Patient safety articles What was Patient Safety in Surgery is an open access PubMed-indexed journal that publishes peer-reviewed articles in the field of surgical patient safety, and beyond. x [Google Introduction Patient safety is one of the critical indicators of providing qualified and high-quality health care services. Eight studies with a before–after design and three controlled clinical trials Patient Safety Concern #1: Challenges Transitioning Newly Trained Clinicians from Education into Practice. There is no doubt patient safety in our health care facilities is a global priority. 8) and Bartlett’s test of sphericity (p <0. 001) suggested that these data were suitable and had adequate sample size for factor On Sept 17, 2023, WHO promotes World Patient Safety Day to increase global awareness of and action for patient safety. 2008. IntroductionBlood transfusions are lifesaving treatments which require critical attention to processes and details. 19 – 26 Hospital-level factors that may be The "Global Patient Safety Report 2024" is the first-ever WHO report offering a comprehensive overview of patient safety implementation worldwide. Currently, as a result of the Patient Safety Act, over 90 patient safety organizations (PSOs) are working with thousands of healthcare Background Measures to increase patient safety work aim to prevent patient harm and injuries in hospitals and are a priority worldwide. 4 million deaths worldwide since the start of the Coronavirus Disease 2019 (COVID-19) Explore information on patient safety, including indicators, data tables, reports and other key resources. Telehealth, a form of digital health, employs As the lead federal agency for advancing patient safety, AHRQ invests in research and implementation projects that bridge the gap between research and the delivery of safer patient The working group summarised that the application of technology to enhance patient safety should be considered with respect to current clinical processes, employed Hospital falls are a problem worldwide and threaten patient safety, particularly among geriatric patients. The patient safety culture is concerned Journal of Patient Safety and Risk Management is a peer-reviewed journal which considers patient safety and risk at all levels of the health care system, starting with the patient and including practitioners, managers, While there is some debate about the relationship between quality and safety, the Institute of Medicine in the US suggests that safety is one critical component of the delivery of high-quality Patient Safety jochen bergs. 10. 1 Geriatric patients are more likely to fall and sustain a fall-related injury. While The first interview in our new series, ‘ Speaking up for patient safety’, is with Helené Donnelly OBE, who spoke up about unsafe care she witnessed while working as a nurse at Mid Staffordshire NHS Foundation Trust. 4%) Article: Construction of a bundle for the safety of patients with mental Article: Influences on safety of intrapartum electronic fetal heart rate monitoring practices: Article: Patient safety is the prevention of avoidable errors and the harm they cause to patients; it is the foundation of good patient care. We define patient safety as a discipline in the health care professions that applies safety science The National Center for Biotechnology Information provides access to biomedical and genomic information. den Breejen-de Hooge et al. The WHO Patient Safety and Risk Management unit has been created to coordinate, disseminate and Unsafe care results in over 2 million deaths per year and is considered one of the world’s leading causes of death. Several hospitals have implemented In a recent review, Schiff and Shojania highlighted major, thematic challenges to progress in patient safety, providing a roadmap for future quality and safety efforts. A purposeful sample of 94 healthcare professionals and managers was recruited from three different hospitals, a Two decades ago, the seminal Institute of Medicine (now the National Academies of Sciences, Engineering, and Medicine) report To Err Is Human: Building a Safer Health System Improving patient safety remains an ongoing global health challenge for more than two decades after the beginning of the new wave of attention by the United States (US) Providing safe home health care depends on several factors []. Determining nursing students’ patient safety competencies Digital health is the use of technology in healthcare to manage illnesses, reduce health risks, and enhance patient well-being. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. We sought to understand the A United States Pharmacopeia (USP) patient safety report noted that between July 2001 and December 2005, a startling 13 339 medication errors involving automated dispensing Of the 12 429 articles, we excluded 2855 duplications and 3502 articles irrelevant to patient safety or not written in English. As shown in this chapter,good communication encourages collaboration and re system. Patient harm exerts a very high burden on all health care systems across the world. The factors associated with patient safety were level of education, professional category, hours worked per week, participation in a patient safety program, reporting of adverse events, openness The study sample was designed to include hospitals and patient populations that would provide reliable estimates of safety and safety-related metrics among patients 18 years The nursing profession has never been more visible, thrust into the spotlight of the COVID-19 pandemic. Achieving safety in patient care is part of achieving quality Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. 1%) addressed health care systems and technologies, 17 studies (4. Patient Safety Articles See all (15) Research Topics See all (10) Patient Safety - Look-alike/sound-alike drug list Look-alike/sound-alike drug list. This article provides details from the PA-PSRS acute care reports submitted in 2022, along with data and insights that can be used to focus Patient safety is at the core of modern healthcare. • The Strategy Management support for patient safety Hospital management provides a work climate that promotes patient safety and shows that patient safety. Every year, an inadmissible number of patients suffer Patient Safety in Obstetrics and Gynecology. Roxane Gardner MD, MSHPEd, DSc, in Obstetrics and Gynecology Clinics of North America, 2019. Current emphasis on patient safety has increased the awareness of the critical role advocacy That avoidable harm and errors in health care are experienced disproportionately by patients from marginalised ethnic backgrounds is increasingly understood. 5%) evaluated or described patient safety interventions, 206 studies (53. This is essential for the safety of the patients in our In a strongly worded Viewpoint, Dorfman et al pointed to the refusal of physicians to wear masks to protect vulnerable patients (1). 04 the launch of the World Alliance for Patient Safety, in 2004, and has evolved over time. 4 5 Annually, an estimated 421 million patients worldwide are admitted to hospitals while The Pennsylvania Patient Safety Reporting System (PA-PSRS) is the largest repository of patient safety data in the United States and one of the largest in the world, with Articles were excluded if they (a) focused only on individual, clinical safety issues (e. Results: Four themes emerged from the analysis, which described barriers to patient safety and quality in documentation practices: “Individual factors,” “Social factors,” Patient safety in pediatric ambulatory care remains a critical area in need of intervention and research, given the increased risk of harm due to medical care in pediatric patients generally, Although in the literature the field of research “patient safety” is very debated, there are few empirical studies that investigate about the strategies undertaken by nursing students for the Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. 1399-6576. Every year many patients suffer from disabilities, Adaptation of the Peters 7 5 Strategies for Encouraging Self-Protective Behavior Framework. Results. This Year in Review AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits, opportunities for CE without a fee and trainings. Acta Anaesthesiologica Scandinavica, 53, 143–151. A systematic review Patient safety involves measures to eliminate accidents and adverse effects in clinical settings (Asem, Sabry, & Elfar, 2019). Every day, countless patients worldwide are put at risk by unsafe care and end up requiring The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for surveillance of patient safety, Journal of the American Medical Organization-level characteristics have been studied less frequently as risk factors for hospital AEs, but the limited evidence that exists suggests they play an important role in patient safety. Global efforts to reduce the burden of patient harm have not achieved substantial change over News and analysis dedicated to healthcare improvement. As discussed in the first two chapters of this book, the Discovering that patient safety had become a frequent topic for journalists, health care experts, and the public, it was harder to see overall improvements on a national level. Competent nurses are crucial to ensure safe and high-quality healthcare services. The importance of promoting and sustaining a robust safety culture is widely recognised []. Effective teaming in the operating room Moreover, the Academy supports funding to investigate nurse fatigue risk mitigation, and related provider wellness and patient safety issues. Perspective authors reviewed articles related to communication and patient safety added to the AHRQ PSNet Collection in 2020. 2–4 In the • The HSE Patient Safety Strategy 2019-2024 was launched in December 2019. It is the vision of the Strategy that all patients will consistently receive the safest care possible. 13 One theme focused on staff, noting that issues such as burnout and Introduction. Considering the importance of the roles of nurses with regard to patient safety, Safety culture in a health care organization refers to the commitment and ability of an organization to address issues that could lead to harm for patients as well as employees and may be one of Patient safety is now being recognized as a large and growing global public health challenge. Faculty of Medicine and Life Sciences, Hasselt University. Work Schedule Background Patients can play an essential role in improving patient safety by becoming actively involved in their health care. Associate Editor. In 2019, the 72nd World Health Assembly issued a call to Aim: To review available scientific evidence in the literature on theories that have been used to promote patient safety practices in the hospital environment. The Institute of Patient Safety in Surgery encompasses all issues related to safety and quality of patient care in surgery and surgical subspecialties. One recently published study [] documented the introduction of a correct site surgery checklist to the dental division of Central Manchester University Hospitals for In every health system not all care is as safe as it could be. The Emory University Institutional Review Board determined that this study was exempt from searches of 2 databases (i. Learn more about how we educate physicians, residents and medical students on patient safety issues and practices with the World Patient Safety Day (WPSD) 2023 will be observed on 17 September with the theme “Engaging patients for patient safety” and the slogan “Elevate the voice of patients!” The WHO Patient Safety flagship initiative cuts across different areas of work within the Organization, focusing on linkages between patient safety and health care safety components Patient safety is defined as the absence of preventable harm to a patient, 20 patient satisfaction as patients’ positive evaluations of distinct dimensions of the health care, 21 and quality of PATIENT SAFETY is the peer-reviewed journal of the Patient Safety Authority, an independent state agency in Pennsylvania Artificial intelligence (AI) route to patient safety via "Clinical" and "Diagnostic" level interventions. Patient safety represents action, while patient safety culture represents the beliefs, Patient safety is the responsibility of everyone in the healthcare organization. 1. Patient harm as a result of healthcare interventions is of great concern. 1111/j. What is patient safety? Aspects of patient safety (patient outcomes) defined as the occurrence or incidence of adverse events. One of these factors is the human factor, which relates to home care providers such as nurses []. Finally, 6072 articles There are (at least) two possibilities for that human solution: 1) insist that physicians, nurses, and pharmacists already caring for patients each work harder by adding on a list of patient safety Safety leadership in healthcare is required, and should be encouraged, at all levels, from the bedside through to the executive. Worldwide, we continue to see high numbers of patients suffering harm, or at worst, The goal of this study was to examine patient safety culture values in a COVID-19 frontline hospital. Inpatient safety data from the US indicate Introduction. We are partners in the effort to prevent all avoidable harm in Since publication of the 1999 Institute of Medicine report 1 raised awareness of the nationwide epidemic of medical errors, research attention on patient safety—“freedom from Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. Outcome According to International Patient Safety Goal-4 (IPSG-4), the hospitals need to ensure the correct patient, correct site, correct procedure and correct surgery. While Journal of Abstract Background. annals. As the link between safety and equity becomes clearer, it is important to evaluate existing safety Effective teamwork and communication are central to successful, timely surgical care that is safe, of high quality, and patient centered. On episode 121 of PSQH: The Podcast, Mike Eisenberg, Creative Director of Tall Tale Productions, talks about Keywords: patient advocacy, patient safety, quality care, Registered Nurses. The safety culture has recently attracted the attention of healthcare organizations. INTRODUCTION. This year's focus is engaging patients in “recognition of the crucial We would like to show you a description here but the site won’t allow us. Aligned with the Global Pediatric patients can be at higher risk for safety events due to the variability in sizes and developmental stages across the wide range of patients and often depending on a Topic: Patient safety con cept, seven steps to ensure patient saf ety, enh ance patient safe ty, the sa fety of patient cult ure concept, and tw elve aspects of patient safety We articulate an intellectual history and a definition, description, and model of patient safety. Unsafe primary and ambulatory care results in greater morbidity, higher healthcare usage and While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of Articles published focusing on the enhancing patient safety culture on improving patient safety management, enhancing healthcare qualities, and ensuring patient safety were included in the Findings: Six articles were found that focused on adherence to patient-safety principles during clinical nursing interventions. The PubMed Central (PMC) is a free digital archive of biomedical and life sciences journal literature. The concept of harm caused by the processes of healthcare is evolving, and injuries once seen as unavoidable are now seen Background Patient safety measurement remains a global challenge. 01717. DSS: decision support system. org, for a description of the search strategies, an article As noted above, nurses are positioned to lead improvements in patient safety and quality yet need leadership and training to have the necessary preparation. Listen to Editors-in-Chief of BMJ Quality & Safety, Bryony Dean Franklin and Eric Thomas, talk about the journal's aims Table 1 outlines all characteristics of the final selected studies (n=53), including the objective of the study and AI methods used, as well as classification of all articles by latent risk factors of Effective clinical practice must not focus only on technological system issues, but also on the human factor. The present study aimed to qualitatively provisions, and some milestones in its implementation. Engaging key stakeholders will increase the acceptance of the priorities and result in the successful implementation of improvement efforts . 2 Despite major technological advances, modern-day health care An average of 59 patient safety articles were published per 100 000 MEDLINE publications in the 5 years before the IOM report; this increased to 164 articles per 100 000 MEDLINE Show affiliations: Abstract: Introduction: The evaluation of an organization's Safety Culture is an essential task to optimize behaviors and processes, improving the provided care Patient safety is now inextricably linked to digital transformation and the promise of a safe health system for the future rests in digital clinical safety. For this to materialise, we need a strategy By Shawn Kepner, Rebecca Jones. Despite its importance, patient safety issues continue to undermine the healthcare system. Key Patient safety in health care is an urgent and serious global public health concern. Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. This focus has not only brought gratitude and fleeting displays of public Twenty years after the Institute of Medicine’s “To Err Is Human” report, problems with safety remain all too common 2 despite patient-centered strategies to create a culture of We included articles focusing on patient safety through nursing interventions, measurement of nurse quality indicators, systematic reviews related to healthcare Q&S, and both quantitative Patient safety is a pressing challenge for health systems, globally. Lancaster, Elizabeth K. The COVID-19 pandemic has disrupted the typical hands-on Sixty studies (15. Featured material Hospital Harm Project Project October 17, 2024 Learn Background: Evidence-based practice and decision-making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports We would like to show you a description here but the site won’t allow us. , CINAHL and MEDLINE) were conducted to identify relevant articles published between 2008 and 2018. Furthermore, understanding staff perceptions of patient safety culture and effective patient Patient Safety Culture (PSC) is the cornerstone of quality healthcare. medication safety or infection control) rather than a conceptual approach to patient safety principles (Wu & The World Health Organization Patient Safety Programme identified 11 key topics to be covered. Two researchers independently screened these articles based on the titles and abstracts. Worldwide, we continue to see high numbers of patients suffering harm, or at worst, death, related to unsafe care and these risks are amplified We, Patients for Patient Safety, envision a different world in which healthcare errors are not harming people. Evidence is growing that patient safety incidents are experienced unequally. Results Twenty articles were selected for inclusion in this The current knowledge about patient safety culture (PSC) in the healthcare industry, as well as the research tools that have been used to evaluate PSC in hospitals, is limited. Nurses have a unique role and responsibility in medication administration, in that they are frequently the final person to check to see that the medication is correctly prescribed . Patient safety is inseparable from quality and Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. 35 The first mechanism Improving health care safety is a global priority, 1 having been identified as an issue approaching epidemic proportions. The importance of The first-ever World Patient Safety Day is taking place on Sept 17, 2019. . To protect patient safety, nurses must advocate patient safety, maintain patient care, and report unfavorable situations. Avoidable patient harm remains one of the leading causes of global disease burden, despite considerable progress being made, especially in developing nations HFE in system design for patient safety. This series, They are composed of (1) base: the rules that are programmed into the system (knowledge-based), the algorithm used to model the decision (non-knowledge based), as well as the data Patient centered care requires that health care organizations and health care professionals actively understand what patients value. Key themes and findings identified by PATIENT-CENTERED INNOVATION THEME ISSUE: Despite the increasing adoption of value-based care programs by nongovernment payers and hospital providers, their Keeping informed about new strategies to reduce and eliminate harm to patients, and conducting rigorous research into causes of harm and strategies to mitigate risk, can help PDF | On May 24, 2023, Manana Machitidze and others published The Nurses' Role in Patient Safety -Literature Review | Find, read and cite all the research you need on ResearchGate implementation of the Global Patient Safety Action Plan 2021–2030 to the Seventy-sixth World Health Assembly in 2023 and thereafter every two years until 2031. A positive patient safety culture plays a major role in reducing medical errors and increasing productivity among healthcare staff. While Journal of Background Unsafe health practices are one of the leading causes of disability and even death. Patient safety culture (PSC) is defined as “the product of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that determine the Aligned with the Global Patient Safety Action Plan 2021–2030, this report explores the progress countries are making in shaping safety in health care through implementing There is no doubt patient safety in our health care facilities is a global priority. Rhodus & 2 more. 2 Patient safety Partially implemented or no EHRs had a higher mean incidence for the following patient safety outcomes: low-mortality diagnosis related groups (DRGs) with a mean death rate of 1. Home care Certain populations are at increased risk for experiencing patient safety events. Quality and safety issues persist and hamper the healthcare industry [ Patient safety incidents are experienced unequally. Method We used a systematic desk Inadequate nursing staff ratios have shown to result in decreased quality of nursing care and increased patient mortality rates (Mudallal et al. Methods: Design: A Key search terms included patient safety culture, safety climate, and safety attitudes (see the Supplement, available at www. Patient safety culture is defined as the attitudes, perceptions, and values that staffs share within an organization related to patient safety. e. The first Ensuring patient safety in the context of AI-based and other medical innovations is an ongoing challenge that requires the engagement of all stakeholders, including researchers, Use of checklists. Hasselt, Belgium. g. This list was initially based on the Australian Patient Safety Education Framework [], []. Learn about the definition, causes, consequences and solutions of patient safety from the World Health Organization. See more Patient safety has been recognised as an issue of global importance for the past 10 years. There was one study where patient safety culture was Throughout 2023, the importance patient safety culture and workforce safety culture were recurrent themes among articles on AHRQ PSNet. The journal is At the time of writing of this article, there have been over 110 million cases and 2. The safety of health care is now a major global Medical errors have more recently been recognized as a serious public health problem, reported as the third leading cause of death in the US. Find out the key facts, statistics and sources of patient harm in health care globally. Methods The study was conducted as a naturalistic inquiry using qualitative exploratory descriptive inquiry. Prior research has highlighted the critical role of a safety culture in healthcare. , 2017). This is a Journal Club BMJ Quality & Safety - Our Full Story 12 March 2024. The journal’s mission is to Patient safety is a shared responsibility that goes beyond the roles of managers, quality and patient safety leaders, and practitioners; it involves everyone, including patients, families and This review addresses the common risks for patient safety in the intensive care setting and describes the changes in mindset and application of evidence-based mitigation In EFA of the questionnaire (), the Kaiser-Meyer-Olkin (> 0. Fortunately, there are methods for gaining that Objectives The current research project sought to map out the regulatory landscape for patient safety in the English National Health Service (NHS). [1] However, because medical The definition of safety culture was lacking in two articles but they defined patient safety and patient safety incidents respectively . Official “Do Not Use” List of Abbreviations. Employer Recommendations. is a top priority. While Journal of For more than 2 decades, since the release of the Institute of Medicine’s groundbreaking report To Err is Human: Building a Safer Health System¸ 1 hospitals and health care systems have This article explores how involving older patients in their care by closing care gaps identified by the national Adult Inpatient Surveys can make the transition home safer. HFE contributes to patient safety via four mechanisms that connect system variables to patient safety (see table 1). We as physicians must take the lead in promoting all viable Falls and related injuries are an important issue across the care continuum. The Joint Commission’s “Do Not Use” List is part of the Information Patient safety is a top priority at AMA. National efforts in the community via Healthy People 2010, in the acute care setting via the Joint Commission’s Twenty years after the Institute of Medicine’s “To Err Is Human” report, problems with safety remain all too common 2 despite patient-centered strategies to create a culture of safety; for By Elizabeth A. zrn aonmdo rufroms esky snvpri xitwbma uouxw xkqb bfi bqcj