Training Effectiveness and Impact on Safety, Treatment Quality, and Communication in Prehospital Emergency Care: The Prospective Longitudinal Mixed-Methods EPPTC Trial
Background
Emergency training is designed to improve medical care teams’ knowledge, practical skills, and treatment procedures in patient care to increase patient safety. This requires effective training, but the multifactorial effects of training are difficult to measure.
Methods
We assessed the impact of emergency team training on treatment procedures and quality, processes, technical skills, and nontechnical skills in simulated trauma emergencies in a longitudinal analysis, using videos that were recorded before (t0), immediately after (t1), and 1 year after the training (t2). The training was evaluated wit...
Source: Journal of Patient Safety - February 22, 2022 Category: Health Management Tags: Original Studies Source Type: research
Behind the Scenes of a Patient Safety Leadership Intervention in Nursing Homes and Homecare: Researchers’ Tips for Success
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Tips for Success Source Type: research
A Keyword Approach to Identify Adverse Events Within Narrative Documents From 4 Italian Institutions
Conclusions
The results of our study demonstrated the feasibility of using an automated approach to detect multiple adverse events in several data sources. More sophisticated techniques, such as natural language processing, should be tested to evaluate the feasibility of using text mining as a routine method for monitoring adverse events in hospitals. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Impact of Teamwork and Communication Training Interventions on Safety Culture and Patient Safety in Emergency Departments: A Systematic Review
Conclusions
Overall, teamwork and communication training interventions improve the safety culture in ED settings and may positively affect patient outcome. The implementation of safety culture programs may be considered to reduce incidence of medical errors and adverse events. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Review Articles Source Type: research
Development of a Trigger Tool to Identify Adverse Events and Harm in a Neuropsychiatry Setting
The objective of the present record-based study was to test the appropriateness of the neuropsychiatry trigger tool (NPTT) to identify and measure harm due to adverse events (AEs).
Methods
A total of 1324 clinical case notes of discharged patients from 2017 to 2018 with a hospital stay>24 hours to (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Routine Bedside Use of Obstetric Early Warning System in the Postnatal Ward to Identify Maternal Morbidity Among High-Risk Women
Conclusions
In high-risk women, OEWS revealed one-half of the morbidity. Women with PPH and preeclampsia benefited most from it. Abnormal blood pressure and pulse had the strongest associations with morbidity. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Room of Hazards: An Interprofessional Evaluation of Safety Risks in a Simulated Patient Room
Objectives
Approximately 3.7% of patients experience adverse events in health care facilities, many of which are preventable. Patient safety requires effective training and an interprofessional culture of safety, but few studies compare the safety skills of different hospital professions. We sought to assess skills in safety hazards identification among staff from different health care disciplines with a pilot study.
Methods
An exercise with a simulated room of an inpatient ward with a patient mannequin in a hospital bed with 34-intentionally planted safety hazards was set up. Health care staff members from vari...
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Implementing High-Reliability Organization Principles Into Practice: A Rapid Evidence Review
Conclusions
Health care system adoption of HRO principles is associated with improved safety outcomes, yet the level of evidence is low. Priorities for future HRO studies include use of concurrent control groups and examination of specific outcomes measurements. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Review Articles Source Type: research
Potentially Severe Incidents During Interhospital Transport of Critically Ill Patients, Frequently Occurring But Rarely Reported: A Prospective Study
Conclusions
This study of interhospital transports of critically ill patients reveals a very high number of incidents. Despite this fact, these incidents are severely underreported in the hospital’s electronic incident reporting system. This suggests that learning is lost and errors with predominant probability are repeated. These results emphasize the existing challenges in regard to the quality and safety of interhospital transport of critically ill patients. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Healing Our Own: A Randomized Trial to Assess Benefits of Peer Support
Conclusions
For supporting health care providers involved in adverse outcomes, structured peer support is a practicable intervention that can be initiated with limited resources. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Perception of Patient Safety and the Reporting System Between Medical Staffs and Patients in China: A Cross-Sectional Online Study
This study aimed to understand the perception of patient safety and the reporting system in public in China, and make further recommendations for the optimization of the reporting system of patient safety.
Methods
The following data were collected through an online questionnaire from medical staffs and patients: recognition of patient safety, comments on patient participation, comments on spontaneous reports, attitudes toward the principles of spontaneous reports, and willingness to participate. This information was presented with frequency and percentage with 95% confidence intervals (CIs). Spearman rank correlatio...
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Patient Misidentification Events in the Veterans Health Administration: A Comprehensive Review in the Context of High-Reliability Health Care
Conclusions
Patient misidentification is prevalent in both the inpatient and outpatient settings. However, specific care areas reported more close calls, an indicator of good safety culture. There were associations between policy and process issues, consistent use of 2 identifiers, and misidentification events. This review provides insight from the Veterans Health Administration national databases that health care institutions can use to improve their systems. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Stimulant Prescribing Error Assessment Rubric Development
Conclusions
This study provides a comprehensive description of medication errors associated with stimulant and related medications. Our findings have the potential to assist decision making and to tailor delivery programs, recommendations, guidelines, and clinical decision support health information technology on stimulant prescribing and monitoring. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
The Morbidity and Mortality Conference: Opportunities for Enhancing Patient Safety
Since the 20th century, health care institutions have used morbidity and mortality conferences (MMCs) as a forum to discuss complicated cases and fatalities to capitalize on lessons learned. Medical technology, health care processes, and the teams who provide care have evolved over time, but the format of the MMC has remained relatively unchanged. The present article outlines 5 key areas for improvement within the MMC along with prescriptive and actionable recommendations for mitigating these challenges. This work incorporates the contributions of numerous researchers and practitioners from the educational, training, debri...
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Tips for Success Source Type: research
Catastrophic Human Error in Assisted Reproductive Technologies: A Systematic Review
Conclusions
Since the advent of ART, there have been reports of catastrophic events occurring secondary to human error in the laboratory to include incidents of unintended parentage, and have resulted in the loss of embryos and gametes through cryostorage failure. Proposed solutions include the stringent implementation and adherence to safety protocols, adequate laboratory staffing and training, and novel methods for specimen labeling and tracking. Of utmost importance is having knowledge of these errors and the ability to determine cause so that future events can be prevented. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Review Articles Source Type: research
