Decreasing Foot Traffic in the Orthopedic Operating Room: A Narrative Review of the Literature
Conclusions
Implementing multiple evidence-based interventions can decrease foot traffic and reduce the risk of SSIs in orthopedic patients. Further studies are needed to directly link airborne bacterial counts to SSIs, increase the level of evidence, and isolate interventions. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Review Article Source Type: research
Engaging Patients in the Use of Real-Time Electronic Clinical Data to Improve the Safety and Reliability of Their Own Care
Objectives
There is considerable evidence that providing patients with access to their health information is beneficial, but there is limited evidence regarding the effect of providing real-time patient safety–related information on health outcomes. The aim of this study was to evaluate the association between use of an electronic patient safety dashboard (Safety Advisor) and health outcomes.
Methods
The Safety Advisor was implemented in 6 adult medicine units at one hospital in the United States. Study participants were asked to use the Safety Advisor, which provides real-time patient safety–related informa...
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Article Source Type: research
Morbidity and Mortality Caused by Noncompliance With California Hospital Licensure: Immediate Jeopardies in California Hospitals, 2007–2017
Conclusions
Noncompliance to hospital licensure causes significant morbidity and mortality. Statewide hospital licensure policies should focus on enacting standardized reporting requirements of immediate jeopardies into an Internet-based form that public health officials can regularly analyze to improve hospital safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Article Source Type: research
The Trigger Tool Method for Routine Pharmacovigilance: A Retrospective Cohort Study of the Medical Records of Hospitalized Geriatric Patients
Objective
The main objective was to assess the feasibility of the trigger tool method for the retrospective detection of adverse drug reactions (ADRs) in the Rennes University Hospital. The secondary objective was to describe the performance of the method in terms of positive predictive values (PPVs) and severity or preventability of ADRs.
Methods
Using the Rennes University Hospital clinical data warehouse, pharmacovigilance experts performed a retrospective review of a random sample of 30 inpatient hospital medical records per month using the triggers “fall” and “delirium” to identify related ADRs amon...
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Article Source Type: research
Central Venous Catheter Guidewire Retention: Lessons From England’s Never Event Database
Conclusions
Most retained guidewires are discovered after the procedure. Despite the introduction of safety measures, guidewire retention still occurs because the checks, alerts, reminders, and additional checklists all solely rely on the operator remembering not to make the mistake. System changes or design modifications to the CVC equipment are needed to prevent guidewire retention, this being at the top of the hierarchy of intervention effectiveness. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Article Source Type: research
Patient Safety Education in Entry to Practice Pharmacy Programs: A Systematic Review
Conclusions
This systematic review demonstrated how patient safety education was incorporated into pharmacy programs in terms of the content and methods of delivery. It was promising to see patient safety content being delivered interprofessionally and in experiential education. Students and faculty regarded implementing patient safety in education as an essential act to meet future work demands. Longitudinal studies to assess the long-term impact of incorporating patient safety on student behaviors upon graduation and health outcomes are needed. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Review Article Source Type: research
The Effect of Health Care Professional Disruptive Behavior on Patient Care: A Systematic Review
Conclusions
Disruptive behaviors among health care professionals are a significant threat to patient safety and quality of care. Organizations must harness the benefits of awareness programs, policy, and interventions to generate a culture change where these behaviors are not accepted, thereby protecting patients from preventable harm. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims
Conclusions
Communication failures are a significant contributing cause of malpractice claims and impose a substantial financial burden on the healthcare system. Interventions to improve transmission of critical patient information have the potential to substantially reduce malpractice expenditures. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Advanced Medication Alert System Decreased Hospital-Based Outpatient Duplicated Medications: A Longitudinal Hospital Cohort Study
This study aimed to examine the associations between adoption of an advanced medication alert system and decreases in hospital-based outpatient duplicated medication rates in Taiwan.
Methods
The unit of analysis was the hospital. We merged the hospital medication alert system adoption survey data and Taiwan National Health Insurance outpatient claims data. The observation time was 1998 to 2011, divided into 5 periods (T1–T5). The analysis included 216 hospitals, and outcome variable was hospital-based outpatient duplicated medication rates. The system adoption time frame, hospital accreditation level, and number o...
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Understanding the “Swiss Cheese Model” and Its Application to Patient Safety
This article reviews several key aspects of the Theory of Active and Latent Failures, typically referred to as the Swiss cheese model of human error and accident causation. Although the Swiss cheese model has become well known in most safety circles, there are several aspects of its underlying theory that are often misunderstood. Some authors have dismissed the Swiss cheese model as an oversimplification of how accidents occur, whereas others have attempted to modify the model to make it better equipped to deal with the complexity of human error in health care. This narrative review aims to provide readers with a better un...
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Review Article Source Type: research
Second Victim Experience and Support Tool: An Assessment of Psychometric Properties of Italian Version
Conclusions
The Italian version of the SVEST has excellent psychometric properties and can be used to detect prevalence in different contexts, to support studies and preventive interventions for Italian HCWs. The SVEST provides a robust model to describe the concept of second victim and to conduct comparisons with cross-sectional and longitudinal studies. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Studies Source Type: research
Cross-Cultural Adaptation, Validation, and Piloting of the Patient Reported Experiences and Outcomes of Safety in Primary Care Questionnaire for Its Use in Spain
Conclusions
The multidimensional primary health care patient safety instrument Patient Reported Experiences and Outcomes of Safety in Primary Care is now available for its use in Spain. Initial testing demonstrates its potential for use in primary care. Future developments will further address its use in actual clinical practice. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Studies Source Type: research
Development and Validation of a Fall Prevention Efficiency Scale
Conclusions
This new scale assess nurses’ perceptions of how a fall prevention program affects their efficiency, which impacts the likelihood of use. Learning nurses’ beliefs about time wasted when implementing new programs allows hospitals to correct problems that squander time. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Studies Source Type: research
The Second Victim Experience and Support Tool: A Cross-Cultural Adaptation and Psychometric Evaluation in Italy (IT-SVEST)
This study aims to perform the cross-cultural adaptation of the SVEST and to evaluate its psychometric characteristics in the Italian context.
Methods
Translation and cross-cultural adaptation process was performed according to the World Health Organization guidelines. Then, 349 healthcare workers, including nurses, doctors, residents, and technicians, involved in direct patient care—a potential second victim—completed the Italian version of SVEST in a validation survey at the Academic Hospital of Udine. The SVEST consists of 29 items, divided into 7 dimensions, 2 outcome variables, and 7 support options. The It...
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Studies Source Type: research
Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program
Conclusions
We demonstrate the use of telephone-based simulation technology to identify potential pitfalls and accelerate the adoption of a new IHT protocol for patients with nontraumatic intracranial hemorrhage. New quality improvement strategies can organically result through interprofessional debriefings for patients with potentially complex handoffs between hospitals. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Studies Source Type: research
