Technology-Based Closed-Loop Tracking for Improving Communication and Follow-up of Pathology Results
Conclusions
The RFID tracking technology considerably improved test result communication timeliness and reliability. Such technologies can be beneficial for laboratory order processing, and their effectiveness should be explored in other practice settings. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
To What Extent Is the World Health Organization’s Medication Safety Challenge Being Addressed in English Hospital Organizations? A Descriptive Study
Conclusions
More work may be needed to address patient and public involvement in medication safety and the priority areas of transitions of care and polypharmacy. Comparative global studies would help build an international picture and allow shared learning. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Association of Implementation and Social Network Factors With Patient Safety Culture in Medical Homes: A Coincidence Analysis
Conclusions
Our findings suggest that PCMH safety culture is higher when clinicians and staff perceive that leadership prioritizes patient safety and when high reciprocity among staff exists. Interventions to improve patient safety should consider measuring and addressing these key factors. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Influence of a Preadmission Procedure-Specific Consent Document on Patient Recall of Informed Consent at 4 Weeks After Total Hip Replacement: A Randomized Controlled Trial
Conclusions
Patient recall of potential complications of total hip replacement was poor despite the intervention. Although not effective overall, the use of a preadmission procedure-specific consent document did improve recall of potential complications of surgery in a subset of patients. The phenomenon of consent nonresponders is worth exploring in future research. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Fall Prevention Practices and Implementation Strategies: Examining Consistency Across Hospital Units
Conclusions
There is substantial variation in the implementation of fall prevention practices and implementation strategies across inpatient units. Our study found that resource-intensive practices (e.g., scheduled toileting) are less consistently used than less resource-intensive practices and that interdisciplinary approaches to fall prevention are limited. Future studies should examine how units tailor fall prevention practices based on patient risk factors and how units decide, based on their available resources, which implementation strategies should be used. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Vulnerabilities for Drug Diversion in the Handling, Data Entry, and Verification Tasks of 2 Inpatient Hospital Pharmacies: Clinical Observations and Healthcare Failure Mode and Effect Analysis
Conclusions
Multiple vulnerabilities for diversion exist in inpatient pharmacy processes. Our results provide some much needed detail about how specific vulnerabilities in MUP tasks and subtasks lead to an increased risk of diversion. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Avoiding Overuse of Venipuncture and Laboratory Testing in Hospitalized Patients on Hemodialysis
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Editorial Source Type: research
High Concurrent Use of Sulfonylureas and Antimicrobials With Drug Interactions Causing Hypoglycemia
Conclusions
Sulfonylureas and antimicrobials with potentially hazardous interactions are frequently used together. To reduce resultant hypoglycemic events, there is a need for interventions to increase physician awareness and promote antibiotic stewardship. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Do Health Care Providers Pay Attention to Sharing Hospital Patient Safety Incidents Through Social Media in Saudi Arabia?
Conclusions
The findings of this research showed that most health care providers in Saudi Arabia considered that safety incidents that occur in hospitals should not be shared through social media because they affect the policies and privacy of hospitals, patients, and personnel. However, most of the respondents believed that social media could contribute to improving the quality of patient attention and thought that WhatsApp and Twitter could be the most useful social media for these purposes. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Evaluation of Protective Properties of Commercially Available Medical Helmets: Are Medical Helmets Protective?
Conclusions
No helmets were protective across all head injury risk measures. Medical helmets may reduce some fall injury severity but may not prevent all types of head injury. All helmets exhibited worsening of protective properties with repeated falls. We recommend medical helmets be replaced after each fall incident where the helmet impacts another surface. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
In-Hospital Patient Harm Across Linguistic Groups: A Retrospective Cohort Study of Home Care Recipients
Conclusions
Patients whose primary language was not English or French were more likely to experience harm after admission to hospital, especially if they had low English proficiency. For these patients, the risk of harm from infections and procedures persisted in the adjusted analysis, but the overall risk of harm did not. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Sustaining the Gains: A 7-Year Follow-Through of a Hospital-Wide Patient Safety Improvement Project on Hospital-Wide Adverse Event Outcomes and Patient Safety Culture
Conclusions
The hospital-wide PSS resulted in significant improvements in the incidence and severity of AEs, healthcare cost savings, and patient safety culture, demonstrating sustainability for 7 years. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
Association Between Physician Burnout and Self-reported Errors: Meta-analysis
Conclusions
The results provide evidence that not only overall burnout but also its subscales independently are to be associated with a significantly increased risk of self-reported errors among physicians. As self-reported errors may translate into different types of adverse events, this strong and unequivocal association should be of major concern to healthcare organizations. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
User Testing to Improve Retrieval and Comprehension of Information in Guidelines to Improve Medicines Safety
Conclusions
Key information in medicines guidelines may not be found and/or understood by healthcare professionals. User testing increased information retrieval and comprehension and could have an important role in improving the safety of medicines use. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
A Root Cause Analysis of Barriers to Timely Colonoscopy in California Safety-Net Health Systems
Conclusions
Current protocols do not accommodate communication between primary care and gastroenterology. Interventions to address specific barriers identified include improved interoperability between PCP and gastroenterology scheduling systems, protocols to follow-up on incomplete colonoscopies, accommodation for support and transport needs, and patient-friendly education. Interviewing both patients and PCPs leads to richer analysis of the root causes leading to delayed diagnosis of colorectal cancer. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - December 31, 2021 Category: Health Management Tags: Original Studies Source Type: research
