Literatura académica sobre el tema "Safety : Hospitals"

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Artículos de revistas sobre el tema "Safety : Hospitals"

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Zwanziger, Jack, and Nasreen Khan. "Safety-Net Hospitals." Medical Care Research and Review 65, no. 4 (2008): 478–95. http://dx.doi.org/10.1177/1077558708315440.

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La, Melvin, Virginia Tangel, Soham Gupta, Tiffany Tedore, and Robert S. White. "Hospital safety net burden is associated with increased inpatient mortality and postoperative morbidity after total hip arthroplasty: a retrospective multistate review, 2007–2014." Regional Anesthesia & Pain Medicine 44, no. 9 (2019): 839–46. http://dx.doi.org/10.1136/rapm-2018-100305.

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BackgroundTotal hip arthroplasty (THA) is one of the most widely performed surgical procedures in the USA. Safety net hospitals, defined as hospitals with a high proportion of cases billed to Medicaid or without insurance, deliver a significant portion of their care to vulnerable populations, but little is known about the effects of a hospital’s safety net burden and its role in healthcare disparities and outcomes following THA. We quantified safety net burden and examined its impact on in-hospital mortality, complications and length of stay (LOS) in patients who underwent THA.MethodsWe analyzed 500 189 patient discharge records for inpatient primary THA using data from the Healthcare Cost and Utilization Project’s State Inpatient Databases for California, Florida, New York, Maryland and Kentucky from 2007 to 2014. We compared patient demographics, present-on-admission comorbidities and hospital characteristics by hospital safety net burden status. We estimated mixed-effect generalized linear models to assess hospital safety burden status’ effect on in-hospital mortality, patient complications and LOS.ResultsPatients undergoing THA at a hospital with a high or medium safety net burden were 38% and 30% more likely, respectively, to die in-hospital compared with those in a low safety net burden hospital (high adjusted OR: 1.38, 95% CI 1.10 to 1.73; medium adjusted OR: 1.30, 95% CI 1.07 to 1.57). Compared with patients treated in hospitals with a low safety net burden, patients treated in high safety net hospitals were more likely to develop a postoperative complication (adjusted OR: 1.11, 95% CI 1.00 to 1.24) and require a longer LOS (adjusted IRR: 1.06, 95% CI 1.05, 1.07).ConclusionsOur study supports our hypothesis that patients who underwent THA at hospitals with higher safety net burden have poorer outcomes than patients at hospitals with lower safety net burden.
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Peyravi, MD, PhD, Mahmoudreza, Milad Ahmadi Marzaleh, PhD Candidate, Fatemeh Gandomkar, MSc, Aman Allah Zamani, PhD Candidate, and Amir Khorram-Manesh, MD, PhD. "Hospital Safety Index analysis in Fars Province hospitals, Iran, 2015-2016." American Journal of Disaster Medicine 14, no. 1 (2019): 25–32. http://dx.doi.org/10.5055/ajdm.2019.0313.

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Background and objectives: Hospitals are the vital part of disaster management and their functionality should be maintained and secured. However, it can be the target of natural and man-made disasters. In Iran, Fars Province is prone to major incidents and disasters in its hospitals at any time during the course of a year. This study aimed to examine the Hospital Safety Index (HSI) in all hospitals (public and private) affiliated to Shiraz University of Medical Sciences (SUMS).Materials and methods: This cross-sectional study was conducted during 2015-2016, using the World Health Organization’s HSI checklist. All 58 hospitals in Fars Province affiliated to SUMS were included. The hospital assessment team was formed to collect the data retrospectively and by visiting and interviewing hospital’s authority based on the checklist. The collected data were analyzed using Microsoft Excel.Results: The results showed that in the abovementioned years, the structural safety of hospitals reached the highest optimal level, whereas functional safety reached the lowest level. The results of the studies conducted in 2016 showed that during this year, the overall hospital safety level improved (6 and B).Conclusion: Although safety in hospitals located in Fars Province has improved due to continuous disaster mitigation and preparedness activities, there is still space for more improvement to achieve and maintain higher levels of safety in hospitals. Paying attention to this, the authors recommend that proper policies, legislation, and intra- and inter-institutional coordination are the requirements for a successful outcome.
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Longo, Daniel R., John E. Hewett, Bin Ge, and Shari Schubert. "Hospital Patient Safety: Characteristics of Best-Performing Hospitals." Journal of Healthcare Management 52, no. 3 (2007): 188–204. http://dx.doi.org/10.1097/00115514-200705000-00009.

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Djalali, A., A. Massumi, G. Öhlen, M. Castren, and L. Kurland. "(A282) Comparison of Safety Index in Iranian Hospitals." Prehospital and Disaster Medicine 26, S1 (2011): s78. http://dx.doi.org/10.1017/s1049023x11002664.

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IntroductionHospitals are highly complex facilities that play a key role in the medical response to disasters. However, they are susceptible to the impact of disasters with respect to their structural, non-structural and functional elements. Many hospitals have collapsed or been damaged and rendered nonfunctional as a consequence of disasters. The resilience of a hospital along with the capability of effective medical response to disasters is a key part of a community based disaster plan.ObjectiveThe objective of this study was to evaluate and compare hospitals in Iran with respect to safety.MethodsThis study was performed as a survey in four hospitals in Iran. The Hospital Safety Index package from WHO was used as an evaluation tool. The evaluation team consisted of: a PhD in structural engineering, an architect with a Master's degree, a specialist in electrical and mechanical maintenance, a medical doctor, a specialist in disaster management, and an expert in health care planning. The hospitals were evaluated in three elements; structural, non-structural, and organizational. The hospital safety calculator was used.ResultsThe most important hazard for these hospitals was earthquakes. The structural safety at three hospitals was inadequate or at risk; and consequently needs intervention in a near future. Also, the administrative and organizational element of these hospitals was inadequate or at risk. All hospitals need intervention in the near future due to non-structural safety being inadequate. The overall safety index at one hospital was A (functional); in two hospitals B (at risk); and in one hospital C (inadequate).ConclusionsThe Iranian hospitals which had been assessed were on the whole unsafe. Also, these hospitals do not have a disaster management plan. Implementing a comprehensive disaster plan, including mitigation and a preparedness plan, would most likely enhance the safety of these hospitals.
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Ercan, Aydan, and Gul Kiziltan. "Kitchen Safety in Hospitals." Workplace Health & Safety 62, no. 10 (2014): 415–20. http://dx.doi.org/10.3928/21650799-20140902-03.

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Doherty, Gerard M. "Safety-Net Hospitals Care." JAMA Surgery 151, no. 12 (2016): 1192. http://dx.doi.org/10.1001/jamasurg.2016.3646.

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Murphy, M. F., and M. H. Yazer. "Transfusion safety in hospitals." ISBT Science Series 9, no. 1 (2014): 281–86. http://dx.doi.org/10.1111/voxs.12074.

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Knapp, Richard M. "Quality and Safety Performance in Teaching Hospitals." American Surgeon 72, no. 11 (2006): 1051–54. http://dx.doi.org/10.1177/000313480607201113.

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The Hospital Quality Alliance created a vehicle to display Hospital Performance data which is known as Hospital Compare. Overall, the data shows that teaching hospitals perform very well in the areas of Heart Failure and Heart Attack and not as well in Pneumonia care. Unique issues at teaching hospitals, such as timing for specific patient services, continue to be a concern in achieving high scores relative to their non-teaching peers. Most hospitals and specifically surgical services will be challenged in the upcoming years with the addition of the Surgical Care Improvement Project (SCIP) measures as we move into the pay-for-performance era.
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Soh, Sze-Ee, Renata Morello, Sheral Rifat, Caroline Brand, and Anna Barker. "Nurse perceptions of safety climate in Australian acute hospitals: a cross-sectional survey." Australian Health Review 42, no. 2 (2018): 203. http://dx.doi.org/10.1071/ah16172.

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Objectives The aim of the present study was to explore nurse perceptions of safety climate in acute Australian hospitals. Methods Participants included 420 nurses who have worked on 24 acute wards from six Australian hospitals. The Safety Attitudes Questionnaire (SAQ) Short Form was used to quantify nurse perceptions of safety climate and benchmarked against international data. Generalised linear mixed models were used to explore factors that may influence safety climate. Results On average, 53.5% of nurses held positive attitudes towards job satisfaction followed by teamwork climate (50.5%). There was variability in SAQ domain scores across hospitals. The safety climate and perceptions of hospital management domains also varied across wards within a hospital. Nurses who had worked longer at a hospital were more likely to have poorer perceptions of hospital management (β = –5.2; P = 0.014). Overall, nurse perceptions of safety climate appeared higher than international data. Conclusions The perceptions of nurses working in acute Victorian and New South Wales hospitals varied between hospitals as well as across wards within each hospital. This highlights the importance of surveying all hospital wards and examining the results at the ward level when implementing strategies to improve patient safety and the culture of safety in organisations. What is known about the topic? Prior studies in American nursing samples have shown that hospitals with higher levels of safety climate have a lower relative incidence of preventable patient complications and adverse events. Developing a culture of safety in hospitals may be useful in targeting efforts to improve patient safety. What does this paper add? This paper has shown that the perceptions of safety climate among nurses working in acute Australian hospitals varied between hospitals and across wards within a hospital. Only half the nurses also reported positive attitudes towards job satisfaction and teamwork climate. What are the implications for practitioners? Programs or strategies that aim to enhance teamwork performance and skills may be beneficial to improving the culture of safety in hospitals. Wards may also have their own safety ‘subculture’ that is distinct from the overall hospital safety culture. This highlights the importance of tailoring and targeting quality improvement initiatives at the ward level.
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Tesis sobre el tema "Safety : Hospitals"

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Saraç, Çakıl. "Safety climate in acute hospitals." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=165841.

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Abstract This thesis measures safety climate in a sample of Scottish acute hospitals. It demonstrates how staff perceptions related to safety issues are linked to their safety behaviours and also to the consequences, both for the workers and the patients. Following a review of the industrial and healthcare safety climate literatures, a theoretical model was proposed to investigate the underlying mechanisms between safety climate and safety outcomes. Based on this review, the Hospital Survey on Patient Safety Culture (HSOPSC) was selected as part of a questionnaire to measure safety climate, safety behaviours and safety outcomes. A total of 1969 clinical staff from seven Scottish acute NHS hospitals were surveyed. The psychometric analysis, using EFA and CFA, showed that the original 12 factor structure of the HSOPSC scale was replicated. A focus group study (n = 25) was conducted in two of the hospitals to extend the survey findings. The qualitative data supported the theoretical model proposed based on the literature review by demonstrating the role of managerial practices on safety-related issues. The group discussions further contributed to a wider conceptualization of safety culture by illustrating the multi-level perspective of staff on safety-related issues, including both the external influences and the individual factors. Using structural equation modelling on the same quantitative data set, managerial aspects of safety climate were examined in relation to safety outcomes (safety behaviours, worker and patient outcomes). Results demonstrated the effects of managerial commitment to safety at hospital and unit level on safety outcomes. It also showed the intervening role of safety compliance and safety participation between supervisory practices and self-reported injuries, both for workers and patients. Overall, this thesis provided a psychometrically robust safety climate measurement tool tested in Scottish acute hospitals, and showed the influence of safety-related managerial activities at different levels of the organization on safety outcomes for workers and patients separately.
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Solomita, Joy B. "An analysis of variance in nursing-sensitive patient safety indicators related to magnet status, nurse staffing, and other hospital characteristics." Fairfax, VA : George Mason University, 2009. http://hdl.handle.net/1920/4531.

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Thesis (Ph.D.)--George Mason University, 2009.<br>Vita: p. 231. Thesis director: Chien-yun Wu. Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Nursing. Title from PDF t.p. (viewed June 10, 2009). Includes bibliographical references (p. 213-230). Also issued in print.
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Al, Salem Gheed F. "An assessment of safety climate in Kuwaiti public hospitals." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/30685/.

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Background: Patient safety in healthcare organisations received global attention following the Institute of Medicine’s release of its hallmark report “To Err Is Human: Building a Safer Health System”, where it was estimated that 44,000–98,000 patients die annually in US hospitals as a result of errors in care. Similar rates of error and avoidable harm have been reported in different research studies in many modern health systems across the world. “Safety Culture” has been identified as a key element of healthcare organisations’ ability to learn from errors and reduce preventable harm to patients resulting from health care. The perceived importance of safety culture in improving patient safety and its impact on patient outcomes has led to a growing interest in the assessment of safety culture in healthcare organisations. The use of safety climate questionnaires is one of the most popular methods for assessing safety culture. These questionnaires are thought to help in measuring healthcare workers' perceptions of the prevailing safety culture or “safety climate” in their organisations. Since no surveys of safety climate have been conducted at public hospitals in the state of Kuwait, nor are valid or reliable survey instruments available, this thesis aimed to investigate patient safety climate in public hospitals in Kuwait. The main objectives of the study were: 1. To identify an existing safety climate tools to be employed in my PhD thesis. 2. To test the psychometric properties of the identified tool in a sample of Kuwaiti public hospitals. 3. To provide a measure of the prevailing safety climate in Kuwaiti public hospitals. 4. To explore with key stakeholders the main findings of the safety climate survey and identify the potential barriers and facilitators to safety improvement initiatives in Kuwaiti public hospitals. Based on the overall findings, a series of recommendations are made for clinical leaders, policy makers and others to consider and a conceptual model informing a systems’ based approach to safety culture theory and practice is proposed for future research. Methods: A multi-method, triangulated approach including both quantitative and qualitative methods was adopted for the study. There were four phases of the research: A systematic review of published literature on safety climate tools used in acute hospital settings was carried out using seven electronic databases, with manual searches of bibliographies of included papers and key journals. A suitable tool was identified. A cross-sectional survey of 1,511 healthcare staff in three public hospitals was conducted for two purposes: Firstly, to assess the psychometric properties of the identified tool and develop an optimum model for assessing safety climate in Kuwaiti hospitals. Secondly, to provide an assessment of the current state of safety climate in Kuwaiti hospitals. Finally, interviews with key personnel were conducted to extend the examination of the survey findings and provide a rounded picture of the current state of safety climate in Kuwaiti public hospitals. Results: The search strategy identified 3,576 potential papers. Of these, eighty-eight papers were reviewed, with five studies meeting the inclusion criteria. Three out of five studies, covering three tools, were rated as ‘good’ quality papers and reported more robust psychometric properties. The Hospital Survey on Patient Safety Culture (HSOPSC) was selected as the most appropriate for my PhD thesis (in terms of usability, applicability and psychometric properties), and was pilot tested with minor modifications. A modified version of the HSOPSC was used to conduct the survey using a sample of healthcare staff with an 87% (n=1,310) response rate. Results of psychometric evaluation, including exploratory factor analysis, confirmatory factor analysis, reliability and correlation analysis, showed an optimal model of eight factors and 22 safety climate items. General evaluation of the prevailing safety climate amongst the workforce in acute hospital settings was conducted. The dimensions “Teamwork within units” (84%), “organisational learning-continuous improvement” (82%), “supervisor/manager expectations and actions promoting safety” (77%) and “management support for patient safety” (74%) were identified as strongly positive areas for the three hospitals. The dimensions “Non-punitive response to error” (34%), “communication openness” (47%) and “frequency of event reporting” (50%) were identified as areas in need of improvement. Building on the survey findings, interviews with key stakeholders added rich insight into hospital employees' perceptions on safety and allowed exploration of emerging issues in more detail. The research findings of my PhD thesis, and of the literature informed the design of a preliminary framework that aims to extend the examination of the construct of safety climate beyond the domains and items that typically inform safety climate theory to include system wide factors which potentially influence the prevailing safety culture/climate. Conclusions: This is the first validation study of a Standardised safety climate measure in a Kuwaiti healthcare setting. The study assessed the psychometric properties of the HSOPSC questionnaire and constructed an optimal model for assessing patient safety climate in Kuwaiti hospitals. It highlighted important patient safety and staff wellbeing concerns to inform organisational and national learning, and provided a baseline for measuring patient safety climate in Kuwaiti hospitals. As such, my PhD thesis raises and emphasizes the critical importance of appropriate validation of safety climate questionnaires before extending their usage in different countries or healthcare contexts. It provided new knowledge about areas of strength and weakness in safety climate with the potential to drive local improvements in Kuwaiti public hospitals. It is recommended that future investigations of patient safety culture and climate combine both quantitative and qualitative approaches and adopt a system wide approach to inform safety climate theory and questionnaire development, leading to stronger frameworks guiding safety culture research and practice.
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Kaya, Gulsum Kubra. "Good risk assessment practice in hospitals." Thesis, University of Cambridge, 2018. https://www.repository.cam.ac.uk/handle/1810/273747.

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Risk assessment is essential to ensure safety in hospitals. However, hospitals have paid little attention to risk assessment. Several problems have already been identified in the literature about current risk assessment practice, such as inadequate risk assessment guidance and bias in risk scoring. This research aimed to improve current risk assessment practice in hospitals in the National Health Service (NHS) in England. To address this aim, the research investigated current risk assessment practice and designed a new risk assessment approach by the use of mixed methods. One hundred hospitals’ risk assessment documents were reviewed to examine the current recommended risk assessment practice. Seventeen interviews and sixty-one questionnaires were conducted, a risk management system from a single hospital was reviewed, and strategic risks from thirty-four hospitals were reviewed, in order to examine how risks are assessed in actual practice. Following that, the proposed approach was designed by conducting requirements analysis and then evaluated by interviews and questionnaires with ten healthcare staff. The findings of this research reveal that hospitals conduct risk assessments in different ways (i.e. with a focus on individual patient-based, operational and strategic risks). There are also many problems involved in current risk assessment practice regarding both the foundations and use of risk assessment. For example, organisation-wide risk assessments predominantly rely on risk matrices which might lead to wrong risk prioritisation and resource allocation; and risks tend to reflect existing or past problems rather than being proactive. All these reveal a need to improve current risk assessment practice. This research makes an important contribution to the current understanding of risk assessment practice in hospitals by providing extensive evidence on both recommended and actual practice, and proposes a new risk assessment framework. The framework guides healthcare staff on how to conduct risk assessment in a more comprehensive way by encouraging its potential users to consider good risk assessment practice.
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Afroze, Tonima, and Palmqvist Mia Isaksson. "Patient Safety Regarding Medical Devices at ICUs in Bangladesh." Thesis, KTH, Skolan för teknik och hälsa (STH), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-132245.

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Accidents related to medical devices are a worldwide problem and result in many deaths each year. It affects patients, relatives, health care workers and society. Due to the complexity of intensive care units (ICUs), such accidents lead to particularly serious consequences. The aim of this thesis was to identify patient safety aspects at ICUs in public and private hospitals in Bangladesh, in order to provide a basis for improving the quality of performance of devices as well as personnel, care and cost effectiveness. The objectives were to a)      compare the conditions of medical devices at ICUs in private and public hospitals, b)      increase understanding of errors, risks and accidents related to medical devices, c)      study reporting systems and communication between staff at ICUs and d)      find ways to minimize hazards related to medical equipment to ensure effective and safe use of devices. Data was collected through interviews during field visits to six hospitals in Dhaka, Bangladesh. Interviews were held with the chiefs of the ICUs, physicians, nurses and technicians. It was noticed that the admission fees to the public hospitals were lower and had more limited resources. Differences between public and private hospitals could be seen in the aspects of finance, the existence of a Biomedical Engineering Department, maintenance and calibration of medical equipment, further education of staff, working environment and infection control. The reporting systems for adverse events and communication about patients’ conditions between coworkers were weak at all hospitals. The procurement process was lengthy at all hospitals. Access to disposable items was limited at several hospitals. The lower admission fee at the government hospitals results in the patients of these hospitals often having a lower income and status, thus less inclined to be critical of the received care. A number of suggestions have been proposed in order to improve the work in the ICU. These include a)      following up rules made by the authorities to ensure they are implemented at each hospital, b)      increasing documentation of malfunctioning devices and adverse events, c)      nurses and physicians taking part in the procurement process, d)      establishing a Biomedical Engineering Department at all hospitals, e)      organizing workshops for health care workers, f)       developing biomedical products adapted for multiple time use and with less need for calibration, g)      providing more education for health care workers in infection control, management of specific devices, solutions to common technical problems, patient safety and user safety, for example using Information and Communication Technology tools (audio and audiovisual material) and discussion platforms as well as h)      constructing an internet forum for consultation on the abovementioned subjects for technicians.<br>Olyckor relaterade till medicinteknisk utrustning är ett globalt problem som leder till många dödsfall varje år. Det påverkar patienter, anhöriga, sjukvårdspersonal och samhället. Den komplexa miljön på intensivvårdsavdelningar gör att olyckorna leder till allvarliga konsekvenser. Uppsatsen syftade till att identifiera patientsäkerhetsaspekter på intensivvårdsavdelningar i Bangladesh för att skapa en grund för prestandaförbättring, både gällande utrustning och gällande personal. Det ska också öka vård- och konstandseffektiviteten. Målet uppnåddes genom att a)      jämföra användandemiljön för medicinteknisk utrustning på intensivvårdsavdelningar på statliga och privata sjukhus, b)      öka förståelsen för fel, risker och olyckor relaterade till medicinteknisk utrustning, c)      studera rapporteringssystem samt kommunikation mellan personal på intensivvårdsavdelningar och d)      hitta sätt att minimera faror relaterade till medicinteknisk utrustning för att försäkra en effektiv och säker användning av utrustningen. Data samlades in genom intervjuer under en fältstudie på sex sjukhus i Dhaka, Bangladesh. Intervjuer hölls med cheferna på intensivvårdsavdelningarna, läkare, sjuksköterskor och tekniker. Det upptäcktes att patientavgiften på de statliga sjukhusen var lägre och resurserna var mer begränsade. Skillnader mellan statliga och privata sjukhus kunde ses inom ekonomiska resurser, förekomsten av medicintekniskavdelning, underhåll och kalibrering av medicinteknisk utrustning, vidareutbildning av personal, arbetsmiljö och infektionskontroll. Rapporteringssystemen för olyckor samt kommunikationen om patienters tillstånd mellan medarbetare var bristfällig på alla sjukhus. Upphandlingsprocesserna av ny medicintekniskutrustning var lång på alla sjukhus. Tillgången på engångsartiklar var begränsad på flera utav sjukhusen. Den lägre avgiften på de statliga sjukhusen resulterar i att patienterna på dessa sjukhus ofta har lägre inkomst samt status i samhället och är därför mindre benägna att vara kritiska till den mottagna vården. Ett antal ändringar föreslogs för att förbättra arbetet på intensivvårdsavdelningarna. Dessa inkluderar att a)      följa upp de av myndigheterna satta reglerna för att försäkra att de är implementerade på varje sjukhus, b)      öka dokumentationen av icke fungerande utrustning tillika olyckor, c)      sjuksköterskor och läkare skall delta i upphandlingsprocesserna, d)      starta medicintekniska avdelningar på alla sjukhus, e)      organisera workshops för vårdpersonal, f)       utveckla medicintekniska produkter som är anpassade för att användas flera gånger och som behöver kalibreras mer sällan, g)      ge mer utbildning till sjukvårdspersonal om infektionskontroll, hantering av specifika maskiner, lösningar till vanligt förekommande tekniska problem, patientsäkerhet och användarsäkerhet till exempel genom att använda information- och kommunikationsteknik-verktyg (audio och audiovisuellt material) och diskussionsplattformar samt h)      konstruera ett internetforum där tekniker kan få konsultation angående ovannämnda ämnen.<br>To develop patient safety system to improve the safety and quality of patient care at the Intensive Care Units
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Kobewka, Daniel. "Preventable Deaths at Acute Care Hospitals." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34346.

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Background Previous measurements of preventable death in hospital do not account for the uncertainty of preventability ratings. Objective To determine the proportion of deaths in hospital that a have high probability of being prevented with high quality care. Methods We created summaries for every death at a tertiary care hospital over 4-months. Four reviewers assigned preventability ratings to each death and latent class analysis was used to classify deaths into high and low preventability categories. Results There were 480 decedents with mean age of 73.9. Inter-rater reliability was poor with an intra-class correlation of 0.14. The best latent class model found that 6.2% (95% CI 0.00 – 15.2%) of deaths had a 31.0% probability of being rated more likely preventable than not by each reviewer. In contrast, 93.8% (95% CI 84.8 - 100.0%) of deaths had a 0.8% probability of being rated more likely preventable than not by each reviewer. The incidence of truly preventable deaths is less than the 6.2% that are deemed possibly preventable. xi Conclusion Very few deaths in hospital are preventable. The low incidence of preventable deaths and low inter-rater reliability means that peer review methodology is only sensitive to large differences in preventable death rate.
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Bardach, David R. "Evidence-Based Hospitals." UKnowledge, 2015. http://uknowledge.uky.edu/epb_etds/5.

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In 2011 the University of Kentucky opened the first two inpatient floors of its new hospital. With an estimated cost of over $872 million, the new facility represents a major investment in the future of healthcare in Kentucky. This facility is outfitted with many features that were not present in the old hospital, with the expectation that they would improve the quality and efficiency of patient care. After one year of occupancy, hospital administration questioned the effectiveness of some features. Through focus groups of key stakeholders, surveys of frontline staff, and direct observational data, this dissertation evaluates the effectiveness of two such features, namely the ceiling-based patient lifts and the placement of large team meeting spaces on every unit, while also describing methods that can improve the overall state of quality improvement research in healthcare.
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Shika, Matsepane Rebecca. "Radiation safety standards at public hospitals in Limpopo Province, South Africa." Thesis, University of Limpopo (Turfloop Campus), 2012. http://hdl.handle.net/10386/859.

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Brajshori, Naime [Verfasser]. "Patient safety culture in Kosovo hospitals : multicenter study / Naime Brajshori." Halle, 2017. http://d-nb.info/1147758085/34.

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Gauthereau, Vincent. "Work practice, safety and heedfulness : studies of organizational reliability in hospitals and nuclear power plants /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/tek842s.pdf.

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Libros sobre el tema "Safety : Hospitals"

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Victoria. Office of the Auditor-General. Patient safety in public hospitals. Victorian Government Printer, 2008.

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Office, Victoria Audit. Managing patient safety in public hospitals. Government Printer, 2005.

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Andrews, Roxanne M. Serving the uninsured: Safety-net hospitals, 2003. Agency for Healthcare Research and Quality, 2007.

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Weinberg, Kenneth S. The hospital safety director's handbook. 2nd ed. HCPro, 2003.

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Weinberg, Kenneth S. The hospital safety director's handbook. Opus Communications, 2002.

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Radiation protection in hospitals. Hilger, 1985.

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Auditor-General, Victoria Office of the. Occupational health and safety risk in public hospitals. Victorian Government Printer, 2013.

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Safety guide for health care institutions. 4th ed. American Hospital Pub., 1989.

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Safety guide for health care institutions. 5th ed. AHA, 1994.

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Bizeray, M. A. Fire safety in hospital: A staff manual. 2nd ed. Hospital Fire Service (Sedgefield Unit), 1987.

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Capítulos de libros sobre el tema "Safety : Hospitals"

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Vincent, Charles, and René Amalberti. "Safety Strategies in Hospitals." In Safer Healthcare. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-25559-0_7.

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Andersen, Bjørg Marit. "Patient Protection Is Patient Safety." In Prevention and Control of Infections in Hospitals. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99921-0_1.

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Neirinckx, R. D. "Relationships Between Industry, Hospitals and Authorities." In Safety and Efficacy of Radiopharmaceuticals 1987. Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-009-3375-0_23.

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Hesslewood, Stuart R. "Relationships Between Industry, Hospitals and Authorities." In Safety and Efficacy of Radiopharmaceuticals 1987. Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-009-3375-0_24.

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Bringhammar, Trygve. "Relationship Between Industry, Hospitals and Authorities." In Safety and Efficacy of Radiopharmaceuticals 1987. Springer Netherlands, 1987. http://dx.doi.org/10.1007/978-94-009-3375-0_25.

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Mehler, Philip S. "Public Safety-Net Hospitals–The Denver Health Model." In Patient Safety in Surgery. Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-4369-7_18.

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Bergerød, Inger Johanne, and Siri Wiig. "Leading Quality and Patient Safety Improvement in Norwegian Hospitals." In Researching Patient Safety and Quality in Healthcare. CRC Press, 2016. http://dx.doi.org/10.1201/9781315605609-12.

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Lu, Chih-Wei, Yan-Teng Lian, and Hsun-Hsiang Liao. "Ergonomics Intervening Cases in Hospitals for Patient Safety Improvement." In Advances in Intelligent Systems and Computing. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96098-2_3.

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Starheim, Liv, and Peter Hasle. "Lean as a Tool for Local Workplace Innovation in Hospitals." In Aligning Perspectives on Health, Safety and Well-Being. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56333-6_13.

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de Marcellis-Warin, Nathalie, Genevieve Baumont, and Naoelle Matahri. "Accident and incident analysis in hospitals: how to transfer the RECUPERARE method from nuclear industry." In Probabilistic Safety Assessment and Management. Springer London, 2004. http://dx.doi.org/10.1007/978-0-85729-410-4_394.

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Actas de conferencias sobre el tema "Safety : Hospitals"

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Dumnakkaew, Kanjanee, Nitaya Rojtinnakorn, Wannee Meehkaud, Daoruang Kommuangpuk, and Anuchar Sethasathien. "PW 2869 A half decade of injured patients on sentinel hospitals, thailand; 2012 – 2016." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.542.

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Mehmood, Khalid, Nazila Bano khalid, Naveed Ahmed, and Saira Gul. "PA 13-1-0489 Emergency medical services and road congestion- deadly path to hospitals." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.78.

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Herdhianta, Dhimas, and Hanifa Maher Denny. "Implementation of Hospital Safety and Health Management System: Resource, Organization, and Policy Aspects." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.09.

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ABSTRACT Background: Hospital occupational health and safety is all activities to ensure and protect the safety and health of hospital human resources, patients, patient companions, visitors, and the hospital environment through efforts to prevent occupational accident and occupational disease in the hospital. It is necessary to support resources, organization, and policies in the implementation of occupational safety and health in hospitals in order to create a safe, secure and comfortable hospital condition. This study aimed to analyze the implementation of occupational safety and health at Hospital X Semarang, Central Java. Subjects and Method: This was a qualitative study conducted at Hospital X Semarang, Central Java. A total of 6 informants consisting of the main informants (members of the hospital occupational health and safety team) and triangulation informants (head of the hospital occupational health and safety team) were enrolled in this study. The data were obtained from in-depth interview method. The data were analyzed descriptively. Results: The hospital already had and provided the special budget needed in the field of hospital occupational health and safety, such as 1) Activity and provision of hospital occupational health and safety infrastructure; 2) Human Resources (HR) and assigns personnel who have clear responsibilities, authorities, and obligations in handling hospital occupational health and safety; 3) Hospital occupational health and safety official team but with double work burden; and 4) Policies were owned and compiled in written form, dated, and endorsed by the main director as well as commitment from the top leadership. Conclusion: The implementation of occupational safety and health in hospital X is quite good. Meanwhile, there is still a double work burden and have no independent hospital occupational health and safety team. Keyword: resources, organization, policy, work safety, occupational health, hospital Correspondence: Dhimas Herdhianta, Masters Program of Health Promotion, Faculty of Public Health, Universitas Diponegoro. Email: herdhianta@gmail.com. Mobile: 085749312412 DOI: https://doi.org/10.26911/the7thicph.04.09
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Silva, Trajano F. B. X., Humberto Costa, and Marcelo M. Ribeiro. "Work accidents with biological material with health professionals in Brazilian hospitals." In 3rd Symposium on Occupational Safety and Health. FEUP, 2019. http://dx.doi.org/10.24840/978-972-752-260-6_0119-0122.

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Lahtela, Antti, Marko Hassinen, and Virpi Jylha. "RFID and NFC in healthcare: Safety of hospitals medication care." In 2008 Second International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth). IEEE, 2008. http://dx.doi.org/10.1109/pcthealth.2008.4571079.

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Lahtela, Antti, Marko Hassinen, and Virpi Jylha. "RFID and NFC in Healthcare: Safety of Hospitals Medication Care." In 2nd International ICST Conference on Pervasive Computing Technologies for Healthcare. ICST, 2008. http://dx.doi.org/10.4108/icst.pervasivehealth2008.2534.

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Muzzammil, Muhammad, Muhammad Saeed Minhas, and Jahanzeb Effendi. "PW 0412 Assessment of safety levels in operation rooms at two major tertiary care public hospitals of karachi. ‘Safe surgery saves life’." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.581.

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Mufidatullaily, Mufidatullaily, Sagiran Sagiran, Arlina Dewi, Sri Sundari, and Muallim Hawari. "An Assessment of the Response Preparedness for Natural Disaster among Accredited Hospitals in Yogyakarta Using Hospital Safety Index." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.04.10.

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Qadir, Abdul, and Mohammad Muzammill. "PW 0391 Complicated tibial plateau fractures in young patients: functional outcome with dual plating via 2­incisiontechnique experience of two public sector hospitals of karachi pakistan." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.680.

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Herman-Haase, H., M. Quinn, J. Tessler, L. Punnett, N. Haiama, and M. Sabolefski. "135. Integrating Occupational Health and Safety into Pollution Prevention Initiatives for Hospitals." In AIHce 2000. AIHA, 2000. http://dx.doi.org/10.3320/1.2763461.

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Informes sobre el tema "Safety : Hospitals"

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, et al. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Weiss, Pam. Safety, Health, and Fire Prevention Guide for Hospital Safety Managers. Defense Technical Information Center, 1993. http://dx.doi.org/10.21236/ada265518.

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Kowalski, Amanda. What Do Longitudinal Data on Millions of Hospital Visits Tell us About The Value of Public Health Insurance as a Safety Net for the Young and Privately Insured? National Bureau of Economic Research, 2015. http://dx.doi.org/10.3386/w20887.

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Voices of vulnerable and underserved adolescents in Guatemala: A summary of the qualitative study 'Understanding the lives of indigenous young people in Guatemala'. Population Council, 2005. http://dx.doi.org/10.31899/pgy19.1011.

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Governments in developing countries recognize the need for appropriate technology for the treatment of emergencies from incomplete abortion or miscarriage. Numerous studies have investigated the appropriateness of an integrated model of postabortion care (PAC) that includes three essential elements: emergency treatment for spontaneous or induced abortion; counseling and family planning services; and links to other reproductive health services. Many integrated PAC services include replacement of the conventional clinical treatment, sharp curettage (SC), with manual vacuum aspiration (MVA). In 1997 and 1999 the Population Council supported intervention studies in Mexico and Bolivia, respectively, to assess PAC programs in terms of safety, effectiveness, quality of care, cost, and subsequent contraceptive use by clients. Both interventions introduced integrated PAC services and compared the outcomes of MVA and SC use in large public hospitals. To assess changes in service quality and costs, researchers analyzed clinical records and interviewed clients and providers before and after the interventions. As noted in this summary, SC and MVA are equally safe and effective and can be provided on an outpatient basis. Integrating clinical treatment with family planning counseling and services increased clients’ knowledge and contraceptive use.
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Bolivia and Mexico: System-wide planning is needed for decentralized postabortion care. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1000.

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Governments in developing countries recognize the need for appropriate technology for the treatment of emergencies from incomplete abortion or miscarriage. Numerous studies have investigated the appropriateness of an integrated model of postabortion care (PAC) that includes three essential elements: emergency treatment for spontaneous or induced abortion; counseling and family planning services; and links to other reproductive health services. Many integrated PAC services include replacement of the conventional clinical treatment, sharp curettage (SC), with manual vacuum aspiration (MVA). In 1997 and 1999 the Population Council supported intervention studies in Mexico and Bolivia, respectively, to assess PAC programs in terms of safety, effectiveness, quality of care, cost, and subsequent contraceptive use by clients. Both interventions introduced integrated PAC services and compared the outcomes of MVA and SC use in large public hospitals. To assess changes in service quality and costs, researchers analyzed clinical records and interviewed clients and providers before and after the interventions. As noted in this summary, SC and MVA are equally safe and effective and can be provided on an outpatient basis. Integrating clinical treatment with family planning counseling and services increased clients’ knowledge and contraceptive use.
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Older people move safely from hospital to home when staff communicate widely and bridge gaps in the system. National Institute for Health Research, 2021. http://dx.doi.org/10.3310/alert_43904.

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Early oral feeding after stomach surgery is safe and reduces time spent in hospital. National Institute for Health Research, 2016. http://dx.doi.org/10.3310/signal-000225.

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Two types of anaesthesia are safe for hip and knee replacements but one may reduce the time spent in hospital by a few hours. National Institute for Health Research, 2016. http://dx.doi.org/10.3310/signal-000212.

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