Implementation Of Patient Safety Research Articles

Implementing patient safety in practice

What do we mean by patient safety? How does this relate to what changes we can make in practice? The main goal is obviously to keep the patient safe. It involves systematically thinking about everything that the patient will experience. Patient safety should be directly related to quality and clinical effectiveness. Clinical governance can be used, which is a framework through which healthcare organisations are accountable for continuously improving the quality of their services and safeguarding high quality of care to assist in implementing patient safety in practices.

Analysis of factors that influence the implementation of patient safety by nurses in hospitals: Literature review

Analysis of factors that influence the implementation of patient safety by nurses in hospitals: Literature review

The Effect of Handover Training on Nurses' Communication Skills at Pembinaan Kesejahteraan Umat Muhammadiyah Surakarta

<p><em>Patient admissions help nurses identify service areas to improve patient safety Patient admissions help nurses identify service areas to improve patient safety. Effective communication between nurses and patients is very important in providing quality services. Inaccurate information can have a serious impact on patients, incidents are caused by poor communication, less than optimal communication. The aim of this research was to determine the effect of consideration training on nurses' communication skills in the inpatient room at the Surakarta Muhammadiyah Ummah Welfare Development Hospital. This research uses a preexperimental research method with one group pretest-posttest. The research sample was nurses who worked in inpatient rooms. Sampling was taken through purposive sampling, with the inclusion criteria of nurses with 1 year of work experience. The instruments used were a consideration and acceptance questionnaire adopted from Payne as well as a consideration and acceptance implementation checklist quoted from Parke & Mishkin. Data analysis used the Paired Sample-T test with a significance level of 5%, CI-95% confidence interval. The analysis results indicate that there is no significant difference in communication skills before and after the training (p=0.083). Handover training activities have no effect on nurses' communication skills, and they do not significantly improve the quality of nurses' communication abilities in the inpatient ward. Several things that can be recommended include a commitment to carry out considerations in the form of policies, direction and evaluation of the implementation of considerations, for the sake of continuity of nursing care which has an impact on increasing nurses' communication skills in implementing patient safety as well as adding samples to ensure sample representation in further research and optimize patient admission training by providing strict sanctions for nurses who do not carry out patient admission procedures</em></p><p><strong><em>Keywords: Communication, Handover, Nursing, Skills, Training</em></strong></p>

The Relationship Between The Implementation of Patient Safety and The Quality of Nursing Services at Purwokerto Islamic Hospital

Background : Patient safety in drug administration is still a top global health priority because patient safety has become the most important indicator in the health care system for good and bad patient health. The lower the implementation of patient safety in administering medication, the better the quality of nursing services will be. Research Objective: To determine the relationship between the implementation of patient safety in administering inpatient medication and the quality of nursing services at RSI Purwokerto. Method: Quantitative methods were used with a correlational descriptive design with a cross-sectional approach. The sampling technique was total sampling, totaling 90 respondents. Results: From this research, the results showed that there were 41 inpatient nurses (91.1%) who implemented patient safety in administering medication well, and 42 inpatient nurses (93.3%) who assessed the quality of nursing services at RSI Purwokerto as good . The results of the bivariate analysis showed that there was a significant relationship between the implementation of patient safety in administering medication and the quality of nursing services at RSI Purwokerto (p0.05). Conclusion: There is a relationship between the implementation of patient safety in inpatient medication administration and the quality of nursing services in hospitals.

The Relationship between Patient Safety Culture and The Level of Knowledge of Health Personnel with Compliance in Patient Identification Implementation in Hospital

The basic principle of health care in health institutions that continues to require quality improvement is patient safety. This study aims to analyze the relationship between patient safety culture and the level of knowledge of health workers with compliance with patient identification. This research is quantitative analytical with an observational approach. Data was collected on 70 respondents by observing patient identification compliance, patient safety culture questionnaires, and the level of knowledge of health workers regarding patient identification. Data were analyzed using correlation coefficient analysis. The results of the analysis show that there is a significant relationship between patient safety culture and level of knowledge and compliance with patient identification (p = 0.000 < 0.05). The findings of this study provide insight into the importance of patient safety culture and the level of knowledge of health workers in increasing their compliance in carrying out patient identification, especially in hospitals. This study suggests that management and related health workers should actively participate in implementing patient safety programs, especially those involved in patient identification, to achieve optimal patient safety outcomes.
 Keywords: Patient Safety Culture, Patient Identification, Hospital, Health personnel

Knowledge, attitudes, and practices toward Patient Safety among nurses in health centers

ObjectiveTo assess knowledge, attitudes, and practices (KAPs) toward patient safety among nurses working at primary and comprehensive health care centers in Jordan; to identify factors that predict KAPs among nurses.MethodsA descriptive cross-sectional design was conducted using a convenience sample of 307 primary health care nurses in Jordan. A self-reported questionnaire (KAPs) toward patient safety was distributed to the nurses between August 2022 and October 2022.ResultsThe results revealed that the mean score of knowledge was 9.51 out of 11 (SD = 1.35), the mean score of attitudes was 57.66 out of 75 (SD = 9.17), and the mean score of practices was 5.64 out of 8 (SD = 1.72). Where 59% of participants reported good knowledge about patient safety. 61% of participants reported positive attitudes toward patient safety. A significant regression equation was found (R² = 0.073, F= (2.94), p = 0 0.003). Age and having information on patient safety during continuing education were significant predictors of the attitude score (p ≤ 0.05).ConclusionIt is necessary to implement patient safety education programs and training.

Identify Patients Correctly in the Inpatient Ward of Aceh Government Hospital: Case Study

The impact of patient care errors has become a global concern. Hospitals must have a safety program to minimize the risk of unexpected events and improve patient safety. Unexpected events can occur due to errors in implementing patient safety objectives, including correct patient identification. Not confirming the patient's ID bracelet, not explaining the purpose of the service, and not using active communication are problems in unsafe patient responses. This case study aims to determine the implementation of correct patient identification in the Aceh Government Hospital inpatient ward. This case study is a quantitative study with a cross-sectional design. The sample was determined using a total sampling technique of 21 nurses. The data collection tool uses observation sheets to identify patients correctly based on standard operational procedures, and data analysis uses descriptive statistical tests. The results of this case study show that 66.7% of respondents have optimally identified patients by ensuring the ID bracelet is installed correctly, 57.2% of respondents have not optimally identified patients by introducing themselves to the patient, 95.2% of respondents have not optimally identified patients by using active communication, 81.0% of respondents had optimally identified patients by providing informed consent before nursing actions, and 85.7% of respondents had not optimally identified patients before nursing actions. The results of this case study show that respondents generally have not implemented patient identification correctly. As a result, it is hoped that first-line managers, as direct superiors of respondents, can carry out routine supervision and guidance and that the Hospital Patient Safety Committee can provide ongoing training regarding patient safety goals to improve patient safety in hospitals.

Nurses' Knowledge Of Patient Safety Incidents: Literature Review

Knowledge is a convention in forming an action in a nurse which greatly influences the performance of the nurse herself in implementing and carrying out actions for patient safety in the hospital. One of the ways in which the implementation of patient safety is to ensure that incidents that threaten patient safety do not occur or that there is the potential to result in injury to patients that should not occur. The aim of this literature review is to understand and describe the situation regarding nurses' knowledge of patient safety incidents. The review of this paper is the result of a literature study in the form of analysis using the systematic mapping study method through searches from Google Scholar which determined 6 national journals. The results of the study show that good nurse knowledge will influence the performance of nursing care which has an impact on patient safety incidents. The conclusion that can be drawn from this study is that there is a correlation between nurses' knowledge of patient safety incidents and commitment which is very necessary in efforts to build patient safety. Suggestion: it is hoped that we will not only research the relationship between knowledge and patient safety incidents but also nurses' compliance in implementing patient safety.

Barriers to implementing patient safety incident reporting and learning guidelines in specialised care units, KwaZulu-Natal: A qualitative study.

Globally, increased occurrences of patient safety incidents have become a public concern. The implementation of Patient safety incidents reporting and learning guidelines is fundamental to reducing preventable patient harm. To improve the implementation of these guidelines in specialised care units in KwaZulu-Natal, the views of healthcare professionals were unearthed. This study explores the healthcare professionals' views toward the implementation of Patient safety incident reporting and learning guidelines in specialised care units. A descriptive, explorative qualitative approach was used to collect qualitative data from healthcare professionals working in specialised care units. The study was conducted in specialised care units of three purposely selected public hospitals in two districts of KwaZulu-Natal. Group discussions and semi-structured interviews were conducted from August to October 2021. Content data analysis was performed using Tesch's method of analysis process. The main themes that emerged during data analysis were; ineffective reporting system affecting the communication of Patient safety incident guidelines, inadequate institutional and management support for the healthcare professionals, insufficient education and training of healthcare professionals, and poor human resources affecting the implementation of Patient Safety Incident guidelines. The findings highlighted that there were more major barriers to the implementation of the Patient safety incident reporting and learning guidelines. This study confirmed that the Patient safety incident reporting and learning guidelines are still not successfully implemented in the specialised care units and the barriers to implementation were highlighted. For rigorous implementation in South Africa, the study recommends revised Patient safety incident reporting and learning guidelines, designed in consultation with the frontline healthcare professionals. These must consist of standardised, simple- user-friendly reporting process as well as a better implementation strategy to guide the healthcare professionals. Continuous professional development programmes may play an important role in the facilitation of the implementation process.

KELENGKAPAN PENGISIAN BERKAS REKAM MEDIS PELAYANAN MEDIK RAWAT JALAN DAN PATIENT SAFETY DI RSGMP UMY

Background: health care givers are required to make the medical record and give priority to patient safety. The problems that often arise in medical record is charging charging medical record completeness and implementation of patient safety. The purpose of this research is to know the implementation and problems in charging medical record and patient safety that is run by koass at RSGMP UMY.
 Method: qualitative descriptive method. The subjects of the research koass in RSGMP UMY. Medical record file the research object 2013 as much as 367 medical record. Qualitative Data using descriptive statistics and coding interviews.
 Results: completeness of patient identity aspects 367 (100%) name, medical record number 338 (92,1%), place/date of birth and gender of 366 (99,7%). Increase of effective communication has not been fully carried out effectively. Improving drug safety needs to be policed for the right drug, right dose, right patient, right document 66 (68.7%) and timely and precise ways of administering 64 (66,7%). Exact location of certainty, right procedure, the right of patients to the operating date and time actions 320 (99.3%), anamnesa 322 results (100%), charging odontogram 169 (91,8%), 318 (98.7%) diagnostic, treatment action plan of 321 (99,7%), supporting and physical examination (94.5 per cent) of 120 and informed consent 71 (65,1%). Reduction of risk of infection related to medical services is already quite good but not completely orderly run.
 Summary: the completeness of charging medical record and implementation of patient safety in RSGMP UMY due to time limitations, the knowledge operator, not a supervisor and physician supervision.

ANALISIS BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL

Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area.
 Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul.
 Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.

Efektifitas Sosialisasi Supervisi 4S dalam Rangka Peningkatan Budaya Keselamatan Pasien

Healthcare facilities must adhere to patient safety principles to reduce the risk of harm. Prof. Dr. M.A. Hanafiah SM Batusangkar Hospital is among the healthcare providers in West Sumatra, necessitating endeavors to enhance and sustain service quality, especially regarding patient safety. The effectiveness of the patient safety culture depends on the 4 S supervision elements, including Structure, Skill, Support, and Sustainability. The 4S supervision model guides and aids nurses in advancing their skills related to patient safety. Survey findings at the hospital revealed that the promotion of 4S supervision was suboptimal, manifesting as nurses' limited grasp of the concept. On July 28-29, 2023, a structured socialization, education, and mentorship program was conducted for nursing executives and managers. The objective was to empower nurses to incorporate multilayered supervision into patient care and oversee the implementation of patient safety in inpatient, outpatient, and emergency room settings, aiming to enhance the patient safety culture.

Assessing patient safety implementation and its associate factors in a pediatric inpatient ward

BackgroundPatient safety is an emerging healthcare discipline with the ultimate goal of reducing errors and harm to patients by implementing quality health services. The provision of patient safety is complex and difficult to achieve. The purpose of this research was to assess patient safety in hospital pediatric inpatient care and factors affecting nurses implementing pediatric patient safety. MethodsThis cross-sectional study involved 80 nurses (male and female) at several private and public hospitals in Surabaya City. The research instruments used were secondary data on patient safety in hospital pediatric inpatient wards, hospital medical records, as well as questionnaires, and observations of the implementation of pediatric patient safety goals. Data were analyzed using multiple logistic regression. ResultsMost participants were female (71.3%), were over 45 years old (18%), and had more than 5 years of work experience in pediatric wards (76%). There were reportedly 145 patient safety incidents, consisting of 46% unexpected events (Kejadian Tidak Diharapkan), 48% nearly injurious events (Kejadian Nyaris Cedera), 6% potential injurious events (Kejadian Potensial Cedera), and 0% sentinel events. Multiple logistic regression analysis showed that nurses who work in less positive working settings are at higher risk of negative implementation of pediatric patient safety than those who work in positive working settings [AOR= 1.85 (95% CI 1.62-4.92)]. ConclusionThis study demonstrated that work setting and frequency of reported events were significantly associated with negative implementation of pediatric patient safety. Therefore, intervention is recommended to minimize unnecessary pediatric patient harm.

Masa Kerja, Motovasi Kerja dan Hubungannya Dengan Implementasi Patients Safety Pada Masa Pandemi Covid-19

The Covid-19 pandemic forces hospitals to make patient safety a priority in health services because patient safety is closely related to the quality and image of the hospital itself. The aim of this research is to determine the relationship between length of service and work motivation with the implementation of patient safety by nurses during the Covid-19 pandemic at Bhayangkara Tk III Tebing Tinggi Hospital. The research used a cross sectional design. The sampling technique uses total sampling. Data analysis used chi square. The results of the analysis show that the variables of work experience and work motivation have a p-value <0.05, which means there is a relationship with patient safety.

Factor Analysis of the Application of Patient Safety Target Targets The Risk of Falling in the Emergency Room of the Hospital

Patient safety is a program that aims to reduce the number of unexpected events. Patient safety has become a global issue for hospitals, a top priority to be implemented and is something that is much more important than just service efficiency, it is related to issues of quality and hospital image. Patient safety is a hospital service system that provides safer patient care, to prevent further injuries, namely by setting service standards related to creating an incident reporting system and follow-up. The aim of this research was to determine the relationship between age, education, training, infrastructure and knowledge of nurses on the implementation of patient safety on the risk of falls in the emergency room at Tenriawaru District Hospital. Bone. The research method is a cross sectional approach. In this study the population was nurses in the emergency room at Tenriawaru District Hospital Bone. The sampling technique used total sampling involving all 16 nurses as respondents, using the Chi-Square test. This research was conducted in October 2023

The relationship between clinical education and nursing students' patient safety competencies

Students play a crucial role in contributing to patient safety issues, a contribution that is significantly influenced by the implementation of clinical education. This study aimed to investigate the impact of clinical education on the achievement of patient safety goal competencies among nursing students. A cross-sectional study was conducted among 125 students in a nursing professional program at Sultan Agung Hospital in Semarang, Central Java, Indonesia. A total sampling technique was employed for sample recruitment. Data for the dependent variable were collected using an observation sheet, while data for the independent variable were collected using a structured questionnaire. Bivariate data analysis was performed using the Chi-square test. The bivariate analysis revealed a significant relationship between the implementation of clinical education and the achievement of patient safety goal competencies, with a p-value of 0.000 (p < 0.05) and a correlation coefficient of 0.609. The achievement of patient safety goal competencies can be facilitated through the implementation of optimal clinical education. Therefore, the implementation of clinical education must include a clinical education model based on the community of practice, making it easier for students to implement patient safety goals.

APLICATIVOS MÓVEIS PARA SEGURANÇA DO PACIENTE: REVISÃO DE ESCOPO

ABSTRACT Objective: to map scientific production related to patient safety applications. Method: scoping review based on the method proposed by the JBI and the recommendations of the Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Reviews. The search took place between February and March 2022 in six databases, gray literature and intellectual property registration offices. The review was conducted by peers. Results: a total of 28 studies were analyzed. The international goals most often covered by the software were the prevention of medication errors, safe surgery and efficient communication. The applications used different operating systems and mostly described the process of content selection and software architecture. The evaluation system used usability scales, before and after tests and clinical trials. Conclusion: the construction of healthcare applications, especially those aimed at implementing patient safety targets, is a broad field to be explored. It is necessary to strengthen the quality of the information offered and the involvement of a multi-professional team in its development. There are gaps in the methodological designs and a lack of legislation regulating aspects related to the quality and veracity of the information provided by the software. Research protocol registered in the Open Science Framework (https://osf.io/8b9pz/)

Patient safety as a public health problem

Patient safety is an essential component of quality healthcare, which is what the general population is constantly demanding worldwide. Consequently, ensuring quality healthcare should not be a matter of clinical interest only but a public health priority so that all actions planned or implemented may have an impact at all levels and ensure intersectoral support to help the population remain safe when seeking and receiving health services. The definition and implementation of patient safety are currently circumscribed to the institutional setting. This article aims to present data that can help put into perspective the existing gaps pertaining to patient safety definition and fields of action, and conclude that there is room to work in public health in order to close those gaps. This requires understanding the complexities of the interactions between determinants of harm outside the physical setting where care is provided. These include community-level work, incorporation of knowledge from other disciplines in order to account for coverage, access and health outcomes, design strategies to counteract the impact that the absence of effective patient and people safety measures have on the general population and, in particular, on people differentially affected by the social determinants of health.

The role of nurses in implementing patient safety in hospitals to achieve patient safety goals: Literature review

Patient safety is an action taken to minimize hazards during a patient's healthcare experience, particularly in hospitals. Patient safety can be described as a system in which hospitals implement improved nursing care processes. Objectives: To understand and analyze the role of nurses in implementing patient safety in hospitals to achieve the standards of patient safety goals. Methods: The article search was conducted through the PubMed, ScienceDirect, and Google Scholar databases using the keywords "patient safety" AND "nurse's role" OR "nurse" AND "hospital" AND "patient safety goals". The search yielded a total of 119 articles, but only 10 articles met the inclusion criteria. Result: A study conducted in 7 hospitals in Indonesia and other countries revealed several roles of nurses in implementing patient safety. The most commonly found role was nurses providing nursing care using the nursing process. Nurses also delivered optimal nursing care and services while ensuring equitable distribution of care. Additionally, nurses supported and advocated for the well-being of patients. Conclusion: The roles of nurses in implementing patient safety in hospitals can be grouped into three categories: care roles, education roles, advocacy roles, and collaboration roles.

정신건강의학과 환자안전사고 분석(2017-2021)

The study was undertaken to investigate the occurrence and risk levels of patient safety incidents in the mental health department of domestic medical institutions, aiming to provide essential data for formulating strategies to prevent such incidents in the future.
 The data for this study were collected nationwide from medical institutions accredited by the Korean Institute for Healthcare Accreditation, with a focus on patient safety statistics. A total of 521 cases from comprehensive and tertiary hospitals with more than 200 beds, classified under the department of mental health and psychiatry, were analyzed. Data analysis was performed using SPSS/WIN 27.0 software, encompassing descriptive statistics, cross-tabulation analysis, and binary logistic regression.
 The results showed that the number of patient safety incidents increased slightly in 2020 and 2021 compared to 2017. However, the level of harm caused by these incidents indicated a trend of increasing near misses and decreasing adverse events from 2017 to 2021. Comprehensive hospitals had a significantly higher proportion of adverse events in patient safety incidents compared to tertiary hospitals. The results of binary logistic regression analysis revealed that comprehensive hospitals had a 2.459 times higher risk of adverse events compared to tertiary hospitals. When comparing incident types, the risk of adverse events for falls was 10.677 times higher, and for suicide and self-harm events, it was 66.103 times higher compared to medication errors. Regarding age groups, the risk of adverse events for the 20-39 age group was 3.335 times higher compared to the 0-19 age group. For the 40-59 age group, the risk was 4.911 times higher for the 60-79 age group, it was 5.340 times higher, and for the 80 years and above age group, it was 4.027 times higher . The goodness of fit test for the final model indicated a good fit, and the model's explanatory power was 30.2%.
 Based on the study results, there is a need for a systematic analysis of nursing staff levels in comprehensive hospitals and their relationship with patient safety incidents and it is crucial to prioritize comprehensive hospitals when devising patient safety incident prevention measures in mental health. Suicide and self-harm prevention, and fall prevention strategies, should be considered as indispensable components. Furthermore, it is recommended to give priority to implementing patient safety incident prevention strategies for individuals aged 60-79 years of age.