Responding to COVID-19 Through Interhospital Resource Coordination: A Mixed-Methods Evaluation
Objectives
The COVID-19 pandemic stressed hospital operations, requiring rapid innovations to address rise in demand and specialized COVID-19 services while maintaining access to hospital-based care and facilitating expertise. We aimed to describe a novel hospital system approach to managing the COVID-19 pandemic, including multihospital coordination capability and transfer of COVID-19 patients to a single, dedicated hospital.
Methods
We included patients who tested positive for SARS-CoV-2 by polymerase chain reaction admitted to a 12-hospital network including a dedicated COVID-19 hospital. Our primary outcome ...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Surgical Error Compensation Claims as a Patient Safety Indicator: Causes and Economic Consequences in the Murcia Health System, 2002 to 2018
Objectives
Compensation claims are a useful source of information on patient safety research. The purpose of this study was to determine the main causes of surgical compensation claims and their financial impact on the health system.
Methods
A descriptive observational study with analytical components was carried out on compensation claims brought against the surgical area of the Murcia Health System between 2002 and 2018. We analyzed the frequency, causes, consequences, locations and surgical settings of these claims, the time of judicial procedure, and compensation adjusted to the Consumer Price Index.
Resu...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Ultrasonic Device Complications in Endodontics: An Analysis of Adverse Events From the Food and Drug Administration Manufacturer and User Facility Device Experience
Conclusions
The frequency, root causes, and economic costs of ultrasonic tip device breakage remain largely unstudied. Ultrasonic endodontic device–related adverse events and patient injuries occurring within clinical practice may be underreported at the present time. Consequently, the risks and ultimate impacts to patients from ultrasonic endodontic device breakage, malfunction and unknown cause-related adverse events, and patient injuries during their clinical usage remain largely unknown at the present time. Eight of the 10 patient injury–related reports made to the FDA MAUDE database during the period under stu...
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Is Elective Nighttime Operation Associated With Adverse Outcomes? Analysis in Immediate Tissue Expander–Based Breast Reconstruction
Conclusions
Conducting TEI operation at nighttime seems to be associated with increased risks of adverse postoperative outcomes compared with conducting it during regular working hours. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research
Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Reduces Use of Midline Catheters in Hospitalized Patients With Difficult Intravenous Access
Objectives
Difficult intravenous (IV) access (DIVA) is a prevalent condition in the hospital setting and increases utilization of midline catheters (MCs) and peripherally inserted central catheters (PICCs). Ultrasound-guided peripheral intravenous (USGPIV) insertion is effective at establishing intravenous access in DIVA but remains understudied in the inpatient setting. We evaluated the effect of an USGPIV simulation-based mastery learning (SBML) curriculum for nurses on MC and PICC utilization for hospitalized patients.
Methods
We performed a quasi-experimental observational study. We trained nurses across all...
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Cross-cultural Adaptation of the Safety Attitudes Questionnaire Short Form in Spanish and Italian Operating Rooms: Psychometric Properties
Conclusions
Italian and Spanish researchers rate differently the same scale, demonstrating the diversity of relevance of the same questions in different countries. A validated questionnaire is now accessible to the Spanish and Italian hospital managements of the National Health Service to measure the safety climate in day-to-day practice in the operating rooms. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Hospital Cultural Competency and Attributes of Patient Safety Culture: A Study of U.S. Hospitals
This article examined the association of cultural competency and employee’s perceived attributes of safety culture.
Methods
A longitudinal study design was used with 283 unique hospital observations from 2014 to 2016. The dependent variables were percent composite scores for 4 attributes of perceived safety culture: (1) management support for patient safety, (2) teamwork across units, (3) communication openness, and (4) nonpunitive response to an error. The independent variable was an engagement in diversity programs, considered in 3 categories: (1) high, (2) medium, and (3) low. Controls included hospital charact...
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Challenges and Barriers to Adverse Event Reporting in Clinical Trials: A Children’s Oncology Group Report
Conclusions
Respondents are eager for additional central resources. These results provide a roadmap for areas of potential improvement. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
The Impact of Smart Pump Interoperability on Errors in Intravenous Infusion Administrations: A Multihospital Before and After Study
Conclusions
Smart pump interoperability resulted in a 16% reduction in medication administration errors. Despite using dose error reduction software and autoprogramming, some types of errors persisted. Further studies are needed to understand how technology use can be optimized. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Alcohol-Based Hand Rub Consumption and World Health Organization Hand Hygiene Self-Assessment Framework: A Comparison Between the 2 Surveillances in a 4-Year Region-Wide Experience
Conclusions
The 2 surveillance systems are consistent, and the HHSAF score could work as a reasonable predictor of hand hygiene compliance in healthcare settings. Different management characteristics are crucial in creating a more/less favorable environment for hand hygiene compliance and infection prevention. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
A 6-Year Thematic Review of Reported Incidents Associated With Cardiopulmonary Resuscitation Calls in a United Kingdom Hospital
Conclusions
By reviewing incidents, we were able to identify patterns only noticeable over a long time frame, which may be amenable to intervention. Our findings may be generalizable to other centers or encourage others to undertake this exercise themselves. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Omissions and Deviations From Safe Drug Administration Guidelines in 2 Medical Wards and Risk Factors: Findings From an Observational Study
Conclusions
Errors during drug administration are still common in clinical practice, with omissions being the most common type of error. In particular, omissions in the basic infection and safety regulations seem to be a very common problem. The risk of a higher number of errors being made is increased when a cardiovascular drug is administered and when the number of medicines administered per patient is increased. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Impact of a Review of a Smart Infusion Pump Library in Hematology/Oncology: Tailoring Content to Meet Specialty Needs
Objectives
Errors involving chemotherapy or intravenous medications may cause serious patient harm. Dose error reduction software (DERS) for “smart” infusion pumps offers additional safety protection for their administration. Our institution uses DERS software hospital-wide; however, the hematology/oncology areas were noted to have reduced compliance with DERS recommendations. In response, we sought to review the DERS content and survey hematology/oncology end users’ satisfaction with the software.
Methods
A multidisciplinary working group was formed to review the current DERS entries for medications, flui...
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
The Voice of the Patient: Patient Roles in Antibiotic Management at the Hospital-to-Home Transition
Conclusions
There are many opportunities to improve patient-led antibiotic MM at the hospital-to-home transition. Mismatches between patient perceptions and patient experiences around antibiotic MM at the hospital-to-home transition provide opportunities for health system improvement. (Source: Journal of Patient Safety)
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
Evaluation of In-Hospital Venous Thromboembolism Prevention and Management System Using Hospital-Level Metrics: A Nationwide Cross-Sectional Survey in China
Background
Countries in the world have taken actions to prevent venous thromboembolism (VTE) in hospitals. We have conducted a study in China to assess the establishment of hospital-based systems for VTE prevention and management.
Methods
A nationwide hospital survey was conducted in China to collect hospital-level metrics on their system for VTE prevention between 2019 and 2020. We analyzed hospital-level metrics potentially influencing the implementation of thromboprophylaxis using a multivariable regression model. Characteristics of the hospital, organizational structure, quality control, and staff training w...
Source: Journal of Patient Safety - March 31, 2022 Category: Health Management Tags: Original Studies Source Type: research
