Capturing Parents’ Perspectives of Child Wellness to Support Identification of Acutely Unwell Children in the Emergency Department
This study examines the utility of capturing parent-reported child wellness, using the Patient Wellness Questionnaire for Pediatrics, to support identification of acutely unwell children presenting to the Emergency Department.
Methods
Parent-reported child wellness was recorded alongside the Pediatric Observation Priority Score (POPS), a multidimensional scoring system akin to a Pediatric Early Warning Score, used as part of routine care. Multiple linear regression assessed the independent effects of 3 variables (parent-reported child wellness, nurse concern, and child age) on POPS and hospital admission.
Results...
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Feasibility of Capturing Adverse Events From Insurance Claims Data Using International Classification of Diseases, Tenth Revision, Codes Coupled to Present on Admission Indicators
Conclusions
Our results imply that the coding status of International Classification of Diseases, Tenth Revision, codes and POA indicators should be refined before using them as quality indicators. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Developing Methods to Support Collaborative Learning and Co-creation of Resilient Healthcare—Tips for Success and Lessons Learned From a Norwegian Hospital Cancer Care Study
Conclusions
This study expands the body of knowledge on methods development that is relevant for collaborative learning and co-creation of resilient healthcare. This study demonstrated that the consensus methods process can be used for creating reflexive spaces to support collaborative learning and co-creation of resilience in cancer care. Future research within the field of collaborative learning should explore interventions that include a larger number of stakeholders. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Tips for Success Source Type: research
The Korea National Patient Safety Incidents Inquiry Survey: Feasibility of Medical Record Review for Detecting Adverse Events in Regional Public Hospitals
Conclusions
To increase the feasibility of medical record review for detecting adverse events, it is important not only to improve the reliability between reviewers but also to monitor the quality of medical records and the time required for review. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
The Korea National Patient Safety Incidents Inquiry Survey: Characteristics of Adverse Events Identified Through Medical Records Review in Regional Public Hospitals
Conclusions
A review of medical records aids in identifying adverse events in medical institutions with varying characteristics, thus helping prioritize interventions to reduce their incidence. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Observation and Patients’ Perceptions of Incorporating Their Photograph Into the Electronic Health Record
Conclusions
Patient refusal was not found to be a barrier to implementation of patient photographs in the EHR. Efforts to identify and address other potential barriers would help ensure that the highest proportion of patients has photographs in their medical record. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - August 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Concordance Among 10 Different Anticholinergic Burden Scales in At-Risk Older Populations
Conclusions
The agreement among the 10 scales in elderly patients with complex chronic conditions was highly variable. Great care should be taken when assessing anticholinergic drug exposure using existing scales because of the wide variability among them. The only scales that showed agreement were the AAS-Chew, Clinician-Rated Anticholinergic Scale–Duran, and AAS–Anticholinergic Cognitive Burden Scale pairs. In the rest of the cases, the scales are not interchangeable. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Critical Care Simulation Education Program During the COVID-19 Pandemic
Conclusions
We believe that the practical methods reviewed here could be adopted by any health care system that is preparing for an unprecedented surge of critically ill patients. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
“Palliative Syringe Driver”? A Mixed-Methods Study in Different Hospital Departments on Continuous Infusions of Sedatives and/or Opioids in End-of-Life Care
Conclusions
Continuous infusions seem to be common practice. Lack of documented indications and concerns regarding the handling and perception of a “standard procedure” in these highly individual care situations emphasize the need for further exploration and support to ensure high quality of care. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Governance for Patient Safety: A Framework of Strategy Domains for Risk Management
Conclusions
This scoping review explores management strategies key to healthcare systems’ efforts to create safety-oriented organizations. Improvement efforts should focus particularly on the domains identified: combined together, they would nurture an overall safety-oriented culture and have an impact on preventable adverse events. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Review Articles Source Type: research
Measuring What Matters at Morbidity and Mortality Conferences: A Scoping Review of Effectiveness Measures
Conclusions
This review found a wide variety of effectiveness measures for M&MC. Rather than using isolated measures, approaches that combine multiple effectiveness measures could offer a more comprehensive assessment of M&MC. Although there was a preference for quantitative metrics, this fails to seize the opportunity of qualitative methods to yield insights into sociological purposes of M&MC, such as building professional identities and safety culture. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Review Articles Source Type: research
Evaluation of the Culture of Safety and Quality in Pediatric Primary Care Practices
Conclusions
Overall, perceptions of the culture of safety and quality in pediatric primary care practices were positive. Differences in perceptions existed based on staff role. Future studies are needed to determine whether differences are clinically meaningful and how to narrow differences in perceptions among staff and improve of the culture of safety as a mechanism to improve the safety and quality of pediatric primary care. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Implementation of a Preoperative Huddle at a Level 1 Trauma Center
Objective
Medical errors resulting in patient harm still occur at an alarmingly high rate. Surgery is a high-risk area that can frequently result in patient harm if errors occur. There is a need for standardization of communication and processes to decrease errors. We sought to determine whether the implementation of a preoperative huddle at our hospital could standardize communication and decrease medical errors.
Methods
A unique preoperative huddle was developed and implemented at a level 1 trauma center. We reviewed data before and after the implementation of the preoperative huddle including patient surveys ...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Relationships Between Pediatric Safety Indicators Across a National Sample of Pediatric Hospitals: Dispelling the Myth of the “Safest” Hospital
Conclusions
This study demonstrates the multifactorial nature of patient safety. This implies no unique ordering of hospitals based on these measures, and thus, no pediatric hospital can claim to be “the safest.” This raises further questions about appropriate methods to rank hospitals by safety. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Articles Source Type: research
Adverse Event Reporting Priorities: An Integrative Review
Conclusions
A paucity of literature on adverse event reporting within acute care hospital settings was found. Perceptions of fear of blaming and retaliation, lack of feedback, and comfort level of challenging someone more powerful present the greatest barriers to adverse event reporting. Based on qualitative studies, obtaining trusting relationships and sustaining that trust, especially in hierarchical healthcare systems, are difficult to achieve. Given that patient safety training is a common strategy clinically to improve organizational culture, only 4 published articles examined its effectiveness. Further research i...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Review Article Source Type: research
