Patient Safety Information Research Articles

Introducing a systematic and sustainable patient safety oversight function in a U.K. arms-length healthcare body

Background The healthcare landscape is experiencing a profound period of change with accelerating developments in medical research, new treatments, care delivery and the use of innovative technology to meet the challenges of delivering care. These changes offer opportunities but as with all innovation, require careful management to reduce the likelihood of harm and error. Objective The National Institute for Health and Care Excellence (NICE) has set out to introduce an adaptable, sustainable and systematic patient safety oversight group to ensure that patient safety is embedded at an organisation level supporting the healthcare system to overcome challenges and deliver high quality care, safely implementing the latest innovations in a timely manner. Method The patient safety oversight group was established through a scoping exercise, led by the senior responsible officer and a small project team. The article sets out the methods used, including extensive internal engagement through structured interviews with senior leadership teams, purposive sampling, data synthesis and reporting. An overview of the group is given and considerations for promoting patient safety information flows and optimising the use of safety signal intelligence are made. Conclusion Through reflection on changing needs within and surrounding the organisation, along with patient safety and complexity literature, NICE has developed an adaptable, systematic and sustainable model for managing patient safety. In addition to generating learning within NICE, the process highlights opportunities for improvement within the patient safety system. Result NICE has developed an adaptable, systematic and sustainable model for managing patient safety.

Assessment of patient safety culture among healthcare providers in tertiary hospitals in Malaysia-A cross-sectional study.

Patient safety culture is crucial for every health care institution, as a lack of it may harm patients seeking treatment. The current study aimed to identify the level of safety culture and assess the knowledge, attitude, and perception of patient safety culture among healthcare providers (HCPs') in tertiary hospital settings. A cross-sectional study was conducted among HCPs from two private tertiary hospitals in Johor and Selangor. A structured validated questionnaire, including the Hospital Survey on Patient Safety Culture, was used to assess the level of patient safety culture in these hospitals. In this study, the calculated sample size was 320, and all 550 eligible participants from both hospitals were approached to participate. However, only 158 responded, resulting in a response rate of 49.38%. The majority of the HCPs (n = 110; 69%) rated their hospital as very good or excellent in maintaining an overall patient safety culture. The study revealed that communication about the errors (PRR = 80) and organizational learning and continuous improvement (PRR = 74) were good in their hospital settings. However, staffing and work pace (PRR = 28), response to errors (PRR = 40), reporting patient safety events (PRR = 48), and handoffs and information exchange (PRR = 39) were inadequate. These findings indicate the negative attitudes among HCPs and the need for further improvement to maintain a culture of patient safety. HCPs in the study settings had optimal knowledge but negative attitudes towards the culture of patient safety in their organization. Inadequate staffing, work pace, and a lack of response to mistakes were commonly observed, which may increase the chances of errors and pose health threats to patients that need to be addressed immediately. Every healthcare organization is urged to address the issue of patient safety culture as a matter of urgency.

Introduction of a Novel Patient Safety Advisory: Evaluation of Perceived Information With a Modified QPP Questionnaire-A Case-Control Study.

Adverse events (AEs) may result in serious injuries or death. AEs occur in approximately 9.2% of hospitalizations, with a potential preventability of 43.5%. The aim of this study was to examine whether use of an illustrated patient safety advisory affected information transfer to inpatients regarding how they can participate in their own care to decrease the risk of AEs. All patients in the control (n = 129) and case/intervention (n = 511) groups received verbal information from healthcare personnel. The intervention group also received the illustrated patient safety advisory, "Your safety at the hospital." Before discharge, patients completed the Quality from the Patient's Perspective questionnaire. Mean patient age was 64.6/62.4 years in the intervention/control group, respectively, and 50% were men. Significant differences between groups were observed for most questions presented from the perceived reality of care perspective, in favor to the intervention group. Patients at surgical wards indicated higher scores on 9 of 12 Quality from the Patient's Perspective questions. Patients with hospital stays ≥4 days, at surgical wards, and living with someone else, placed higher subjective importance to questions concerning, e.g., protection/infection, nutrition, risk of falls and pressure ulcers, and discharge information. Using an illustrated patient safety advisory to complement oral information about patient safety risks resulted in positive responses and a significant difference was demonstrated in how information is perceived. The safety advisory could be used as a tool to decrease AEs. Patients who live alone may need more focused patient safety information to encourage involvement in their own care.

A phase IV study to evaluate the safety of fruquintinib in Chinese patients in real-world clinical practice.

Fruquintinib is approved in China for patients with metastatic colorectal cancer (CRC) who progressed after 2 lines of chemotherapy. This postmarketing study was conducted to evaluate the safety of fruquintinib in the Chinese population, including previously treated patients with advanced CRC and other solid tumors. Patients in the first cycle of fruquintinib or expected to start fruquintinib within a week were enrolled. Fruquintinib was administrated according to the label or per physicians' discretion. Patient characteristics and safety information were collected at baseline, 1 month, and 6 months after consent (or 30 days after the last dose). Overall, 3005 patients enrolled between April 24, 2019 and September 27, 2022. All enrolled patients received at least one dose of fruquintinib. Most patients had metastases at baseline. The median age was 60 years. More than half (64.0%) of the patients started fruquintinib at 5 mg, and the median treatment exposure was 2.7 months. Nearly one-third (32.5%) of patients with CRC received fruquintinib with concomitant antineoplastic agents. Treatment-emergent adverse events (TEAEs) leading to dose modification were reported in 626 (20.8%) patients, and 469 (15.6%) patients experienced TEAEs leading to treatment discontinuation. The most common grade ≥ 3 TEAEs were hypertension (6.6%), palmar-plantar erythrodysesthesia syndrome (2.2%), and platelet count decreased (1.0%). Combination therapy did not lead to excessive toxicities. The safety profile of fruquintinib in the real world was generally consistent with that in clinical studies, and the incidence of TEAEs was numerically lower than known VEGF/VEGFR inhibitor-related AEs. Fruquintinib exhibited manageable safety and tolerability in Chinese patients in the real-world setting.

A content validity, reliability and quality analysis of peripheral intravenous catheterization videos on YouTube™.

YouTube™ has become a potential way to integrate technology into nursing curriculum and acquire skills. However, it is important to review the accuracy of the information contained in YouTube™. This study was conducted to evaluate the content validity, reliability and quality of YouTube™ videos on peripheral intravenous catheterization. In this descriptive study, videos were searched using the keyword 'Peripheral Venous Catheter'. The content validity, reliability and quality of the videos were evaluated using the 'Peripheral Intravenous Catheterization Insertion Skill Form', 'DISCERN Questionnaire', 'Global Quality Scale', respectively. These videos were categorized by their theme, upload source, technical features and analysed statistically. Of the 48 videos, 38 (79.2%) classified as an useful video, 24 (50%) were uploaded by medical educational platforms and 28 (58.3%) had an average technical feature. There was a statistically significant difference between the reliability, quality, content validity scores by the video theme (p < 0.05). The content validity, reliability and quality score of useful videos were higher than misleading videos. In addition, pairwise comparisons indicated that there was a statistically significant difference between the content validity, reliability and quality scores of Peripheral Intravenous Catheterization demonstrated on a person or a mannequin were higher than those applied with ultrasonography (p < 0.05). As a result of the reviewing of the videos, it was determined that these videos provided useful content. Despite this positive result, some videos provide risky information for patient safety due to issues such as ignoring the asepsis principles and not including proper Peripheral Intravenous Catheterization steps. It may be recommended to consider the Peripheral Intravenous Catheterization steps and patient safety principles in international guidelines in the preparation of videos showing the Peripheral Intravenous Catheterization insertion.

The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses

BackgroundAdverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of adverse events, and the relationship between them in Qazvin's hospitals in Iran.MethodsThe present study is a descriptive-analytical study conducted in six hospitals in Qazvin, Iran, in 2020. The study population was nurses working in Qazvin hospitals. We collected data via a patient safety culture questionnaire and an adverse event checklist. Three hundred sixty nurses completed questionnaires. Multiple logistic regression was used to investigate the relationship between variables.ResultsThe highest mean of patient safety culture was related to the organizational learning dimension (3.5, SD = .074) and feedback and communication about errors (3.4, SD = 0.82). The participants gave the lowest score to dimensions of exchanges and transfer of information (2.45,=0.86) and management support for patient safety (2.62,Sd = 0.65). Management's support for patient safety, general understanding of patient safety culture, teamwork within organizational units, communication and feedback on errors, staff issues, and information exchange and transfer were significant predictors of adverse events.ConclusionThis study confirms patient safety culture as a predictor of adverse events. Healthcare managers should provide the basis for improving the patient safety culture and reducing adverse events through methods such as encouraging the reporting of adverse events and also holding training courses for nurses.

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.

Many hospitals continue to use incident reporting systems as their primary patient safety data source. The information incident reporting systems collect on the frequency of harm to patients (adverse events) is generally of poor quality, and some incident types (e.g., diagnostic errors) are under-reported. Other methods of collecting patient safety information using medical record review, such as the Global Trigger Tool, have been developed. The aim of this study was to undertake a systematic review to empirically quantify the gap between the percentage of adverse events detected using the Global Trigger Tool to those that are also detected via incident reporting systems. The review was conducted in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Studies published in English, which collected adverse event data using the Global Trigger Tool and incident reporting systems, were included. In total, 14 studies met the inclusion criteria. All studies were undertaken in hospitals and were published between 2006 and 2022. The studies were conducted in six countries, mainly the United States (nine studies). Studies reviewed 22,589 medical records using the global trigger tool across 107 institutions finding 7,166 adverse events.The percentage of adverse events detected using the Global Trigger Tool that were also detected in corresponding incident reporting systems ranged from 0 to 37.4% with an average of 7.0% (SD 9.1; median 3.9, IQR 5.2). Twelve of the fourteen studies found less than 10% of the adverse events detected using the global trigger tool were also found in corresponding incident reporting systems. The greater than ten-fold gap between the detection rates of the Global Trigger Tool and incident reporting systems is strong evidence that the rate of adverse events collected in incident reporting systems in hospitals should not be used to measure or as a proxy for the level of safety of a hospital. Incident reporting systems should be recognised for their strengths which are to detect rare, serious and new incident types, and to enable analysis of contributing and contextual factors to develop preventive and corrective strategies.Health systems should use multiple patient safety data sources to prioritise interventions and promote a cycle of action and improvement based on data rather than merely just collecting and analysing information.

The evaluation of patient safety incident reporting at the Yogyakarta Gondomanan Health Center using the Health Matrix Network

Background: Based on patient safety incident data, the Ministry of Health, it is known that incident cases that occurred in the Special Region of Yogyakarta Province were 13.8%. Based on Patient safety’s policy in Indonesia namely PMK No. 11 of 2017 concerning patient safety states that every health service facility is required to have an information system that is used to improve patient safety, including the health center. The purpose of this study was to evaluate the use of the patient safety incident information system at the Gondomanan Health Center by using the Health Matrix Networks.&#x0D; Methode: This study uses a qualitative descriptive method with a case study design. Data collection used interview guidelines with 5 informants, namely the head of the health center, the patient safety team (1 doctor, 1 midwife, 1 nurse) and the dental polyclinic service coordinator (1 poly nurse). The sampling technique used purposive sampling.&#x0D; Result: There are 6 Health Matrix Network (HMN) tools that are used to measure the evaluation of patient safety information systems, namely information system resources, information system indicators, data sources, data management, CIS information products, and dissemination and use of SIK information. In terms of resource attributes or variables (policies, human resources, facilities and infrastructure and finance), health indicators, data sources, information products and the use of IKP reporting information are in accordance with the patient safety incident reporting guideline policy, and PMK No. 11 of 2017. Meanwhile, the attributes of data management and information products in the patient safety reporting information system have not been implemented optimally.&#x0D; Conclusion: The information system for reporting patient safety incidents at the Gondomanan Health Center requires improvement in procuring special SOPs for internal reporting of patient safety incidents which are part of the data management attributes.&#x0D; &#x0D;

Tablet-Based Wearable Patch Sensor Design for Continuous Cardiovascular System Monitoring in Postoperative Settings

Meticulous monitoring for cardiovascular systems is important for postoperative patients in postanesthesia or the intensive care unit. The continuous auscultation of heart and lung sounds can provide a valuable information for patient safety. Although numerous research projects have proposed the design of continuous cardiopulmonary monitoring devices, they primarily focused on the auscultation of heart and lung sounds and mostly served as screening tools. However, there is a lack of devices that could continuously display and monitor the derived cardiopulmonary parameters. This study presents a novel approach to address this need by proposing a bedside monitoring system that utilizes a lightweight and wearable patch sensor for continuous cardiovascular system monitoring. The heart and lung sounds were collected using a chest stethoscope and microphones, and a developed adaptive noise cancellation algorithm was implemented to remove the background noise corrupted with those sounds. Additionally, a short-distance ECG signal was acquired using electrodes and a high precision analog front end. A high-speed processing microcontroller was used to allow real-time data acquisition, processing, and display. A dedicated tablet-based software was developed to display the acquired signal waveforms and the processed cardiovascular parameters. A significant contribution of this work is the seamless integration of continuous auscultation and ECG signal acquisition, thereby enabling the real-time monitoring of cardiovascular parameters. The wearability and lightweight design of the system were achieved through the use of rigid–flex PCBs, which ensured patient comfort and ease of use. The system provides a high-quality signal acquisition and real-time monitoring of the cardiovascular parameters, thus proving its potential as a health monitoring tool.

The safety risk of information overload and bureaucracy in oncology clinical trial conduct

Performance of clinical trials has led to major therapeutic developments and substantial improvements in the field of medical oncology. To ensure patient's safety, regulatory aspects for proper clinical trial conduct have been increased over the past two decades but seem to cause information overload and ineffective bureaucracy, possibly even impacting patient safety. To put this in perspective, after the implementation of Directive 2001/20/EC in the European Union, a 90 per cent increase in trial launching time, a 25 per cent decrease in patient participation and a 98 per cent rise in administrative trial costs were reported. The time to initiate a clinical trial has increased from a few months to several years in the past three decades. Moreover, there is a serious risk that information overload with relatively unimportant data endangers the decision-making processes and distracts from essential patient safety information. It is now a critical moment in time to improve efficient clinical trial conduct for our future patients diagnosed with cancer. We are convinced that a reduction of the administrative regulations, information overload, and simplification of the procedures for trial conductance may improve patient safety. In this Current Perspective, we give insight in the current regulatory aspects of clinical research, evaluate the practical consequences of these regulations, and propose specific improvements for optimal clinical trial conduct.

Secure healthcare system with insurance processing using blockchain

Electronic health records provide details about the patient's medications and medical history records. Health information draws attackers' attention since it holds important records. The delivery of the wrong medication or operation is the outcome of the loss of electronic health records. Less security measures are provided by healthcare systems for patient safety information. With the support of particular hospitals, traditional digital health records (EHRs) manage medical information one patient record at a time, which leads to the uncomfortable exchange of records. Cloud-based EHRs are able to share information more easily than traditional EHRs. For cloud-based EHRs, however, a cloud service centre and key generation centre present a specific problem. The proposed effort focuses on developing a new EHR paradigm that can address the centralized issue with cloud-based EHRs. Applying emerging block chain technologies to EHRs is the solution (denoted as block chain-based EHRs for convenience). First, in a block chain scenario, specify the system paradigm of block chain-based EHRs. Additionally, the authentication problem can be crucial for EHRs. On the other hand, the present authentication procedures for block chain-based EHRs have security issues of their own. Additionally, a suggestion for a block chain-based EHR authentication technique is presented here. Our remedy is a collusion-resistant role-based signature system with many signatories that can fend off an attack. Additionally, the suggested method is presumably secure and offers more effective signature and verification processes than current authentication systems in the paradigm of random oracles. The recommended study also focuses on how patients file insurance claims. It helps people get insurance from the authorized insurance sector.

Communicating Patient Safety Information Through Video and Oral Formats-A Comparison.

One way to decrease adverse events is to increase patient participation in their own care. Sahlgrenska University Hospital has introduced a patient safety advisory, consisting of an animated video and structured oral information. This article investigates how the animated video and structured oral information regarding was perceived by the patients and determines which communication method the patients preferred. In this study, we compared patients' attitudes toward patient safety information delivered in video or oral format. Data were collected after intervention through a survey consisting of 5 questions. One hundred thirty-four patients were recruited to the study. Ninety-two patients either watched the video or received oral information. Forty-two patients were given both oral information and viewed the video. Information received by the patients was rated as good or very good by 90% of those viewing the video and by 100% who received the oral presentation ( P = 0.007). Of the 42 participants who received both formats, 74% preferred the oral presentation ( P < 0.001). The patients thought the patient safety information to be good and beneficial. An informative video can complement the oral information, but not replace, when informing patients about patient safety. Providing patients with information in a manner they prefer may increase patient's involvement in their care and possibly reduce the risk of adverse events.

Patients' experience of patient safety information and participation in care during a hospital stay.

Having a culture of safety is crucial when providing high-quality health care, yet preventable adverse events are common in the Swedish healthcare system, especially in the field of surgical care. Research shows that patient participation can improve patient safety. This study aimed to explore patients' experience of the safety leaflet, "Your safety in hospital," including participation in care and feelings of safe care. This study uses a descriptive qualitative study design. Twenty patients from surgical wards received patient safety leaflets and participated in semi-structured interviews during their hospital stay. Data were analysed using qualitative content analysis. Three categories emerged from the analysis: Positive and negative experiences of provided information, Experiences of participation in own care, and Feelings of being safe arising from a perception of good quality care. Most participants were satisfied with their participation in their care and felt safe during their hospital stay. Oral information about the safety leaflet from healthcare personnel was lacking.

Development of a Website for a Living Network Meta-analysis of Atopic Dermatitis Treatments Using a User-Centered Design: Multimethod Study.

A rapid expansion of systemic immunological treatment options for atopic dermatitis (AD) has created a need for clinically relevant and understandable comparative efficacy and safety information for patients and clinicians. Given the scarcity of head-to-head trials, network meta-analysis (NMA) is an alternative way to enable robust comparisons among treatment options; however, NMA results are often complex and difficult to directly implement in shared decision-making. The aim of this study is to develop a website that effectively presents the results of a living systematic review and NMA on AD treatments to patient and clinician users. We conducted a multimethod study using iterative feedback from adults with AD, adult caregivers of children with AD, dermatologists, and allergists within a user-centered design framework. We used questionnaires followed by workshops among patients and clinicians to develop and improve the website interface. Usability testing was done with a caregiver of a patient with eczema. Questionnaires were completed by 31 adults with AD or caregivers and 94 clinicians. Patients and caregivers felt it was very important to know about new treatments (20/31, 65%). Clinicians felt the lack of evidence-based comparisons between treatments was a barrier to care (55/93, 59%). "Avoiding dangerous side effects" was ranked as the most important priority for patients (weighted ranking 5.2/7, with higher ranking being more important), and "improving patients' overall symptoms" was the most important priority for clinicians (weighted ranking 5.0/6). A total of 4 patients and 7 clinicians participated in workshops; they appreciated visualizations of the NMA results and found the website valuable for comparing different treatments. The patients suggested changes to simplify the interface and clarify terminology related to comparative efficacy. The user in the usability testing found the website intuitive to navigate. We developed a website, "eczematherapies.com," with a user-centered design approach. Visualizations of NMA results enable users to compare treatments as part of their shared decision-making process.

Clinical studies of Atezolizumab contributing to FDA approvals

PD-1/PD-L1 pathway mediates human self-tolerance, but tumours can achieve immune resistance by usurping PD-1/PD-L1 pathway and inhibiting antitumor response in vivo. PD-L1 antibody is proved to enhance immune function in tumour tissue by blockade of PD-1/PD-L1 interaction. Genentech inc. developed MPDL3280A (atezolizumab), a humanized monoclonal PD-L1 antibody with reduced Fc effector function via a single amino acid substitution. PD-L1 antibody drugs generally have good curative effects and less adverse events comparing to PD-1 antibody drug, but there’re prerequisites such as PD-L1 expression and T cell infiltration in tumor tissues. PD-L1 won’t induce ideal antitumour activity in most of the cases lacking proper pathological conditions. This review aims at providing an overview for crucial clinical stages of atezolizumab before its approvals, as a reference for future development of atezolizumab or other PD-L1 antibodies development. Patient populations, methods, results and safety information of one basic phase I clinical trial and three specialized phase III clinical trials that has led to the three approvals of atezolizumab by FDA were summarized and stated briefly.

Leveraging a Safety Event Management System to Improve Organizational Learning and Safety Culture.

Safety event management systems (SEMS) are rich sources of patient safety information, which can be used to improve organizational safety culture. An ideal SEMS can accomplish this when the system is improved with the intention of increasing learning and engagement across the organization. To support a global aim of improving overall patient safety and becoming a highly reliable learning health system, focus was directed toward increasing event review and follow-up completion and using this information to drive resource allocation and improvement efforts. A new integrated SEMS was customized, tested, and implemented based on identified organizational need. Revised policies were developed to define expectations for event review and follow-up. The new SEMS incorporated a closed-loop communication process which ensured information from events was shared with the event submitters and facilitated shared learning. The expected impacts, improved event reporting, and follow-up were studied and guided ongoing improvements. After transitioning to a new SEMS, we experienced increased overall reporting by 8.6% and improved event follow-up, demonstrated by documentation on specified system forms, by 53.7%. By implementing a new, efficient, and standardized SEMS, which decentralized event management processes, the organization saw increased reporting and better engagement with patient safety event review and follow-up. Overall, these results demonstrated a stronger reporting culture, which allowed for local problem solving and improved learning from every event reported. A robust reporting culture positively impacted the overall organizational culture of safety.

Patient safety and health information technology conceptual framework

Health information technology (HIT) refers to the deployment of electronic systems health care professionals and patients use to store, share, and analyze health information to improve patient safety and outcomes. Some of the best practices to heighten HIT use include procuring and analyzing data, prioritizing interoperability, building dynamic content, accounting for evolving patient expectations, recognizing the human element, and respect for the patient as the health consumer. Providers should target patients with the appropriate HIT information that is tailored to their needs and circumstances. Thus, careful evaluation is required to ensure it meets the needs of the patients. In this paper, we describe the current state of electronic health records use in Canada along with a patient safety and technology conceptual framework. We use this framework and metal hypersensitivity, a medical device-related adverse event, to highlight how health information technology can be leveraged to create a learning health system and enhance patient safety.

Application of a standard communication system-based continuous home remote visit mode in the management of visits to severely burned patients in the post-pandemic era of coronavirus disease 2019

Objective: To observe the application effects of a standard communication system-based continuous home remote visit mode in the management of visits to severely burned patients in the post-pandemic era of coronavirus disease 2019 (hereinafter referred to as post-pandemic era). Methods: A retrospective cohort study was conducted. A total of 69 severely burned patients who met the inclusion criteria and were admitted to the First Affiliated Hospital of Army Medical University (the Third Military Medical University) from February to December, 2020 and their 69 family members were recruited into this study. According to the difference of visit model, 33 severely burned patients who were admitted into burn intensive care unit (BICU) from February to June, 2020 and received completely restricted visits according to the requirements for epidemic prevention and control and their corresponding 33 family members were included into conventional visit group; 36 severely burned patients who were admitted into BICU from July to December, 2020 and received the standard communication system-based continuous home remote visits and their 36 corresponding family members were recruited into remote visit group. The family members in conventional visit group could only communicate with the primary nurses by telephone, while the patients and family members in remote visit group could communicate with the primary nurses, responsible doctors, rehabilitation therapists, and nutrition therapists through WeChat video call. The survey results of general information questionnaire and Hamilton Anxiety Scale (HAMA) scores of two groups of patients and their family members at BICU admission of patients, HAMA scores of the two groups of patients and their family members in the second week of BICU admission and at discharge from BICU of patients, the scores of the Visiting Effect Evaluation Scale of the two groups of patients and their family members and the scores of Chinese version of Critical Care Family Satisfaction Survey (C-CCFSS) of the two groups of family members at discharge from BICU, and the scores of Satisfaction Survey and Evaluation Scale During Hospitalization of patients within the first week after the discharge of patients from BICU were compared. Data were statistically analyzed with chi-square test, Fisher's exact probability test, and Mann-Whitney U test. Results: In remote visit group, there were 29 males and 7 females in patients, aged 48 (34, 53) years, and 15 males and 21 females in family members, aged 45 (30, 48) years. In conventional visit group, there were 24 males and 9 females in patients, aged 49 (38, 54) years, and 9 males and 24 females in family members, aged 44 (35, 48) years. At BICU admission of patients, the HAMA scores of the two groups of patients and family members were both similar (P>0.05). The total HAMA scores of patients and family members in remote visit group were significantly lower than those in conventional visit group in the second week when the patients were admitted to BICU (Z=-3.195, -3.018, P<0.01) and discharged from BICU (Z=-2.118, -2.380, P<0.05). At discharge from BICU of patients, the scores of each dimension in Visiting Effect Evaluation Scale of the patients in the two groups were similar (P>0.05); while scores of 3 dimensions including patient safety information, diagnosis and treatment quality information, and psychological support information in Visiting Effect Evaluation Scale of family members in remote visit group were significantly higher than those in conventional visit group (Z=-2.372, -2.209, -2.174, P<0.05), and only the scores of visit perception of family members were close to those in conventional visit group (P>0.05). At discharge from BICU of patients, the C-CCFSS scores of the family members in remote visit group was 99 (98, 108), which were significantly higher than 98 (97, 100) in conventional visit group (Z=-2.545, P<0.05). Within the first week after the discharge of patients from BICU, the scores of Satisfaction Survey and Evaluation Scale During Hospitalization of patients in remote visit group were 99 (98, 100), which were significantly higher than 96 (94, 98) in conventional visit group (Z=-5.213, P<0.01). Conclusions: In the management of visits to severely burned patients in the post-pandemic era, application of the standard communication system-based continuous home remote visit mode can improve the visit effect and satisfaction, and effectively alleviate the anxiety of patients and their family members.

Keeping afloat in a sea of patient safety information: reform and patient views.

John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses some recently published reports on patient safety and health quality.

The impact of health information management professionals on patient safety: A systematic review

The importance of high-quality health information for patient safety has been established in the literature, yet the impact of the professionals who are the custodians of health information is absent. This article presents the results of a systematic literature review examining the impact of the Health Information Management (HIM) profession on patient safety. A PRISMA approach was adopted for the review of selected databases and specific journals. Titles identified as relating to HIM and patient quality were screened using Covidence ® by title and abstract, followed by full text. The quality of selected articles was assessed and thematically analysed. Analysis of the 8 included articles found that the key themes from the non-empirical research were data quality, information governance, corporate governance, skills and knowledge required for HIM professionals. Most publications focussed on HIM professional involvement in maintaining standards for data quality and health records, but not the professional qualifications themselves. There are links between patient safety and health records, and between health records and HIM professional work. More empirical research is needed to demonstrate how qualified HIM professionals contribute to patient safety.