Academic literature on the topic 'Patient safety outcomes'

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Journal articles on the topic "Patient safety outcomes"

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Encinosa, William E., and Didem M. Bernard. "Hospital Finances and Patient Safety Outcomes." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 42, no. 1 (February 2005): 60–72. http://dx.doi.org/10.5034/inquiryjrnl_42.1.60.

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Hospitals recently have experienced greater financial pressures. Whether these financial pressures have led to more patient safety problems is unknown. Using the Healthcare Cost and Utilization Project (HCUP) State Inpatient Data for Florida from 1996 to 2000, this study examines whether financial pressure at hospitals is associated with increases in the rate of patient safety events (e.g., medical errors) for major surgeries. Findings show that patients have significantly higher odds of having adverse patient safety events (nursing-related patient safety events, surgery-related patient safety events, and all likely preventable patient safety events) when hospital profit margins decline over time. The finding that a within-hospital erosion of hospital operating profits increases the rate of adverse patient safety events suggests that any cost-cutting efforts be carefully designed and managed.
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Easter, Kathy, and Linda M. Tamburri. "Understanding Patient Safety and Quality Outcome Data." Critical Care Nurse 38, no. 6 (December 1, 2018): 58–66. http://dx.doi.org/10.4037/ccn2018979.

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The need for nurses to understand patient safety and quality outcome data is pressing in the current era of data transparency. Health care outcomes data are now publicly reported and readily accessible to consumers, are necessary for performance-based reimbursement, and are required by government and regulatory agencies. In order for nurses at all levels of practice to own their outcomes and be accountable for making improvements, they must possess skills in collecting, analyzing, evaluating, and acting on outcome data. This article provides basic tools and clinical examples for nurses to use in a focused application of outcome data and a structured process for improving nursing care outcomes.
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Halbesleben, Jonathon R. B., Bonnie J. Wakefield, Douglas S. Wakefield, and Lynn B. Cooper. "Nurse Burnout and Patient Safety Outcomes." Western Journal of Nursing Research 30, no. 5 (August 2008): 560–77. http://dx.doi.org/10.1177/0193945907311322.

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Lee, Seung Eun, and Brenna L. Quinn. "Safety Culture and Patient Safety Outcomes in East Asia: A Literature Review." Western Journal of Nursing Research 42, no. 3 (May 23, 2019): 220–30. http://dx.doi.org/10.1177/0193945919848755.

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This review examined associations between safety culture aspects and patient safety outcomes in East Asian hospitals and identified relevant research priorities. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, 16 articles were identified for review. Patient safety nursing activity was the most commonly investigated outcome in relation to safety culture aspects. Among safety culture aspects, feedback and communication, frequency of event reporting, teamwork within units, and managers’ support for patient safety were most significantly related to patient safety outcomes. Areas for further research include the use of theory or theoretical frameworks, consensus upon the scoring strategies for computation of safety culture scores, and selecting appropriate units of analysis and statistical analyses. Finally, researchers should examine relations between unit-specific and nation-specific safety culture and patient safety outcomes, given the influence of cultural attitudes and behaviors on patient safety.
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Humphreys, Christopher, Sarah Fletcher, Nishan Sharma, Rahim Kachra, and Shannon Marie Ruzycki. "Validation of Electronic Health Record Detection of Patient Safety Outcomes." Canadian Journal of General Internal Medicine 14, no. 3 (August 21, 2019): 16–22. http://dx.doi.org/10.22374/cjgim.v14i3.321.

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Background: Adverse events (AE) are common for hospitalized Canadians, and lead to worse patient outcomes. Monitoring patient safety is logistically challenging. We aimed to validate the use of our electronic health record (EHR) to monitor important patient safety. Methods: EHR data was used to identify patients who were exposed to one of four high-priority safety outcomes: venous thromboembolism, dysglycemia, Clostridium difficile(C. difficile) infection, and prolonged nil per os(NPO) orders. A manual chart review was performed to determine the sensitivity and specificity of the EHR for each patient safety outcome. Results: The sensitivity and specificity ranged from 38.4% to 78.1% and 88.1 to 99.2%, respectively, for the prespecified patient safety outcomes. Conclusion: The EHR is reasonably sensitive and specific to monitor rates of dysglycemia, C. difficileinfection, and prolonged NPO in medical inpatients, but does not have adequate sensitivity to be used to capture venous thromboembolism safety outcomes.
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Dinesh, H. N., Ravya R. S., and Sunil Kumar V. "Surgical safety checklist implementation and its impact on patient safety." International Surgery Journal 5, no. 11 (October 26, 2018): 3640. http://dx.doi.org/10.18203/2349-2902.isj20184637.

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Background: Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. Although surgical and anesthetic caregivers seek to deliver optimal quality in peri-operative service, surgery still carries considerable risk for the patient. WHO surgical safety checklist outlines essential standards of surgical care and has been shown to reduce complications and death associated with surgery.Methods: Pre-intervention and post-intervention study. The effect on patient outcomes and documentation of WHO surgical safety checklist was examined. After an education programme, the checklist implementation and patient safety outcome indicators were studied.Results: Checklist compliance increased over time. The median number of items documented was 16. After implementation of the checklist, mortality decreased from 3.13% to 2.85%. Most causes of death did not significantly differ between the implementation periods, except for multiorgan failure and major bleeding. Adjustment of the association between implementation period and outcome for all variables revealed a decreased mortality after checklist implementation.Conclusions: Implementation of the checklist showed improved outcomes. Use of the WHO surgical safety checklist in urgent operations is feasible and should be considered. Implementation proved neither costly nor lengthy. Further research is needed to confirm these findings and reveal additional factors supportive of checklist implementation.
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Mahajan, Prashant. "Pediatric Patient Safety: Shared Learning to Improve Patient Outcomes." Pediatrics 148, no. 3 (August 18, 2021): e2021051017. http://dx.doi.org/10.1542/peds.2021-051017.

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Smith, Lynn W., and Karen K. Giuliano. "Rapid Response Teams: Improve Patient Safety and Patient Outcomes." AACN Advanced Critical Care 21, no. 2 (April 1, 2010): 126–29. http://dx.doi.org/10.4037/15597768-2010-2002.

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DiCuccio, Margaret Hardt. "The Relationship Between Patient Safety Culture and Patient Outcomes." Journal of Patient Safety 11, no. 3 (September 2015): 135–42. http://dx.doi.org/10.1097/pts.0000000000000058.

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Murphy, Stacy, and Laurie McCoskey. "Improvement of Patient Outcomes Through Safety Huddles." Journal of Obstetric, Gynecologic & Neonatal Nursing 50, no. 5 (October 2021): S20. http://dx.doi.org/10.1016/j.jogn.2021.08.040.

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Dissertations / Theses on the topic "Patient safety outcomes"

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O'Brien, Roxanne Louise. "Keeping patients safe: The relationship between patient safety climate and patient outcomes." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378501.

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Thornlow, Deirdre. "Relationship of patient safety practices to patient outcomes." Saarbrücken VDM Verlag Dr. Müller, 2007. http://d-nb.info/991198212/04.

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RinaldiFuller, Julie. "Patient to nurse ratios and safety outcomes for patients." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/JRinaldiFuller2008.pdf.

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Wilson, Katherine Ann. "Does safety culture predict clinical outcomes?" Doctoral diss., University of Central Florida, 2007. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2919.

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Patient safety in healthcare has become a national objective. Healthcare organizations are striving to improve patient safety and have turned to high reliability organizations as those in which to model. One initiative taken on by healthcare is improving patient safety culture--shifting from one of a 'no harm, no foul' to a culture of learning that encourages the reporting of errors, even those in which patient harm does not occur. Lacking from the literature, however, is an understanding of how safety culture impacts outcomes. While there has been some research done in this area, and safety culture is argued to have an impact, the findings are not very diagnostic. In other words, safety culture has been studied such that an overall safety culture rating is provided and it is shown that a positive safety culture improves outcomes. However, this method does little to tell an organization what aspects of safety culture impact outcomes. Therefore, this dissertation sought to answer that question but analyzing safety culture from multiple dimensions. The results found as a part of this effort support previous work in other domains suggesting that hospital management and supervisor support does lead to improved perceptions of safety. The link between this support and outcomes, such as incidents and incident reporting, is more difficult to determine. The data suggests that employees are willing to report errors when they occur, but the low occurrence of such reportable events in healthcare precludes them from doing so. When a closer look was taken at the type of incidents that were reported, a positive relationship was found between support for patient safety and medication incidents. These results initially seem counterintuitive. To suggest a positive relationship between safety culture and medication incidents on the surface detracts from the research in other domains suggesting the opposite. It could be the case that an increase in incidents leads an organization to implement additional patient safety efforts, and therefore employees perceive a more positive safety culture. Clearly more research is needed in this area. Suggestions for future research and practical implications of this study are provided.
Ph.D.
Department of Psychology
Sciences
Psychology PhD
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Wynn, Gareth. "Improving ablation outcomes in atrial fibrillation : improving procedural efficacy, safety, and patient selection." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/29109.

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Atrial fibrillation (AF) is a major health problem, affecting 1-2% of the population. AF reduces quality of life (QoL) and increases morbidity and mortality. Catheter ablation (CA) is the most efficacious means of restoring sinus rhythm but is not always successful and is occasionally associated with serious complications. Several questions are currently unanswered. True procedural effectiveness, particularly long-term, remains uncertain, especially in more advanced disease. The best technique for achieving success remains an issue of considerable debate and as yet, few, if any, means exist to predict when acute electrical success will translate into sustained clinical benefit. CA is indicated for symptomatic relief but QoL, both as a treatment outcome and as a guide to patient selection, has generally been overlooked in the published literature. Finally, although the maxim, 'First, do no harm' may often be ascribed erroneously to Hippocrates, it remains a central tenet of medical practice. However, little previous research has focussed on improving the safety of CA. I have attempted to tackle these issues from a number of angles. I have performed a comprehensive literature review and a retrospective analysis of ablation outcomes at Liverpool Heart and Chest Hospital, the largest and longest such data from the UK, to ascertain a comprehensive, up-to-date assessment of practice. In an effort to improve procedural success, I carried out a multicentre randomised controlled trial testing two ablation strategies. A sub-study tests the hypothesis that clinical outcomes can be predicted by a novel measure of effective ablation. Two further studies aim to improve safety, through use of ultrasound to guide venous access, and to better understand QoL in AF - a theme throughout the thesis - which may help improve selection of appropriate patients for CA. Together, I hope these studies will help physicians improve the outcomes of CA for their patients.
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Burström, Lena. "Patient Safety in the Emergency Department : Culture, Waiting, and Outcomes of Efficiency and Quality." Doctoral thesis, Uppsala universitet, Institutionen för kirurgiska vetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-223987.

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The overall aim of this thesis was to investigate patient safety in the emergency department (ED) and to determine whether this varies according to patient safety culture, waiting, and outcomes of efficiency and quality variables. I: Patient safety culture was described in the EDs of two different hospitals before and after a quality improvement project. The questionnaire “Hospital Survey on Patient Safety Culture” was used to investigate the patient safety culture. The main finding was that the staff at both hospitals scored more positively in the dimension Team-work within hospital after implementing a new work model aimed at improving patient flow and patient safety in the ED. Otherwise, we found only modest improvements. II: Grounded theory was used to explore what happens in the ED from the staff perspective. Their main concern was reducing patients’ non-acceptable waiting time. Management of waiting was improved either by increasing the throughput of patient flow by structure pushing and by shuffling patients, or by changing the experience of waiting by calming patients and by feinting to cover up. III: Three Swedish EDs with different triage models were compared in terms of efficiency and quality. The median length of stay was 158 minutes for physician-led team triage compared with 243 and 197 minutes for nurse–emergency physician and nurse–junior physician triage, respectively. Quality indicators (i.e., patients leaving before treatment was completed, the rate of unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days) improved under the physician-led team triage. IV: Efficiency and quality variables were compared from before (2008) to after (2012) a reorganization with a shift of triage model at a single ED. Time from registration to physician decreased by 47 minutes, and the length of stay decreased by 34 minutes. Several quality measures differed between the two years, in favour of 2012. Patients leaving before treatment was completed, unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days all improved despite the reduced admission rate. In conclusion, the studies underscore the need to improve patient safety in the ED. It is important to the patient safety culture to reduce patient waiting because it dynamically affects both patients and staff. Physician-led team triage may be a suitable model for reducing patient waiting time and increasing patient safety.
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Maddocks, Jordan Scott. "Trends in Adherence and Patient Outcomes in a Safety Net Medication Therapy Management Program." University of Toledo Honors Theses / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=uthonors1309357633.

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Hada, Adriana H. "Transforming patient outcomes through effective nursing clinical handover." Thesis, Queensland University of Technology, 2022. https://eprints.qut.edu.au/228671/14/Adriana%20Hada%20Thesis.pdf.

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This thesis explored the effect of nursing handover strategies to facilitate the provision of standardised handover communication and enhancement of patient safety in the inpatient wards of a tertiary metropolitan Australian hospital. The outcomes included improved nursing compliance with best practice nursing shift-to-shift handover, and improved direct patient outcomes, including a reduction in falls, pressure injuries, and medication errors. The findings of this research contribute to a theoretical understanding of best practice nursing shift-to-shift handover in the participating wards and could influence nursing practice, education, policy, and future research for the benefit of patient safety and quality of care.
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Havaei, Farinaz. "The effect of mode of nursing care delivery and skill mix on quality and patient safety outcomes." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/59936.

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Aims: This study examined the effect of various components of a model of nursing care delivery, the mode of nursing care delivery and nursing skill mix on (a) quality of nursing care (i.e., nurse reported quality of nursing care and nursing tasks left undone), (b) patient adverse events, and (c) nurse outcomes (i.e., job satisfaction and emotional exhaustion) after controlling for nurse demographic characteristics, work environment and workload factors. This study also explores the moderating effects of mode of nursing care delivery and skill mix on the relationship between workload factors and the five outcome variables. Background: Research into redesigning care delivery has typically focused on only one care delivery component at a time (e.g., skill mix). There exists little research focusing on both components, and controlling for one factor while the other is investigated to determine quality of nursing care delivery and nurse and patient outcomes. Method: This cross-sectional exploratory correlational survey study drew upon secondary data from 416 direct care registered nurses (RNs) from medical-surgical settings. Results: Nurses working in a team-based mode of care delivery reported a greater number of nursing tasks left undone compared to those working in a total patient care mode of delivery. Nurses working in a skill mix with licensed practical nurses (LPNs) reported a higher frequency of patient adverse events compared to those working in a skill mix without LPNs. Two moderating effects were found. At higher levels of acuity, nurses in a team-based mode of care delivery reported a higher frequency of patient adverse events than did nurses in a total patient care mode of delivery. At higher levels of acuity, nurses working in a skill mix with LPNs reported lower levels of emotional exhaustion than nurses in a skill mix without LPNs. Conclusion: Models of nursing care delivery components influenced quality and safety outcomes. Implications: To be effective, a team-based mode of care delivery requires collaborative teamwork. Policy makers, administrators and healthcare providers should work together to clarify and optimize the scopes of practice for RNs and LPNs.
Applied Science, Faculty of
Nursing, School of
Graduate
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Baughn, Daniel. "Care for the socially disadvantaged: The role of race and gender on the physician-patient relationship and patient outcomes in a safety net primary care clinic." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2882.

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Compared to the general population, socially disadvantaged patients have higher rates of chronic illness and require more complex medical care. They also endorse higher levels of psychological distress and tend to engage in behavioral risk factors such as poor diet, physical inactivity, and smoking. These issues are particularly concerning given that this population tends to adhere less to medical recommendations, has limited access to health resources, and receives poorer treatment from providers. In an effort to address this disparity, The Affordable Care Act will expand health care access to an additional 23 million uninsured and 17 million underinsured Americans. However, simply expanding access to health care without examining and improving upon factors related to the physician-patient relationship would not fully address the health care needs of this population. This study sought to improve the quality of care received by socially disadvantaged patients by better understanding the role of race and gender on the physician-patient communication process and patient outcomes in a safety net primary care clinic. The study sample consisted of 330 low-income, uninsured/underinsured African American and White patients and 41 resident physicians. Overall, African American patients and their doctors and White doctors and their patients were viewed as engaging in the highest levels of communication. South Asian physicians, and male South Asian physicians in particular, had the lowest levels of communication and the patients of these providers experienced less improvement in their physical health. Patient education level influenced physicians’ perceptions of their patients to the extent that patients with higher educational levels were viewed as engaging in lower levels of communication. Last, indicators of a good physician-patient relationship were associated with higher levels of patient reported adherence. Practice implications and areas for future research are discussed.
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Books on the topic "Patient safety outcomes"

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Romanelli, John R., Jonathan M. Dort, Rebecca B. Kowalski, and Prashant Sinha, eds. The SAGES Manual of Quality, Outcomes and Patient Safety. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94610-4.

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Romanelli, John R., Jonathan M. Dort, Rebecca B. Kowalski, and Prashant Sinha, eds. The SAGES Manual of Quality, Outcomes and Patient Safety. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94610-4.

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Tichansky, MD, FACS, David S., John Morton, MD, MPH, and Daniel B. Jones, eds. The SAGES Manual of Quality, Outcomes and Patient Safety. Boston, MA: Springer US, 2012. http://dx.doi.org/10.1007/978-1-4419-7901-8.

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Society of American Gastrointestinal Endoscopic Surgeons, ed. The SAGES manual of quality, outcomes, and patient safety. New York: Springer, 2012.

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Rayburn, William F., and Paul A. Gluck. Patient safety in obstetrics and gynecology: Improving outcomes, reducing risks. Philadelphia: Saunders, 2008.

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McBride, Susan, and Mari Tietze. Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism. New York, NY: Springer Publishing Company, LLC, 2016.

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Purdy, Newhouse Robin, and Poe Stephanie, eds. Measuring patient safety. Sudbury, Mass: Jones and Bartlett Publishers, 2005.

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McGillis, Hall Linda, ed. Quality work environments for nurse and patient safety. Sudbury, Mass: Jones and Bartlett Publishers, 2005.

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Patient safety: The PROACT root cause analysis approach. Boca Raton: Taylor & Francis, 2008.

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Dort, Jonathan M., Rebecca B. Kowalski, John R. Romanelli, and Prashant Sinha. SAGES Manual of Quality, Outcomes and Patient Safety. Springer International Publishing AG, 2022.

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Book chapters on the topic "Patient safety outcomes"

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Varnell, Jeffrey L. "Management of Unanticipated Outcomes: A Case Scenario." In Patient Safety in Surgery, 455–61. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-4369-7_32.

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Greif, William, and Pascal Fuchshuber. "National Patient Safety Guidelines." In The SAGES Manual of Quality, Outcomes and Patient Safety, 127–35. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7901-8_14.

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Sandler, Bryan J., and Santiago Horgan. "Robotic Surgical Outcomes and Safety." In The SAGES Manual of Quality, Outcomes and Patient Safety, 335–46. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7901-8_33.

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Ranson, Stacy M., and Jonathan M. Dort. "Patient Safety Indicators as Benchmarks." In The SAGES Manual of Quality, Outcomes and Patient Safety, 479–89. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94610-4_25.

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Sherrill, William C., and L. Michael Brunt. "The Critical View of Safety: Creating Procedural Safety Benchmarks." In The SAGES Manual of Quality, Outcomes and Patient Safety, 663–85. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94610-4_35.

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Patil, Anita, Judith Effken, Kathleen Carley, and Ju-Sung Lee. "Modeling Safety Outcomes on Patient Care Units." In Unifying Themes in Complex Systems, 272–80. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-17635-7_33.

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Hernandez-Boussard, Tina, Kathryn McDonald, John Morton, John Morton, and John Morton. "Using Patient Safety Indicators as Benchmarks." In The SAGES Manual of Quality, Outcomes and Patient Safety, 387–90. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7901-8_38.

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Velanovich, Vic, and Vic Velanovich. "Patient-Centered Outcomes: Patient Satisfaction and Quality of Life Assessment." In The SAGES Manual of Quality, Outcomes and Patient Safety, 35–40. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7901-8_4.

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Varela, Esteban, and L. Michael Brunt. "SAGES Laparoscopic Surgery Safety Checklist." In The SAGES Manual of Quality, Outcomes and Patient Safety, 77–84. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7901-8_8.

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Soon, Hooi Cheng, Pierangelo Geppetti, Chiara Lupi, and Boon Phiaw Kho. "Medication Safety." In Textbook of Patient Safety and Clinical Risk Management, 435–53. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_31.

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AbstractPharmacotherapy is the most common therapeutic intervention in healthcare to improve health outcomes of patients. However, there are many instances where prescribed medications resulted in patient morbidity and mortality instead. Medication errors can happen at any step of the medication use process, but a substantial burden of medication-related harm is focused primarily on three priority areas of healthcare delivery: transitions of care, polypharmacy and high-risk situations. This chapter highlights prevalence of issues concerning these three core areas and describes common medication errors as well as risk mitigation strategies to improve service delivery. An appreciation of these inherent risks will enable healthcare providers to navigate the pitfalls better and make efforts to ensure medication safety while providing health services.
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Conference papers on the topic "Patient safety outcomes"

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Torriglia, Jorge R., and Judith Garrity. "Patient outcomes following visual laser ablation of prostate." In ILSC® ‘92: Proceedings of the International Laser Safety Conference. Laser Institute of America, 1992. http://dx.doi.org/10.2351/1.5056379.

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Dodek, PM, N. Ayas, M. Norena, and H. Wong. "Relationship between Organizational Culture and Patient Safety Outcomes in ICUs." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a3119.

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Aljabri, Duaa. "58 Effect of implementing an early warning scoring system on patient outcomes." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.58.

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Donnelly, N., R. Harper, J. McCAnderson, D. Branagh, A. Kennedy, M. Caulfield, and J. McLaughlin. "Development of a ubiquitous clinical monitoring solution to improve patient safety and outcomes." In 2012 34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2012. http://dx.doi.org/10.1109/embc.2012.6347378.

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Alhashemi, Hashem, Mohammed Algarni, Hadi Hakami, Narvanie Seebran, Mazen Alayed, Tarik Hashem, Tanvir Hussain, and Abdulla Tashkandi. "1 Outcomes of tracheostomy patients using an interdisciplinary care model (retrospective cohort)." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.1.

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Freyer, G., B. Pothuri, S. Han, D. Chase, B. Monk, F. Heitz, R. Burger, et al. "17 Safety and patient-reported outcomes in patients receiving niraparib in the PRIMA/ENGOT-OV26/GOG-3012 trial." In IGCS 2020 Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/ijgc-2020-igcs.17.

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Shrestha, Alvin, Alexia Pisinou, Craig Burke, and Troy Haddon. "161 Outcomes of the electronic medical take list – improving staff experience, patient safety and rostering." In Leaders in Healthcare Conference, 17–20 November 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/leader-2020-fmlm.161.

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Vissoci, João Ricardo Nickenig, Thiago Augusto Hernandes Rocha, Cyrus Elahi, Michael M. Haglund, and Catherine Staton. "PW 2468 Development of a predictive modeling approach to analysis of patient outcomes related to traumatic brain injury at a emergency center in a low income country." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.529.

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Fadlilmula, Abubaker Omer, Dina Afurong, Diana Alagano, Aiman El-Saed, Majid Alshamrani, and Hanan Balkhy. "61 Successful improvement in post-exposure outcomes among healthcare workers exposed to vaccine-preventable diseases in a hospital setting." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.61.

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Coles, Garill A. "Prospective System Assessments Used to Enhance Patient Safety: Case Studies From a Collaboration of Engineers and Hospitals in Southwest Washington State." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-42740.

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It is no secret that healthcare, in general, has become an increasingly complicated mixture of technical systems, complex processes and intricate skilled human interactions. Patient care processes have followed this same trend. The healthcare industry, itself, has acknowledged that it is fraught with high-risk and error prone processes and cite medication management systems, invasive procedures and diagnostic methods. Complexity represents opportunity for unanticipated events, process failures and undesirable outcomes. Traditionally when a patient care process fails, accountability was focused on the individual clinician error. However, increasing, healthcare is following the lead of other high-risk industries (e.g. chemical, aerospace, nuclear, etc.) that give attention to the characteristics the overall system that contribute to the failure. The focus has shifted to identification of systemic weaknesses and vulnerabilities. Increasing the healthcare industry is using prospective system assessment methods to evaluate the high-risk systems and processes. This paper describes results of collaboration between engineers and community hospitals in Southwest Washington State between 2002 and 2007 in applying prospective system assessment methods to a range of the high-risk healthcare systems and processes. The methods used are Failure Mode Effects and Criticality Analysis and Probabilistic Risk Assessment. The two case studies presented are: 1) an interhospital FMEA on patient transfer and 2) a risk assessment of mental health patients who present themselves in a hospital Emergency Department.
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Reports on the topic "Patient safety outcomes"

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Osorio, Dimelza. Do paper-based safety checklists improve patient safety in acute hospital settings? SUPPORT, 2016. http://dx.doi.org/10.30846/1608112.

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Li, Shifu, Wengui Tao, Chudai Zeng, Langchao Yan, and Fenghua Chen. The safety and efficacy of flow diverter versus conventional endovascular treatment in intracranial aneurysm: a meta-analysis of the real-world cohort studies over last ten years. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2021. http://dx.doi.org/10.37766/inplasy2021.10.0061.

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Review question / Objective: Did adult patients with intracranial aneurysms (patient population) who underwent flow diverter (FD, Intervention) have better clinical outcomes, higher rates of aneurysm occlusion, and lower rates of mortality and procedure related complications (outcomes) when compared with patients who received the conventional endovascular treatments (CEV, control) from January 2010 to December 2020? Eligibility criteria: The inclusion criteria are: 1. directly comparison of FD and conventional endovascular treatment, including coiling alone, stent alone, stent-assisted coiling, and balloon-assisted coiling; 2. patients ≥18 years with intracranial aneurysms; 3. detailed follow up angiographic and clinical outcomes; 4. the number of patients in two groups at least 10 patients. The exclusion criteria are:1. less than 10 participants in either group; 2. without the report of outcome variables; 3. studies primarily focus on children patients; 4. studies primarily focus on one interventional tool.
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Ilami, Ashkan, Mohammadali Amini-Tehrani, and Hadi Zamanian. Application of immersive technology interventions in sexual victims: A systematic review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2021. http://dx.doi.org/10.37766/inplasy2021.9.0081.

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Review question / Objective: The aim of this systematic review is to critically evaluate the current evidence regarding the immersive technology interventions in sexual victims in terms of applied methodology and patient-related outcomes. Accordingly, this systematic review will address the following questions: 1) what are the general methodological features (study design, sample and related variables, intervention content and related variables, so forth) of immersive technology interventions targeting sexually victimized individuals, 2) to what extent immersive technology interventions targeting sexually victimized individuals are promising in terms of methodological outcomes (such as feasibility, safety, so forth), and 3) to what extent the immersive technology interventions have been effective in addressing biopsychosocial outcomes in sexually victimized individuals.
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Cantor, Amy, Heidi D. Nelson, Miranda Pappas, Chandler Atchison, Brigit Hatch, Nathalie Huguet, Brittny Flynn, and Marian McDonagh. Effectiveness of Telehealth for Women’s Preventive Services. Agency for Healthcare Research and Quality (AHRQ), June 2022. http://dx.doi.org/10.23970/ahrqepccer256.

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Objectives. To evaluate the effectiveness, use, and implementation of telehealth for women’s preventive services for reproductive healthcare and interpersonal violence (IPV), and to evaluate patient preferences and engagement for telehealth, particularly in the context of the coronavirus (COVID-19) pandemic. Data sources. Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL databases (July 1, 2016, to March 4, 2022); manual review of reference lists; suggestions from stakeholders; and responses to a Federal Register Notice. Review methods. Eligible abstracts and full-text articles of telehealth interventions were independently dual reviewed for inclusion using predefined criteria. Dual review was used for data abstraction, study-level risk of bias assessment, and strength of evidence (SOE) rating using established methods. Meta-analysis was not conducted due to heterogeneity of studies and limited available data. Results. Searches identified 5,704 unique records. Eight randomized controlled trials, one nonrandomized trial, and seven observational studies, involving 10,731 participants, met inclusion criteria. Of these, nine evaluated IPV services and seven evaluated contraceptive care, the only reproductive health service studied. Risk of bias was low in one study, moderate in nine trials and five observational studies, and high in one study. Telehealth interventions were intended to replace usual care in 14 studies and supplement care in 2 studies. Delivery modes included telephone (5 studies), online modules (5 studies), and mobile applications (1 study), and was unclear or undefined in five studies. There were no differences between telehealth interventions to supplement contraceptive care and comparators for rates of contraceptive use, sexually transmitted infection, and pregnancy (low SOE); evidence was insufficient for abortion rates. There were no differences between telehealth IPV services versus comparators for outcomes measuring repeat IPV, depression, post-traumatic stress disorder, fear of partner, coercive control, self-efficacy, and safety behaviors (low SOE). The COVID-19 pandemic increased telehealth utilization. Barriers to telehealth interventions included limited internet access and digital literacy among English-speaking IPV survivors, and technical challenges and confidentiality concerns for contraceptive care. Telehealth use was facilitated by strategies to ensure safety of individuals who receive IPV services. Evidence was insufficient to evaluate access, health equity, or harms outcomes. Conclusions. Limited evidence suggests that telehealth interventions for contraceptive care and IPV services result in equivalent clinical and patient-reported outcomes as in-person care. Uncertainty remains regarding the most effective approaches for delivering these services, and how to best mobilize telehealth, particularly for women facing barriers to healthcare.
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Zhang, Yong. Efficacy and safety of corticosteroid therapy in patients with cardiac arrest: a meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0014.

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Review question / Objective: Our goal was to assess the effect of primary treatment outcome (overall survival rate at hospital discharge, rate of sustained ROSC) and secondary outcomes (favorable neurological outcomes at hospital discharge and adverse events including hyperglycemia, insulin infusion, hypernatremia, infection, gastrointestinal bleeding, new or changing antibiotics, paresis, renal failure). Information sources: Two researchers (Zhou FW and Liu C) independently searched the PubMed, Embase, The Cochrane Library, Web of Science and China National Knowledge Internet (CNKI) databases from inception to 11 October, 2022 by using medical subject headings (MeSH), Emtree, and text word with no language limitations.
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Wu, Xin. The efficacy and safety of anti-CD20 antibody treatments in relapsing multiple sclerosis: a systematic review and network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2022. http://dx.doi.org/10.37766/inplasy2022.6.0075.

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Review question / Objective: The objectives of this systematic review were to evaluate the efficacy and safety of the three existing anti-CD20 antibodies for the treatment of relapsing multiple sclerosis and to aid clinicians in choosing medications. Eligibility criteria: We set the inclusion criteria as follows: (1) study type: RCT; (2) language restriction: only available in English; (3) participants: patients ≥18 years of age diagnosed with relapsing MS, whether with a relapsing–remitting course or a secondary progressive course; (4) intervention: anti-CD20 antibody treatments including ocrelizumab, ofatumumab, rituximab, and corresponding control including placebo and active treatments; (5) outcomes: clinical outcomes including annualized rate of relapse (ARR), the number of patients free of relapse, and the number of patients with confirmed disease progression (CDP); magnetic resonance imaging(MRI) outcomes including gadolinium-enhancing lesion change in T1, change in the volume of lesions on T2, the number of patients with no new or newly enlarged lesions in T2 and the brain volume change (BVC); safety outcomes including adverse events (AEs) and serious adverse events (SAEs). Included RCTs were not requested to supply all the outcomes mentioned above. We set the exclusion criteria as follows: (1) study type: retrospective studies, cohort studies, case reviews and case reports; (2) patients diagnosed with primary progressive MS.
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Jiang, Tianxiang, Haidong Zhang, Xiaonan Yin, Zhou Zhao, Zhaolun Cai, Mingchun Mu, Baike Liu, Chaoyong Shen, Bo Zhang, and Yuan Yin. Is Simultaneous Cholecystectomy Necessary in Patients with Asymptomatic Cholelithiasis who Need Gastrectomy: A Systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2022. http://dx.doi.org/10.37766/inplasy2022.7.0048.

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Review question / Objective: Patients: patients with asymptomatic cholelithiasis; Inventions: gastrectomy; Comparison: patients with intact gallbladder; Outcomes: symptomatic gallstones; Study: meta-analysis. Condition being studied: Necessity and safety of simultaneous cholecystectomy in patients undergoing gastrectomy with asymptomatic cholelithiasis. Information sources: PubMed, Embase and the Cochrane Library were searched without language restrictions for relevant articles published from database inception until March 10, 2022.
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Li, Yanhui, and Cuiju Hua. Comparison of the Efficacy and Subsequent Pregnancy Outcomes of High-intensity Focused Ultrasound and Uterine Artery Embolization in the Chinese Population: Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0053.

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Review question / Objective: The combination of high-intensity focused ultrasound (HIFU), and uterine artery embolization (UAE) with uterine curettage has been proposed as a therapy strategy for cesarean scar pregnancy (CSP), which can provide a high success rate while reducing blood loss, adverse events, hospital time and cost. Therefore, we performed this meta-analysis to assess the effects of this combination therapy on the efficacy, safety, and pregnancy outcomes in patients with CSP. Eligibility criteria: (1) Study design: Cohort, case-control, or randomized controlled trials that compare the efficacy, safety, and recurrence of UAE combined with curettage and HIFU combined with uterine scraping in the treatment of cesarean section scar pregnancy. (2) Outcome: Success rate, blood loss, time of β-hCG normalization, adverse events, length of stay, hospital costs, menstrual recovery, re-pregnancy status, and pain score.
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Brännström, Mats, Ylva Carlsson, and Henrik Hagberg. Obstetric outcome after uterus transplantation. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2023. http://dx.doi.org/10.37766/inplasy2023.1.0052.

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Review question / Objective: Is delivery by elective cesarean section as safe for the mother and the neonate after uterus transplantation as after delivery by elective cesarean section for reasons such as breech and psychological indication regarding stillbirth/neonatal mortality, neonatal morbidity, maternal mortality, and morbidity? Rationale: To compare pregnancy, obstetrical and neonatal complications at delivery by cesarean section in patients that have undergone uterus transplantation and in a normal groups of women.
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Guo, Jing, Yu han Chen, Chun xiao Li, Xiao Ling, Panpan Wang, Yuqing Yang, and Yingying Zhang. Meta-analysis of Kangai injection combined with radiotherapy and chemotherapy in the treatment of gynecological malignant tumors. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2022. http://dx.doi.org/10.37766/inplasy2022.6.0063.

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Review question / Objective: This study systematically evaluated the clinical efficacy and safety of Kangai injection combined with radiotherapy and chemotherapy in the treatment of gynecological malignant tumors. The subjects of the study were patients with clinical diagnosis of ovarian cancer, cervical cancer, and endometrial cancer. The experimental group was given Kang'ai injection combined with radiotherapy and chemotherapy, while the control group was given conventional chemotherapy. The primary outcome was the overall clinical response rate. Secondary outcomes included quality of life, body mass, indicators of immune function, and adverse events. Information sources: Eight databases including CNKI, Wan fang Database, VIP Chinese Database, China Biomedical Literature Service System, EI, Springer, PubMed, The Cochrane Library were searched before May 2022.
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