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Arries, Ebin J. "Patient safety and quality in healthcare." Nursing Ethics 21, no. 1 (January 29, 2014): 3–5. http://dx.doi.org/10.1177/0969733013509042.
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Slavinska, Andreta, Evita Grigorovica, Karina Palkova, Nora Jansone-Ratinika, Matiss Silis, Oļegs Sabeļņikovs, and Aigars Pētersons. "SKILLS MONITORING IN HEALTHCARE STUDIES – FOR PATIENT SAFETY AND HEALTHCARE QUALITY." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 1 (May 28, 2021): 611–30. http://dx.doi.org/10.17770/sie2021vol1.6448.
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The competence of healthcare professionals is crucial in ensuring patient safety and the quality of healthcare. Skills are one of the most important aspects of competence, but often health care employers, when assessing the readiness of young professionals, point out that the ability to implement skills in a real work environment are unclear, insufficient and even inadequate.The paradigm shift in education intends bringing skills to the foreground. In order to promote skills management, Rīga Stradiņš University (RSU) already in 2016 started work on the institutional level project “Skills Monitoring System” (hereinafter - SMS), focusing primarily on work and profession specific skills in the field of health care studies.Visible and demonstrable monitoring of skills in education is an innovation. The aim of this article is to analyze and reflect the coherence of the RSU Skills Monitoring System concept with the current principles of education policy development, legal framework and basic principles of higher education pedagogy in skills acquisition and evaluation in health care education, as well as to evaluate the initial results of the newly developed system.In order to achieve the goal, an interdisciplinary, qualitative study was conducted, where analytical and descriptive, inductive, deductive and synthesis research and legal (translation) norm methods were implemented, as well as interviews to evaluate initial results.The results of the research show that the components and solutions included in SMS have been developed in accordance with the legal framework and the main educational guidelines, in accordance with the theoretical concepts of pedagogy. An education approach based on simulation integrated in the acquisition of skills allows to systematically evaluate the amount and quality of theoretical knowledge, to determine the actual level of abilities and to predict the quality of performance and compliance with the real work environment. The management of skills acquisition in Higher Education Institutions should be supported and promoted from the point of view of educators, employees and sectoral professional associations and employers.
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Shah, Mairaj, and Shagufta Perveen. "STATE OF HEALTHCARE QUALITY AND PATIENT SAFETY IN PAKISTAN." Pakistan Journal of Public Health 6, no. 4 (December 1, 2016): 1–4. http://dx.doi.org/10.32413/pjph.v6i4.3.
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Many low and middle income countries have developed their own national accreditation standards and accreditation systems for regulating and improving the quality of healthcare services. Healthcare quality is deï¬ned as the degree to which health services to individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge. This paper attempts to assess the state of Pakistan's healthcare quality and patient safety in a structured way using Donabedian's model. Some of the key speciï¬c challenges identiï¬ed for Pakistan's healthcare quality initiatives are lack of national healthcare accreditation system and integrated national guidelines, policies and procedures on healthcare quality and patient safety. Lack of national quality care indicators. Absence of an organizational culture that holds people accountable and lack of pre-service and in-service training for health staff in quality care management and leadership with little contextual research on quality care initiatives. Possible ways to improve the state of health care quality in Pakistan may include (i) up gradation and implementation of policies and procedures that regulate quality and patient safety issues in healthcare settings across the country (ii) introduction of a national healthcare accreditation programme across the nation (iii) development of networks and consortia between public and private sectors in Pakistan (iv) capacity building of health care professionals in quality and patient safety (v) Formulation of quality improvement teams at national and provincial level (vi) development of a culture of accountability and ownership (vii) learning from experiences of other countries and implementation quality care tools and locally validated indicators.
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Fatima, Taqdees, Shahab Alam Malik, and Asma Shabbir. "Hospital healthcare service quality, patient satisfaction and loyalty." International Journal of Quality & Reliability Management 35, no. 6 (June 4, 2018): 1195–214. http://dx.doi.org/10.1108/ijqrm-02-2017-0031.
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Purpose The purpose of this paper is to explain the patients’ views towards private healthcare service providers. The study focussed on hospital service quality and analysed the relative significance of quality measurements in anticipating the patients’ satisfaction and loyalty. The mediating role of patient satisfaction is assessed between quality of hospital healthcare services and patient loyalty. Design/methodology/approach A total 611 patients (both indoor and outdoor) participated in a questionnaire survey from the six private hospitals of capital city, Islamabad, Pakistan. Data were analysed through descriptive statistics, common method variance, reliability, correlation and regression in order to investigate customer perceived service quality and how the quality of services stimulates loyalty intentions towards private service suppliers. Findings Findings depict that private healthcare service providers are attempting to deliver well improved healthcare services to their customers. Results confirmed that better quality of healthcare services inclines to build satisfaction and loyalty among patients. The healthcare service quality aspects (i.e. physical environment, customer-friendly environment, responsiveness, communication, privacy and safety) are positively related with patient loyalty which is mediated through patient satisfaction. Practical implications Findings will help the hospital managers to articulate effective strategies in order to ensure superior quality of healthcare services to patients. The study will induce hospital management to deliver attentions towards the quality of private healthcare service systems and improvements towards the deficient healthcare services. Furthermore, the study will present a clear picture of patient’s behavioural attitudes; satisfaction and loyalty intentions towards the quality of healthcare services. Originality/value The study provides the views and perceptions of patients towards the quality of healthcare services. The healthcare service quality dimensions, i.e., physical environment, customer-friendly environment, responsiveness, communication, and privacy and safety were assessed. Hospital healthcare service quality was examined in order to find out its effect on patient satisfaction and patient loyalty.
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Carayon, Pascale. "Sociotechnical systems approach to healthcare quality and patient safety." Work 41 (2012): 3850–54. http://dx.doi.org/10.3233/wor-2012-0091-3850.
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Mohiuddin, AK. "Framework for Patient Safety." INNOVATIONS in pharmacy 10, no. 1 (February 7, 2019): 6. http://dx.doi.org/10.24926/iip.v10i1.1637.
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A commitment on quality objectives is a crucial element of quality policy in HROs, such as hospitals and other healthcare institutions. The quality of care includes objectives related to effectiveness, efficiency, and a patient’s experience. Healthcare organizations are also aware of the importance of promoting safety practices and the resiliency analysis of the clinical practice in order to improve quality. Patient Safety Culture has been defined as the product of individual and group values, attitudes, competencies, and patterns of behavior that determines their commitment, style, and proficiency with the organization’s health and safety programs. The safety culture of a health center offers an indirect means for its involvement in quality. Poor involvement of professionals in safety has negative consequences for patients. Envisioning the future of patient safety is more than an academic exercise. Appealing visions can help channel human energies, set new directions, and open the doors to alternative approaches. An outside observer is struck by three characteristics that are very different from the culture of the early 21st century: a deep sense of individual and institutional accountability for safety, an emphasis on fairness and transparency, and pervasive collaboration and teamwork based on mutual respect. Speaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up. However, good insight into the relationship between managers' behavior and employees' perceptions about whether speaking up is safe and worthwhile is still lacking. The evaluation should cover the following areas in both instruments: strategy (inquiry on their commitment to the quality and safety strategy, indicators’ feedback, and risks maps), support systems for clinical decisions (digital record algorithms to make decisions and for accessibility to patient clinical information), equipment (adequacy), follow-up (availability of tests when needed), person-centered care (respect of patients’ values and preferences), evidence-based practice (practices in accordance with guidelines), delays (on scheduled tests, surgery, and outpatient care), and cost-effective treatments (adequacy).
Article Type: Commentary
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Santa, Ricardo, Silvio Borrero, Mario Ferrer, and Daniela Gherissi. "Fostering a healthcare sector quality and safety culture." International Journal of Health Care Quality Assurance 31, no. 7 (August 13, 2018): 796–809. http://dx.doi.org/10.1108/ijhcqa-06-2017-0108.
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Purpose Quality issues, increasing patient expectations and unsatisfactory media reports are driving patient safety concerns. Developing a quality and safety culture (QSC) is, therefore, crucial for patient and staff welfare, and should be a priority for service providers and policy makers. The purpose of this paper is to identify the most important QSC drivers, and thus propose appropriate operational actions for Saudi Arabian hospital managers and for managers in healthcare institutions worldwide. Design/methodology/approach Quantitative data from 417 questionnaires were analyzed using structural equation modeling. Respondents were selected from various hospitals and managerial positions at a national level. Findings Findings suggest that error feedback (FAE) and communication quality (QC) have a strong role fostering or enhancing QSC. Findings also show that fearing potential punitive responses to mistakes made on the job, hospital staff are reluctant to report errors. Practical implications To achieve a healthcare QSC, managers need to implement preemptive or corrective actions aimed at ensuring prompt and relevant feedback about errors, ensure clear and open communication and focus on continuously improving systems and processes rather than on failures related to individual performance. Originality/value This paper adds value to national healthcare, as Saudi study results are probably generalizable to other healthcare systems throughout the world.
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Deliverska, Mariela, and Andrey Kehayov. "Improving patient safety and quality of healthcare through prevention of healthcare associated infections." Journal of Medical and Dental Practice 3, no. 2 (November 4, 2016): 480–83. http://dx.doi.org/10.18044/medinform.201632.480.
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Percival, Alison. "Healthcare Quality Improvement Partnership." Bulletin of the Royal College of Surgeons of England 90, no. 10 (November 1, 2008): 351. http://dx.doi.org/10.1308/147363508x371787.
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The white paper, Trust, Assurance and Safety, called for clinical audit to be revitalised. In response, in April 2008 the Department of Health appointed the Healthcare Quality Improvement Partnership (HQIP) to manage the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and to support local clinical audit activity. HQIP is led by a consortium of the Academy of Medical Royal Colleges, the Royal College of Nursing and the Long-term Conditions Alliance. Its purpose is to promote better health care by providing support and advice to those responsible for managing quality improvement work.
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Hannawa, Annegret F., Brian H. Spitzberg, Marcia D. Childress, Richard Frankel, Julius C. Pham, and Albert W. Wu. "Communication science lessons for patient safety and quality care." Journal of Patient Safety and Risk Management 25, no. 5 (October 2020): 197–204. http://dx.doi.org/10.1177/2516043520926424.
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At a time when patient-centered care is a goal and patient safety is a paramount concern across the spectrum of health care, renewed and rigorous attention to interpersonal communication skills makes good sense. In this interdisciplinary article, we share lessons from communication science that can help clinicians communicate more appropriately and effectively with each other and with their patients in healthcare encounters.
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Turk, Eva, Stephen Leyshon, and Morten Pytte. "Patient Safety in Cross-border Care." Medicine, Law & Society 8, no. 1 (October 15, 2015): 77–83. http://dx.doi.org/10.18690/8.77-83(2015).
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Patient safety is a right and it raises particular issues in the context of cross-border care. Patients should be able to have trust and confidence in the healthcare structure as a whole; they must be protected from the harm caused by poorly functioning health systems, medical errors and adverse events. This paper addresses the state of cross-border healthcare in the European Union, the state of patient safety, the question of quality assurance and the role of accreditation as a risk based approach.
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Taneda, Kenichiro. "How to Improve Patient Safety and Quality as Healthcare Team." Nihon Naika Gakkai Zasshi 100, no. 1 (2011): 226–35. http://dx.doi.org/10.2169/naika.100.226.
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Tingle, John. "Improving patient safety and healthcare quality: examples of good practice." British Journal of Nursing 26, no. 14 (July 27, 2017): 828–29. http://dx.doi.org/10.12968/bjon.2017.26.14.828.
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Wilson, Cheri C. "Patient Safety and Healthcare Quality: The Case for Language Access." International Journal of Health Policy and Management 1, no. 4 (2013): 251–53. http://dx.doi.org/10.15171/ijhpm.2013.53.
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Benson, Heidi. "Chaos and Complexity: Applications for Healthcare Quality and Patient Safety." Journal For Healthcare Quality 27, no. 5 (September 2005): 4–10. http://dx.doi.org/10.1111/j.1945-1474.2005.tb00571.x.
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Carayon, Pascale, Tosha B. Wetterneck, A. Joy Rivera-Rodriguez, Ann Schoofs Hundt, Peter Hoonakker, Richard Holden, and Ayse P. Gurses. "Human factors systems approach to healthcare quality and patient safety." Applied Ergonomics 45, no. 1 (January 2014): 14–25. http://dx.doi.org/10.1016/j.apergo.2013.04.023.
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Pilarska, Anna, Agnieszka Zimmermann, Kamila Piątkowska, and Tomasz Jabłoński. "Patient Safety Culture in EU Legislation." Healthcare 8, no. 4 (October 19, 2020): 410. http://dx.doi.org/10.3390/healthcare8040410.
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Patient safety means a condition in which a patient does not suffer any unnecessary actual harm, nor is exposed to any potential harm related to healthcare. The World Health Organization’s recognition of patient safety, as one of the most important factors in determining high quality healthcare, initiated the systematic introduction of changes in the approach to this issue, both globally and on the level of individual healthcare service providers. In order to enhance the quality and ensure the safety of healthcare services provided, national, European Union, and worldwide institutions focus on the introduction of a so-called patient safety culture. The creation of this safety culture would not be possible without the establishment of its legal framework. The purpose of this article is to shed light on the legislative achievements of the European Union within patient safety, taking into consideration acts that summarize the level of implementation of individual recommendations. This study can be useful both for those who focus their scientific interests on the subject of patient safety and those who need concise information on the legislative measures of the Community in this respect, as well as for medical personnel who want to become acquainted with this issue without reading comprehensive legal acts.
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Al-Sayedahmed, Huda, Jaffar Al-Tawfiq, Basma Al-Dossary, and Saeed Al-Yami. "Impact of Accreditation Certification on Improving Healthcare Quality and Patient Safety at Johns Hopkins Aramco Healthcare." Global Journal on Quality and Safety in Healthcare 4, no. 3 (August 1, 2021): 117–22. http://dx.doi.org/10.36401/jqsh-21-8.
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ABSTRACT Introduction Accreditation gained worldwide attention as a means of increasing awareness of medical errors, improving healthcare quality, and ensuring a culture of safety. Johns Hopkins Aramco Healthcare has been accredited by Joint Commission International (JCI) since 2002. The aim of this study was to evaluate the effect of the accreditation process on healthcare quality performance by maintaining compliance with the requirements of JCI's international patient safety goals (IPSGs) over a 4-year period and how this was reflected by patient safety and satisfaction. Methods In Johns Hopkins Aramco Healthcare, the six JCI IPSGs are part of the as key performance indicators that reflect organizational performance in different services. For this study, data from January 2017 to the end of 2020 were analyzed apropos performance and correlation with patient experience. Results The IPSGs data analysis showed that general performance was maintained above the target values (> 90%–96%) in all IPSGs. This was significantly reflected in high patient satisfaction during this period, with Pearson correlation of 0.9 and p < 0.000. Conclusions Maintaining accreditation status over time enhances patients' confidence in an organization and its leadership as providers of safe, quality healthcare services. However, individual staff perception, commitment, accountability, and responsibility have an influence on performance, the organization's accreditation status, and patients' experiences.
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Garets, D. E., T. J. Handler, and M. J. Ball. "Leveraging IT to Improve Patient Safety." Yearbook of Medical Informatics 12, no. 01 (August 2003): 153–58. http://dx.doi.org/10.1055/s-0038-1638154.
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Abstract:Medical errors and issues of patient safety are hardly new phenomena. Even during the dawn of medicine, Hippocrates counselled new physicians “to above all else do no harm.” In the United States, efforts to improve the quality of healthcare can be seen in almost every decade of the last century. In the early 1900s, Dr. Ernest Codman failed in his efforts to get fellow surgeons to look at the outcomes of their cases. In the 1970s, there was an outcry that the military allowed an almost blind surgeon to continue to practice and even transferred him to the prestigious Walter Reed Hospital. More recently, two reports by the Institute of Medicine caught the attention of the media, the American public, and the healthcare industry. To Err Is Human highlights the need to reduce medical errors and improve patient safety, and Crossing The Quality Chasm calls for a new health system to provide quality care for the 21st century.
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Granel, Nina, Josep Maria Manresa-Domínguez, Anita Barth, Katalin Papp, and Maria Dolors Bernabeu-Tamayo. "Patient safety culture in Hungarian hospitals." International Journal of Health Care Quality Assurance 32, no. 2 (March 11, 2019): 412–24. http://dx.doi.org/10.1108/ijhcqa-02-2018-0048.
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Purpose The Hospital Survey on Patient Safety Culture (HSOPSC) is a rigorously designed tool for measuring inpatient safety culture. The purpose of this paper is to develop a cross-cultural HSOPSC for Hungary and determine its strengths and weaknesses. Design/methodology/approach The original US version was translated and adapted using existing guidelines. Healthcare workers (n=371) including nurses, physicians and other healthcare staff from six Hungarian hospitals participated. Answers were analyzed using exploratory factor analyses and reliability tests. Findings Positive responses in all dimensions were lower in Hungary than in the USA. Half the participants considered their work area “acceptable” regarding patient safety. Healthcare staff worked in “crisis mode,” trying to accomplish too much and too quickly. The authors note that a “blame culture” does not facilitate patient safety improvements in Hungary. Practical implications The results provide valuable information for promoting a more positive patient safety culture in Hungary and for evaluating future strategies to improve patient safety. Originality/value Introducing a validated scale to measure patient safety culture in Hungary improves healthcare quality.
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Park, Il-Tae, Yoen-Yi Jung, and Seung-Han Suk. "The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea." Journal of Hospital Administration 6, no. 6 (October 27, 2017): 20. http://dx.doi.org/10.5430/jha.v6n6p20.
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Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be “substantial evidence of the effectiveness of accreditation”. The aim of this study was to identify and analyze healthcare employees’ perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea.Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed.Results: The 14 studies assessed healthcare employees’ perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees’ had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on “patient safety and healthcare quality”, “leadership” and “organizational culture”.Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.
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Salahuddin, Lizawati, Zuraini Ismail, and . "Hospital Information Systems (HIS) in the Examination Rooms and Wards: Doctors Perceived Positive Impact on Quality of Care and Patient Safety." International Journal of Engineering & Technology 7, no. 2.29 (May 22, 2018): 871. http://dx.doi.org/10.14419/ijet.v7i2.29.14274.
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Hospital Information Systems [HIS] is developed to support healthcare organizations in providing efficient, quality, and safe healthcare services. The objective of this study is to identify and describe doctors’ perspective on the impact of HIS use in the examination rooms and wards on quality of care and patient safety. Semi-structured interviews were carried out with thirty one doctors from three Malaysian government hospitals. Thematic qualitative analysis was performed by using ATLAS.ti to deduce the relevant themes. HIS were commonly believed to improve quality of care and patient safety in terms of : [1] accessibility of patients’ record, [2] efficient patient-care, [3] well-structured report viewing, [4] less missing patients’ records, [5] legibility of patients’ records, and [6] safety features. In conclusion, the use of HIS in examination rooms and wards suggests to improve the quality of care and patient safety.
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Papautsky, Elizabeth Lerner, Richard J. Holden, Rupa S. Valdez, Katie Ernst, and Andre Kushniruk. "The Patient in Patient Safety: Unique Perspectives of Researchers Who are also Patients." Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care 9, no. 1 (September 2020): 292–96. http://dx.doi.org/10.1177/2327857920091065.
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In a panel format, four systems researchers who are also patients described their experiences navigating their care continuum in relation to human factors topics. Getting inside the heads of researcher-patients is an opportunity to elicit unique perspectives on healthcare, which may not be captured through research alone. Researcher-patients may navigate and observe their care continuum with a lens attuned to identifying research questions, as well as gaps and opportunities for interventions that support patients in health-related work, clinicians in decision making, and a culture shift towards effective patient-clinician teaming in service of improved safety and quality. We provide detailed recommendations, as well as a concise take-away tool intended for healthcare organizations.
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Johnson, Andrew, Robyn Clay-Williams, and Paul Lane. "Framework for better care: reconciling approaches to patient safety and quality." Australian Health Review 43, no. 6 (2019): 653. http://dx.doi.org/10.1071/ah18050.
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In September 2017, the Royal Australasian College of Medical Administrators adopted a new clinical governance framework that recognised healthcare as a complex adaptive system, and embraced the need for resilient thinking and understanding the differences between work-as-imagined by managers and work-as-done at the front line of patient care. Directors of medical services may soon be implementing the framework in health services across Australia. This perspective describes a new conceptual model that underpins the Royal Australasian College of Medical Administrators framework, and characterises the challenges faced by all healthcare professionals when trying to achieve safe care for patients in an environment of variable complexity and unpredictability.
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Kalender, Zeynep Tugce, Hakan Tozan, and Ozalp Vayvay. "Prioritization of Medical Errors in Patient Safety Management: Framework Using Interval-Valued Intuitionistic Fuzzy Sets." Healthcare 8, no. 3 (August 12, 2020): 265. http://dx.doi.org/10.3390/healthcare8030265.
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Medical errors negatively affect patients, healthcare professionals, and healthcare establishments. Therefore, all healthcare service members should be attentive to medical errors. Research has revealed that most medical errors are caused by the system, rather than individuals. In this context, guaranteeing patient safety and preventing medical faults appear to be basic elements of quality in healthcare services. Healthcare institutions can create internal regulations and follow-up plans for patient safety. While this is beneficial for the dissemination of patient safety culture, it poses difficulties in terms of auditing. On the other hand, the lack of a standard patient safety management system, has led to great variation in the quality of the provided service among hospitals. Therefore, this study aims to create an index system to create a standard system for patient safety by classifying medical errors. Due to the complex nature of healthcare and its processes, interval-valued intuitionistic fuzzy logic is used in the proposed index system. Medical errors are prioritized, based on the index scores that are generated by the proposed model. Because of this systematic study, not only can the awareness of patient safety perception be increased in health institutions, but their present situation can also be displayed, on the basis of each indicator. It is expected that the outcomes of this study will motivate institutions to identify and prioritize their future improvements in the patient safety context.
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Andersen, Henning Boje, Henriette Lipczak, and Knut Borch-Johnsen. "Perspectives on healthcare safety and quality: selected papers from the 2nd Nordic Conference on Research in Patient Safety and Quality in Healthcare." Cognition, Technology & Work 17, no. 1 (December 9, 2014): 1–3. http://dx.doi.org/10.1007/s10111-014-0315-x.
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D’Amore, John D., Laura K. McCrary, Jody Denson, Chun Li, Christopher J. Vitale, Priyaranjan Tokachichu, Dean F. Sittig, Allison B. McCoy, and Adam Wright. "Clinical data sharing improves quality measurement and patient safety." Journal of the American Medical Informatics Association 28, no. 7 (March 13, 2021): 1534–42. http://dx.doi.org/10.1093/jamia/ocab039.
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Abstract Objective Accurate and robust quality measurement is critical to the future of value-based care. Having incomplete information when calculating quality measures can cause inaccuracies in reported patient outcomes. This research examines how quality calculations vary when using data from an individual electronic health record (EHR) and longitudinal data from a health information exchange (HIE) operating as a multisource registry for quality measurement. Materials and Methods Data were sampled from 53 healthcare organizations in 2018. Organizations represented both ambulatory care practices and health systems participating in the state of Kansas HIE. Fourteen ambulatory quality measures for 5300 patients were calculated using the data from an individual EHR source and contrasted to calculations when HIE data were added to locally recorded data. Results A total of 79% of patients received care at more than 1 facility during the 2018 calendar year. A total of 12 994 applicable quality measure calculations were compared using data from the originating organization vs longitudinal data from the HIE. A total of 15% of all quality measure calculations changed (P < .001) when including HIE data sources, affecting 19% of patients. Changes in quality measure calculations were observed across measures and organizations. Discussion These results demonstrate that quality measures calculated using single-site EHR data may be limited by incomplete information. Effective data sharing significantly changes quality calculations, which affect healthcare payments, patient safety, and care quality. Conclusions Federal, state, and commercial programs that use quality measurement as part of reimbursement could promote more accurate and representative quality measurement through methods that increase clinical data sharing.
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Kipkech, Fancy J., Stanley M. Makindi, and Joseph Juma. "Monitoring strategies on patient safety practices among healthcare providers at Nakuru county referral hospital, Kenya." International Journal Of Community Medicine And Public Health 7, no. 8 (July 24, 2020): 2938. http://dx.doi.org/10.18203/2394-6040.ijcmph20203366.
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Background: Quality care is achieved through combined efforts which include integration of all the components within the healthcare delivery system. Patient safety is one of the dimensions of enhancing quality healthcare. It involves increasing the awareness about the errors made due to human factors in the process of delivering healthcare services that may lead to harm and other adverse effects.Methods: This study was on assessment of monitoring strategies on patient safety practices among healthcare providers at Nakuru County Referral Hospital, Kenya. The study was anchored on Donabedian model for assessment of quality of care. The study design was a descriptive cross-sectional study. The sampling technique was purposive, stratified random sampling and proportionate with a sample size of 310 healthcare providers drawn from various departments. Data collection tools were questionnaire, interview schedule and observational checklist. Quantitative data was analysed using descriptive statistics (mean, mode and standard deviation).Results: The results of the study indicated and concluded that there is adherence to standardized clinical care protocols and guidelines as well as continuous and constant surveillance with clear assessments and evaluation of patient safety practices, accurate collection, storage, analysis and sharing of information on patient safety issues.Conclusions: The paper recommends the need for policy reviews on healthcare so as to ensure that patient safety issues are reviewed so as to mitigate risks in handling patients. There is need to establish clear guidelines on monitoring and evaluation standards of patient safety practices.
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Feldman, Sue S., Scott Buchalter, and Leslie W. Hayes. "Health Information Technology in Healthcare Quality and Patient Safety: Literature Review." JMIR Medical Informatics 6, no. 2 (June 4, 2018): e10264. http://dx.doi.org/10.2196/10264.
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Voss, Andreas, William R. Jarvis, and Cassandra Salgado. "Agency for Healthcare Research and Quality Issues Report on Patient Safety." Infection Control & Hospital Epidemiology 22, no. 9 (September 2001): 600. http://dx.doi.org/10.1017/s0899823x00095131.
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Oster, Cynthia A., and Jane S. Braaten. "High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality." Journal of Nursing Regulation 8, no. 3 (October 2017): 64. http://dx.doi.org/10.1016/s2155-8256(17)30162-x.
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Jenzarli, Ali, Minh-Tri Duong, and Christy M. Thai. "Promoting Healthcare Safety And Quality By Assessing Anticoagulation Education Process." American Journal of Health Sciences (AJHS) 4, no. 3 (August 14, 2013): 103–14. http://dx.doi.org/10.19030/ajhs.v4i3.8006.
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We conducted a baseline study of warfarin patient education process by (1) assessing a healthcare facility’s current compliance with the education requirements for anticoagulation therapy, (2) assessing how effectively warfarin education was being provided in terms of patient’s knowledge and (3) identifying areas where process improvements were warranted. The facility is an acute care teaching hospital and a Level I Trauma Center with a pharmacist-managed outpatient anticoagulation clinic. We collected data from patients concerning (1) six warfarin knowledge domains (drug-nutrition interactions, drug-drug interactions, monitoring, drug information, dosing and adverse effects), (2) whether or not patients received warfarin education upon discharge and which healthcare professional provided this education (physician, pharmacist, nurse), (3) duration of warfarin therapy, (4) self-rated knowledge of warfarin, and (5) various demographics. Study results indicated the need to implement improvements to the education process to ensure that warfarin education is consistently and routinely provided to all patients prior to being discharged on warfarin with particular attention given to patients sixty years of age and older. Education provided should focus on drug-nutrition and drug-drug interactions, which were found to be areas of highest knowledge deficit. Improvements to the process of providing warfarin education at our hospital may additionally include implementation of a protocol to identify patients requiring education, and a standardized educational program with a pharmacist- managed warfarin discharge counseling service.
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Moumtzoglou, Anastasius S. "Healthcare Quality in the Pandemic Aftermath." International Journal of Reliable and Quality E-Healthcare 9, no. 4 (October 2020): 4–7. http://dx.doi.org/10.4018/ijrqeh.2020100102.
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The COVID-19 pandemic is putting massive stress on the formal training of healthcare professionals, their creed to do no harm, as well as the patient safety movement. So far, we have explicitly been teaching healthcare professionals that the best way of treating a patient is through its vicinity with multiple providers. Moreover, healthcare education requires a pack of health care workers from varied educational backgrounds and training levels for the nuances of a disease. However, the novel coronavirus (COVID-19), a respiratory disease that has spread to many countries around the world, affects not only all aspects of daily life but also organizational culture and values of healthcare. In this context, COVID-19 introduced an exponential threat to the theory and practice of quality.
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Muftawu, Musilimu, and Ece Ugurluoglu Aldogan. "Measuring patient safety culture: A study at a teaching hospital in Ghana." Journal of Patient Safety and Risk Management 25, no. 6 (July 13, 2020): 250–58. http://dx.doi.org/10.1177/2516043520938534.
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Objective This study examined the current patient safety culture from the perspective of healthcare workers in a teaching hospital in Ghana and drew comparison with the Agency for Healthcare Research and Quality 2018 Patient Safety Culture Comparative Database Report. Methods A cross-sectional survey was conducted using the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality. A total of 435 questionnaires were distributed and 322 valid responses were received (a response rate of 74%). The study sample included 178 nurses, 59 doctors, 19 pharmacists, 35 technicians ((laboratory and radiology), and 31 management staff. The Hospital Survey Excel Tool 1.6 and the Statistical Package for the Social Sciences (SPSS) version 20 were used to analyze the data. Results The overall average score for the 12 dimensions of patient safety culture was 53% which is 12% lower than the Agency for Healthcare Research and Quality 2018 benchmark report of 65%. The dimension with the highest positive mean score was “Teamwork within Hospital Units” (77%) while the one with the lowest score was “Frequency of Event Reporting” (33%). All 12 domains except for Frequency of Event Reporting ( p = 0.414), Management Support for Patient Safety ( p = 0.823), and Teamwork within Units ( p = 0.070) have significant relationship with patient safety culture. Conclusions Generally, the patient safety culture dimension in the teaching hospital was low. Training of healthcare workers on patient safety and a broad based research including all categories of healthcare staff is highly needed in other to fully understand and change the patient safety culture in Ghanaian Hospitals.
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Al-Hanawi, Mohammed Khaled. "Balanced scorecard method for healthcare quality improvement: A critical analysis." International Journal of Healthcare 4, no. 2 (September 2, 2018): 58. http://dx.doi.org/10.5430/ijh.v4n2p58.
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Throughout the world there is an on-going effort to determine quality in healthcare settings. The very definition of “quality”, particularly in healthcare, is rather elusive. The aim of this critique is to analyze the Balance Scorecard method to measure quality as it relates to patient safety in healthcare organisations. Analysis of the Balanced Scorecard in this context determined that the objectivity, both in its measurements and its ability to link together the organization’s quality and financial goals, is indeed beneficial. However, this methodology was also found to be unduly focused on systems and administration rather than on the actual health and safety of patients. The result is a tool that measures “quality” in financial and organizational terms, as sought by healthcare management, and this will continue to be the case until there is a fundamental shift towards defining quality of healthcare in terms of the patients that utilize healthcare services.
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Blenkinsopp, John, Nick Snowden, Russell Mannion, Martin Powell, Huw Davies, Ross Millar, and Jean McHale. "Whistleblowing over patient safety and care quality: a review of the literature." Journal of Health Organization and Management 33, no. 6 (September 5, 2019): 737–56. http://dx.doi.org/10.1108/jhom-12-2018-0363.
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Purpose The purpose of this paper is to review existing research on whistleblowing in healthcare in order to develop an evidence base for policy and research. Design/methodology/approach A narrative review, based on systematic literature protocols developed within the management field. Findings The authors identify valuable insights on the factors that influence healthcare whistleblowing, and how organizations respond, but also substantial gaps in the coverage of the literature, which is overly focused on nursing, has been largely carried out in the UK and Australia, and concentrates on the earlier stages of the whistleblowing process. Research limitations/implications The review identifies gaps in the literature on whistleblowing in healthcare, but also draws attention to an unhelpful lack of connection with the much larger mainstream literature on whistleblowing. Practical implications Despite the limitations to the existing literature important implications for practice can be identified, including enhancing employees’ sense of security and providing ethics training. Originality/value This paper provides a platform for future research on whistleblowing in healthcare, at a time when policymakers are increasingly aware of its role in ensuring patient safety and care quality.
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Manzanera, Rafael, Diego Moya, Mercedes Guilabert, Manel Plana, Gloria Gálvez, Jordi Ortner, and José Mira. "Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis." International Journal of Environmental Research and Public Health 15, no. 8 (July 24, 2018): 1568. http://dx.doi.org/10.3390/ijerph15081568.
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Objective: To analyze whether the results on quality assurance and safety culture in a healthcare organization are related to and affected by the actions implemented. Setting: Health Insurance of Work-related Accidents and Occupational Diseases. Methods: The study was conducted as a longitudinal observational study that analyzed the relationship of the Safety Culture and Quality Assurance measurements. Participants who were involved came from small centers with less than eight workers (N = 52), big centers (eight and more workers) (N = 707), and those centers with quality coordinators (N = 91). Data were collected during the years 2015 and 2016. Results: A total of 595 healthcare professionals responded in 2015 and 491 in 2016. The scores showed a positive progression both in Quality Assurance (T-test = 3.5, p = 0.001) and in Safety Culture (T-test = 5.6, p < 0.0001). Hence, the gradient of improvement in quality (average 5.5%) was greater compared to that of the safety culture (2.1%). Conclusions: The assessments of the quality assurance goals were consistent with the safety culture assessment. Hence, the results on Safety Culture were observed to be more stable over time.
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Alrahbi, Hilal H., Shamsa K. Al-Toqi, Sajini Sony, and Nuha Al-Abri. "Assessment of Patient Safety Culture among Healthcare Providers." Global Journal of Health Science 13, no. 2 (December 23, 2020): 59. http://dx.doi.org/10.5539/gjhs.v13n2p59.
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PURPOSE: Patient safety is an important element in ensuring quality of patient care and accreditation. This study aimed to assess the perception of patient safety culture among the healthcare providers; assess the areas of strength and improvement related to patient safety culture; and assess the relationship between patient safety culture and demographic variables of the sample.
METHOD: Descriptive correlational design was employed in this study. Data was collected using the Hospital Survey on Patient Safety Culture (HSPSC). A stratified random sample of 158 healthcare providers from the Diwan of Royal Court Health Complex in Muscat participated in this study.
RESULTS: The findings of this study indicated that most of the participants responded positively to the HSPSC items. The average percentage of positive responses was 56.4%. The major areas of strength were “teamwork within department,” “feedback and communication about errors,” and “organizational learning-continuous improvement” (83%, 77%, & 75%; respectively). The major areas of improvement were “frequency of events reported,” “teamwork across departments,” “non-punitive response to errors” and “overall perception of PS” (34%, 42%, 45% & 47%; respectively). Significant differences found were across “patient contact” characteristic [t (156) = 2.142, p = .034]; across “work specializations” [F (3, 154) = 2.84, p = .04]; and across “years of experience at the institution” [F (4, 153) = 4.86, p = .004].
CONCLUSION: A culture that is safe for healthcare providers to work is paramount to minimize adverse events and save patients’ lives. The findings of this study provide a foundation for further interventions to improve patient safety culture.
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Elrifda, Solha. "Budaya Patient Safety dan Karakteristik Kesalahan Pelayanan: Implikasi Kebijakan di Salah Satu Rumah Sakit di Kota Jambi." Kesmas: National Public Health Journal 6, no. 2 (October 1, 2011): 67. http://dx.doi.org/10.21109/kesmas.v6i2.108.
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Patient safety adalah salah satu komponen kritis dari mutu pelayanan kesehatan. Banyak kesalahan pelayanan dikaitkan dengan budaya patient safety. Catatan tentang kesalahan pelayanan di berbagai negara menunjukkan angka yang mengkhawatirkan, sementara di Indonesia belum ada catatan resmi. Demikian halnya dengan budaya patient safety dan kesalahan pelayanan di rumah sakit Kota Jambi. Penelitian inibertujuan untuk mengetahui budaya patient safety dan karakteristik kesalahan pelayanan di salah satu rumah sakit di Kota Jambi. Desain penelitian ialah cross sectional dan kualitatif. Populasi dan sampel adalah petugas yang melayani pasien secara langsung di ruang rawat inap rumah sakit yang diteliti (dokter, perawat, dokter gigi, dan bidan) dengan jumlahsampel 191 orang. Data dikumpulkan dengan teknik wawancara tidak langsung dengan menyebarkan angket yang diadopsi dari kuesioner yang telah distandardisasi oleh Agency for Healthcare Research and Quality dengan penambahan untuk pertanyaan tentang kesalahan pelayanan secara kualitatif. Analisis data dilakukan secara univariat dan kualitatif. Hasil penelitian menunjukkan budaya patient safety secara umum direspons positif hanya 14,7% responden pada tingkat unit dan 26,2% pada tingkat rumah sakit. Variasi kesalahan pelayanan menyangkut disiplin, komunikasi, dan kesalahan teknis yang disebabkan oleh faktor manusia dan kegagalan sistem. Kesimpulan dari hasil penelitian ini adalahbudaya patient safety di salah satu rumah sakit di kota Jambi kurang baik dan ditemukan berbagai kesalahan pelayanan. Saran kepada pihak manajemen untuk menetapkan kebijakan pelaksanaan standar keselamatan pasien sesegera mungkin.Kata kunci: Patient safety, pelayanan kesehatan, rumah sakitAbstractPatient safety is one of critical component in healthcare quality. There are so many healthcare errors associated to patient safety culture. Healthcare errors in various countries have shown an alarming rate, but there is no formal record of event in Indonesia including in Jambi. One hundred and ninetyone respondent, who served patients directly (phyisicians, nurses, dentists, and midwifes) participated in this survey. Data collected by self administered questionnaire. The standardized questionnaire Agency for Healthcare and Quality used in this survey combined with open ended questions about healthcare error characteristics. The result is 14,7% of respondent gave a positive response on patient safety culture in the unit level and 26,2% of respondents gave a positive response on hospital level. Variation of healthcare errors found include the discipline, communication, and technical errors caused by human factors and system failure. Suggestions for the management of the hospital to implement the patient safety standard as soon as possible.Key words: Patient safety, healthcare, hospital
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López-Hernández, Luz Berenice, Benjamín Gómez Díaz, Edgar Oswaldo Zamora González, Karen Itzel Montes-Hernández, Stephanie Simone Tlali Díaz, Christian Gabriel Toledo-Lozano, Lilia Patricia Bustamante-Montes, and Norma Alejandra Vázquez Cárdenas. "Quality and Safety in Healthcare for Medical Students: Challenges and the Road Ahead." Healthcare 8, no. 4 (December 4, 2020): 540. http://dx.doi.org/10.3390/healthcare8040540.
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Background: The development of skills, behaviors and attitudes regarding patient safety is of utmost importance for promoting safety culture for the next generation of health professionals. This study describes our experience of implementing a course on patient safety and quality improvement for fourth year medical students in Mexico during the COVID-19 outbreak. The course comprised essential knowledge based on the patient safety curriculum provided by the WHO. We also explored perceptions and attitudes of students regarding patient safety. Methods: Fourth year medical students completed a questionnaire regarding knowledge, skills, and attitudes on patient safety and quality improvement in medical care. The questionnaire was voluntarily answered online prior to and after the course. Results: In total, 213 students completed the questionnaires. Most students were able to understand medical error, recognize failure and the nature of causation, perform root-cause analysis, and appreciate the role of patient safety interventions. Conversely, a disapproving perspective prevailed among students concerning the preventability of medical errors, utility of reporting systems, just culture and infrastructure (p < 0.05). Conclusion: We found students had a positive perspective concerning learning quality in healthcare and patient safety during our course; nevertheless, their perception of the usefulness of reporting systems to prevent future adverse events and prevent medical errors is uncomplimentary. Medical education should promote error reporting and just culture to change the current perception of medical students.
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Gamarra, Jennifer M., Matthew T. Luciano, Jaimie L. Gradus, and Shannon Wiltsey Stirman. "Assessing Variability and Implementation Fidelity of Suicide Prevention Safety Planning in a Regional VA Healthcare System." Crisis 36, no. 6 (November 2015): 433–39. http://dx.doi.org/10.1027/0227-5910/a000345.
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Abstract. Background: In 2008, the Veterans Health Administration (VHA) implemented the use of safety planning for suicide prevention. A safety plan is a list of strategies, developed collaboratively with a provider, for a patient to use when suicide risk is elevated. Despite the use of safety plans in VHA, little is known about implementation fidelity, the extent to which safety plans are delivered as intended, or patient-level outcomes of safety planning. Aims: This study aimed to explore the implementation fidelity of safety planning in a regional VHA hospital and examine the associations between safety plan quality and completeness with patient outcomes. Method: A comprehensive chart review was conducted for patients who were flagged as high risk for suicide (N = 200). Completeness and quality were coded, as well as information about patient and provider interactions regarding safety plan use. Results: Safety plans were mostly complete and of moderate quality, although variability existed, particularly in quality. Limited evidence of follow-up regarding safety planning was found in the medical charts. Higher quality was associated with fewer subsequent psychiatric hospitalizations. Conclusion: Variability in implementation fidelity and infrequent follow-up suggest a need for additional training and support regarding the use of safety plans for suicide prevention.
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Scheckler, William E. "Healthcare Epidemiology is the Paradigm for Patient Safety." Infection Control & Hospital Epidemiology 23, no. 1 (January 2002): 47–51. http://dx.doi.org/10.1086/503449.
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I was honored to receive the 2001 Lectureship Award from the Society for Healthcare Epidemiology of America (SHEA). It was my intent during the talk to review our field and implications that some of the new initiatives called “patient safety” have for our expertise. This article is based on the SHEA Lectureship that was given April 1, 2001, at the SHEA Annual Meeting in Toronto, Ontario, Canada.This article consists of four sections. First, I review lessons learned from colleagues during the 33 years that I have been associated with the field of hospital epidemiology and infection control, since my first days at the Centers for Disease Control and Prevention (CDC). Second, I explore issues raised by the Institute of Medicine (IOM) report on patient safety, adverse events, and medical errors, evaluating research that went into the extrapolation of the numbers of preventable deaths that this report highlighted. Those deaths gained everyone's attention. Third, I review the field of healthcare epidemiology, highlighting the three decades of success in our field in enhancing the safety of patients, improving their outcomes, and making a difference in the quality of medical care received in the United States. Finally, I discuss the challenges that hospital epidemiology currently faces and the opportunities that come with the expertise we have developed during more than 30 years.
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Bahrampour, Mina, Abbas Bahrampour, Mohammadreza Amiresmaili, and Mohsen Barouni. "Hospital service quality – patient preferences – a discrete choice experiment." International Journal of Health Care Quality Assurance 31, no. 7 (August 13, 2018): 676–83. http://dx.doi.org/10.1108/ijhcqa-01-2017-0006.
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PurposeHigh quality healthcare is important to all patients. If healthcare is felt to be high quality, then patients will be satisfied, and the relationship between patients and healthcare providers will improve. Patient satisfaction is among the most commonly used service quality indicators; however, it is not fully known which factors influence satisfaction. Therefore, it is necessary to pay attention to the elements that affect both healthcare quality and patient satisfaction. Nowadays, several methods are used in health economics to assess patient preferences, prioritize them and help health policy makers improve services. Discrete choice experiment (DCE) is one method that is useful to elicit patient preferences regarding healthcare services. The purpose of this paper is to apply DCE and elicit patient preferences in medical centers to rank certain healthcare quality factors.Design/methodology/approachThe descriptive, analytical study used a cross-sectional questionnaire that the authors developed. In total, 12 scenarios were chosen after applying fractional factorials. The questionnaire was completed by patients who were admitted to Kerman General Teaching Hospitals, South-East Iran in 2015. Patient preferences were identified by calculating the characteristics’ marginal effects and prioritizing them. The generalized estimation equation (GEE) model was used to determine attribute effects on patient preferences.FindingsIn total, 167 patients completed the questionnaire. Prioritizing the attributes showed that “physical examination” was the most important attribute. Other key features included “cleanliness,” “training after discharging,” “medical staff attention,” “waiting for admission” and “staff attitude.” All attributes were statistically significant (p<0.05) except staff behavior. No demographic characteristic was significant.Practical implicationsTo increase hospital patient satisfaction, health policy makers should develop programs to enhance healthcare quality and hospital safety by increasing physical examination quality and other services.Originality/valueTo estimate DCE independent variables, logistic regression models are usually used. The authors used the GEE model to estimate discrete choice experiment owing the explanatory variables’ dependency.
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Battles, J. B. "Quality and safety by design." Quality in Health Care 15, suppl 1 (December 2006): i1—i3. http://dx.doi.org/10.1136/qshc.2006.020347.
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Rather than continuing to try to measure the width and depths of the quality chasm, a legitimate question is how does one actually begin to close the quality chasm? One way to think about the problem is as a design challenge rather than as a quality improvement challenge. It is time to move from reactive measurement to a more proactive use of proven design methods, and to involve a number of professions outside health care so that we can design out system failure and design in quality of care. Is it possible to actually design in quality and design out failure? A three level conceptual framework design would use the six quality aims laid out in Crossing the quality chasm. The first or core level of the framework would be designing for patient centered care, with safety as the second level. The third design attributes would be efficiency, effectiveness, timeliness, and equity. Design methods and approaches are available that can be used for the design of healthcare organizations and facilities, learning systems to train and maintain competency of health professionals, clinical systems, clinical work, and information technology systems. In order to bring about major improvements in quality and safety, these design methods can and should be used to redesign healthcare delivery systems.
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Mummadi, Srinivas R., and Raghavendra Mishra. "Effectiveness of provider price display in computerized physician order entry (CPOE) on healthcare quality: a systematic review." Journal of the American Medical Informatics Association 25, no. 9 (July 3, 2018): 1228–39. http://dx.doi.org/10.1093/jamia/ocy076.
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Abstract Objective To study the association between Electronic Health Record (EHR)/Computerized Physician Order Entry (CPOE) provider price display, and domains of healthcare quality (efficiency, effective care, patient centered care, patient safety, equitable care, and timeliness of care). Methods Randomized and non-randomized studies assessing the relationship between healthcare quality domains and EHR/CPOE provider price display published between 1/1/1980 to 2/1/2018 were included. MEDLINE, Web of Science, and Embase were searched. Assessment of internal validity of the included studies was performed with a modified Downs-Black checklist. Results Screening of 1118 abstracts was performed resulting in selection of 41 manuscripts for full length review. A total of 13 studies were included in the final analysis. Thirteen studies reported on efficiency domain, one on effectiveness and one on patient safety. Studies assessing relationship between provider price display and patient centered, equitable and timely care domains were not retrieved. Quality of the studies varied widely (Range 6-12 out of a maximum possible score of 13). Provider price display in electronic health record environment did not consistently influence domains of healthcare quality such as efficiency, effectiveness and patient safety. Conclusions Published evidence suggests that price display tools aimed at ordering providers in EHR/CPOE do not influence the efficiency domain of healthcare quality. Scant published evidence suggests that they do not influence the effectiveness and patient safety domains of healthcare quality. Future studies are needed to assess the relationship between provider price display and unexplored domains of healthcare quality (patient centered, equitable, and timely care). Registration PROSPERO registration: CRD42018082227
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Tevžič, Špela, Antonija Poplas-Susič, and Zalika Klemenc-Ketiš. "The safety culture of the Ljubljana community health centre’s employees." Slovenian Journal of Public Health 60, no. 3 (June 28, 2021): 145–51. http://dx.doi.org/10.2478/sjph-2021-0021.
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Abstract Introduction Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana. Methods We conducted a cross-sectional study in 2017 using the Slovene version of “Medical Office Survey on Patient Safety Culture” from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide. Results The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients’ safety and work pressure and pace. Conclusion Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.
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Shepherd, Ashley Jill, Julie Cowie, and Michelle Beattie. "An exploration of how domains of quality of care relate to overall care experience." International Journal of Health Care Quality Assurance 32, no. 5 (June 10, 2019): 844–56. http://dx.doi.org/10.1108/ijhcqa-07-2018-0183.
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PurposeThe purpose of this paper is to determine the relative influence of the different domains of healthcare quality from the Care Experience Feedback Improvement Tool (CEFIT) and identify key predictors of healthcare quality from the patients’ perspective. Measurement is necessary to determine whether the quality of healthcare is improving. The CEFIT was developed as a brief measure of patient experience. It is important to determine the relative influence of the different domains of healthcare quality to further clarify how the CEFIT can be used and identify key predictors of healthcare quality from the patients’ perspective.Design/methodology/approachIn sum, 802 people with a healthcare experience during the previous 12 months were telephoned to complete the CEFIT questions and an additional 11-point global rating of patient experience. To estimate the influence of different domains of healthcare quality on patient overall ratings of quality of healthcare experience, the authors regressed the overall rating of patient experience with each component of quality (safety, effectiveness, timely, caring, enables system navigation and person-centred).FindingsThe authors found that all of the domains of the CEFIT influenced patient experience ratings of healthcare quality. Specifically, results show the degree of influence, the impact of demographics and how high scores for overall rating of patient experience can be predicted.Originality/valueThe findings suggest that all of the CEFIT domains are important in terms of capturing the wholeness of the patient experience of healthcare quality to direct local quality improvement.
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Ahmed, Selim, Noor Hazilah Abd Manaf, and Rafikul Islam. "Measuring Lean Six Sigma and quality performance for healthcare organizations." International Journal of Quality and Service Sciences 10, no. 3 (September 17, 2018): 267–78. http://dx.doi.org/10.1108/ijqss-09-2017-0076.
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Purpose This study aims to investigate applications of Lean Six Sigma approaches and quality performance in Malaysian hospitals. It identifies five dimensions of Lean Six Sigma conformance (i.e. continuous quality improvement, Lean management initiatives, Six Sigma initiatives, patient safety and teamwork) and quality performance of the hospitals based on demographics such as gender, types of hospital and working experience. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to hospital staff resulting in 438 useful responses with 43.5 per cent response rate. Research data were analysed based on reliability analysis, exploratory factor analysis (EFA), independent samples t-tests and one-way ANOVA using SPSS version 23. Findings Research findings indicate that there are significant differences between public and private hospital staff on Lean management initiatives, Six Sigma initiatives, patient safety and teamwork. Private hospital staff perceives Lean management initiatives, Six Sigma initiatives, patient safety and teamwork more favourably compared to public hospital staff. The present study findings also indicate that senior hospital staff (more than 10 years working experience) perceives patient safety and teamwork more favourably compared to other working experience groups. Research limitation/implications The research focused solely on the Malaysian health sector, and thus, the results might not be applicable to other countries. Originality/value This research provides theoretical, methodological and practical contributions for the Lean Six Sigma approach and the research findings are expected to provide guidelines to enhance the level of quality performance in healthcare organisations in Malaysia as well as other countries.
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Ramanathan, Rajesh, Patricia Leavell, Luke G. Wolfe, and Therese M. Duane. "Agency for Healthcare Research and Quality Patient Safety Indicators and Mortality in Surgical Patients." American Surgeon 80, no. 8 (August 2014): 801–4. http://dx.doi.org/10.1177/000313481408000832.
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Patient safety indicators (PSI), developed by the Agency for Healthcare Research and Quality, use administrative billing data to measure and compare patient safety events at medical centers. We retrospectively examined whether PSIs accurately reflect patients’ risk of mortality, hospital length of stay, and intensive care unit (ICU) requirements at an academic medical center. Surgical patient records with PSIs were reviewed between October 2011 and September 2012 at our urban academic medical center. Primary outcomes studied included mortality, hospital length of stay, and ICU requirements. Subset analysis was performed for each PSI and its association with the outcome measures. PSIs were more common among surgical patients who died as compared with those alive at discharge (35.3 vs 2.7 PSIs/100 patients, P < 0.01). Although patients who died with PSIs had shorter hospital courses, they had a significantly greater ICU requirement than those without a PSI (96.0 vs 61.1%, P < 0.01) and patients who were alive at discharge (96.0 vs 48.0%, P < 0.01). The most frequently associated PSIs with mortality were postoperative metabolic derangements (41.7%), postoperative sepsis (38.5%), and pressure ulcers (33.3%). PSIs occur at a higher frequency in surgical patients who die and are associated with increased ICU requirements.
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Yang, Yao Jung. "Web-Based Safety-Oriented Healthcare System Using Innovation Process for Patient Safety." Advanced Materials Research 677 (March 2013): 528–36. http://dx.doi.org/10.4028/www.scientific.net/amr.677.528.
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The U.S. Institute of Medicine (IOM) estimated that 44,000-98,000 Americans die annually from preventable errors in hospitals and that the cost of deaths and injuries is between $17 and $29 billion U.S. dollars per year in the U.S. Knowledge that healthcare systems and processes may be unreliable and lacks a consideration for safety. Patient safety is a global challenge that requires knowledge and skills in multiple areas, including human factors and systems engineering [12]. Patient safety has received attention by international health organizations. In 2004, the World Health Organization lunched the World Alliance for Patient Safety. The World Alliance for Patient Safety has targeted the following patient safety issues: prevention of healthcare-associated infections, hand hygiene, surgical safety, and patient engagement . This paper This paper presents a safety process methodology and system to reduce the safety gap of patient safety process. The aim of this study is to propose a Safety Process Innovation Methodology (SPIM) and implements a web-based new safety-oriented system that combines the Quality Function Deployment (QFD) and Failure Mode and Effects Analysis (FMEA) to determine essential safety when conducting process innovation for support patient safety.