Comparison of the Outcomes of Patients Starting Mechanical Ventilation in the General Ward Versus the Intensive Care Unit
Conclusions
Starting MV in the GW was not a risk factor for 28-day mortality. Therefore, prompt application of a ventilator if medically indicated, regardless of the patient’s location, is desirable if a skilled airway team and appropriate monitoring are available. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Articles Source Type: research
Development and Validation of the Veterans Health Administration Patient Safety Culture Survey
Conclusions
The VHA-PSCS reflects 4 dimensions of patient safety. The instrument can be used to benchmark and compare progress of VHA’s PSC transformation across the organization and within medical centers, to strengthen patient safety event reporting, investigation, and quality of care. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Articles Source Type: research
Multispecialty Physician Online Survey Reveals That Burnout Related to Adverse Event Involvement May Be Mitigated by Peer Support
Conclusions
Physicians who experienced emotional repercussions from adverse events were more likely to report burnout compared with those who did not. Respondents proposed barriers and facilitators to support that have not been widely implemented. Peer support may help mitigate physician burnout related to adverse events. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Articles Source Type: research
Development of the Leapfrog Group’s Bar Code Medication Administration Standard to Address Hospital Inpatient Medication Safety
This article describes the process of developing, testing, and refining a standard for BCMA adoption and use in U.S. hospitals, as measured through the Leapfrog Hospital Survey. Building on the published literature and an expert panel’s collective experience in studying, implementing, and using BCMA systems, the expert panel recommended a standard with 4 key domains. Leapfrog’s BCMA standard provides hospitals with a “how-to guide” on what best practice looks like for using BCMA to ensure safe medication administration at the bedside. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Articles Source Type: research
Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events
Conclusions
Standardized definitions of diagnostic safety events and reporting standards for contextual information and contributing factors can help capture and analyze diagnostic safety events. In addition to usability testing, additional feedback from the field will ensure that AHRQ’s CFER-DS is useful to a broad range of users for learning and safety improvement. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Articles Source Type: research
The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) Survey: A Brief, Diagnostic, and Actionable Metric for the Ability to Speak Up in Healthcare Settings
Conclusions
The PS scale is brief, diagnostic, and actionable. It exhibits strong psychometric properties; is associated with better safety, teamwork climate, and well-being; differs by demographic factors; and is significantly higher for those who have been exposed to PS-enhancing initiatives. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 23, 2022 Category: Health Management Tags: Original Articles Source Type: research
Should Pharmacists Lead Medication Reconciliation in Critical Care? A One-Stem Interventional Study in an Egyptian Intensive Care Unit
Conclusions
The present study revealed that pharmacist-led medication reconciliation in ICU has dramatically decreased medication discrepancies and AEs in adults with acute ICU admissions. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Identification of Inappropriate Antibiotic Orders During Implementation of a Multidisciplinary Antimicrobial Stewardship Program Within the Primary Care Setting
Conclusions
Although our institution demonstrated commitment to optimizing antibiotic prescribing by providing resources to clinicians and patients about evidence-based antibiotic prescribing, inappropriate antibiotic prescribing was persistent. The interventions used must continue to evolve and include point-of-care access to guidelines and clinical decision support tools. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Development of a Quality Improvement Dental Chart Review Training Program
Conclusions
This study detailed the process of training new chart reviewers and evaluating their performance. Our results suggest that standardized training and continuous coaching improves calibration between experts and trained chart reviewers. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Patient Safety: Where to Aim When Zero Harm Is Not the Target–A Case for Learning and Resilience
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Solutions for Leaders Source Type: research
An Intervention to Optimize Attitudes Toward Adverse Events Reporting Among Tunisian Critical Care Nurses
This study aimed at evaluating the impact of a combined-strategies intervention on ICUs nurses’ attitudes toward AE reporting.
Methods
We conducted a quasi-experimental study from January to October 2020 which consisted of an intervention to improve attitudes toward incident reporting among nurses working in 10 intensive care units at a university hospital using the Reporting of Clinical Adverse Events Scale. The intervention consisted of a 2-hour educational presentation for nurse unit managers and a 30-minute in-units educational training for intensive care unit nurses, which encompassed technical aspects of rep...
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Article Source Type: research
Letter to the Editor—Response to “A Qualitative Analysis of Outpatient Medication Use in Community Settings: Observed Safety Vulnerabilities and Recommendations for Improved Patient Safety”
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Increasing Hospital Fires During the COVID-19 Pandemic in India: Are the Current Policies and Infrastructure Adequate?
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Unexpected Mechanical Ventilation Dysfunction in a Coronavirus Disease Patient With Severe Pneumonia Due to the Oxygen Flowsensor Failure
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Letters to the Editor Source Type: research
Use of Diagnosis Codes to Find Blood Transfusion Adverse Events in Electronic Health Records
Conclusions
Surveillance for diagnosis codes that could be TAE sequelae or unrecognized TAE might be useful supplements to existing medical product adverse event programs. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Article Source Type: research
