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Dissertations / Theses on the topic 'Error for the patient safety'

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

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1

Hyatt, Rick D. "Nurse Perceptions: The Relationship Between Patient Safety Culture, Error Reporting and Patient Safety in U.S. Hospitals." Franklin University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=frank1607988520967849.

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2

Armitage, Gerry R. "The contributory factors in drug errors and their reporting." Thesis, University of Bradford, 2008. http://hdl.handle.net/10454/14783.

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The aim of this thesis is to examine the contributory factors in drug errors and their reporting so as to design an enhanced reporting scheme to improve the quality of reporting in an acute hospital trust. The related research questions are: 1. What are the contributory factors in drug errors? 2. How effective is the reporting of drug errors? 3. Can an enhanced reporting scheme, predicated on the analysis of local documentary and interview data, identify the contributory factors in drug errors and improve the quality of their reporting in an acute hospital trust? The study aim and research que

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3

Biquet, Jean-Marc. "Patient safety in medical humanitarian action : medical error prevention and management." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSE1038.

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La sécurité des patients est reconnue depuis une vingtaine comme un des éléments essentiels de la qualité des soins et est devenu une partie intégrante des systèmes de santé. Elle se déclinée en règlementations, outils et stratégies qui touchent tous les secteurs de la médecine. Aujourd’hui les recherches et applications de la sécurité des patients concernent surtout les systèmes de santé des pays les plus développés alors même que deux-tiers des incidents de sécurité estimés se produisent dans les pays à revenu faible ou moyen. Une phase exploratoire a permis de confirmer que la sécurité du p

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4

Söderberg, Johan. "Sources of preanalytical error in primary health care : implications for patient safety." Doctoral thesis, Umeå universitet, Klinisk kemi, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-21256.

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Background Venous blood tests constitute an important part in the diagnosis and treatment of patients. However, test results are often viewed as objective values rather than the end result of a complex process. This has clinical importance since most errors arise before the sample reaches the laboratory. Such preanalytical errors affect patient safety and are often due to human mistakes in the collection and handling of the sample. The preanalytical performance of venous blood testing in primary health care, where the majority of the patients contact with care occurs, has not previously been r

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5

Denny, Diane. "Medical Error Reporting and Patient Safety: An Exploration of Our Underreporting Dilemma." Diss., Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/427730.

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Business Administration/Interdisciplinary<br>Ph.D.<br>Studies suggest that the majority of hospital errors go unreported. Equally disturbing is that data surrounding near miss events that could have harmed patients has been found to be even sparser. At the core of any medical error reporting effort is a desire to obtain data that can be used to reduce the frequency of errors, reveal the cause of errors, and empower those involved in the healthcare delivery system with the insight required to design methods to prevent the flaws that allow mistakes to occur. Aligned with the adage that “we can’t

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6

Jenkins, James J. "Laboratory data and patient safety." Columbus, Ohio : Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1135271306.

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7

Wilson, Katherine Ann. "Does safety culture predict clinical outcomes?" Doctoral diss., University of Central Florida, 2007. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2919.

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Patient safety in healthcare has become a national objective. Healthcare organizations are striving to improve patient safety and have turned to high reliability organizations as those in which to model. One initiative taken on by healthcare is improving patient safety culture--shifting from one of a 'no harm, no foul' to a culture of learning that encourages the reporting of errors, even those in which patient harm does not occur. Lacking from the literature, however, is an understanding of how safety culture impacts outcomes. While there has been some research done in this area, and safety c

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8

D'Esmond, Lynn Berggren Knapp. "Distracted Practice and Patient Safety: The Healthcare Team Experience: A Dissertation." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsn_diss/41.

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Purpose: The purpose of this study was to explore the experiences of distracted practice across the healthcare team. Definition: Distracted practice is the diversion of a portion of available cognitive resources that may be needed to effectively perform/carry out the current activity. Background: Distracted practice is the result of individuals interacting with the healthcare team, the environment and technology in the performance of their jobs. The resultant behaviors can lead to error and affect patient safety. Methods: A qualitative descriptive (QD) approach was used that integrated observa

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9

Sims, Dana Elizabeth. "THE IMPACT OF INTRAORGANIZATIONAL TRUST AND LEARNING ORIENTED CLIMATE ON ERROR REPORTING." Doctoral diss., University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2247.

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Insight into opportunities for process improvement provides a competitive advantage through increases in organizational effectiveness and innovation As a result, it is important to understand the conditions under which employees are willing to communicate this information. This study examined the relationship between trust and psychological safety on the willingness to report errors in a medical setting. Trust and psychological safety were measured at the team and leader level. In addition, the moderating effect of a learning orientation climate at three levels of the organization (i.e., team

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10

Burke, Darlene M. "Enhancing the patient safety culture of ABSN students through instruction on medical error recovery." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3610403.

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<p> Attitudes toward patient safety are the foundation of patient safety culture. Nursing students begin to formulate their attitudes toward patient safety while in educational programs. Nursing faculty have been challenged in their efforts to enhance the patient safety culture of students because there is a lack of empirical evidence as to which teaching strategies positively affect student attitudes toward patient safety. The purpose of this study was to examine the relationship between a 50-minute teaching module based upon the concept of medical error recovery and 9 dimensions of patient s

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11

Monzani, Aline Aparecida Silva. ""A ponta do iceberg: o método de notificação de erros de medicação em um hospital geral privado no município de Campinas-SP"." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-16082006-223547/.

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Observações realizadas na prática de enfermagem indicam que erros na administração de medicamentos são passíveis de ocorrer e, de fato ocorrem. Como causas têm-se, entre outras, a sobrecarga de trabalho da equipe de enfermagem, o conhecimento insuficiente sobre os medicamentos, número elevado de medicamentos lançados no mercado anualmente, a qualidade das prescrições médicas, enfim, falhas no sistema de medicação de uma maneira geral. Uma forma de diminuir os erros de medicação é a sua notificação, o que permite o estudo das suas causas, podendo então preveni-los. Desta forma, este estudo foi

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12

Wheeler, Daniel Wren. "Weakened by strengths : drugs in solution, medication error and drug safety." Thesis, University of Oxford, 2008. http://ora.ox.ac.uk/objects/uuid:238087a5-120b-4a3d-9437-5840cecf8b6a.

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The concentrations of some drug solutions are often expressed as ratios or percentages. This system simplified prescription and dispensing when Imperial measures such as grains and minims were used. Ampoules of powerful vasoactive drugs such as catecholamines and potentially toxic local anaesthetics are still labelled as ratios and percentages, seemingly through habit or tradition than for any useful clinical reason. This thesis argues that adherence to this outdated system is confusing, causes drug administration errors, and puts patients at risk. Internet-based questionnaires were used to qu

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13

Cunningham, Thomas Raymond. "A comprehensive approach to preventing errors in a hospital setting: Organizational behavior management and patient safety." Diss., Virginia Tech, 2009. http://hdl.handle.net/10919/26279.

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Estimates of the number of U.S. deaths each year resulting from medical errors range from 44,000 (Institute of Medicine, 1999) to 195,000 (HealthGrades, 2004). Additionally, instances of medical harm are estimated to occur at a rate of approximately 15 million per year in the U.S., or about 40,000 per day (Institute for Healthcare Improvement, 2007). Although several organizational behavior management (OBM) intervention techniques have been used to improve particular behaviors related to patient safety, there remains a lack of patient-safety-focused behavioral interventions among healthcare w

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14

Echeverri, Ana Lucia Hincapie. "Relationship between Perceived Healthcare Quality and Patient Safety." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/283602.

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The objectives of this study were to examine the association between patient perceived healthcare quality and self-reported medical, medication, and laboratory errors using cross-sectional and cross-national questionnaire data from eleven countries. In this research, quality of care was measured by a multi-faceted construct, which adopted the patient's perspectives. Five separated quality of care scales were assessed: Access to Care, Continuity of care, Communication of Care, Care Coordination, and Provider's Respect for Patients' Preferences. The findings from this investigation support a nu

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Steyrer, Johannes, Michael Schiffinger, Huber Clemens, Andreas Valentin, and Guido Strunk. "Attitude is everything? The impact of workload, safety climate, and safety tools on medical errors: A study of intensive care units." Lippincott Williams & Wilkins, 2013. http://dx.doi.org/10.1097/HMR.0b013e318272935a.

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Background: Hospitals face an increasing pressure towards efficiency and cost reduction while ensuring patient safety. This warrants a closer examination of the trade-off between production and protection posited in the literature for a high-risk hospital setting (intensive care). Purposes: Based on extant literature and concepts on both safety management and organizational/safety culture, this study investigates to which extent production pressure (i.e., increased staff workload and capacity utilization) and safety culture (consisting of safety climate among staff and safety tools implemente

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16

Cunningham, Thomas R. "A Behavioral Evaluation of the Transition to Electronic Prescribing in a Hospital Setting." Thesis, Virginia Tech, 2006. http://hdl.handle.net/10919/31873.

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The impact of Computerized Physician Order Entry (CPOE) on the dependent variables of medication-order compliance and time to first dose of antibiotic was investigated in this quasi-experimental study of a naturally-occurring CPOE intervention. The impact of CPOE on compliance and time to first dose was assessed by comparing measures of these variables from the intervention site and a non-equivalent control before and during intervention phases. Medication orders placed using CPOE were significantly more compliant than paper-based medication orders (p<.001), and first doses of antibiotic ord

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17

Rasmussen, Erin M., and Erin M. Rasmussen. "Improving Patient Safety and Incident Reporting Through Use of the Incident Decision Tree." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626648.

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Background: Preventable medical error accounts for approximately 98,000 deaths in the hospital setting each year. A proposed solution to decreasing medical error encompasses the development of a culture of safety. Safety culture has been defined as a common set of values and beliefs that are shared by individuals within an organization that influence their actions and behaviors. In 2015, the safety culture of Registered Nurses (RN) and Patient Care Technicians (PCT) who regularly worked in the Intensive Care Unit (ICU) and Cardiovascular Intensive Care Unit (CVICU) at Flagstaff Medical Center

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18

Robinson, Mary Jane. "Diagnostic Medical Errors and Their Impact on Patient Safety." Thesis, Northcentral University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10787186.

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<p> The purpose for this qualitative research was to provide comparative data to determine if there was areas in need of improvement when it pertained to medical errors. Researchers have validated that initiating measures for continuous improvement would minimize error rates and benefit the clinicians and their patients. Patient safety was important and cause major concerns, therefore this research explored categories that influenced decision-making processes or conditions that causes deficit in reasoning, which could have an impact on cognitive abilities. Therefore, medical errors are a resea

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19

Ridelberg, Mikaela. "Towards safer care in Sweden? : Studies of influences on patient safety." Doctoral thesis, Linköpings universitet, Avdelningen för hälso- och sjukvårdsanalys, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-127307.

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Patient safety has progressed in 15 years from being a relatively insignificant issue to a position high on the agenda for health care providers, managers and policymakers as well as the general public. Sweden has seen increased national, regional and local patient safety efforts since 2011 when a new patient safety law was introduced and a four-year financial incentive plan was launched to encourage county councils to carry out specified measures and meet certain patient safety related criteria. However, little is known about what structures and processes contribute to improved patient safety

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20

Hilario, Grace. "Patient Safety Problems, Procedures, and Systems Associated with Safety Reporting and Turnover." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7103.

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Research has shown that 400,000 people die every year due to preventable medical errors. Medical error reporting and safety is a responsibility of all members of a health care organization. Creating an environment that addresses and prevents potential or actual safety problems can help reduce the incidence of medical errors made by nurses in the workplace. The purpose of this quantitative research study was to determine if nurses' perceptions of safety problems and error-preventing procedures and systems affected their comfort in reporting safety problems and intent to leave. High-reliability

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21

Ledger-Scott, Margaret. "Improving patient safety by reducing the risk of prescribing errors." Thesis, University of Sunderland, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517871.

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22

Hagiwara, Magnus. "Development and Evaluation of a Computerised Decision Support System for use in pre-hospital care." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-23781.

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The aim of the thesis was to develop and evaluate a Computerised Decision Support System (CDSS) for use in pre-hospital care. The thesis was guided by a theoretical framework for developing and evaluating a complex intervention. The four studies used different designs and methods. The first study was a systematic review of randomised controlled trials. The second and the last studies had experimental and quasi-experimental designs, where the CDSS was evaluated in a simulation setting and in a clinical setting. The third study included in the thesis had a qualitative case study design. The main

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23

Marshall, Trisha L. M. D. "Diagnostic Learning Opportunities: Increasing Physician Reporting of Suspected Diagnostic Errors." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1592171499312483.

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Durand, Marcus L. "The evaluation of methods for the prospective patient safety hazard analysis of ward-based oxygen therapy." Thesis, Cranfield University, 2009. http://dspace.lib.cranfield.ac.uk/handle/1826/4480.

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When even seemingly benign and routine processes fail in healthcare, people sometimes die. The profound effect on the patient’s families and the healthcare staff involved is clear (Vincent and Coulter, 2002), while further consequences are felt by the institution involved, both financially and by damage to reputation. The trend in healthcare for learning through experience of adverse events is no longer a viable philosophy (Department of Health,Sir Ian Carruthers OBE and Pauline Philip, 2006). In order to make progress towards preventative learning, three Prospective Hazard Analysis (PHA) meth

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25

Richter, Jason. "Organizational Factors of Safety Culture Associated with Perceived Success in Patient Handoffs, Error Reporting, and Central Line-Associated Bloodstream Infections." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1372867558.

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Olsson, Åsa. "Sjuksköterskors uppfattningar om avvikelser och avvikelserapportering inom vården : en kvalitativ studie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-176926.

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Syfte: Att undersöka sjuksköterskors uppfattningar om avvikelser i vården och om bakomliggande orsaker till dessa samt inställningar till avvikelserapportering och -hantering. Studien syftade även till att undersöka uppfattningar om hur nyanställda sjuksköterskor påverkas av rådande inställningar till detta på en vårdavdelning. Metod: Kvalitativ metod med explorativ design. Bekvämlighetsurval tillämpades och data samlades in med hjälp av semistrukturerade intervjuer med sex sjuksköterskor från en medicinsk vårdavdelning på ett svenskt universitetssjukhus. Dataanalysen genomfördes med fenomenog

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27

Sousa, Fernanda Raphael Escobar Gimenes de. "A segurança de pacientes na terapêutica medicamentosa e a influência da prescrição médica. Análise da administração de medicamentos em unidades de clínica médica." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-13112007-155334/.

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Eventos adversos aos medicamentos e erros de medicação são muito comuns na prática assistencial e podem ocorrer em qualquer etapa do processo da terapia medicamentosa, contribuindo com a ocorrência de iatrogenias nos pacientes devido ao uso incorreto dos medicamentos ou a sua omissão. Neste contexto, encontramse as prescrições médicas que têm papel ímpar na prevenção do erro, uma vez que prescrições ambíguas, ilegíveis ou incompletas podem contribuir com a ocorrência destes eventos. Esta investigação teve o propósito de analisar a redação de prescrições médicas em unidades de clínica médica de

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28

Gray, Michael David Thomas Robert Evans. "Data mining medication administration incident data to identify opportunities for improving patient safety." Auburn, Ala., 2009. http://hdl.handle.net/10415/1998.

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Sarac, Cakil. "The Association Between Organizational Culture And Individual Factors On Medical Practice." Master's thesis, METU, 2007. http://etd.lib.metu.edu.tr/upload/12608501/index.pdf.

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The aim of the present research was to investigate the relationships between patient safety culture within hospitals and individual factors on medical practice among physicians. A total of 240 physicians from ten different hospitals completed the Medical Practice Questionnaire, Hospital Survey on Patient Safety Culture, Maslach Burnout Inventory and Eysenck Personality Questionnaire Revised- Abbreviated Form. In order to assess frequency and types of medical errors, Medical Practice Questionnaire was developed by the author. Factor analysis of this Questionnaire demonstrated the existence of f

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Dempsey, Jared. "Speaking up for safety : examining factors which influence nurses' motivation to mitigate patient risk by challenging colleagues in situations of potential medical error." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=166094.

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Research suggests that individuals in the workplace might have a difficulty sharing their perceptions of risk and challenging unsafe behaviours. This thesis utilises The Theory of Planned Behaviour to examine which factors promote or hinder healthcare workers’ willingness to speak up and confront clinicians’ risky behaviours that could lead to medical error and hence endanger patient safety. The Theory of Planned Behaviour addresses issues surrounding intentions garnered from explicitly measured variables; in addition the thesis further sought to identify attitudes to speaking up using an impl

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Pereira, Francisco Gilberto Fernandes. "Erros de medicaÃÃo antibacteriana e a interface com a seguranÃa do paciente." Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=15092.

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nÃo hÃ<br>A seguranÃa relacionada ao sistema de medicaÃÃo tem sido objeto de pesquisas recentes, principalmente, em relaÃÃo aos antibacterianos que possuem alta especificidade farmacolÃgica e podem ter sua aÃÃo prejudicada em detrimento de erros associados Ãs fases de preparo e administraÃÃo. Assim, o estudo teve como objetivo geral: Analisar os fatores comportamentais e ambientais envolvidos na ocorrÃncia de erros durante as etapas de preparo de administraÃÃo de antibacterianos. Trata-se de um estudo observacional, exploratÃrio e transversal, de natureza quantitativa, realizado entre agosto a

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Doyle, Mary Davis. "Impact of the Bar Code Medication Administration (BCMA) System on Medication Administration Errors." Diss., Tucson, Arizona : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1093%5F1%5Fm.pdf&type=application/pdf.

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Star, Kristina. "Safety of Medication in Paediatrics." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-197323.

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Background: In paediatrics, the limited documentation to guide medication, the lack of suitable dosage forms, and the continuous development in childhood present a scenario where safety of medication is a particular challenge. Aim: To explore reported adverse drug reactions (ADRs) and the challenges in prescribing and administering medicines in paediatrics, in order to identify and suggest areas needing international surveillance within medication safety and improvement in the clinical setting. Methods: Four exploratory studies were conducted. Worldwide reporting of suspected ADRs (individual

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Schnoor, Jörg, Christina Rogalski, Roberto Frontini, Nils Engelmann, and Christoph-Eckhardt Heyde. "Case report of a medication error by look-alike packaging." Universitätsbibliothek Leipzig, 2015. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-162688.

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Background: The acronym LASA (look-alike sound-alike) denotes the problem of confusing similar- looking and/or sounding drugs accidentally. The most common causes of medication error jeopardizing patient safety are LASA as well as high workload. Case presentation: A critical incident report of medication errors of opioids for postoperative analgesia by lookalike packaging highlights the LASA aspects in everyday scenarios. A change to a generic brand of medication saved costs of up to 16% per annum. Consequently, confusion of medication incidents occurred due to the similar appearance of the ne

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Bertilsson, Sara, and Sanna Engman. "Sjuksköterskors erfarenheter av hinder vid avvikelserapportering : En allmän litteraturstudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-43461.

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Avvikelserapportering är en viktig del i sjuksköterskors arbete för att upptäcka brister inom verksamheten som kunnat medföra vårdskada och onödigt lidande för patienten. Trots regler och riktlinjer kring avvikelserapportering beslutar sjuksköterskor vid vissa tillfällen att inte rapportera en avvikelse. Syftet med litteraturstudien var att beskriva sjuksköterskors erfarenheter av hinder vid avvikelserapportering. En allmän litteraturstudie genomfördes med tio vetenskapliga artiklar med kvalitativ ansats. Därefter sammanställdes insamlade data genom innehållsanalys. För att beskriva sjuksköter

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Fabri, Peter J. "The validation of a methodology for assessing the impact of hybrid simulation training in the minimization of adverse outcomes in surgery." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002085.

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Miller, Kristi, Lisa Haddad, and Kenneth D. Phillips. "Educational Strategies for Reducing Medication Errors Committed by Student Nurses: A Literature Review." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/ijhse/vol3/iss1/2.

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Medication errors cause harm, yet most of them are preventable (Institute of Medicine, 2006). Nurses spend 40% of their time administering medications; therefore they play a key role in the reduction of medication errors. Little empirical evidence has been collected about the effectiveness of nursing education in reducing medication errors committed by nursing students. Traditional educational interventions focus on the five rights of medication administration; however, the literature shows that interventions focused on instilling a culture of safety have a greater impact on reducing medicatio

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Luz, Glaucia Ranquine. "Erro de medicação: a visão do enfermeiro neonatologista." Universidade do Estado do Rio de Janeiro, 2014. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=6681.

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O manejo da terapia medicamentosa em unidade de terapia intensiva neonatal é complexo e agrega inúmeras drogas. Nesse sentido, manter a atenção ao preparar e administrar corretamente os medicamentos é fundamental em todo o período de assistência ao recém-nascido. Portanto, faz-se necessário que os enfermeiros tenham o entendimento acerca do conceito do erro com medicação, para que possa identificá-lo, bem como os fatores contribuintes para sua ocorrência. Diante do exposto, esta pesquisa teve como objetivos: analisar o entendimento dos enfermeiros neonatologistas sobre o conceito do erro de m

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Åberg, Fredrik. "Det värsta som kan hända : en studie om lex Maria-anmälda felexpedieringar på svenska apotek." Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-68920.

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Det har gjorts forskning kring felexpedieringar på apotek, om deras typer, bakomliggande orsaker och potentiella åtgärder mot dem. En svensk författning, kallad lex Maria, säger att alla händelser som orsakat eller hade kunnat orsaka allvarliga vårdskador skall utredas av vårdgivaren och anmälas till Inspektionen för vård och omsorg (IVO). IVO tar ett beslut i ärendet, som tillsammans med händelsen sammanfattas i ett särskilt beslutsdokument. Syftet med detta examensarbete var att undersöka vilka kategorier av felexpedieringar av läkemedel och andra produkter på apotek som kan leda till allvar

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Pukk, Härenstam Karin. "Learning from patient injury claims : an assessment of the potential of patient injury claims to a safety information system in healthcare /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-153-1/.

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Solti, Imre. "Influence of Organizational, Operational, Financial AndEnvironmental Factors on Hospitals' Adoption of Computerized Physician Order Entry Systems for Improving Patient Safety: A Resource Dependence Approach." VCU Scholars Compass, 2006. https://scholarscompass.vcu.edu/etd/1283.

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This study examines specific organizational, operational, financial and environmental characteristics to identify factors that are associated with increased likelihood of hospitals' CPOE adoption decision in six rollout regions of the Leapfrog initiatives.Resource dependence theory provides theoretical basis for the study. The study is retrospective observational in design. Individual hospitals are the unit of analysis. The Leapfrog Group's 2002-survey collection serves the primary data source. Univariate statistical methods along with bivariate and ordinal logistic regression models are used

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Rudström, Håkan. "Iatrogenic Vascular Injuries." Doctoral thesis, Uppsala universitet, Kärlkirurgi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-194346.

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Iatrogenic vascular injuries (IVIs) and injuries associated with vascular surgery can cause severe morbidity and death. The aims of this thesis were to study those injuries in the Swedish vascular registry (Swedvasc), the Swedish medical injury insurance where insurance claims are registered, the Population and Cause of death registries, and in patient records, in order to explore preventive strategies. Among 87 IVIs during varicose vein surgery 43 were venous, mostly causing bleeding in the groin. Among 44 arterial injuries, only 1/3 were detected intraoperatively. Accidental arterial strippi

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Serracant, Barrera Anna. "Errors en cirurgia general. Puntuació i detecció dels errors més rellevants. Pla d’actuació per a disminuir-ne la incidència." Doctoral thesis, Universitat Autònoma de Barcelona, 2018. http://hdl.handle.net/10803/666731.

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INTRODUCCIÓ: La seguretat del pacient està a l’orde del dia. Part d’aquesta es basa en aconseguir un sistema sanitari el més absent possible d’efectes adversos evitables (EA evitables), que són aquells secundaris a errors assistencials. Una de les metodologies establertes com a eina per promocionar la seguretat dels pacients és a través de l’existència de recollides d’efectes adversos (EA) o incidents i d’errors assistencials. A dia d’avui, manca un registre establert i estandarditzat, a nivell mundial, per a tal efecte. MATERIAL I MÈTODES: El treball de tesis doctoral presentat és dut

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Skaria, Rinku Saju. "Medical Errors in the Operating Room Attributable to Communication Breakdown and its Effects on Patient Safety." Thesis, The University of Arizona, 2014. http://hdl.handle.net/10150/321958.

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Roque, Rúben Rodrigues. "Erros pré-analíticos em anatomia patológica: prevalência, caracterização e consequências para a segurança do doente." Master's thesis, Escola Nacional de Saúde Pública. Universidade Nova de Lisboa, 2013. http://hdl.handle.net/10362/11270.

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RESUMO - A literatura disponível revela que a maioria dos erros relacionados com os exames anatomopatológicos ocorre na fase pré-analítica. Existem alguns estudos que quantificam e caracterizam estes erros mas, não foram encontrados artigos publicados sobre o tema em hospitais portugueses. Foi objetivo deste estudo determinar qual a prevalência e características dos erros pré-analíticos em amostras anatomopatológicas e as suas consequências para a segurança do doente. Analisaram-se 10574 casos de exames anatomopatológicos, de cinco hospitais da região de Lisboa e Vale do Tejo. Os serviços de

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Oliveira, Junior Maurício Lauro de. "Segurança do paciente: análise da adequação da prescrição em um hospital de ensino em relação ao protocolo do Ministério da Saúde." Niterói, 2017. https://app.uff.br/riuff/handle/1/5004.

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Submitted by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-10-26T11:46:46Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇAO MAURICIO OLIVEIRA JUNIOR.pdf: 1023259 bytes, checksum: 4ed2457b73e6102347a2ed9685dc851c (MD5)<br>Approved for entry into archive by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-10-26T11:47:08Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇAO MAURICIO OLIVEIRA JUNIOR.pdf: 1023259 bytes, checksum: 4ed2457b73e6102347a2ed9685dc851c (MD5)<br>Made available in

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Fusco, Lori A. "Medication Safety Competence of Undergraduate Nursing Students." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=casednp158558798038964.

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Gallo, Paula Furquim. "Tecnologia em saúde e segurança na administração de medicamentos em pacientes hospitalizados: uma revisão integrativa." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-08032016-153622/.

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Eventos Adversos (EA) são recorrentes nas instituições de saúde e incluem os erros de administração de medicamentos, que podem acontecer nas mais diversas fases do processo dessa administração, da prescrição ao monitoramento do paciente. Atualmente, busca-se pela diminuição de danos desnecessários a um nível mínimo dentro dos limites aceitáveis por meio de ferramentas tecnológicas. Frente ao exposto objetivou-se buscar e analisar as evidências científicas, disponíveis na literatura nacional e internacional, a respeito do uso da tecnologia na segurança dos pacientes hospitalizados, consid

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Aldhwaihi, Khaled Abdulrahman. "Types and contributing factors of dispensing errors in hospital pharmacies." Thesis, University of Hertfordshire, 2015. http://hdl.handle.net/2299/17119.

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Background: Dispensing medication is a chain of multiple stages, and any error during the dispensing process may cause potential or actual risk for the patient. Few research studies have investigated the nature and contributory factors associated with dispensing errors in hospital pharmacies. Aim: To determine the nature and severity of dispensing errors reported in the hospital pharmacies at King Saud Medical City (KSMC) hospital in Saudi Arabia, and at Luton and Dunstable University Hospital (L&D) NHS Foundation Trust in the UK; and to explore the pharmacy staff perceptions of contributory f

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Cosic, Matea, and Albulena Uka. "Läkemedelshanteringsprocessen : Inom äldreomsorgen hos Socialförvaltningen." Thesis, Tekniska Högskolan, Högskolan i Jönköping, JTH, Industriell organisation och produktion, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-31736.

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Purpose The purpose of this study is to conduct a survey of the Process of Drug Management in elderly care from when a drug is prescribed to when it is discarded. The purpose also includes to investigate how the various activities are linked to each other and to identify errors for the patient safety. In order to fulfil the purpose, two issues have been formulated: 1. What activities are currently in the Process of Drug Management in elderly care? 2. What deviations can occur in the Process of Drug Management and can be errors for the patient safety? Method In order to fulfil the purpose, a ca

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