Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions
Objective Health systems are grappling with improving the quality and safety of health care. By setting clear expectations, there is an opportunity to configure care models to decrease the risk of adverse events and promote the quality of care. The US Centers for Medicare and Medicaid Services have used Patient Safety Indicator 90 (PSI90), a composite rate of hospital-acquired conditions (HACs), to adjust payments and score hospitals on quality since 2015. However, PSI90 may be associated with adverse prioritization for preventing some conditions over others. Our objective was to evaluate the time-dependent rates of HAC...
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Patient Safety Incidents Reported by the General Public in Korea: A Cross-Sectional Study
Conclusions The general public can report their experiences with PSIs. Periodic surveys that target the general public will provide additional data that reflect the level of patient safety from the viewpoint of the general public. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Nurses’ and Physicians’ Perceptions of Indwelling Urinary Catheter Practices and Culture in Their Institutions
Objectives Indwelling urinary catheters (IUCs) are commonly used devices in acute care that may lead to catheter-associated urinary tract infections or noninfectious complications. Responsibilities for IUC are usually shared between nurses and physicians, and a common mental model among the two professional groups is thus essential for a successful reduction in catheter use. The aim of this study was to determine variation in the perceptions of current practices and culture regarding IUC use between these two groups. Methods Nurses and physicians (N = 1579) from seven Swiss hospitals completed a written survey on safe...
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care Partners: The MySafeCare Application
Conclusions MySafeCare evaluation confirmed the potential value of providing an electronic, anonymous reporting tool in the hospital to capture safety concerns in real time. Such applications should be tested further as part of patient safety programs. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis
Conclusions Second victims report a high prevalence and wide range of psychological symptoms. More than two-thirds of providers reported troubling memories, anxiety, anger, remorse, and distress. Preventive and therapeutic programs should aim to decrease second victims’ emotional distress. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Review Articles Source Type: research

Dealing With Adverse Events: A Meta-analysis on Second Victims’ Coping Strategies
Conclusions Second victims frequently used task- and emotion-oriented coping strategies and, to a lesser degree, avoidance-oriented strategies. To better support second victims and ensure patient safety, coping strategies should be evaluated considering the positive and negative effects on the clinician’s personal and professional well-being, relationships with patients, and the quality and safety of healthcare. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Review Articles Source Type: research

Pandemic Adaptive Measures in a Major Trauma Center: Coping With COVID-19
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Letter to the Editor Source Type: research

Differences Between Methods of Detecting Medication Errors: A Secondary Analysis of Medication Administration Errors Using Incident Reports, the Global Trigger Tool Method, and Observations
Conclusions Based on the study’s findings and the limitations of each method, a combination of different methods should be used to discover representative information concerning medication administration errors. To increase medication administration safety, advanced multiprofessional collaboration, effective communication, adequate skills, more systematic medication processes, and distraction-free work environments are needed. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Study Source Type: research

A Systems Approach to Analyzing and Preventing Hospital Adverse Events
Conclusions The use of a systems-theoretic accident analysis technique can assist in identifying causal factors at all levels of the system without simply assigning blame to either the frontline clinicians or technicians involved. Identification of these causal factors in accidents will help health care systems learn from mistakes and design system-level changes to prevent them in the future. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

How Can Safer Care Be Achieved? Patient Safety Officers’ Perceptions of Factors Influencing Patient Safety in Sweden
Conclusions Several factors rated highly for achieving the current level of patient safety are part of the government-supported financial incentive plan. Patient safety is attributed to a broad range of factors, and many solutions might contribute to improved patient safety in the future. The most successful county councils are characterized by leadership support for patient safety, well-organized patient safety work, long-term commitment to patient safety, and an organizational culture that is conducive to patient safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Reasons for Drug Administration Problems and Perceived Needs for Assistance of Patients, Family Caregivers, and Nurses: A Qualitative Study
Conclusions The administration problems and perceived causes were multifaceted and often directed toward inappropriate dosage forms or health-care system–related conditions rather than critically questioning the medicine user’s administration skills. To increase medicine users’ motivation to scrutinize wrong administration practices, health-care professionals should consider individual perspectives on administration problems and perceived causes, assist medicine users’ to identify the true cause of a distinct problem, and provide individualized support. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Utilization of Resources by Patients Who Are Morbid and Super Obese Admitted to a Tertiary Care Center
Objectives Data regarding the characteristics of patients who are morbidly and super obese, and the resources they use in nonbariatric hospital settings are limited. The aims of our study were to explore the frequency of inpatient admissions of patients who are morbid (body mass index [BMI] ≥ 40 kg/m2) and super obese (BMI ≥ 50 kg/m2), their specific characteristics, and to identify their utilization of hospital services and resources, 30-day readmission rates, safe patient handling equipment, and patient clinical outcomes. Methods We conducted a retrospective chart review of adult patients hospitalized at our i...
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Electronic Health Record Adoption and Rates of In-hospital Adverse Events
Conclusions Cardiovascular, pneumonia, and surgery patients exposed to a fully electronic EHR were less likely to experience in-hospital adverse events. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital Mortality Across a Hospital System
This study’s objective was to document such an association across an entire hospital system and across multiple harm types. Methods The Safety Attitudes Questionnaire (SAQ) was administered to all clinical personnel (including physicians) before, 2 years after, and 4 years after establishing a comprehensive patient safety/high-reliability program at a major children’s hospital. Resultant data were analyzed hospital-wide as well as by individual units, medical sections, and professional groups. Results Safety attitude scores improved over the 3 surveys (P (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Safety and Clinical Outcomes of Hospital in the Home
Conclusions Adverse events need to be monitored carefully when HITH treatment is provided for extended periods. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Preparing for an Influenza Pandemic: Hospital Acceptance Study of Filtering Facepiece Respirator Decontamination Using Ultraviolet Germicidal Irradiation
Conclusions In addition to technical design and development, preparation and training will be essential to successful implementation of a UVDR program. Ultraviolet decontamination and reuse program design and implementation must account for actual clinical practice, compliance with regulations, and practical financial considerations to be successfully adopted so that it can mitigate potential FFR shortages in a pandemic. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - May 19, 2020 Category: Health Management Tags: Original Articles Source Type: research

Two Cultures in Modern Science and Technology: For Safety and Validity Does Medicine Have to Update?
Two different scientific cultures go unreconciled in modern medicine. Each culture accepts that scientific knowledge and technologies are vulnerable to and easily invalidated by methods and conditions of acquisition, interpretation, and application. How these vulnerabilities are addressed separates the 2 cultures and potentially explains medicine's difficulties eradicating errors. A traditional culture, dominant in medicine, leaves error control in the hands of individual and group investigators and practitioners. A competing modern scientific culture accepts errors as inevitable, pernicious, and pervasive sources of adver...
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Tips for Success Source Type: research

To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculum
This article is part of the To the Point Series prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee. Principles and education in patient safety have been well integrated into academic obstetrics and gynecology practices, although progress in safety profiles has been frustratingly slow. Medical students have not been included in the majority of these ambulatory practice or hospital-based initiatives. Both the Association of American Medical Colleges and Accreditation Council for Graduate Medical Education have recommended incorporating students into safe practices...
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Review Article Source Type: research

Perceptions of Emergency Department Triage Nurses About Prehospital Emergency Rescuers in Italy: A Latent Threat to Clinical Handover
Conclusions The results of this survey show that the overall perception of triage nurses about prehospital rescuers is slightly below sufficiency. This perception could cause errors during the prehospital or hospital handover at the triage and could lead to delayed decisions and incorrect treatment. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Article Source Type: research

Information Transfer at Hospital Discharge: A Systematic Review
Conclusions Delayed or insufficient transfer of discharge information between hospital-based providers and PCPs remains common. Creation of electronic discharge summaries seems to improve timeliness and availability but does not consistently improve quality. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Review Article Source Type: research

Evaluation of Patient Safety Culture in Community Pharmacies
Conclusions Understanding the safety culture of community pharmacies can help identify areas of strength and those that require improvement. Improvement efforts that focus on staffing, work pressure, and pace in community pharmacies may lead to better safety culture. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process
Conclusions Our modified Delphi process resulted in the identification of 46 final triggers for the detection of adverse events among ED patients. These triggers should be pilot field tested to quantify their individual and collective performance in detecting all-cause harm to ED patients. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Factors Influencing Time-Dependent Quality Indicators for Patients With Suspected Acute Coronary Syndrome
Conclusions Patient and system factors both significantly influenced QI times in this cohort with unstable angina/NSTEMI. These results illustrate both the complexity of diagnosing patients with NSTEMI and the competing effects of clinical and system factors on patient flow through the ED. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care
Conclusions The results show that there is a strong relationship between all-cause harm and these performance measures indicating that when there is a positive patient safety culture, a more engaged employee, and a more satisfying patient experience, there may be less all-cause harm. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

How Is Patient Safety Understood by Healthcare Professionals? The Case of Bhutan
Conclusions Inadequate understanding of the term patient safety has potential to hinder improvement of patient safety processes and practices in the Bhutanese healthcare system. To improve patient safety in Bhutan’s healthcare system, patient safety training and education need to be provided to all categories of healthcare professionals. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Safety of Venipuncture Sites at the Cubital Fossa as Assessed by Ultrasonography
Conclusions These results demonstrated that the cephalic vein at the cubital fossa is a relatively safe venipuncture site because of its distance from the median nerve and brachial artery. When puncturing the cephalic vein is difficult because it is not visible, the median cubital vein at the cubital fossa may be selected for venipuncture due to its cross-sectional area and visibility; however, care is needed to avoid penetrating the vein because the median nerve and brachial artery are located underneath. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Assessing Patients' Perceptions of Safety Culture in the Hospital Setting: Development and Initial Evaluation of the Patients' Perceptions of Safety Culture Scale
Conclusions The Patients' Perceptions of Safety Culture scale contributes to both a more comprehensive view of patients' experience of healthcare and a more balanced approach to safety culture measurement in healthcare. It contributes to an increased recognition of patients' views on safety-relevant aspects of their care that provide important inputs to patient safety improvement. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

General Public's Attitudes Toward Disclosure of Patient Safety Incidents in Korea: Results of Disclosure of Patient Safety Incidents Survey I
Conclusions This study showed the overwhelmingly positive attitude of the public toward DPSI. The positive opinion of the public about apology law suggests the possibility of introducing the disclosure policy coupled with legislation of apology law in South Korea. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Incidence of Wrong-Site Surgery List Errors for a 2-Year Period in a Single National Health Service Board
Discussion This is the first study to identify incidence of wrong-site/site list errors in the United Kingdom. Reducing list errors should form part of a wider risk reduction strategy to reduce wrong-site/side never events. Human factors barrier management analysis may help identify the most effective checks and controls to reduce list errors incidence, whereas resilience engineering approaches should help develop understanding of how to best capture and neutralize errors. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Errors During Resuscitation: The Impact of Perceived Authority on Delivery of Care
Objective The aim of this study was to determine the influence of perceived authority on pediatric resuscitation teams' response to an incorrect order given by a medical superior. Methods As part of a larger multicenter prospective interventional study, interprofessional pediatric resuscitation teams (n = 48) participated in a video-recorded simulated resuscitation scenario with an infant in unstable, refractory supraventricular tachycardia. A confederate actor playing a senior physician entered the scenario partway through and ordered the incorrect dose and delivery method of the antiarrhythmic, procainamide. Video r...
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

The Impact of Adverse Events on Clinicians: What's in a Name?
This article explores terminology used to describe the professionals involved in adverse events and services to support them. There is a concern that use of the term victim may connote passivity or stigmatize involved clinicians. Some patient advocates are also offended by the term, believing that it deemphasizes the experience of patients and families. Despite this, the term is now coming into widespread use by clinicians and health care managers as well as policy makers. As the importance of emotional support for clinicians continues to gain visibility, the terminology surrounding it will undoubtedly change and evolve. A...
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Review Article Source Type: research

Sustaining Innovations in Complex Health Care Environments: A Multiple-Case Study of Rapid Response Teams
Conclusions The sustainability of RRTs is optimized through effective operationalization of organizational and project design and implementation factors. Two additional factors—individual and team characteristics—should be included in the Planning Model of Sustainability and considered as potential facilitators (or inhibitors) of RRT sustainability. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools
Conclusions Malpractice claims provided insights that enriched our understanding of suboptimal care transitions and guided the development of care transitions planning tools. Pilot testing suggested that the tools would be feasible for use with minor adjustment. The malpractice data can complement other approaches to characterize systems failures threatening patient safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection
Objectives Adverse events in blood collection procedures such as mismatched or unlabeled samples may have critical implications on patient safety (such as wrong diagnosis and treatments). The current study examined blood collection procedures in an emergency department before and after the application of a human factors approach for improving performance quality and preventing adverse events. Methods In the emergency department of a community care hospital, 190 blood collection events were observed in 2 phases: preintervention and postintervention. Two quality measures were tested as follows: quality measure 1, perfor...
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Root Cause Analyses of Reported Adverse Events Occurring During Gastrointestinal Scope and Tube Placement Procedures in the Veterans Health Association
Conclusions Retained items after invasive procedures and human factors errors were the most common and harmful type of adverse event in this study. Efforts to reduce adverse events during GI invasive procedures include improving situational awareness of the risk of retained items, standardization of care, communication between providers, and inspection of instruments for intactness before and after procedures. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Eleven Basic Procedures/Practices for Dental Patient Safety
Conclusions Most preventable adverse events during the dental health care are produced by a relatively small number of causes. Therefore, a few basic safety procedures can reduce significantly these preventable adverse events. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Tips for Success Source Type: research

Frequency and Severity of Adverse Drug Events by Medication Classes: The JADE Study
Conclusions The medication classes frequently associated with ADEs did not necessarily induce severe ADEs. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Analysis of the Implementation of Blood Tests Specified in the Package Insert After Prescription of Thiamazole
Conclusions This study revealed that blood tests after prescription of thiamazole as listed in the warning section on the package insert are not performed sufficiently at our hospital. The rate at which differential leukocyte counts were obtained was approximately 80% of white blood cell counts at all observational periods. Physician education should be more rigorously performed than presently done, and automatic generation of warnings that urge blood tests and patient education regarding the importance of blood tests is also important. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Identifying Drug Therapy Problems Through Patient Consultation at Community Pharmacies: A Quality Improvement Project
Conclusions This project suggests that drug therapy problems in a community pharmacy setting can be identified via patient counseling at the time of prescription pickup. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

A National Assessment on Patient Safety Curricula in Undergraduate Medical Education: Results From the 2012 Clerkship Directors in Internal Medicine Survey
Conclusions Our study found that less than half of North American medical schools have a formal patient safety curriculum; although this is higher than in 2006, it still exemplifies a major gap in undergraduate medical education. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Poor Physician Performance in the Netherlands: Characteristics, Causes, and Prevalence
Conclusions This study discriminates between characteristics and causes of poor performance. Characteristics of poor performance are related to individual physician aspects. Causes contributing to the onset and continuation of poor performance include not only individual components but also work environment and professional development. Our findings therefore underscore the importance of considering poor performance on a system level rather than as a pure individual physician issue. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative?
Conclusions Staff-perceived safety climate, ICU type, and hospital size were related to ICUs’ implementation of CUSP. Better baseline safety climate or lower perceived organizational support reduced uptake. The findings can help hospital leaders and collaborative experts identify units that are less likely to implement cultural interventions. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 25, 2020 Category: Health Management Tags: Original Articles Source Type: research

Prioritizing Patient Safety Efforts in Office Practice Settings
Conclusions A targeted approach to identify a single high-risk area led to development of dedicated teams to conduct local patient safety improvement projects at the affiliated health systems and for sharing lessons learned. Similar efforts elsewhere could lead to safety improvements in office practices at other large health systems. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Resident Working Hour Restrictions Increased the Workload of the Medical Emergency Team: A Retrospective Observational Study
This study evaluated how limiting residents' working hours affected the workload of MET in a pulmonology unit. Methods This retrospective observational study analyzed MET activity during periods before and after we limited the working hours of residents in our pulmonary unit to 88 h/wk: Period 1, March 2014 to February 2015; and Period 2, March 2015 to February 2016. Medical emergency team activities, dose (activations/1000 admissions), intensive care unit transfers, and mortality were compared between the two periods for weekdays and for weekends and holidays. Results There were no significant differences between th...
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room
Conclusions Implementation of a role-based head covering system in the OR significantly increased the ability to determine a person's role in the OR. This study provides evocative support for a simple, inexpensive solution able to improve patient safety and learning opportunities for graduate medical students. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Anonymity Decreases the Punitive Nature of a Departmental Morbidity and Mortality Conference
Conclusions We assessed the effect of anonymity in our departmental M&M conference for a 7-month period and found no difference in the perceived effect of M&M on the educational nature of the conference but found a small improvement in the punitive nature of the conference. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Evaluation of Electronic Medical Records on Nurses' Time Allocation During Cesarean Delivery
Conclusions On average, nurses spent 40% of their intraoperative time on the EMR during cesarean births, and this time burden was distributed across the perioperative period. These findings highlight the time burden of EMRs and suggest that EMR functionality should be better aligned with end-user needs. Future studies are needed to better understand the impacts of intraoperative EMR use on patient safety and patient/nursing/clinician communication. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Perspectives on Patient Safety and Medical Malpractice: A Comparison of Medical and Legal Systems in Italy and the United States
Conclusions Based on our findings, we propose that the Italian system might benefit from assertively adopting some concepts from the U.S. system. In particular, we consider the role of the law and Italian medicolegal experts as key facilitators for the integration of patient safety and risk management units within Italian healthcare facilities. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Using System Inflammatory Response Syndrome as an Easy-to-Implement, Sustainable, and Automated Tool for All-Cause Deterioration Among Medical Inpatients
Conclusions Whereas the definition of sepsis moves away from SIRS, SIRS-based criteria may still have clinical benefit as an easy-to-automate detection tool for all-cause clinical deterioration among medical inpatients. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research

Job Burnout Reduces Hand Hygiene Compliance Among Nursing Staff
Objectives Health professional burnout has been associated with suboptimal care and reduced patient safety. However, the extent to which burnout influences hand hygiene compliance among health professionals has yet to be explored. The aim of the study was to examine whether job burnout reduces hand washing compliance among nursing staff. Methods A diary study was conducted. Forty registered nurses working in a general city hospital in Thessaloniki, Greece, completed a questionnaire, while they were monitored for hand hygiene compliance following the World Health Organization protocol for hand hygiene assessment. Burno...
Source: Journal of Patient Safety - November 26, 2019 Category: Health Management Tags: Original Articles Source Type: research