Degree Of Patient Safety Research Articles

Correlation analysis between patient safety culture factors and patient safety in neurosurgery departments

Reducing errors and adverse events associated with healthcare and guaranteeing high-quality care for patients must be considered the number one priority in any medical institution. The results of the correlations of patient safety culture factors that reflects the process of voluntary reflect events reporting with the degree of patient safety in neurosurgical departments in the Republic of Moldova are presented in the study. An international questionnaire developed in the USA and implemented in 107 countries was used. Questionnaires of 345 respondents collected in 6 hospitals were processed. The results of the influence of 12 variables of patient safety culture on the degree of patient safety are presented. The determining factors of the patient safety culture that positively or negatively influence the perception of the degree of patient safety in the hospital service were elucidated. The implementation of a system for reporting adverse events associated with medical care and the development of a culture of learning from errors would favourably influence patient safety.

Awareness of the culture of patient safety among medical staff in neurosurgery departments from Moldova

To improve outcomes for patients and prevent avoidable surgical errors, neurosurgeons must change the culture of patient safety. The purpose of the study was to explore the perception of Patient Safety Culture (PSC) and the factors influencing it among the staff in the neurosurgical departments from Republic of Moldova. Material and methods. A cross sectional study was conducted in neurosurgical departments using the Hospital Survey on Patient Safety Culture (HSOPSC). Descriptive statistics were carried out, comprised the Cronbach “α” coefficient, frequency of positive answers (PPRs), level of minimum and maximum of 95% confidential interval, F. Galton correlation coefficient, Kendall rank coefficient, Harrington scale. Results. Medical staff from neurosurgical departments from five hospitals voluntarily participated in the study n=345. Most of the respondents rated the patient’s safety grade as “excellent” and “very good”. The value of the frequency of positive responses to the dimensions of the survey varies between 37.3% (CI 95% [34.8-39.9]) (staffing) and 85.0% (CI.95% [83.1-86.9]) (teamwork within units). The dimensions with the highest score of the PPRs stand out: „teamwork within units”, „organizational learning- continuous improvement” and „supervisor/manager expectations and actions promoting patient safety”. Analyzing the effect of the influence of patient safety culture factors on the degree of patient safety appreciated by the staff, we notice that the dimensions with the greatest influence are “Feedback and Communication About Error”, “Teamwork Across Units”, “Management Support for Patient Safety”, “Handoffs and transitions”, “Communication openness”. We found significant correlations among patient safety culture composites with the degree of patient safety with differences in the strength of the correlation. Conclusions. The results reflected the positive attitude of the staff towards most composites of the patient safety culture. The study made it possible to highlight the strong and vulnerable points of the patient safety culture and the factors influencing the patient safety degree in neurosurgical departments from Moldova.

중소병원 간호사의 안전 동기, 상사 신뢰, 조직 의사소통 만족, 환자 안전 침묵이 근접 오류보고 의향에 미치는 영향

This study conducted to provide basic data on developing management and intervention strategies for improving near miss reporting in small and medium-sized hospitals by identifying the degree of willingness of nurses to report near miss and factors influencing their willingness to report such occurrences. The participants were 205 nurses. who were recruited from the 4 small and medium-sized hospitals with more than 200 beds in K-city, Gyeongnam Province. The structured questionnaire was self-administered from June 20 to July 20, 2019. Data were analyzed through the SPSS/WIN 24.0 program using descriptive statistics, Independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation coefficient, and stepwise multiple regression. According to the results of this study, The degree of participants’ willingness to report near miss was 73.41 out of 100 points. The degree of patient safety silence was 2.27 out of 5 points . The degree of the safety motivation was 3.22 out of 5 points . The degree of faith in supervisor was 4.01 out of 5 points . The degree of satisfaction with the organization's communication was 3.31 out of 5 points . The factor of patient safety motivation(β=.328, p<.001), patient safety silence(β=-.285, p<.001), and safety accident reporting procedure(β=.142, p=.021) were impact on the willingness to report the near-miss level of nurses. The total explanatory power accounted for 26.2%. In conclusion, factors that affect the willingness of nurses to report near misses in small and medium-sized hospitals were safety motivation, patient safety silence, and safety accident reporting procedures. Therefore, in order to increase the willingness of nurses to report near miss in small and medium-sized hospitals, safety incentives should be enhanced through patient safety education, and communication training programs for individuals. Moreover, organizations should be applied to reduce patient safety silence. Additionally, the reporting procedure should be clarified and simplified so that nurses in small and medium-sized hospitals understand w the safety accident reporting procedure well and can access it easily.

Hospital Survey on Patient Safety Culture in Dental Hospitals in the Twin cities, Pakistan

Objective: The purpose of our research is to evaluate the patient safety culture at Islamabad and Rawalpindi teaching hospitals. Materials and methods: A validated and slightly modified questionnaire was sent as a google forms link via WhatsApp and email to different teaching dental hospitals in the twin cities. The returned questionnaires were examined with IBM's statistical package for social sciences (version 22).). Results: 139 complete questionnaires were analyzed and results were calculated as average positive and average negative responses. Conclusion: This pilot study demonstrated that degree of patient safety in general in the Hospitals of Pakistan was acceptable. The number of incident reports were very low. Many participants also stated that the hospital is only concerned about patient safety after an unfavorable incident occurs., but they also reported that mistakes always lead to positive outcomes and the departments coordinate well with each other. Key words: Patient safety, incident reports, dental teaching hospital.

Assessment of patient safety culture among paramedical personnel at general and district hospitals, Fayoum Governorate, Egypt

BackgroundHealthcare is a high-risk industry that requires regular assessment of patient safety climate within healthcare organizations. This addresses the organizational cultural issues and explores the association between organizational climate and patient outcomes. This study aimed to assess patient safety culture among paramedical health employees at Fayoum general and district hospitals and to determine factors affecting their perception of patient safety.MethodsA descriptive cross-sectional study was conducted at the general hospital and four district hospitals in Fayoum Governorate, Egypt, among 479 paramedical healthcare workers. The standardized Hospital Patient Safety scale (HSOPSC) that composed of 12 safety culture dimensions was used.ResultsThe mean total safety score varies according to the participant’s position and work area. The total patient safety score was 46.56%. No dimension reported score above 75%. The highest mean composite scores were for organizational learning and continuous improvement (65.36%) and teamwork within hospital units (63.09%). The lowest reported score was for communication openness (17.9%). More perception of safety dimensions was seen in females than males, participants in direct contact with patients, and those with work experience less than 10 years.Conclusion and recommendationsOverall, the degree of patient safety is low at Fayoum public hospitals. No dimension scored above 75%, and 7 out of 12 dimensions scored less than 50%. Hence, continuous monitoring and updating of the ways of incident reporting is highly recommended. This may be done through setting up a web-based incident reporting system accessible for 24 h.

PATIENT EDUCATION AND ITS IMPORTANCE IN TERMS OF PATIENT SAFETY

Patient safety and prevention of medical errors in every stage of health services is among the priorities of health system. Measures taken for prevention of medical errors in patient safety, one of the most important in care quality for health services, are the basis of patient safety. Information, skill and behavior increasing the degree of patient safety and making learning from errors easier can be gained through both training of health professionals and patient. Today, patient education focused on accurate application of treatment aims firstly for providing patient and patient family with accurate decision ability on care and taking responsibilities. Patient education helps patient with learning and understanding of his/her diagnosis and treatment, gaining active self-care attitude, and getting rid of feeling “weakness” due to illness. This process, in which effective and observable changes in patient behaviors are aimed, is not limited to inpatient treatment, but continuous. Patient education is not limited to patient health, but also includes increasing health care quality. Patient’s healthcare expense get less and less proportionally as hospitalization time gets closer to end. Importance of patient education, financing of which is so profitable, increases more and more today.

Creation of Nutrition Support Centers of Excellence

In response to external pressures and events that threatened to adversely affect the field of bariatric surgery, the American Society for Metabolic and Bariatric Surgery created a mechanism for certifying surgeons and their facilities to guarantee that bariatric surgery would be performed with the greatest degree of patient safety. Those surgeons and facilities that satisfied the requirements were designated as Bariatric Surgery Centers of Excellence (BSCOE). That process involved creating an independent, not-for-profit corporation, establishing the best practice criteria for certification, and developing the mechanism for evaluating surgeons and programs. After the successful implementation of this program, the American College of Surgeons introduced a similar program, Bariatric Surgery Center Network. It was believed that implementing a BSCOE program in the field of bariatric surgery would counteract the forces threatening to reduce patient access to surgery. Although some of the predicted benefits have been realized, many have not. Additionally, the process has been shown to be costly in terms of labor and monetary expense. The field of nutrition support has many similarities to bariatric surgery. Although no acute crisis threatens to adversely affect the field, leaders are considering the creation of a similar credentialing program. The decision to proceed with the development of a Nutrition Support Center of Excellence should be made after significant discussion centered on the potential benefits and problems related to such a program. The BSCOE process can be used as a successful model. This article reviews the issues leading up to the creation of the BSCOE, describes its certification process, mentions some of the benefits, and offers recommendations for the consideration of an NSCOE program.

Outpatient treatment suite: a safe and cost-effective venue to perform myringotomy and tubes placement in children

Context: Otitis media (OM) is the most common reason that a child undergoes a general anesthetic, with the total costs of treating this disease exceeding five billion dollars annually. Concerns regarding the development of antibiotic-resistant organisms in response to medical treatment for OM have fueled the demand for surgical intervention. However, reimbursements are decreasing. Non-traditional settings for children requiring bilateral myringotomy and tube (BMT) placement for ear disease have the potential to offer the same degree of patient safety and improved efficiency but at lower cost. Objective: To develop a non-traditional setting for BMT surgery that is safe, cost effective, and well received by patients, families and staff. Design: Prospective design of an outpatient treatment suite (OTS) for BMT placement; prospective evaluation of safety and family satisfaction; analysis of costs. Setting: A 778 bed US urban area level one trauma center and teaching hospital, with a 2160 ft 2 electro-convulsive therapy suite that was underutilized and non-revenue generating on Tuesdays and Thursdays. Participants: A design task force of health care providers, administrators and operations personnel; 794 healthy children between the ages of 6 months to 16 years requiring BMT surgery; 100 families of patients. Main outcome measures: Financial comparison was made between the traditional operating room (OR) setting, the outpatient surgery center (SC) and the OTS comparing overhead and indirect costs to run each site. A prospective survey was conducted of 100 consecutive patients undergoing surgery between November 2000 and June 2001. The survey was conducted at the 2 weeks postoperative check and was composed of 18 questions divided into five sections, with a 5-point rating scheme, with one being very poor, and five being very good. Results: Designing a new treatment venue was successful because of teamwork and a willingness to think creatively. The OTS was found to be far more cost-effective than both the main OR and SC for BMTs. The contribution to margin for the SC was US$ 280 per case and for the main OR was US$ 2130 per case. By operating on 794 patients in OTS, the hospital was able to generate additional contribution to margin of US$ 197,100 when compared to the cost of performing these cases in the SC and US$ 1,499,500 when compared to performing all cases in the main OR. No adverse consequences were noted. Patient/Family satisfaction was also rated very high, with an overall rating of 4.85 and markedly reduced time in hospital. Conclusion: Operating rooms (ORs) today are busier than in years past, but revenues barely meet or in some cases fall below expenses due to insurers’ decreased reimbursement. This innovative approach to BMT placement has been shown to be safe and results in excellent family satisfaction, with a substantial contribution to margin. As over one million BMT cases are performed annually in the US, adoption of this approach nationally has the potential to markedly reduce the treatment costs of this common disease.