality improvement (QI) program. Methods This was a single-center, observational study taking place during a QI program. We used a registry for airway management performed in the ED from April 2014 to February 2017. The QI program focused on procedural standardization, airway management education, and comprehensive preparation of airway equipment. The primary outcome was first-pass success (FPS) rate. The secondary outcomes were multiple-attempts rate and overall rate of complications...
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals
Background Although intravenous (IV) smart pumps with built-in dose-error reduction systems (DERS) can reduce IV medication administration error, most serious adverse events still occur during IV medication administration. Sources of error include overriding DERS and manually bypassing drug libraries and the DERS. Methods Our purpose was to use the Regenstrief National Center for Medical Device Informatics data set to better understand IV smart pump drug library and DERS compliance. Our sample consisted of 12 months of data from 7 hospital systems, 44 individual hospitals, and descriptive data from the American Hospit...
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Patient Safety: An Important yet Neglected Issue in Nursing Education Erratum
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Erratum Source Type: research

Transitioning to E-Prescribing: Preformatted Prescription Forms Improve Safety, Formulary Compliance, Prescribing Satisfaction, and Perceived Efficiency
Conclusions Preformatted prescription forms achieved the major objectives of e-prescribing: safer, more formulary-compliant, satisfying, and efficient prescribing. They can serve as a transitional phase to e-prescribing for resource-constrained organizations such as publicly funded clinics. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Provider and Patient Perceptions of an External Medication History Function
Objectives To determine the awareness and use of an external medication history (EMH) function within an electronic health record and its impact on patient perception of medication adherence. Methods Two self-administered surveys were given: one to providers and one to patients. Participants included providers from an academic medical center and patients from 2 general internal medicine clinics. Results Of 154 completed provider surveys, 61% were aware the EMH existed. More of the respondents aware of the EMH were primary care and medicine subspecialty providers (79.1%) when compared with surgical providers (20.9%,...
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Additional Medical Costs Due to Hospital-Acquired Falls
Objectives To explore the additional medical costs (AMCs) due to hospital-acquired falls (falls), as well as their impact on clinical services within hospitals under the nationally uniform universal health insurance system in Japan. Methods With the use of administrative profiling data based on accounting systems linked with the Japanese social insurance medical fee schedule, we analyzed data from 2 teaching hospitals: Shimane University Hospital (SUH) and St. Mary's Hospital (SMH). We extracted 588 fall cases from 4669 incident reports in SUH and 1168 fall cases from 7717 incident reports in SMH that potentially incu...
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Assessment of Patient Safety Culture in Iranian Academic Hospitals: Strengths and Weaknesses
Conclusions The PSC of the investigated hospitals is not at an ideal level and is in need of serious improvement, particularly in the dimensions of feedback and communication regarding errors, communication openness, staffing, and nonpunitive response to error. The same conditions hold true for other Iranian hospitals (i.e., the Afshar and Sadoughi hospitals in the city of Yazd, Iran), and American hospitals were used for comparison purposes in this paper. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Improving Reliability in Healthcare
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Editorial Source Type: research

Acute Fracture Neck of Femur Among Inpatients: Severe Injuries Which Need to be Taken Seriously
Conclusion Accurate fall risk assessments and adequate patient supervision are essential to minimize risks of falls, as the inpatient FNOF is linked to a higher mortality rate than patients injured in the community. A standardized method of analyzing such incidents and dissemination of the results of investigation are also required to reduce the risk of similar incidents from occurring within the hospital environment. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety
Conclusions The factorial survey presented practical information on safety awareness and intentions for behavior. Therefore, it created additional opportunities for improving safety interventions. Because behavior is expected to change before values, one could hypothesize that factorial surveys would be more sensitive to change than culture surveys. Longitudinal research should further study the surveys’ sensitivity to measure changes. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Developing a Comprehensive Model of Intensive Care Unit Processes: Concept of Operations
Conclusions Engineering health care to be highly reliable will first require an understanding of the processes and work flows that comprise patient care. The ConOps strategy provided a framework for building complex systems to reduce patient harm. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 21, 2018 Category: Health Management Tags: Original Articles Source Type: research

Therapeutic Duplication of Long-Acting Injectable Drugs
We describe how we prevented similar medication errors through improvements in medical informatics systems. This case emphasizes the need for enhancements in medical informatics systems to avoid therapeutic duplication of long-acting medications in the interest of patient safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 22, 2018 Category: Health Management Tags: Case Report Source Type: research

Changes in Patient Safety Culture in Palestinian Public Hospitals: Impact of Quality and Patient Safety Initiatives and Programs
Objectives To assess the changes in the patient safety culture between 2011 and 2016 after the implementation of patient safety initiative in Palestinian public hospitals. Methods A cross-sectional quantitative design employed using the Hospital Survey on Patient Safety Culture to collect data. Participants were 1,229 clinical and nonclinical employees from all public hospitals in the West Bank. Results Significant improvements were observed in patient safety culture with positive responses to 10 (83.3%) composite categories and 36 (86.0%) items of the Hospital Survey on Patient Safety Culture since the baseline su...
Source: Journal of Patient Safety - August 22, 2018 Category: Health Management Tags: Original Articles Source Type: research

Pressure Ulcer Rate in Multidisciplinary Hospital Units After Multifactorial Intervention: A Stepped-Wedge, Cluster Randomized Controlled Trial
Conclusions The multifaceted intervention proposed by the present study has succeeded in reducing rate of pressure ulcer. Multifaceted programs based on training are appropriate ways to provide essential information to patients and their caregivers, which result in improvement of their participation in therapeutic process. We recommend hospitals to use these findings as a quality improvement plan for decreasing the rate of pressure ulcer. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 22, 2018 Category: Health Management Tags: Original Articles Source Type: research

Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program
Conclusions We describe the multiple steps necessary to create a successful PSP focused on physicians and midlevel providers. There is an unmet need to provide support to this group of healthcare providers after medical errors and adverse events. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 22, 2018 Category: Health Management Tags: Original Articles Source Type: research

The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events
Conclusions The combination of an increase in awareness of event reporting with a psychiatry-specific AE reporting tool resulted in a significant improvement in the number of reports by psychiatrists. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 22, 2018 Category: Health Management Tags: Original Articles Source Type: research