Idea of Applying “Broken Windows Theory” to Clinical Laboratories as a Quality Tool to Increase the Success of Proactive Risk Management Strategies
No abstract available (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Tips for Success Source Type: research
Is a High Medication Risk Score Associated With Increased Risk of 30-Day Readmission? A Population-Based Cohort Study From CROSS-TRACKS
Conclusions
A high MERIS score was associated with increased risk of readmissions and can potentially assist healthcare professionals in the prioritizing of patients who may benefit from further exam, for example, additional medication review in acute care setting. Further investigation of MERIS and exploration of causal inferences between medication-related harm and medication-related readmissions are warranted. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Developing and Aligning a Safety Event Taxonomy for Inpatient Psychiatry
Conclusions
Safety events on inpatient psychiatric units are understudied and lack the measurement infrastructure to identify care processes that result in exposure to harm. We develop and align an inpatient psychiatric safety taxonomy based on real-world data, existing literature, and measurement standards. This taxonomy can be used by psychiatric hospitals to improve their patient safety measurement systems—and ultimately—the safety of their patients and communities. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Influence of Psychological Safety and Organizational Support on the Impact of Humiliation on Trainee Well-Being
Conclusions
The findings suggest that humiliation is associated with well-being through the effects of psychological safety and influenced by organizational support. Further work might explore the relationship by investing resources (e.g., faculty development, mentorship) to increase psychological safety and reduce humiliation during training, especially within environments prone to be perceived as unsupportive of trainees. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Working Experience of Managers Who Are Responsible for Promoting and Monitoring Patient Safety in South Korea: Focusing on Small- and Medium-Sized Hospitals
Conclusions
Patient safety managers faced difficulties because of the lack of guidelines, training, and systems. Nevertheless, they have attempted to overcome these problems themselves, so they can be recognized as professionals. This study’s findings can be used as basic data to provide differentiated support for PSMs, based on hospital size. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
A Retrospective Review of Serious Surgical Incidents in 5 Large UK Teaching Hospitals: A System-Based Approach
Conclusions
Multiple factors contributed to the occurrence of serious surgical incidents, many of which related to human failures and faulty equipment. The use of faulty equipment needs to be recognized as a major risk within departments and promptly addressed. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Evaluating the Costs of Nurse Burnout-Attributed Turnover: A Markov Modeling Approach
Conclusions
Given that status quo costs of burnout are higher than those in a hospital that invests in a nurse burnout reduction program, hospitals should strongly consider proactively supporting programs that reduce nurse burnout prevalence and associated costs. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: The Health Care Manager Source Type: research
Root Cause Analysis Using the Prevention and Recovery Information System for Monitoring and Analysis Method in Healthcare Facilities: A Systematic Literature Review
Conclusions
To better understand UEs in healthcare facilities and formulate optimal countermeasures, our recommendations to further improve the PRISMA-method mainly focus on combining information from patient files and reports with interviews, including multiple PRISMA-trained researchers in an analysis, and modify the Eindhoven Classification Model if needed. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Eight-Year Trends in Direct-Acting Oral Anticoagulant Dosing, Based on Age and Kidney Function, in Patients With Atrial Fibrillation
Objective
Concerns have been raised over the appropriateness of dosing of direct-acting oral anticoagulants (DOACs) in clinical practice. We investigated this issue in patients who were initiated on a DOAC in Australian general practices.
Methods
This was a retrospective study among patients newly diagnosed with atrial fibrillation (AF) who were prescribed DOACs, using data obtained from 417 general practice sites across Australia over 8 years (2011–2019). Direct-acting oral anticoagulant dosing was compared with published recommendations, in relation to age and kidney function.
Results
A total of 11,25...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Patient Preferences for Rituximab Additional Risk Minimization Measures: Results From an International Online Survey
Conclusions
Collecting patients’ preferences supports periodic assessment of additional RMMs and increase transparency of regulatory processes. Considering the limitations of this initial survey, further investigation is needed to generalize the results into patients’ safety outcomes. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Monitoring Preventable Adverse Events and Near Misses: Number and Type Identified Differ Depending on Method Used
Conclusions
The different methods identified different amounts and types of PAEs and near misses. The study supports that health care organizations should adopt multiple methods to get a comprehensive review of the number and type of events occurring in their setting. Daily safety briefings seem to be a particularly suitable method for assessing an organization’s inherent security and may foster a nonpunitive culture. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Adverse Drug Reactions at Nonelective Hospital Admission in Children and Adolescents: Comparison of 4 Causality Assessment Methods
This study aimed to compare assessment methods to determine adverse drug reactions (ADRs) at nonelective hospital admission in pediatric patients, to investigate the interrater reliability of assessment methods in pediatric care, and to analyze symptoms related to ADRs and (suicidal) drug intoxications.
Methods
For 1 year, the medical records of nonelective patients admitted to a university pediatric department were evaluated for potential ADRs using 4 assessments methods by 1 experienced rater. Krippendorff α was calculated from a sample of 14 patients evaluated by 4 experienced raters to determine interrater reli...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Impact of Variation in Pill/Package Appearance of Drugs on Patients’ Behavior: A Systematic Review
Conclusions
This systematic review showed an impact of the change in pill/package appearance on patients’ behavior in 7 of the 10 studies included. Generic switching may lead to unintended consequences on patients’ behavior, mainly regarding adherence to treatment. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Review Article Source Type: research
In Situ Simulation for Adoption of New Technology to Improve Sepsis Care in Rural Emergency Departments
Conclusions
We demonstrate an association between simulation and improved care delivery. Implementing an in situ simulation curriculum in rural EDs was associated with a small increase in the use of telemedicine and improvements in sepsis process of care markers but did not demonstrate improvement in mortality. The small increase in telemedicine limited conclusions on its impact. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Safety of High-Intensity, Low-Volume Interval Training or Continuous Aerobic Training in Adults With Metabolic Syndrome
Conclusions
The HIIT-low volume and MICT are safe in patients with metabolic syndrome. We recommend a muscle-conditioning program prior to both and to avoid HIIT-low volume in treadmill in patients with venous insufficiency of the lower limbs.
Trial registration number NCT03087721. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
