Relevant bibliographies by topics / Patient safety climate

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Patient safety climate'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Patient safety climate"

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Avramchuk, Andre S., and Stephen J. J. McGuire. "Patient Safety Climate." Journal of Healthcare Management 63, no. 3 (May 2018): 175–92. http://dx.doi.org/10.1097/jhm-d-16-00004.

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While, Alison. "Patient safety and organisational climate." British Journal of Community Nursing 19, no. 9 (September 2, 2014): 466. http://dx.doi.org/10.12968/bjcn.2014.19.9.466.

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Li, Ai-Tzu. "Teamwork Climate and Patient Safety Attitudes." Journal of Nursing Care Quality 28, no. 1 (2013): 60–67. http://dx.doi.org/10.1097/ncq.0b013e318262ac45.

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Holden, Lela M., Dorraine D. Watts, and Patricia Hinton Walker. "Patient Safety Climate in Primary Care." Journal of Patient Safety 5, no. 1 (March 2009): 23–28. http://dx.doi.org/10.1097/pts.0b013e318199d4bf.

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Singer, Sara J., Alyson Falwell, David M. Gaba, and Laurence C. Baker. "Patient Safety Climate in US Hospitals." Medical Care 46, no. 11 (November 2008): 1149–56. http://dx.doi.org/10.1097/mlr.0b013e31817925c1.

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Kadzielski, John, Frank McCormick, David Zurakowski, and James H. Herndon. "Patient Safety Climate Among Orthopaedic Surgery Residents." Journal of Bone and Joint Surgery-American Volume 93, no. 11 (June 2011): e62(1)-e62(6). http://dx.doi.org/10.2106/jbjs.j.01478.

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Singer, Sara J., David M. Gaba, Alyson Falwell, Shoutzu Lin, Jennifer Hayes, and Laurence Baker. "Patient Safety Climate in 92 US Hospitals." Medical Care 47, no. 1 (January 2009): 23–31. http://dx.doi.org/10.1097/mlr.0b013e31817e189d.

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Taylor, J., F. Dominici, J. Agnew, D. Gerwin, L. Morlock, and M. Miller. "Safety climate, occupational injury, and patient safety in nursing units." Occupational and Environmental Medicine 68, Suppl_1 (September 1, 2011): A25—A26. http://dx.doi.org/10.1136/oemed-2011-100382.79.

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Aghaei, Hamed, Zahra Sadat Asadi, Mostafa Mirzaei Aliabadi, and Hassan Ahmadinia. "The Relationships Among Occupational Safety Climate, Patient Safety Climate, and Safety Performance Based on Structural Equation Modeling." Journal of Preventive Medicine and Public Health 53, no. 6 (November 30, 2020): 447–54. http://dx.doi.org/10.3961/jpmph.20.350.

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Pettker, C. M., S. F. Thung, C. A. Raab, K. P. Donohue, J. A. Copel, C. J. Lockwood, and E. F. Funai. "A Comprehensive Obstetrics Patient Safety Program Improves Safety Climate and Culture." Obstetric Anesthesia Digest 32, no. 1 (March 2012): 40. http://dx.doi.org/10.1097/01.aoa.0000410802.93265.d8.

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Dissertations / Theses on the topic "Patient safety climate"

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O'Brien, Roxanne Louise. "Keeping patients safe: The relationship between patient safety climate and patient outcomes." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3378501.

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Wentzell, Natasha. "Improving the measurement of patient safety : development of a new patient safety climate survey /." Halifax, N.S. : Saint Mary's University, 2008.

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Wakefield, John Gregory Public Health &amp Community Medicine Faculty of Medicine UNSW. "Patient safety: factors that influence patient safety behaviours of health care workers in the Queensland public health system." Awarded by:University of New South Wales. Public Health & Community Medicine, 2009. http://handle.unsw.edu.au/1959.4/44598.

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ABSTRACT Objectives: To develop and validate in an Australian setting, an instrument to effectively measure patient safety culture; to survey health care workers (HCWs) in a large public healthcare system to establish baseline patient safety culture; and, using the Theory of Planned Behaviour (TPB), to use behavioural modelling to identify the factors that predict and influence Patient Safety Behavioural Intent (PSBI) Eg. Reporting clinical incidents and speaking up when a colleague makes an error. Design: Cross sectional survey analysed with multiple logistic regression (MLR). Setting: Metropolitan, regional and rural public hospitals in Queensland, Australia. Participants: 5294 clinical and managerial staff. Main outcome measures: 1) Behavioural models for high-level Patient Safety Behavioural Intent (PSBI) for senior and junior doctors, senior and junior nurses, and allied health professionals. 2) Odds ratios to compare levels of PSBI between professional groups. Results: 1) The factors that influence high-level PSBI for each professional group give rise to unique predictive models. Two factors stand out as influencing high-level PSBI for all HCWs (R2 0.21). These are: i) Preventive Action Beliefs (Adjusted Odds Ratio (AOR) 2.38) (HCWs??? belief that engaging in the target behaviour(s) will lead to improved patient safety) and ii) Professional Peer Behaviour (AOR 1.79) (HCWs??? perceptions of the safety behaviour(s) of one???s professional peers). 2) There was a six-fold difference in the level of target behaviour (PSBI) across the clinical groups with few (29.6%) junior doctors having a high-level of PSBI. When compared with the junior doctors, the senior doctors were nearly 1.5 times more likely (Odds Ratio (OR) 1.46, 95% Confidence Interval (CI) 1.01-2.13), allied health staff 2.7 times more likely (OR 2.71, 95%CI 1.91-3.73), junior nurses 3.9 times more likely (OR 3.86, 95%CI 2.83-5.26), and senior nurses 6.0 times more likely (OR 6.01, 95%CI 4.78-9.16) to have high-level PSBI. Conclusions: This is the first published study to develop behavioural models of factors that influence HCWs??? intention to engage in behaviours known to be associated with improved patient safety. The findings of this study will greatly assist in the future design and implementation of targeted and cost-effective patient safety improvement initiatives.
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Weatherford, Barbara H. "Patient Safety: A Multi-Climate Approach to the Nursing Work Environment: A Dissertation." eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsn_diss/20.

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The purpose of this study was to explore Zohar’s Multi-Climate Framework for Occupational Safety to determine the effects of staff nurse perceptions of safety priorities in their organization (safety climate) and their work ownership climate (Magnet Hospital designation) on safety citizenship behaviors viewed as in role or extra role. Safety citizenship behaviors are described as behaviors that go beyond the job description to ensure safety. Participants from a convenience sample of three Magnet designated community hospitals in New England completed three scales (Zohar’s Safety Climate Questionnaire, Essentials of Magnetism II and the Safety Citizenship Role Definitions Scale) representing the study variables via an online survey platform. Multivariate analysis of covariance informed the results. Findings include a positive unadjusted relationship between safety climate and work ownership climate (rs=.492, pF (1, 86) = 8.4, p=.005, N=92), controlling for work ownership climate and hospital. Implications include support for a continued focus on better understanding the importance of a positive nursing work environment, a characteristic shared by Magnet designated hospitals, on the presence of safety citizenship behaviors in the acute care environment. A professional work environment should be considered as an important factor in reducing errors in the acute care setting.
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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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Occelli, Pauline. "Mesurer et améliorer le climat de sécurité des soins dans les établissements de santé français." Thesis, Lyon, 2018. http://www.theses.fr/2018LYSE1228/document.

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Il est préconisé de développer le climat de sécurité (CS) pour améliorer la sécurité des soins. Dans cette thèse, nous essaierons de préciser l’utilisation du concept de CS pour l’évaluation d'interventions d’amélioration de la sécurité des soins.Les objectifs des travaux présentés étaient d’élaborer un questionnaire de CS en français et d’évaluer l’impact de l’analyse de vignettes d’événements indésirables associés aux soins (EIAS) sur le CS d’unités de soins en milieu hospitalier.Ces travaux ont montré la faisabilité de mesurer le CS avec une version française du questionnaire américain, le Hospital Survey On Patient Safety Culture (HSOPSC). Ils ont permis de proposer une version française aux performances psychométriques suffisantes. Ils ont montré l’importance du rôle de l’encadrement, de l’organisation apprenante et du travail d’équipe entre services. La version française de l’HSOPSC a été utilisée pour évaluer l’effet de l’analyse de vignettes d’EIAS. Testée dans un essai contrôlé randomisé en clusters, cette intervention a amélioré les perceptions des professionnels sur l’organisation apprenante et l’amélioration continue, sans modifier les autres dimensions.Face à la difficulté de modifier dans un temps court l’ensemble des dimensions, le CS devrait être utilisé pour caractériser le contexte d'implémentation des interventions afin de les adapter et de mieux en comprendre l’impact, plutôt que pour servir de critère de résultat.Les pistes de recherche sont d’étudier la pérennité d’une intervention au-delà de son évaluation initiale au travers du maintien ou du développement de la culture de sécurité ; et d’étudier les perceptions des patients en matière de sécurité de soins
It is recommended to develop the safety climate (SC) to improve patient safety. In this thesis, we will try to clarify the use of the CS concept for the evaluation of interventions aiming to improve patient safety.The objectives of the articles presented were to develop a French version of a SC questionnaire and to assess the impact of a vignette-based analysis of adverse events (AEs) on the SC of care units.The studies demonstrated the feasibility of measuring the SC with a French version of the American questionnaire, the Hospital Survey On Patient Safety Culture (HSOPSC). They made it possible to propose a French version with sufficient psychometric performance. They showed the importance of the role of supervision, the organisational learning and teamwork between units. The French version of the HSOPSC was used to evaluate the effect of the vignette-based analysis of AEs. Tested in a randomized controlled cluster trial, this intervention improved professionals' perceptions of the organisational learning and continuous improvement, without modifying other dimensions.Given the difficulty of modifying all dimensions in a short period of time, SC should be used to characterize the context in which interventions are implemented in order to adapt them and better understand their impact, rather than being used as an outcome criterion.The research areas are to study the sustainability of an intervention beyond its initial evaluation through the maintenance or development of a safety culture; and to study patients' perceptions of care safety
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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 members, team leaders, organizational) was examined on the relationship between trust and psychological safety on willingness to report errors. Traditional surveys and social network analysis were employed to test the research hypotheses. Findings indicate that team trust, when examined using traditional surveys, is not significantly associated with informally reporting errors. However, when the social networks within the team were examined, evidence that team trust is associated with informally discussing errors was found. Results also indicate that trust in leadership is associated with informally discussing errors, especially severe errors. These findings were supported and expanded to include a willingness to report all severity of errors when social network data was explored. Psychological safety, whether within the team or fostered by leadership, was not found to be associated with a willingness to informally report errors. Finally, learning orientation was not found to be a moderating variable between trust and psychological safety on a willingness to report errors. Instead, organizational learning orientation was found to have a main effect on formally reporting errors to risk management and documenting errors in patient charts. Theoretical and practical implications of the study are offered.
Ph.D.
Department of Psychology
Sciences
Psychology PhD
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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 implemented by management) influence the occurrence of medical errors and if/how safety climate and safety tools interact. Methodology / Approach: A prospective, observational, 48-hour cross-sectional study was conducted in 57 intensive care units. The dependent variable is the incidence of errors affecting those 378 patients treated throughout the entire observation period. Capacity utilization and workload were measured by indicators such as unit occupancy, nurse-/physician-to-patient ratios, levels of care, or NEMS scores. The safety tools considered include Critical Incidence Reporting Systems, audits, training, mission statements, SOPs/checklists and the use of barcodes. Safety climate was assessed using a psychometrically validated four-dimensional questionnaire. Linear regression was employed to identify the effects of the predictor variables on error rate, as well as interaction effects between safety tools and safety climate. Findings: Higher workload has a detrimental effect on safety while safety climate - unlike the examined safety tools - has a virtually equal opposite effect. Correlations between safety tools and safety climate as well as their interaction effects on error rate are mostly nonsignificant. Practice Implications: Increased workload and capacity utilization increase the occurrence of medical error; an effect that can be offset by a positive safety climate but not by formally implemented safety procedures and policies. (authors' abstract)
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Santiago, Thaiana Helena Roma. "Cultura organizacional para segurança do paciente em terapia intensiva: comparação de dois instrumentos Hospital Survey on Patient Safety Culture (HSOPSC) e Safety Attitudes Questionnaire (SAQ)." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-17042015-130803/.

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Introdução: A segurança do paciente tornou-se uma preocupação formal em diversos sistemas de saúde no mundo nas últimas décadas. Em 2004 a Organização Mundial da Saúde (OMS) propõe a Aliança para segurança do paciente e aponta a avaliação da cultura de segurança nas instituições de saúde como um dos aspectos chave para esse processo. Método: pesquisa transversal de abordagem quantitativa, realizada em um hospital de ensino no interior do estado de são Paulo entre os meses de março e abril de 2014. A população de estudo foi composta por todos os profissionais que faziam parte da escala de trabalho das unidades de terapia intensiva (UTI) adulto, pediátrica e neonatal e não se enquadravam no critério de exclusão (menos de 6 meses na unidade). Foram aplicados dois instrumentos para avaliação da cultura e clima de segurança do paciente, o Hospital Survey on Patient Safety (HSOPSC) e o Safety Attitudes Questionnaire (SAQ), e um instrumento para levantamento das informações sociodemográficas e profissionais. Para a análise de dados utilizou-se o teste de confiabilidade das escalas pelo Alfa de Cronbach. Foi verificada a presença de associações das escalas com variáveis de estudo pelo qui-quadrado de Pearson ou teste exato de Fischer nas variáveis qualitativas, a ANOVA para as variáveis quantitativas. A presença de correlação entre os instrumentos SAQ e HPSOPSC foi verificada pelo teste de correlação de Pearson. Resultado: os dados sociodemográficos quanto a sexo e idade e cargo foram homogêneos nas três UTI. A UTI Neonatal possuía profissionais com mais tempo de trabalho na unidade e na especialidade quando comparada as demais unidades. Ambas as escalas apresentaram boa confiabilidade pelo alfa de Cronbach, 0,853 para o SAQ e 0,889 para o HSPOSC. Na análise dos domínios do SAQ, observou-se pontuação 62 para as Condições de Trabalho e para Percepções da Gerência, enquanto para o HSPOSC a dimensão Resposta não punitiva aos erros obteve o menor percentual de repostas positivas (29,6%), e as dimensões Abertura da comunicação e Retorno da comunicação e das informações sobre o erro uma proporção de neutros maior de 30%. A nota total de segurança do paciente pelo HSPOSC foi de 85% (somados ótima e muito boa). Analisando-se o comportamento das UTIs através de cada escala, a UTI Neonatal apresentou maior satisfação no trabalho do que as demais UTIs. A UTI Adulto apresentou menores pontuações em cada domínio quando comparada com as demais e para os domínios do HSPOSC somente o domínio Abertura de comunicação obteve uma proporção de respostas positivas discretamente superior às demais UTIs. A correlação entre as escalas através da correlação de Pearson foi de força moderada (coeficiente de Pearson de 0,656). As respostas abertas evidenciaram que as mudanças ocorridas no hospital em decorrência dos processos de acreditação, contribuíram para a melhor percepção dos profissionais sobre a segurança do paciente. Conclusões: há diferenças de percepções quanto a segurança do paciente entre as UTIs dentro de um mesmo hospital, o que corrobora com a existência de microculturas locais. As escalas de avaliação de clima/ cultura de segurança do paciente parecem medir fenômenos semelhantes.
Introduction: Patient safety has become a formal concern in several health systems in the world, in the last decades. In 2004 the World Health Organization (WHO) proposes the Alliance for patient safety and aims safety culture evaluation in healthcare institutions as one of the key aspects to this process. Method: Cross-sectional quantitative research approach, performed in a teaching hospital in São Paulo State between the months of March and April 2014. The study population was composed of all the professional who were part of the work schedule of intensive care unit (ICU) adult, pediatric and neonatal and did not fit the exclusion criteria (less than six months in the unit). Two instruments for assessing the culture environment and patient safety, the Hospital Survey on Patient Safety (HSOPSC) the Safety Attitudes Questionnaire (SAQ), and an instrument for survey of demographic and professional information were applied. For data analysis, the test of reliability of the scales by Cronbachs alpha was used. The presence of associations of scales with study variables was checked by Pearsons chi-square test or Fishers exact test in the qualitative variables, the ANOVA for quantitative variables. The presence of correlation between the SAQ and the HPSOPSC instruments was tested by Pearson correlation test. Result: sociodemographic data regarding gender and age and position were homogenous in the three ICUs. Professional of the Neonatal ICU had worked longer time in this unit and specialty when compared to other units. Both scales showed good reliability by Cronbachs alpha, 0.853 for SAQ and 0.889 for HSPOSC. In the analysis of the SAQ domains, it was observed score 62 for Working Conditions and Perceptions of Management, while for HSPOSC dimension Non-punitive Response to Error had the lowest percentage of positive responses (29.6%), the dimension Open Communication and Return of Communication and Information on the Error a proportion of neutral responses more than 30%. The total score of patient safety by HSPOSC was 85% (summed up great and very good). Analyzing the behavior of ICUs through each scale, Neonatal ICU had higher job satisfaction than the other ICUs. Adult ICU had lower scores in each domain compared to other domains and for HSPOSC only the area Open Communication obtained the proportion of positive responses slightly superior to the other ICUs. The correlation between the scales through Pearson correlation was of moderate strength (Pearson correlation coefficient of 0.656). The open responses showed that changes in hospital as a result of accreditation processes, contributed to a better perception of professionals about patient safety. Conclusions: There are differences in perceptions of patient safety among ICUs within the same hospital, which corroborates the existence of local microcultures. Rating scales of climate/culture of patient safety seems to measure similar phenomena.
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Zadvinskis, Inga Mirdza. "An Exploration of Contributing Factors to Patient Safety and Adverse Events." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1437409566.

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Books on the topic "Patient safety climate"

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Jha, Vivekanand. Acute kidney injury in the tropics. Edited by Norbert Lameire. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0241.

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The spectrum of acute kidney injury (AKI) encountered in the hospitals of the tropical zone countries is different from that seen in the non-tropical climate countries, most of which are high-income countries. The difference is explained in large part by the influence of environment on the epidemiology of human disease. The key features of geographic regions falling in the tropical zones are climatic, that is, high temperatures and absence of winter frost, and economic, that is, lower levels of income. The causes and presentation of tropical AKI reflect these prevailing cultural, socioeconomic, climatic, and eco-biological characteristics.Peculiarities of tropical climate support the propagation of several infectious organisms that can cause AKI and the disease-transmitting vectors. In contrast to the developed world, where AKI usually develops in already hospitalized patients with multiorgan problems and iatrogenic factors play a major role, tropical AKI is acquired in the community due to issues of public health importance such as safe water, sanitation, infection control, and good obstetric practices. Infections such as malaria, leptospirosis, typhus, HIV, and diarrhoeal diseases; envenomation by animals or insects; ingestion of toxic herbs or chemicals; intravascular haemolysis; poisoning; and obstetric complications form the bulk of AKI in the tropics. Poor access to modern medical facilities and practices such as seeking treatment from traditional faith-healers contribute to poor outcomes.AKI extracts macro- and microeconomic costs from the affected population and reduces productivity. Improvement in the outcomes of tropical AKI requires improvement in basic public health through effective interventions, and accessibility to effective medical care.
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Book chapters on the topic "Patient safety climate"

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Olsen, E., and M. Jensen. "Safety leadership influence on patient safety and the mediating role of unit safety climate." In Risk, Reliability and Safety: Innovating Theory and Practice, 1836–40. Taylor & Francis Group, 6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742: CRC Press, 2016. http://dx.doi.org/10.1201/9781315374987-278.

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Livne, Yael, and Dov Zohar. "Patient Safety Climate." In Around the Patient Bed, 241–62. CRC Press, 2013. http://dx.doi.org/10.1201/b15557-20.

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van den Goor, Myra, and Tanya Bondarouk. "Calling and Comradeship." In Contemporary Topics in Patient Safety - Volume 1 [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97065.

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Patient safety heavily relies on doctors performing to the best of their abilities, delivering high quality of patientcare. However, changing market forces and increasing bureaucracy challenge physicians in their performance. Despite the dynamic conditions they experience, the majority performs on a high level. What exactly drives these doctors? Answering this question will shed light on how to best support doctors to be the engaged healthcare professionals that society wants and needs them to be. So patients are ensured safe and high quality of care. This chapter dips deeper into what primarily drives doctors, thus we turned to doctors themselves for answers. Being interested in their perceptions, feelings, behaviour, relations to, and interactions with, each other, this chapter relies heavily on qualitative research involving around 1000 hospital-based physicians. Conclusively, doctors can only truly blossom in an environment that stimulates their calling and that breathes a comradeship mindset, where sharing is about caring and peer-support is felt. It’s alarming that these essential humanistic and relational values are supressed by today’s more business-like climate in healthcare. Curtailing what primarily inspires doctors will eventually lead to doctors no longer having the time, energy and motivation to deliver the best possible patientcare. To restore the balance, we provide recommendations on the individual-, group-, and organizational level.
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Innis, Charles, and Kara Dodge. "A veterinary perspective on the conservation physiology and rehabilitation of sea turtles." In Conservation Physiology, 241–54. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780198843610.003.0014.

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Sea turtle populations are threatened globally due to anthropogenic and natural factors, including fisheries interactions, watercraft strike, hunting, habitat loss, pollution, climate change, and severe weather. Injured and ill sea turtles are often evaluated by wildlife rehabilitation centres, and many sea turtles can be returned to the wild after rehabilitation. Physiological evaluation of injured and ill sea turtles has revealed life-threatening physiological dysfunction such as acidosis, hypoxia, hypercarbia, dehydration, and hyperkalaemia. Recognition and management of such conditions has improved the outcome for these patients. In addition to clinical advancement, veterinary evaluation has improved our understanding of general sea turtle biology, and increased the safety of procedures such as anaesthesia and laparoscopy. These modalities, combined with emerging biotelemetry technologies, will continue to improve our understanding of sea turtle ecology and conservation physiology.
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Kopec, John S. "A Sedation Unit Approach." In The Pediatric Procedural Sedation Handbook, edited by Cheryl K. Gooden, Lia H. Lowrie, and Benjamin F. Jackson, 426–28. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190659110.003.0060.

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The concept of a pediatric sedation unit developed as the need for a sedation service outside of the operating room became legitimized and essential to hospitals with a large pediatric population. The pediatric sedation unit is an area of a hospital specifically designed and staffed to provide safe sedation to children for invasive and noninvasive procedures outside of the operating room. A well-organized unit offers many benefits to the hospital, including efficiency, cost savings, and patient/family/provider satisfaction. The unit’s design and administration will vary based on the local medical climate and needs of a given region. The unit is highly integrated into the hospital and, once established, is virtually essential to the provision of safe and efficient care of children. Integration with the hospital, study modalities, and subspecialties can be facilitated by easy access to the unit for inpatients and outpatients, enhanced communication using the electronic medical record, an organized scheduling and screening process, and attention to improvement and growth.
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Conference papers on the topic "Patient safety climate"

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CUNHA, CAROLINA TEIXEIRA, FABIANA MIRANDA MOURA SANTOS, and CLÁUDIA TÁRTAGLIA REIS. "PATIENT SAFETY CLIMATE: PROFESSIONALS SENSE IN A RHEUMATOLOGY CLINIC." In 36º Congresso Brasileiro de Reumatologia. São Paulo: Editora Blucher, 2019. http://dx.doi.org/10.5151/sbr2019-526.

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Utari, Dyah, Farahdina Bachtiar, Condrowati, and Fandita Tonyka Maharani. "Does Leadership Affect the Patient Safety Climate? Study at X Hospital Indonesia." In International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.201125.015.

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Whitney, Paul, Jonathan Young, John Santell, Rodney Hicks, Christian Posse, and Barbara Fecht. "Analysis of Medication Error Reports." In ASME 2004 International Mechanical Engineering Congress and Exposition. ASMEDC, 2004. http://dx.doi.org/10.1115/imece2004-61182.

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In medicine, as in many areas of research and society, technological innovation and the shift from paper based information to electronic records has created a climate of ever increasing availability of raw data. There has been a corresponding lag in our abilities to analyze this mass of data, and traditional forms and expressions of statistical analysis do not allow researchers and practitioners to interact with data in the most productive way. This is true in the emerging area of patient safety improvement. Traditionally, a majority of the analysis of error and incident reports are approached as data comparisons, and starts with a specific question which needs to be answered. Newer data analysis tools have been developed which allow the researcher to not only ask specific questions but also to “mine” data: approach an area of interest without preconceived questions, and explore the information dynamically, allowing questions to be formulated based on patterns brought up by the data itself. Additionally, the “types” of information objects that can be the objects of data analysis have been extended to include text [8][9]. Since 1991, United States Pharmacopeia (USP) has been collecting data on medication errors through voluntary reporting programs. USP’s MEDMARXsm reporting program is the largest national medication error database and currently contains well over 600,000 records. USP conducts an annual quantitative analysis of data derived from “pick-lists” (i.e., items selected from a list of items) without an in-depth analysis of free-text fields. In this paper, the application of text analysis and data analysis tools used by Battelle to analyze the medication error reports already analyzed in the traditional way by USP is described. New insights and findings were revealed including the value of language normalization and the distribution of error incidents by day of the week. The motivation for this effort is to gain additional insight into the nature of medication errors to support improvements in medication safety.
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4

Gudmestad, Ove T., and Daniel Karunakaran. "Planning for Construction Work in Cold Climate Regions." In ASME 2012 31st International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/omae2012-83301.

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With increased interests in oil and gas exploration in cold climate regions, it is not realistic that all construction activities can take place during the short summer and work will continue into the early fall and possibly later. The offshore contractors must, therefore, be ready to participate in construction work in these regions during an extended season, i.e. outside the summer season with milder weather conditions. It is also important that some key work-intensive activities (e.g. pipe laying) can start as early as possible in the season. This paper will discuss the challenges associated with construction work in cold climate regions with emphasis on the physical conditions, in particular with reference to Polar Low Pressures and the potential for icing, as well as the logistics of working long distances from established supply bases. Large uncertainties in weather forecasts call for proper management decisions accounting for the specifics of the area. Long periods of “waiting on weather” might result and management must have the patience to wait until safe operations can commence. Emphasis will be on the Barents Sea where recent hydrocarbon findings have proven very encouraging and where a huge area soon will be opened for exploration, following the agreement on the border between Norway and Russia, potentially calling for joint Norwegian–Russian construction projects (Bulakh et al., 2011).
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El Bekkaye, Khalid, and Zaina Sidqi. "The Contribution of the Metrological Management in the Moroccan Establishments of Blood Donation (Experiment of the regional center of blood transfusion in Oujda Morocco)." In 19th International Congress of Metrology (CIM2019), edited by Sandrine Gazal. Les Ulis, France: EDP Sciences, 2019. http://dx.doi.org/10.1051/metrology/201919002.

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Metrological verification consists of proving by calibration measurements that specified requirements are met. The result of an audit is a compliance decision followed by re-commissioning or non-compliance followed by an adjustment, repair, decommissioning, or device reform. At the regional blood transfusion center of Oujda, from 2010 to 2018 the number of metrological qualification has increased from 88 to 152 acts with compliance going from 92% to 97%, thus the number of visit for preventive and curative maintenance of the share of external companies has also increased since 2010 to 2018 from 10 annual visits to 43 annual visits, which indicates a strong progressive metrological activity and an important place of the metrological process in the continuity of guaranteeing a safety of the result obtained from the operations carried out for the practitioners and for donor and recipient patients of the blood product. An action plan was implemented to correct the anomalies identified such as the acquisition of new metrology equipment, to predict the change of climatic chambers and non-adapted devices, the acquisition of more sophisticated machines and the establishment of a continuous recording system of the cold chain.
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