Дисертації з теми "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.
Повний текст джерелаThornlow, Deirdre. "Relationship of patient safety practices to patient outcomes." Saarbrücken VDM Verlag Dr. Müller, 2007. http://d-nb.info/991198212/04.
Повний текст джерелаRinaldiFuller, Julie. "Patient to nurse ratios and safety outcomes for patients." [Denver, Colo.] : Regis University, 2008. http://165.236.235.140/lib/JRinaldiFuller2008.pdf.
Повний текст джерелаWilson, 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.
Повний текст джерелаPh.D.
Department of Psychology
Sciences
Psychology PhD
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.
Повний текст джерелаBurström, 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.
Повний текст джерелаMaddocks, 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.
Повний текст джерелаHada, 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.
Повний текст джерелаHavaei, 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.
Повний текст джерелаApplied Science, Faculty of
Nursing, School of
Graduate
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.
Повний текст джерелаManges, Kirstin. "Transition to home study: the influence of interprofessional team shared mental models on patient post-hospitalization outcomes." Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6193.
Повний текст джерелаBonner, Alice F. "Certified Nursing Assistants’ Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation." eScholarship@UMMS, 2008. https://escholarship.umassmed.edu/gsn_diss/10.
Повний текст джерелаLeveille, Deborah. "Deliberate Practice of IV Medication Procedures by Student Nurses: Feasibility, Acceptability, and Preliminary Outcomes: A Dissertation." eScholarship@UMMS, 2015. https://escholarship.umassmed.edu/gsn_diss/42.
Повний текст джерелаChukmaitov, Askar S. "Variations in Quality Outcomes Among Hospitals in Different Types of Health Systems." VCU Scholars Compass, 2005. https://scholarscompass.vcu.edu/etd/1414.
Повний текст джерелаFabri, Peter J. "The validation of a methodology for assessing the impact of hybrid simulation training in the minimization of adverse outcomes in surgery." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002085.
Повний текст джерелаDuff, Beverley. "Development and evaluation of an integrated clinical learning model to inform continuing education for acute care nurses." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/42622/1/Beverley_Duff_Thesis.pdf.
Повний текст джерелаAndrews, P. J. "A prospective, controlled study on 131 patients assessing patient safety and nasal function outcomes following human olfactory mucosa biopsy as a source of cells for central nervous system regeneration during Endoscopic Sinus Surgery." Thesis, University College London (University of London), 2016. http://discovery.ucl.ac.uk/1530783/.
Повний текст джерелаWillemyns, Amanda Jo-Anne. "Under the carpet : the politics and trauma of patient harm." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/46266/1/Amanda_Willemyns_Thesis.pdf.
Повний текст джерелаMurray, Brett Richard. "The use of emergency lights and sirens by ambulances and their effect on patient outcome and public safety." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21225.
Повний текст джерелаThe use of emergency lights and sirens as warning devices by ambulances is a hotly debated topic within the Emergency Medical Services. For the last few decades, research has shown that lights and sirens have only a minimal effect on time required to transport patients to the hospital, and essentially no positive effect on patient outcome. Meanwhile, thousands of ambulance crashes occur every year (usually during the operation of lights and sirens), and its possible that's tens of thousands of crashes are occurring as a result of a passing ambulance, though not directly involving the ambulance itself. This paper is meant to provide a thorough review of the science behind the use of lights and sirens, the risks they pose to EMS providers, patients, and the public, and strategies to help curb the cost they pose both in dollars and lives. The available literature on this subject all points to the use of lights and sirens being out dated, ineffective, and dangerous, and yet almost nothing has been done to solve the problems they cause. Continued research and development is needed to help make ambulances safer for their occupants, more effective driver training programs need to be offered to EMS providers, and protocols need to be adopted to limit the unnecessary use of L&S.
2031-01-01
Subirana, Mireia. "The influence of nursing structure and process variables on patients' outcomes and safety within a High Dependency Unit." Thesis, University of Leeds, 2012. http://etheses.whiterose.ac.uk/2584/.
Повний текст джерелаBunch, Jacinda Lea. "Rapid response systems : evaluation of program context, mechanism, and outcome factors." Diss., University of Iowa, 2014. https://ir.uiowa.edu/etd/1558.
Повний текст джерелаJanuel, Jean-Marie. "Les données de routine des séjours d’hospitalisation pour évaluer la sécurité des patients : études de la qualité des données et perspectives de validation d’indicateurs de la sécurité des patients." Thesis, Lyon 1, 2011. http://www.theses.fr/2011LYO10355/document.
Повний текст джерелаAssessing safety among hospitalized patients is a major issue for health services. The development of indicators to measure adverse events related to health care (HAE) is a crucial step, for which the main challenge lies on the performance of the data used for this approach. Based on the limitations of the measurement in terms of reproducibility and on the high cost of studies conducted using medical records audit, the development of Patient Safety Indicators (PSI) by the Agency for Healthcare Research and Quality (AHRQ) in the United States, using codes from the clinically modified 9th revision of the International Classification of Diseases (ICD) shows interesting prospects. Our work addressed five key issues related to the development of these indicators: nosological definition; feasibility and validity of codes based algorithms; quality of medical diagnoses coding using ICD codes, comparability across countries; and possibility of establishing a benchmark to compare these indicators. Some questions remain, and we suggest several research pathways regarding possible improvements of PSI based on a better definition of PSI algorithms and the use of other data sources to validate PSI (i.e., registry data). Thus, the use of adjustment models including the Charlson index, the average number of diagnoses coded and a variable of the positive predictive value should be considered to control the case-mix variations and differences of quality of coding for comparisons between hospitals or countries
Fischer, Shira H. "Factors Associated with Ordering and Completion of Laboratory Monitoring Tests for High-Risk Medications in the Ambulatory Setting: A Dissertation." eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsbs_diss/543.
Повний текст джерелаChamp-Rigot, Laure. "Nouvelles perspectives diagnostiques et thérapeutiques dans la prise en charge rythmologique des patients en situation d'insuffisance cardiaque Rationale and Design for a Monocentric Prospective Study: Sleep Apnea Diagnosis Using a Novel Pacemaker Algorithm and Link With Aldosterone Plasma Level in Patients Presenting With Diastolic Dysfunction (SAPAAD Study) Usefulness of sleep apnea monitoring by pacemaker sensor in elderly patients with diastolic dysfunction : the SAPAAD Study Clinical outcomes after primary prevention defibrillator implantation are better predicted when the left ventricular ejection fraction is assessed by magnetic resonance imaging Predictors of clinical outcomes after cardiac resynchronization therapy in patients ≥75 years of age: a retrospective cohort study Comparison between novel and standard high-density 3D electro-anatomical mapping systems for ablation of atrial tachycardia Safety and acute results of ultra-high density mapping to guide catheter ablation of atrial arrhythmias in heart failure patients Long-term clinical outcomes after catheter ablation of atrial arrhythmias guided by ultra-high density mapping system in heart failure patients." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMC430.
Повний текст джерелаHeart failure is a major public health issue in developed countries, with a prevalence of 1-2% of global population, rising to 10% after 70 years of age. Therapeutic progresses have succeeded in improving patients’ prognosis, particularly in case of reduced left ventricular ejection fraction. Rhythm abnormalities are frequent, and need special consideration in case of heart failure. Meanwhile, there are still some gaps in the evidence: heart failure with preserved systolic function is complex and difficult to treat, primary prevention of sudden cardiac death is effective but there is a need to better select candidates, whether elderly patients should be treated as younger individuals, and finally how to improve outcomes of atrial fibrillation catheter ablation. Firstly, we have conducted a prospective study to evaluate the Sleep Apnea Monitoring algorithm provided in a novel pacemaker in patients with diastolic dysfunction. Besides, we analyzed whether magnetic resonance imaging could predict cardiac outcomes in patients with an implantable cardioverter defibrillator better than echocardiography. We also reported the outcomes of the cardiac resynchronization therapy in patients ≥75 years old compared to younger patients. Finally, we studied the results of a novel ultra-high density mapping system to guide ablation procedures of complex atrial arrhythmias in heart failure patients compared to controls
Guisier, Florian. "Contribution à l'identification de marqueurs de la réponse des carcinomes bronchiques non à petites cellules aux immunothérapies Anti-PD1 immunotherapy for NSCLC with actionable oncogenic driver mutations Janus or Hydra : the many faces of T helper cells in the human tumour microenvironment A rationale for surgical debulking to improve anti-PD1 therapy outcome in non small cell lung cancer Efficacy and safety of anti-PD-1 immunotherapy in pretreated NSCLC patients with BRAF, HER2 or MET mutation or RET-translocation. GFPC 01-2018." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMR148.
Повний текст джерелаSince 2015, anti-PD1/PD-L1 immunotherapy has emerged as a standard of care for non-small cell lung cancer (NSCLC), demonstrating a higher rate of long-term control of stage IV disease. Nonetheless, most patients do not derive benefit from these drugs. Reliable biomarkers are needed to better select patients for immunotherapy. Studying a mouse model of NSCLC, we identified tumor volume as a predictive marker of response to anti-PD1 therapy. We confirmed this role in a cohort of 48 NSCLC patients treated with Nivolumab, in whom metabolic tumor volume was assessed on pretherapeutic PET-scan. Moreover, in our mouse model, debulking surgery enhanced the efficacy of anti-PD1 treatment. In a second study, we analysed the efficacy of anti-PD1/PD-L1 treatment in NSCLC patients with BRAF, MET or HER2 mutations or RET translocation. These subgroups of patients were overlooked in clinical trials and previous studies suggest they are not good candidates for immunotherapy. We collected data from 107 patients in 21 centers : -26 BRAF-V600, 18 BRAF-nonV600, 30 MET, 23 HER2, 9 RET. Response rates to anti-PD1/PD-L1 treatment were 26%, 33%, 27%, 38% and 38%, respectively. These are close to the ones observed in unselected NSCLC patients. Our results emphasize the need for more studies in these patients, since some of them derive durable benefit from anti-PD1/PD-L1 treatment
Thornlow, Deirdre Kling. "The relationship of hospital systems and utilization of patient safety practices to patient outcomes /." 2007. http://wwwlib.umi.com/dissertations/fullcit/3239960.
Повний текст джерелаChih-An, Lin, and 林芷安. "The Relationship between Patient Safety Strategies and the Related Outcomes." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/55674501974180463467.
Повний текст джерела逢甲大學
經營管理碩士在職專班
95
The purpose of this study is to explore current strategies for patient safety at Taiwan Hospitals. Repots by the Institute of Medicine highlight concerns about the staggering number of medical errors that occur in the U.S. healthcare system. These reports have exerted considerable pressure on hospitals to establish programs that reduce errors and improve patient safety. Followed the global trend, Taiwan Government and Hospitals also pay a lot of attention to Patient Safety. Department of Health established Patient Safety Committee to enhance the issue. A previous research study identifies seven critical strategies for reducing hospital errors based on U.S. nationwide survey of 525 hospitals. These strategies include (1) partnership with stakeholders, (2) reporting errors free of blame, (3) open discussion of errors, (4) cultural shift, (5) education and training, (6) statistical analysis of data, and (7) system redesign. We follow McFadden, Stock, Gowen 3rd (2006) research, examined the perceptions of health care quality directors about the importance of these seven patient safety strategies, the factors that act as barriers, the level of adoption of these strategies, and benefits resulting from implementation of these strategies. Our results indicate that a considerable gap exists between current hospital practices and the perceived importance of various approaches to improving patient safety. All strategies were reported highly importance and moderate level implementation. Results of analysis reveal that bigger perceived importance and actual implementation are both associated with better outcomes, such as statistical analysis of data. Moreover, the regression analysis also reveals that smaller barriers are associated with better outcome such as lack of top management support and lack of knowledge/understanding. The findings provide specific directions for enhancing patient safety programs at hospital in the future.
Haskins, Helena Elizabeth Maria. "An action plan to enhance a sustainable culture of safety to improve patient outcomes." Thesis, 2019. http://hdl.handle.net/10500/26185.
Повний текст джерелаHealth Studies
D. Litt. et Phil. (Health Studies)
Twigg, DE. "Patient safety : evaluation of the impact of nursing hours per patient day staffing method in Western Australia." Thesis, 2009. http://hdl.handle.net/10453/28014.
Повний текст джерелаIn March 2002 Western Australia (WA) mandated a new staffing method—nursing hours per patient day (NHPPD). This method used a “bottom up” approach to classify each hospital ward into one of seven categories using characteristics such as patient complexity, intervention levels, the presence of high dependency beds, the emergency/elective patient mix and patient turnover. Once classified, NHPPD were prescribed for each ward. The purpose of this study was two-fold focusing on data from three adult tertiary hospitals (four of seven ward categories: A, B, C and D combined), and individual ward categories A, B, C and D at one adult tertiary hospital. The first purpose was to determine the impact of implementing this staffing method (NHPPD) on nursing-sensitive outcomes (NSOs). The second was to determine the relationship between skill mix and NSOs following implementation of NHPPD. The research design was an interrupted time series and used retrospective analysis of administrative data. Patient and staffing data using the NHPPD method over a four year period were analysed. The 14 NSOs were central nervous system (CNS) complications, wound infections, pulmonary failure, urinary tract infection, pressure ulcer, pneumonia, deep vein thrombosis, ulcer, gastritis and upper gastrointestinal bleed, sepsis, physiologic/metabolic derangement, shock/cardiac arrest, mortality, failure to rescue and length of stay. The study found significant decreases in the rates of nine NSOs when examining hospital-level data following implementation of NHPPD (including mortality, sepsis and pneumonia). At the ward level, significant decreases in the rates of five NSOs (including mortality, shock/cardiac arrest and UTIs) occurred. Significant decreases in rates of eight NSOs (including failure to rescue, mortality and pneumonia) occurred with each 1% increase in RN hours across the three hospitals. At ward category level, significant decreases in the rates of five NSOs occurred with every 1% increase in RN hours (including failure to rescue, DVT and pneumonia). The findings of this study suggest a richer skill mix, even with relatively small changes (1%), continues to benefit patients by improving NSOs. This study also provides nurse leaders with evidence to support the continuation of the NHPPD staffing method. It also adds to evidence about the importance of nurse staffing to patient safety, evidence that must influence policy. Moreover, this study is one of the first to empirically review a specific nurse staffing method, based on an individual assessment of each ward to determine staffing requirements, rather than a “one-size-fits-all” approach.
Lawton, R., J. K. O'Hara, L. Sheard, C. Reynolds, K. Cocks, Gerry R. Armitage, and J. Wright. "Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes." 2015. http://hdl.handle.net/10454/9261.
Повний текст джерелаPatients have the potential to provide feedback on the safety of their care. Recently, tools have been developed that ask patients to provide feedback on those factors that are known to contribute to safety, therefore providing information that can be used proactively to manage safety in hospitals. The aim of this study was to investigate whether the safety information provided by patients is different from that provided by staff and whether it is related to safety outcomes. Data were collected from 33 hospital wards across 3 acute hospital Trusts in the UK. Staff on these wards were asked to complete the four outcome measures of the Hospital Survey of Patient Safety Culture, while patients were asked to complete the Patient Measure of Safety and the friends and family test. We also collated publicly reported safety outcome data for 'harm-free care' on each ward. This patient safety thermometer measure is used in the UK NHS to record the percentage of patients on a single day of each month on every ward who have received harm-free care (i.e. no pressure ulcers, falls, urinary tract infections and hospital acquired new venous thromboembolisms). These data were used to address questions about the relationship between measures and the extent to which patient and staff perceptions of safety predict safety outcomes. The friends and family test, a single item measure of patient experience was associated with patients' perceptions of safety, but was not associated with safety outcomes. Staff responses to the patient safety culture survey were not significantly correlated with patient responses to the patient measure of safety, but both independently predicted safety outcomes. The regression models showed that staff perceptions (adjusted r(2)=0.39) and patient perceptions (adjusted r(2)=0.30) of safety independently predicted safety outcomes. When entered together both measures accounted for 49% of the variance in safety outcomes (adjusted r(2)=0.49), suggesting that there is overlap but some unique variance is also explained by these two measures. Based on responses to the Patient Measure of Safety it was also possible to identify differences between the acute Hospital Trusts. The findings suggest that although the views of patients and staff predict some overlapping variance in patient safety outcomes, both also offer a unique perspective on patient safety, contributing independently to the prediction of safety outcomes. These findings suggest that feedback from patients about the safety of the care that they receive can be used, in addition to data from staff to drive safety improvements in healthcare. TRIAL REGISTRATION NUMBER: ISRCTN07689702.
Flabouris, Athanasios. "Medically staffed, out of hospital critical care patient transport (retrieval) services : performance, incidents and patient outcomes." 2008. http://hdl.handle.net/2440/59657.
Повний текст джерелаhttp://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1346925
Thesis (M.D.) - University of Adelaide, School of Medicine, 2008.
Wardle, Gavin John. "The Impact of Adverse Events on Hospital Outcomes and Sensitvity of Cost Estimates to Diagnostic Coding Variation." Thesis, 2010. http://hdl.handle.net/1807/24909.
Повний текст джерелаAssaye, Ashagre Molla. "Determinants of Nursing-Sensitive Patient Safety Outcomes Among Patients Admitted to Medical and Surgical Acute Care Settings in Ethiopia: A Mixed-Methods Study." Thesis, 2021. https://hdl.handle.net/2440/135137.
Повний текст джерелаThesis (Ph.D.) -- University of Adelaide, Adelaide Nursing School, 2021
Tsai, Rebecca Nika. "Implementation of electronic patient reported outcome measurement in a safety-net radiation oncology clinic: feasibility, initial quality of life outcomes, and social needs assessment." Thesis, 2020. https://hdl.handle.net/2144/42208.
Повний текст джерелаYu-Ting, Ku, and 辜昱婷. "An Exploration of Medical Staffs' Perception of Patient Safety Culture and its Relationship with Self-evaluative Hospital Patient Safety Outcome." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/90949948259502051353.
Повний текст джерела國立台北護理學院
醫護管理研究所
98
Objective: The purpose of this study was to examine the relationship between the perception of patient safety culture and hospital performance on patient safety by physicians and nurses, and to compare the differences of two regression models of these two professionals. Method: A correlation design was conducted by using questionnaire to collect data of 2,409 medical staffs from ten hospitals of North Region Alliance, Department of Health during August to September, 2008. The perception of patient safety culture, refer to independent variable, was measured by using a Chinese version of Hospital Survey On Patient Safety Culture, which was originally developed by the Agency for Healthcare Research and Quality in the United State. The hospital performance on patient safety, refer to dependent variable, was measured by the outcome item of Patient Safety Grade on the same questionnaire. Results: The responses rate of physicians and nurses were 57.68% and 84.94% respectively. There were some differences in patient safety culture scores between physicians and nurses. With multiple regression analysis, 32% of variance in hospital performance perceived by physicians accounted for by three dimensions of patient safety culture--Organizational Learning/Continuous Improvement, Feedback and Communication About Error, and Hospital Management Support for Patient Safety. In addition to above three dimensions, other four dimensions of patient safety culture perceived by nurses accounted for 32% of the variance in hospital performance, which included the predictors of Teamwork Within Units, Communication Openness, Teamwork Across Hospital Units, and Hospital Handoffs and Transitions. Two regression models had some different predictors. Conclusion: The predictor variables of two regression models were varied between two professionals. According to patient safety culture perceptions which valued by different professionals, health care organizations can provide applicable education of safety and establish appropriate reward-and-punishment mechanisms to update caring services and safety measures in the future.
Slater, B. L., R. Lawton, Gerry R. Armitage, J. Bibby, and J. Wright. "Training and action for patient safety: embedding interprofessional education for patient safety within an improvement methodology." 2012. http://hdl.handle.net/10454/7014.
Повний текст джерелаBolduc, Jolianne. "Évaluation des liens entre la composition des équipes de soins infirmiers et la qualité et sécurité des soins dans des unités de soins critiques." Thèse, 2018. http://hdl.handle.net/1866/21612.
Повний текст джерела