Log in

Relevant bibliographies by topics / Patient safety outcomes / Journal articles

Journal articles on the topic 'Patient safety outcomes'

To see the other types of publications on this topic, follow the link: Patient safety outcomes.

Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 journal articles for your research on the topic 'Patient safety outcomes.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

1

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

2

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

3

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

5

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

6

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.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

7

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

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.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Stone, Patricia W., Cathy Mooney-Kane, Elaine L. Larson, Teresa Horan, Laurent G. Glance, Jack Zwanziger, and Andrew W. Dick. "Nurse Working Conditions and Patient Safety Outcomes." Medical Care 45, no. 6 (June 2007): 571–78. http://dx.doi.org/10.1097/mlr.0b013e3180383667.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Mendez, Bernardino M., Jayne E. Coleman, and Jeffrey M. Kenkel. "Optimizing Patient Outcomes and Safety With Liposuction." Aesthetic Surgery Journal 39, no. 1 (June 27, 2018): 66–82. http://dx.doi.org/10.1093/asj/sjy151.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Tremper, Kevin K. "Anesthesiology: From Patient Safety to Population Outcomes." Anesthesiology 114, no. 4 (April 1, 2011): 755–70. http://dx.doi.org/10.1097/aln.0b013e31820fc9d3.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Schorr, C. A. "Nurse Working Conditions and Patient Safety Outcomes." Yearbook of Critical Care Medicine 2008 (January 2008): 315–17. http://dx.doi.org/10.1016/s0734-3299(08)70644-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

FRIEDEN, JOYCE. "Health Care Gap Affects Patient Safety, Outcomes." Skin & Allergy News 36, no. 7 (July 2005): 70. http://dx.doi.org/10.1016/s0037-6337(05)70432-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Basch, E. "Patient-reported outcomes in drug safety evaluation." Annals of Oncology 20, no. 12 (December 2009): 1905–6. http://dx.doi.org/10.1093/annonc/mdp542.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Ricci-Cabello, Ignacio, Kate S. Marsden, Anthony J. Avery, Brian G. Bell, Umesh T. Kadam, David Reeves, Sarah P. Slight, et al. "Patients’ evaluations of patient safety in English general practices: a cross-sectional study." British Journal of General Practice 67, no. 660 (June 5, 2017): e474-e482. http://dx.doi.org/10.3399/bjgp17x691085.

Full text

Abstract:

BackgroundDescription of safety problems and harm in general practices has previously relied on information from health professionals, with scarce attention paid to experiences of patients.AimTo examine patient-reported experiences and outcomes of patient safety in primary care.Design and settingCross-sectional study in 45 general practices across five regions in the north, centre, and south of England.MethodA version of the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire was sent to a random sample of 6736 patients. Main outcome measures included ‘practice activation’ (what a practice does to create a safe environment); ‘patient activation’ (how proactive are patients in ensuring safe healthcare delivery); ‘experiences of safety events’ (safety errors); ‘outcomes of safety’ (harm); and ‘overall perception of safety’ (how safe patients rate their practice).ResultsQuestionnaires were returned by 1244 patients (18.4%). Scores were high for ‘practice activation’ (mean [standard error] = 80.4 out of 100 [2.0]) and low for ‘patient activation’ (26.3 out of 100 [2.6]). Of the patients, 45% reported experiencing at least one safety problem in the previous 12 months, mostly related to appointments (33%), diagnosis (17%), patient provider communication (15%), and coordination between providers (14%). Twenty-three per cent of the responders reported some degree of harm in the previous 12 months. The overall assessment of level of safety of practices was generally high (86.0 out of 100 [16.8]).ConclusionPriority areas for patient safety improvement in general practices in England include appointments, diagnosis, communication, coordination, and patient activation.

APA, Harvard, Vancouver, ISO, and other styles

18

Collares, Felipe Birchal, Mehru Sonde, Kenneth Harper, Michael Armitage, Diana L. Neuhardt, and Helane S. Fronek. "Patient safety in phlebology: The ACP Phlebology Safety Checklist." Phlebology: The Journal of Venous Disease 33, no. 4 (February 23, 2017): 273–77. http://dx.doi.org/10.1177/0268355517694725.

Full text

Abstract:

Objectives To assess the current use of safety checklists among the American College of Phlebology (ACP) members and their interest in implementing a checklist supported by the ACP on their clinical practices; and to develop a phlebology safety checklist. Method Online surveys were sent to ACP members, and a phlebology safety checklist was developed by a multispecialty team through the ACP Leadership Academy. Results Forty-seven percent of respondents are using a safety checklist in their practices; 23% think that a phlebology safety checklist would interfere or disrupt workflow; 79% answered that a phlebology safety checklist could improve procedure outcomes or prevent complications; and 85% would be interested in implementing a phlebology safety checklist approved by the ACP. Conclusion A phlebology safety checklist was developed with the intent to increase awareness on patient safety and improve outcome in phlebology practice.

APA, Harvard, Vancouver, ISO, and other styles

19

McFadden, Kathleen L., Stephanie C. Henagan, and Charles R. Gowen. "The patient safety chain: Transformational leadership's effect on patient safety culture, initiatives, and outcomes." Journal of Operations Management 27, no. 5 (January 22, 2009): 390–404. http://dx.doi.org/10.1016/j.jom.2009.01.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Forster, Alan, Geoff Dervin, Claude Martin Jr., and Steven Papp. "Improving patient safety through the systematic evaluation of patient outcomes." Canadian Journal of Surgery 55, no. 6 (December 1, 2012): 418–25. http://dx.doi.org/10.1503/cjs.007811.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Tsai, Thomas, Tina Boussard, Mark Welton, and John M. Morton. "Does a surgical safety checklist improve patient safety culture and outcomes?" Journal of the American College of Surgeons 211, no. 3 (September 2010): S102. http://dx.doi.org/10.1016/j.jamcollsurg.2010.06.269.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Hart, Valeria. "Hospital IT Sophistication Profiles and Patient Safety Outcomes." International Journal of Healthcare Information Systems and Informatics 8, no. 1 (January 2013): 17–36. http://dx.doi.org/10.4018/jhisi.2013010102.

Full text

Abstract:

Information technology (IT) sophistication of acute care hospitals in Texas was measured to explore the relationships between IT infrastructure and patient outcomes using Donabedian’s framework. The sample was acute care hospitals (n=175) with an IT profile using HIMSS, demographic and operations data. Three dimensions of hospital IT sophistication were measured and related to patient care outcomes using the AHRQ Patient Safety Indicators (PSI). Significant relationships (p < 0.05) using linear regression were found between hospital IT sophistication and three PSI measures. A review of similar studies during the same time period in Iowa, Georgia, and Florida compares findings from two instruments used to profile hospital IT infrastructure. This study adds to and confirms findings of positive relationships between IT sophistication of hospitals and patient care outcomes using the AHRQ safety indicators. Discussion of the conceptual model and the IT sophistication construct provides a theoretical framework for this line of research.

APA, Harvard, Vancouver, ISO, and other styles

23

Goh, Swee C., Christopher Chan, and Craig Kuziemsky. "Teamwork, organizational learning, patient safety and job outcomes." International Journal of Health Care Quality Assurance 26, no. 5 (June 7, 2013): 420–32. http://dx.doi.org/10.1108/ijhcqa-05-2011-0032.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Groves, Patricia S. "The Relationship Between Safety Culture and Patient Outcomes." Western Journal of Nursing Research 36, no. 1 (June 5, 2013): 66–83. http://dx.doi.org/10.1177/0193945913490080.

Full text

APA, Harvard, Vancouver, ISO, and other styles

25

Rivers, Russell M., Diane Swain, and William R. Nixon. "Using Aviation Safety Measures to Enhance Patient Outcomes." AORN Journal 77, no. 1 (January 2003): 158–62. http://dx.doi.org/10.1016/s0001-2092(06)61385-9.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Reavis, Catherine W., Jennifer Sandidge, and Kristen Bauer. "Critical Thinking's Role in Perioperative Patient Safety Outcomes." AORN Journal 68, no. 5 (November 1998): 758–72. http://dx.doi.org/10.1016/s0001-2092(06)62374-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Khan, David, and Rory Nicolaides. "Patient Outcomes and Safety of Dual Biologic Therapies." Journal of Allergy and Clinical Immunology 145, no. 2 (February 2020): AB23. http://dx.doi.org/10.1016/j.jaci.2019.12.798.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Weldring, Theresa, and Sheree M. S. Smith. "Article Commentary: Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs)." Health Services Insights 6 (January 2013): HSI.S11093. http://dx.doi.org/10.4137/hsi.s11093.

Full text

Abstract:

In recent years, there has been an increased focus on placing patients at the center of health care research and evaluating clinical care in order to improve their experience and ensure that research is both robust and of maximum value for the use of medicinal products, therapy, or health services. This paper provides an overview of patients’ involvement in clinical research and service evaluation along with its benefits and limitations. We describe and discuss patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs), including the trends in current research. Both the patient-reported experiences measures (PREMs) and patient and public involvement (PPI) initiative for including patients in the research processes are also outlined. PROs provide reports from patients about their own health, quality of life, or functional status associated with the health care or treatment they have received. PROMs are tools and/or instruments used to report PROs. Patient report experiences through the use of PREMs, such as satisfaction scales, providing insight into the patients’ experience with their care or a health service. There is increasing international attention regarding the use of PREMS as a quality indicator of patient care and safety. This reflects the ongoing health service commitment of involving patients and the public within the wider context of the development and evaluation of health care service delivery and quality improvement.

APA, Harvard, Vancouver, ISO, and other styles

29

Walther, Felix, Jochen Schmitt, Maria Eberlein-Gonska, Ralf Kuhlen, Peter Scriba, Olaf Schoffer, and Martin Roessler. "Relationships between multiple patient safety outcomes and healthcare and hospital-related risk factors in colorectal resection cases: cross-sectional evidence from a nationwide sample of 232 German hospitals." BMJ Open 12, no. 7 (July 2022): e058481. http://dx.doi.org/10.1136/bmjopen-2021-058481.

Full text

Abstract:

ObjectivesStudies analysing colorectal resections usually focus on a specific outcome (eg, mortality) and/or specific risk factors at the individual (eg, comorbidities) or hospital (eg, volume) level. Comprehensive evidence across different patient safety outcomes, risk factors and patient groups is still scarce. Therefore the aim of this analysis was to investigate consistent relationships between multiple patient safety outcomes, healthcare and hospital risk factors in colorectal resection cases.DesignCross-sectional study.SettingGerman inpatient routine care data of colorectal resections between 2016 and 2018.ParticipantsWe analysed 54 168 colon resection and 20 395 rectum resection cases treated in German hospitals. The German Inpatient Quality Indicators were used to define colon resections and rectum resections transparently.Primary outcome measuresAdditionally to in-hospital death, postoperative respiratory failure, renal failure and postoperative wound infections we included multiple patient safety outcomes as primary outcomes/dependent variables for our analysis. Healthcare (eg, weekend surgery), hospital (eg, volume) and case (eg, age) characteristics served as independent covariates in a multilevel logistic regression model. The estimated regression coefficients were transferred into ORs.ResultsWeekend surgery, emergency admissions and transfers from other hospitals were significantly associated (ORs ranged from 1.1 to 2.6) with poor patient safety outcome (ie, death, renal failure, postoperative respiratory failure) in colon resections and rectum resections. Hospital characteristics showed heterogeneous effects. In colon resections hospital volume was associated with insignificant or adverse associations (postoperative wound infections: OR 1.168 (95% CI 1.030 to 1.325)) to multiple patient safety outcomes. In rectum resections hospital volume was protectively associated with death, renal failure and postoperative respiratory failure (ORs ranged from 0.7 to 0.8).ConclusionsTransfer from other hospital and emergency admission are constantly associated with poor patient safety outcome. Hospital variables like volume, ownership or localisation did not show consistent relationships to patient safety outcomes.Trial registration numberISRCTN10188560.

APA, Harvard, Vancouver, ISO, and other styles

30

Klokker, Louise, Peter Tugwell, Daniel E. Furst, Dan Devoe, Paula Williamson, Caroline B. Terwee, Maria E. Suarez-Almazor, et al. "Developing an OMERACT Core Outcome Set for Assessing Safety Components in Rheumatology Trials: The OMERACT Safety Working Group." Journal of Rheumatology 44, no. 12 (October 15, 2016): 1916–19. http://dx.doi.org/10.3899/jrheum.161105.

Full text

Abstract:

Objective.Failure to report harmful outcomes in clinical research can introduce bias favoring a potentially harmful intervention. While core outcome sets (COS) are available for benefits in randomized controlled trials in many rheumatic conditions, less attention has been paid to safety in such COS. The Outcome Measures in Rheumatology (OMERACT) Filter 2.0 emphasizes the importance of measuring harms. The Safety Working Group was reestablished at the OMERACT 2016 with the objective to develop a COS for assessing safety components in trials across rheumatologic conditions.Methods.The safety issue has previously been discussed at OMERACT, but without a consistent approach to ensure harms were included in COS. Our methods include (1) identifying harmful outcomes in trials of interventions studied in patients with rheumatic diseases by a systematic literature review, (2) identifying components of safety that should be measured in such trials by use of a patient-driven approach including qualitative data collection and statistical organization of data, and (3) developing a COS through consensus processes including everyone involved.Results.Members of OMERACT including patients, clinicians, researchers, methodologists, and industry representatives reached consensus on the need to continue the efforts on developing a COS for safety in rheumatology trials. There was a general agreement about the need to identify safety-related outcomes that are meaningful to patients, framed in terms that patients consider relevant so that they will be able to make informed decisions.Conclusion.The OMERACT Safety Working Group will advance the work previously done within OMERACT using a new patient-driven approach.

APA, Harvard, Vancouver, ISO, and other styles

31

Traboulsee, Anthony L., Lindsay Machan, J. Marc Girard, Jean Raymond, Reza Vosoughi, Brian W. Hardy, Francois Emond, et al. "Safety and efficacy of venoplasty in MS." Neurology 91, no. 18 (September 28, 2018): e1660-e1668. http://dx.doi.org/10.1212/wnl.0000000000006423.

Full text

Abstract:

ObjectiveTo determine the safety and efficacy of balloon vs sham venoplasty of narrowing of the extracranial jugular and azygos veins in multiple sclerosis (MS).MethodsPatients with relapsing or progressive MS were screened using clinical and ultrasound criteria. After confirmation of >50% narrowing by venography, participants were randomized 1:1 to receive balloon or sham venoplasty of all stenoses and were followed for 48 weeks. Participants and research staff were blinded to intervention allocation. The primary safety outcome was the number of adverse events (AEs) during 48 weeks. The primary efficacy outcome was the change from baseline to week 48 in the patient-reported outcome MS Quality of Life–54 (MSQOL-54) questionnaire. Standardized clinical and MRI outcomes were also evaluated.ResultsOne hundred four participants were randomized (55 sham; 49 venoplasty) and 103 completed 48 weeks of follow-up. Twenty-three sham and 21 venoplasty participants reported at least 1 AE; one sham (2%) and 5 (10%) venoplasty participants had a serious AE. The mean improvement in MSQOL-54 physical score was +1.3 (sham) and +1.4 (venoplasty) (p = 0.95); MSQOL-54 mental score was +1.2 (sham) and −0.8 (venoplasty) (p = 0.55).ConclusionsOur data do not support the continued use of venoplasty of extracranial jugular and/or azygous venous narrowing to improve patient-reported outcomes, chronic MS symptoms, or the disease course of MS.ClinicalTrials.gov identifierNCT01864941.Classification of evidenceThis study provides Class I evidence that for patients with MS, balloon venoplasty of extracranial jugular and azygous veins is not beneficial in improving patient-reported, standardized clinical, or MRI outcomes.

APA, Harvard, Vancouver, ISO, and other styles

32

Khuri, Shukri F. "Safety, Quality, and the National Surgical Quality Improvement Program." American Surgeon 72, no. 11 (November 2006): 994–98. http://dx.doi.org/10.1177/000313480607201103.

Full text

Abstract:

The Institute of Medicine 1999 publication, To Err is Human, focused attention on preventable provider errors in surgery, and prompted numerous new national initiatives to improve patient safety. It is uncertain whether these initiatives have actually improved patient safety, mainly because of the lack of a quantitative metric for the assessment of patient safety in surgery. A 15-year experience with the National Surgical Quality Improvement Program, which originated in the Veteran's Administration in 1991 and was recently made available to the private sector, prompts the surgical community to place patient safety in surgery within a much larger conceptual framework than that of the Institute of Medicine report, and provides a quantitative metric for the assessment of patient safety initiatives. This conceptual framework defines patient safety in surgery as safety from all adverse outcomes (not only preventable errors and sentinel events); regards safety as an integral part of quality of surgical care; recognizes that adverse outcomes, and hence patient safety, are primarily determined by quality of systems of care; and uses comparative risk-adjusted outcome data as a metric for the identification of system problems and for the assessment and improvement of patient safety from adverse outcomes.

APA, Harvard, Vancouver, ISO, and other styles

33

Stretton, Paul. "The Lilypond: An integrated model of Safety II principles in the workplace. A quantum shift in patient safety thinking." Journal of Patient Safety and Risk Management 25, no. 2 (April 2020): 85–90. http://dx.doi.org/10.1177/2516043520913420.

Full text

Abstract:

The Lilypond is a new conceptual model to describe patient safety performance. It radically diverges from established patient safety models to develop the reality of complexity within the healthcare systems as well as incorporating Safety II principles. There are two viewpoints of the Lilypond that provide insight into patient safety performance. From above, we are able to observe the organisational outcomes. This supersedes the widely used Safety Triangle and provides a more accurate conceptual model for understanding what outcomes are generated within healthcare. From a cross-sectional view, we are able to gain insights into how these outcomes come to manifest. This includes recognition of the complexity of our workplace, the impact of micro-interactions, effective leadership behaviours as well as patterns of behaviour that all provide learning. This replaces the simple, linear approach of The Swiss Cheese Model when analysing outcome causation. By applying the principles of Safety II and replacing outdated models for understanding patient safety performance, a more accurate, beneficial and respectful understanding of safety outcomes is possible.

APA, Harvard, Vancouver, ISO, and other styles

34

Lee, Seung Eun, Linda D. Scott, V. Susan Dahinten, Catherine Vincent, Karen Dunn Lopez, and Chang Gi Park. "Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review." Western Journal of Nursing Research 41, no. 2 (December 15, 2017): 279–304. http://dx.doi.org/10.1177/0193945917747416.

Full text

Abstract:

This integrative literature review was conducted to examine the relationships between safety culture and patient safety and quality of care outcomes in hospital settings and to identify directions for future research. Using a search of six electronic databases, 17 studies that met the study criteria were selected for review. This review revealed semantic inconsistencies, infrequent use of a theory or theoretical framework, limited discussions of validity of instruments used, and significant methodological variations. Most notably, this review identified a large array of nonsignificant and inconsistent relationships between safety culture and patient safety and quality of care outcomes. To improve understanding of the relationships, investigators should consider using a theoretical framework and valid measures of the key concepts. Researchers should also give more attention to selecting appropriate sampling and data collection methods, units of analysis, levels of data measurement and aggregation, and statistical analyses.

APA, Harvard, Vancouver, ISO, and other styles

35

Mardis, Matthew, Joshua Davis, Branden Benningfield, Cater Elliott, Mallory Youngstrom, Brittany Nelson, Ellen M. Justice, and Lee Ann Riesenberg. "Shift-to-Shift Handoff Effects on Patient Safety and Outcomes." American Journal of Medical Quality 32, no. 1 (July 9, 2016): 34–42. http://dx.doi.org/10.1177/1062860615612923.

Full text

Abstract:

Multiple health care organizations have identified handoffs as a source of clinical errors; however, few studies have linked handoff interventions to improved patient outcomes. This systematic review of English-language research articles, published January 2008 to May 2015 and focusing on shift-to-shift handoff interventions and patient outcomes, yielded 10 774 unique articles. Twenty-one articles met inclusion criteria, measuring each of the following: patient falls (n = 7), reportable events (n = 6), length of stay (n = 4), mortality (n = 4), code calls (n = 4), medication errors (n = 4), medical errors (n = 3), procedural complications (n = 2), pressure ulcers (n = 2), weekend discharges (n = 2), and nosocomial infections (n = 2). One study each also measured time to first intervention, restraint use, overnight transfusions, and out-of-hours deteriorations. Studies that reported funding had higher quality scores. It is difficult to identify trends in the handoff research because of simultaneous implementation of multiple interventions and heterogeneity of the interventions, outcomes measured, and settings. The authors call for increased handoff research funding, especially for studies that include patient outcome measures.

APA, Harvard, Vancouver, ISO, and other styles

36

Bevins, Jack S., Hannah Fullington, Thomas W. Froehlich, Stephanie Hobbs, Ethan Halm, Simon Craddock Lee, and Arthur Hong. "Safety and outcomes of a cancer patient urgent care clinic." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 6542. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.6542.

Full text

Abstract:

6542 Background: Several cancer centers describe cancer-patient dedicated urgent care clinic (UCC) that address commonly anticipated complaints of adults with cancer. UCC may be capable of preventing some ED visits, but little is known of the safety and outcomes for patients after a UCC visit. Methods: We identified UCC visits made by adults at our comprehensive cancer center between 2013-2016 and compared the cohort to patients who did not visit the UCC. We linked patients to tumor registry data and their electronic health record from the UCC visit, then tracked ED visits, inpatient and intensive care unit (ICU) admissions occurring within 24 hours of the UCC visit. Results: Between 2013-2016, 551 patients generated 772 UCC visits, compared to 17,496 who did not visit. UCC users had significantly (p<0.001) more advanced-stage cancer than non-UCC users (37.3% vs 18.9%), but there were no significant differences in mean age, race/ethnicity, or death within 180 days of diagnosis. The most common chief complaints accounted for nearly half of all UCC visits: (17.4%), URI symptoms/fever (12.6%), nausea/vomiting/diarrhea (7.8%), and fatigue/weakness (7.6%). After 10.0% of UCC visits, patients had an ED visit, while 12.3% were admitted to the hospital; only 5 UCC visits (0.7%) had an associated ICU stay. Most patients (75.7%) only had a single UCC visit, but patients who visited the UCC more often tended to have higher rates of ED visits and hospitalizations within 24 hours (Table). The mean time from UCC arrival to ED arrival was 3.0 hours, and 6.5 hours from UCC arrival to inpatient arrival. Conclusions: The majority of patients seen in UCC did not require ED or inpatient hospitalization. Patients with subsequent ED or inpatient visits had minimal delays in care. Findings suggest that triaging cancer patients for commonly anticipated complaints to a UCC does not result in high rates of mis-triaging or major delays in care. Patients with ED, Inpatient, or ICU visit after UCC, stratified by UCC visits per patient (2013-2016). [Table: see text]

APA, Harvard, Vancouver, ISO, and other styles

37

Pucher, Philip H., Robyn Tamblyn, Daniel Boorman, Mary Dixon-Woods, Liam Donaldson, Tim Draycott, Alan Forster, et al. "Simulation research to enhance patient safety and outcomes: recommendations of the Simnovate Patient Safety Domain Group." BMJ Simulation and Technology Enhanced Learning 3, Suppl 1 (March 2017): S3—S7. http://dx.doi.org/10.1136/bmjstel-2016-000173.

Full text

Abstract:

The use of simulation-based training has established itself in healthcare but its implementation has been varied and mostly limited to technical and non-technical skills training. This article discusses the possibilities of the use of simulation as part of an overarching approach to improving patient safety, and represents the views of the Simnovate Patient Safety Domain Group, an international multidisciplinary expert group dedicated to the improvement of patient safety. The application and integration of simulation into the various facets of a learning healthcare system is discussed, with reference to relevant literature and the different modalities of simulation which may be employed. The selection and standardisation of outcomes is highlighted as a key goal if the evidence base for simulation-based patient safety interventions is to be strengthened. This may be achieved through the establishment of standardised reporting criteria. If such safety interventions can be proven to be effective, financial incentives are likely to be necessary to promote their uptake, with the intention that up-front cost to payers or insurers be recouped in the longer term but reductions in complications and lengths of stay.

APA, Harvard, Vancouver, ISO, and other styles

38

Hernan, Andrea L., Sally J. Giles, Andrew Carson-Stevens, Mark Morgan, Penny Lewis, James Hind, and Vincent Versace. "Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England." BMJ Open 11, no. 4 (April 2021): e042551. http://dx.doi.org/10.1136/bmjopen-2020-042551.

Full text

Abstract:

BackgroundPatient engagement in safety has shown positive effects in preventing or reducing adverse events and potential safety risks. Capturing and utilising patient-reported safety incident data can be used for service learning and improvement.ObjectiveThe aim of this study was to characterise the nature of patient-reported safety incidents in primary care.DesignSecondary analysis of two cross sectional studies.ParticipantsAdult patients from Australian and English primary care settings.MeasuresPatients’ self-reported experiences of safety incidents were captured using the validated Primary Care Patient Measure of Safety questionnaire. Qualitative responses to survey items were analysed and categorised using the Primary Care Patient Safety Classification System. The frequency and type of safety incidents, contributory factors, and patient and system level outcomes are presented.ResultsA total of 1329 patients (n=490, England; n=839, Australia) completed the questionnaire. Overall, 5.3% (n=69) of patients reported a safety incident over the preceding 12 months. The most common incident types were administration incidents (n=27, 31%) (mainly delays in accessing a physician) and incidents involving diagnosis and assessment (n=16, 18.4%). Organisation of care accounted for 27.6% (n=29) of the contributory factors identified in the safety incidents. Staff factors (n=13, 12.4%) was the second most commonly reported contributory factor. Where an outcome could be determined, patient inconvenience (n=24, 28.6%) and clinical harm (n=21, 25%) (psychological distress and unpleasant experience) were the most frequent.ConclusionsThe nature and outcomes of patient-reported incidents differ markedly from those identified in studies of staff-reported incidents. The findings from this study emphasise the importance of capturing patient-reported safety incidents in the primary care setting. The patient perspective can complement existing sources of safety intelligence with the potential for service improvement.

APA, Harvard, Vancouver, ISO, and other styles

39

Choudhury, Avishek, and Onur Asan. "Role of Artificial Intelligence in Patient Safety Outcomes: Systematic Literature Review." JMIR Medical Informatics 8, no. 7 (July 24, 2020): e18599. http://dx.doi.org/10.2196/18599.

Full text

Abstract:

Background Artificial intelligence (AI) provides opportunities to identify the health risks of patients and thus influence patient safety outcomes. Objective The purpose of this systematic literature review was to identify and analyze quantitative studies utilizing or integrating AI to address and report clinical-level patient safety outcomes. Methods We restricted our search to the PubMed, PubMed Central, and Web of Science databases to retrieve research articles published in English between January 2009 and August 2019. We focused on quantitative studies that reported positive, negative, or intermediate changes in patient safety outcomes using AI apps, specifically those based on machine-learning algorithms and natural language processing. Quantitative studies reporting only AI performance but not its influence on patient safety outcomes were excluded from further review. Results We identified 53 eligible studies, which were summarized concerning their patient safety subcategories, the most frequently used AI, and reported performance metrics. Recognized safety subcategories were clinical alarms (n=9; mainly based on decision tree models), clinical reports (n=21; based on support vector machine models), and drug safety (n=23; mainly based on decision tree models). Analysis of these 53 studies also identified two essential findings: (1) the lack of a standardized benchmark and (2) heterogeneity in AI reporting. Conclusions This systematic review indicates that AI-enabled decision support systems, when implemented correctly, can aid in enhancing patient safety by improving error detection, patient stratification, and drug management. Future work is still needed for robust validation of these systems in prospective and real-world clinical environments to understand how well AI can predict safety outcomes in health care settings.

APA, Harvard, Vancouver, ISO, and other styles

40

Jylhä, Virpi, Santtu Mikkonen, Kaija Saranto, and David Bates. "The Impact of Information Culture on Patient Safety Outcomes." Methods of Information in Medicine 56, S 01 (2017): e30-e38. http://dx.doi.org/10.3414/me16-01-0075.

Full text

Abstract:

SummaryBackground: An organization’s information culture and information management practices create conditions for processing patient information in hospitals. Information management incidents are failures that could lead to adverse events for the patient if they are not detected.Objectives: To test a theoretical model that links information culture in acute care hospitals to information management incidents and patient safety outcomes.Methods: Reason’s model for the stages of development of organizational accidents was applied. Study data were collected from a cross-sectional survey of 909 RNs who work in medical or surgical units at 32 acute care hospitals in Finland. Structural equation modeling was used to assess how well the hypothesized model fit the study data.Results: Fit indices indicated a good fit for the model. In total, 18 of the 32 paths tested were statistically significant. Documentation errors had the strongest total effect on patient safety outcomes. Organizational guidance positively affected information availability and utilization of electronic patient records, whereas the latter had the strongest total effect on the reduction of information delays.Conclusions: Patient safety outcomes are associated with information management incidents and information culture. Further, the dimensions of the information culture create work conditions that generate errors in hospitals.

APA, Harvard, Vancouver, ISO, and other styles

41

Martin, Ronald F. "Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes." Surgical Clinics of North America 85, no. 6 (December 2005): xvii—xviii. http://dx.doi.org/10.1016/j.suc.2005.10.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Napolitano, Lena M. "Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes." Surgical Clinics of North America 85, no. 6 (December 2005): xix—xx. http://dx.doi.org/10.1016/j.suc.2005.10.002.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Mannel, Rebecca. "Defining Lactation Acuity to Improve Patient Safety and Outcomes." Journal of Human Lactation 27, no. 2 (April 28, 2011): 163–70. http://dx.doi.org/10.1177/0890334410397198.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Hall, Linda McGillis, Diane Doran, and George H. Pink. "Nurse Staffing Models, Nursing Hours, and Patient Safety Outcomes." JONA: The Journal of Nursing Administration 34, no. 1 (January 2004): 41–45. http://dx.doi.org/10.1097/00005110-200401000-00009.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Hehir, Mark P., Mary E. D’Alton, Fergal D. Malone, and Richard L. Berkowitz. "Patient safety: A comparison of systems to improve outcomes." European Journal of Obstetrics & Gynecology and Reproductive Biology 211 (April 2017): 230–31. http://dx.doi.org/10.1016/j.ejogrb.2017.02.031.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

Dalai, Sibasankar, and Aravind V. Datla. "Multilevel percutaneous vertebroplasty: safety, efficacy and long-term outcomes." International Journal of Research in Orthopaedics 8, no. 1 (December 24, 2021): 54. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20214961.

Full text

Abstract:

<p><strong>Background:</strong> The pain in vertebral compression fractures is severe, leading to reduced mobility and quality of life. Percutaneous vertebroplasty is a minimally invasive procedure for treating various spinal pathologies. This study evaluated the usefulness and safety of multilevel PVP (two to three vertebrae) in managing VCF.</p><p><strong>Methods:</strong> This retrospective study evaluated 59 vertebral levels in 28 patients with VCF who had been operated on for multilevel PVP (two to three levels). There were 22 females and six males, and their ages ranged from 36 to 79 years, with a mean age of 68.95 years. We had injected two levels in 25 patients and three levels in 3 patients. The visual analogue scale was used for pain intensity measurement, and plain X-ray films, computed tomography scan and magnetic resonance imaging was used for radiological assessment. The mean follow-up period was 13.8 months (range, 11-19).</p><p><strong>Results:</strong> Significant pain improvement was recorded in 26 patients (92.85%). More remarkable improvement in pain was noticed in the immediate postoperative period than in the subsequent follow-ups. Asymptomatic bone cement leakage anteriorly and into the disk spaces in two patients. Isolated anterior leakage has occurred in one patient. There was no encounter of pulmonary embolism.</p><p><strong>Conclusions:</strong> Multilevel PVP for the treatment of VCF is a safe and effective procedure that can significantly reduce pain and improve patient condition without any significant morbidity. It is considered a cost-effective procedure allowing a rapid restoration of patient mobility.</p><p> </p>

APA, Harvard, Vancouver, ISO, and other styles

47

Antony, Jesmin, Wasifa Zarin, Ba’ Pham, Vera Nincic, Roberta Cardoso, John D. Ivory, Marco Ghassemi, Sarah Louise Barber, Sharon E. Straus, and Andrea C. Tricco. "Patient safety initiatives in obstetrics: a rapid review." BMJ Open 8, no. 7 (July 2018): e020170. http://dx.doi.org/10.1136/bmjopen-2017-020170.

Full text

Abstract:

ObjectivesThis review was commissioned by WHO, South Africa-Country office because of an exponential increase in medical litigation claims related to patient safety in obstetrical care in the country. A rapid review was conducted to examine the effectiveness of quality improvement (QI) strategies on maternal and newborn patient safety outcomes, risk of litigation and burden of associated costs.DesignA rapid review of the literature was conducted to provide decision-makers with timely evidence. Medical and legal databases (eg, MEDLINE, Embase, LexisNexis Academic, etc) and reference lists of relevant studies were searched. Two reviewers independently performed study selection, abstracted data and appraised risk of bias. Results were summarised narratively.InterventionsWe included randomised clinical trials (RCTs) of QI strategies targeting health systems (eg, team changes) and healthcare providers (eg, clinician education) to improve the safety of women and their newborns. Eligible studies were limited to trials published in English between 2004 and 2015.Primary and secondary outcome measuresRCTs reporting on patient safety outcomes (eg, stillbirths, mortality and caesarean sections), litigation claims and associated costs were included.ResultsThe search yielded 4793 citations, of which 10 RCTs met our eligibility criteria and provided information on over 500 000 participants. The results are presented by QI strategy, which varied from one study to another. Studies including provider education alone (one RCT), provider education in combination with audit and feedback (two RCTs) or clinician reminders (one RCT), as well as provider education with patient education and audit and feedback (one RCT), reported some improvements to patient safety outcomes. None of the studies reported on litigation claims or the associated costs.ConclusionsOur results suggest that provider education and other QI strategy combinations targeting healthcare providers may improve the safety of women and their newborns during childbirth.

APA, Harvard, Vancouver, ISO, and other styles

48

Dy, Sydney, and Ayse P. Gurses. "Care pathways and patient safety: key concepts, patient outcomes and related interventions." International Journal of Care Pathways 14, no. 3 (September 2010): 124–28. http://dx.doi.org/10.1258/jicp.2010.010021.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Ross, Jacqueline. "Patient Safety Outcomes: The Importance of Understanding the Organizational Culture and Safety Climate." Journal of PeriAnesthesia Nursing 26, no. 5 (October 2011): 347–48. http://dx.doi.org/10.1016/j.jopan.2011.08.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Sanford, Julie, Christine Argenbright, Gwen Sherwood, Portia J. Jordan, Maria F. Jiménez-Herrera, Mariette Bengtsson, Michiko Moriyama, Lee Peng Lui, and Maria McDonald. "Student outcomes of an international learning collaborative to develop patient safety and quality competencies in nursing." Journal of Research in Nursing 26, no. 1-2 (January 11, 2021): 81–94. http://dx.doi.org/10.1177/1744987120970606.

Full text

Abstract:

Background Patient harm is a global crisis fueling negative outcomes for patients around the world. Working together in an international learning collaborative fostered learning with, from and about each other to develop evidence-based strategies for developing quality and safety competencies in nursing. Aims To report student outcomes from an international learning collaborative focused on patient safety using the Quality and Safety Education for Nurses competency framework. Methods A global consortium of nursing faculty created an international learning collaborative and designed educational strategies for an online pre-workshop and a 10-day in-person experience for 21 undergraduate and graduate nursing students from six countries. A retrospective pre-test post-test survey measured participants’ confidence levels of patient safety competence using the health professional education in patient safety survey and content analysis of daily reflective writings. Results Statistical analysis revealed student confidence levels improved across all eight areas of safe practice comparing-pre and post-education (significance, alpha of P < 0.05). Two overarching themes, reactions to shared learning experiences and shared areas of learning and development, reflected Quality and Safety Education for Nurses competencies and a new cultural understanding. Conclusions The international learning collaborative demonstrated that cross-border learning opportunities can foster global development of quality and safety outcome goals.

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!