Patient Safety In Wards Research Articles

The correlation between case-care method and patient safety in wards

Objectives: Patient safety is one of the principles of the health system that requires several matrices. Nurses, on the other hand, are the most influential group in the care of patients, which due to safety in nursing care will reduce accidents and injuries. Therefore, care methods can be a good way to implement patient safety guidelines. One of these methods is the Case-care Method that is utilized by the Ministry of Health. On the other hand, it is necessary to implement Nine patient safety solutions in health care centers. The purpose of this study was to determine the relationship between the case-care method and the implementation of Nine patient safety solutions. Methods: This study evaluated the relationship between the case-care method and the implementation of Nine patient safety solutions in Farhikhtegan, Bu Alim, Amir al Momenin Hospitals’ wards by using the standard checklists and data analyzed using correlation test and linear regression. Results: There was a significant correlation between the two variables and 31.4% of patient safety solutions were covered by Case-care Method. There was also a relationship between these two variables in the internal and intensive wards, but in the surgical ward, there was no significant relationship. Conclusion: The case-care method provides a foundation for nursing services such as patient safety and improving their quality. Therefore, to improve the patient's safety, it is necessary to use proper care methods base on the conditions of each ward.

Clinician-Driven Design of VitalPAD-An Intelligent Monitoring and Communication Device to Improve Patient Safety in the Intensive Care Unit.

The pediatric intensive care unit (ICU) is a complex environment, in which a multidisciplinary team of clinicians (registered nurses, respiratory therapists, and physicians) continually observe and evaluate patient information. Data are provided by multiple, and often physically separated sources, cognitive workload is high, and team communication can be challenging. Our aim is to combine information from multiple monitoring and therapeutic devices in a mobile application, the VitalPAD, to improve the efficiency of clinical decision-making, communication, and thereby patient safety. We observed individual ICU clinicians, multidisciplinary rounds, and handover procedures for 54 h to identify data needs, workflow, and existing cognitive aid use and limitations. A prototype was developed using an iterative participatory design approach; usability testing, including general and task-specific feedback, was obtained from 15 clinicians. Features included map overviews of the ICU showing clinician assignment, patient status, and respiratory support; patient vital signs; a photo-documentation option for arterial blood gas results; and team communication and reminder functions. Clinicians reported the prototype to be an intuitive display of vital parameters and relevant alerts and reminders, as well as a user-friendly communication tool. Future work includes implementation of a prototype, which will be evaluated under simulation and real-world conditions, with the aim of providing ICU staff with a monitoring device that will improve their daily work, communication, and decision-making capacity. Mobile monitoring of vital signs and therapy parameters might help improve patient safety in wards with single-patient rooms and likely has applications in many acute and critical care settings.

BEA-004 Taking a Lead in Ward Patient Safety

BackgroundThe pharmacist workforce is limited in terms of patient safety due to the ‘one pharmacist to every one hundred beds’ rule in Turkish state hospitals. Our hospital is being rebuilt,...