A Comparative Study Measuring the Difference of Healthcare Workers Reactions Among Those Involved in a Patent Safety Incident and Healthcare Professionals While Working During COVID-19
Conclusions
The impact of the COVID-19 pandemic on the mental health of healthcare workers is larger than after being involved in a patient safety incident. There is the need for an adequate support system, and the mental health of all healthcare workers needs to be considered. Partners and friend play a more important role in the support experienced during the COVID-19 pandemic, and there is an important need for professional help. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Communication During Interhospital Transfers of Emergency General Surgery Patients: A Qualitative Study of Challenges and Opportunities
Conclusions
Transfer center nurses described numerous challenges to provider communication. Opportunities for improvement include sharing appropriate and complete information, ensuring efficient communication, and reaching consensus about the course of action. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Effects of Generic Exchange of Levodopa Medication in Patients With Parkinson Disease
Conclusions
Patients, who experienced any brand switch of their levodopa medication, frequently expressed distrust and confusion. Swallowing difficulties and negative effects on their symptoms were problems, which were more pronounced in advanced disease stages. It remains unclear whether the detrimental impact on therapy was caused by the brand switch or by a nocebo effect. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Study Source Type: research
The Importance of Venous Thromboembolic Prophylaxis in Orthopedics: A Simple Guide for Non-Consultant Hospital Doctor Beginning an Orthopedic Rotation
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Translating the Leapfrog Safety Letter Grade to a Percentile: Unlock Your Hospital’s Door to Quality Improvement With This Easy “Quality Hack”
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Validation and Psychometric Properties of the Spanish Version of the Second Victim Experience and Support Tool Questionnaire
Conclusions
The SVEST-E instrument maintains the same items as the original questionnaire but introduces changes in the organization of its dimensions. The Spanish version maintains adequate construct validity, reliability, and temporal stability, so it is a valid tool to evaluate the second victim experience in Spanish health professionals. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Study Source Type: research
Veterans Health Administration Response to the COVID-19 Crisis: Surveillance to Action
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Solution for Leaders Source Type: research
Toward Zero Harm: Mackenzie Health’s Journey Toward Becoming a High Reliability Organization and Eliminating Avoidable Harm
Conclusions
This study describes an initiative that sought to introduce system-wide changes to practice and patient safety culture in a rapid time frame. Results suggest that our 5-step approach to transformation may confer substantial gains in patient safety for peer institutions. Next steps include continuing to expand and monitor quality aims as we progress through our journey to eliminating preventable patient harm in our healthcare system. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Assessment of Culture and Laboratory Practices Related to Patient Safety in Brazilian Laboratories
Conclusions
The culture and practices related to patient safety in Brazilian laboratories were evaluated as good, although a punitive culture against the occurrence of errors was identified. The psychometric evaluation of the questionnaire confirmed its reliability and validity. Studies performed in a larger and more diverse sample of clinical laboratories are needed to confirm the results obtained. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Report of a Multimodal Strategy for Improvement of Hand Hygiene Compliance in a Latin American Hospital. How Far From Excellence?
Conclusions
A multimodal strategy in a Latin American setting showed an increase in HH compliance over 10 years of follow-up that should nonetheless be improved. An association between HH compliance and surgical site infection rates was noticed, but this did not occur with other healthcare-associated infections; this underscores the need for a comprehensive bundled approach in their prevention. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
A Pragmatic Method for Measuring Inpatient Complications and Complication-Specific Mortality
Conclusions
The method described supplements existing metrics of serious complications that occur during the course of acute hospitalization allowing for enhanced visualization of opportunities to improve care delivery systems. This method leverages existing measure components to minimize reporting burden. Monthly time-series data allow interventions to prevent and/or rescue patients to be rapidly assessed for impact. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Discrepancies Between Clinical and Autopsy Diagnoses in Rapid Response Team–Assisted Patients: What Are We Missing?
Conclusions
We found a high rate (37.5%) of major misdiagnosis in autopsies from patients assisted by the RRT in a tertiary teaching hospital. Pulmonary embolism was the most inaccurate fatal diagnosis detected by autopsy. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - October 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Are Operating Rooms With Laminar Airflow a Risk for Inadvertent Perioperative Hypothermia During Ureterorenoscopic Lithotripsy Under Spinal Anesthesia? A Prospective Randomized Clinical Trial
Objectives
Inadvertent perioperative hypothermia (IPH), defined as a core temperature (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Studies Source Type: research
Standardization of Pediatric Noncardiac Operating Room to Intensive Care Unit Handoffs Improves Communication and Patient Care
Conclusions
Standardized handoffs for pediatric noncardiac surgical patients from the OR to the ICU can improve provider attendance and communication. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Studies Source Type: research
Exploring Changes in Patient Safety Incidents During the COVID-19 Pandemic in a Canadian Regional Hospital System: A Retrospective Time Series Analysis
Conclusions
Despite no observed changes in overall number, significant composition shifts in PSIs occurred during the first wave of the COVID-19 pandemic, with increased falls on internal medicine and complex continuing care wards. Possible explanations include restrictions on patient visitation, reduced patient contact/supervision, and/or personal protective equipment requirements. Providers should maintain a particularly high vigilance for patient falls during pandemic outbreaks, and hospitals should consider targeting resources to higher-risk locations. The results of this study reinforce the need for ongoing pandem...
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Studies Source Type: research
