Physical Design Factors Contributing to Patient Falls.

abstract：OBJECTIVE:To evaluate the quality and content of nurse and physician shoulder dystocia delivery documentation before and after MORE training in shoulder dystocia management skills and documentation. METHODS:Approximately 384 charts at the Ottawa Hospital General Campus involving a diagnosis of shoulder dystocia betwee...

journal_title：Journal of patient safety

authors： LeRiche T,Oppenheimer L,Caughey S,Fell D,Walker M

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVES:We report on a human factors evaluation project at a major urban teaching hospital that was intended to use human factors methods to assist the selection of a new infusion device among 4 commercially available models. METHODS:The project provided an expert evaluation of the pumps, collected data on programm...

journal_title：Journal of patient safety

authors： Nemeth C,Nunnally M,Bitan Y,Nunnally S,Cook RI

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:In November 2010, the American College of Cardiology Foundation published revised appropriateness criteria (AC) for cardiac computed tomography (CT). We evaluated adherence to these criteria by providers of different subspecialties at a tertiary referral center. METHODS:Reports of 383 consecutive patients w...

journal_title：Journal of patient safety

authors： Sidhu MS,Lumish H,Uthamalingam S,Engel LC,Abbara S,Brady TJ,Hoffmann U,Ghoshhajra BB

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVE:Speaking up about safety concerns by staff is important to prevent medical errors. Knowledge about healthcare workers' speaking up behaviors and perceived speaking up climate is useful for healthcare organizations (HCOs) to identify areas for improvement. The aim of this study was to develop a short questionn...

journal_title：Journal of patient safety

authors： Richard A,Pfeiffer Y,Schwappach DDL

更新日期：2017-08-28 00:00:00

abstract：AIMS:This study measured the effect of aviation-style team training on 3 surgical teams from different specialties. It focused on team working and communication, particularly briefing, time-out, and debriefing, and sought to understand how improvements in team skills could be implemented in a broad range of naturalisti...

journal_title：Journal of patient safety

authors： Catchpole KR,Dale TJ,Hirst DG,Smith JP,Giddings TA

更新日期：2010-09-01 00:00:00

abstract：OBJECTIVES:Pazopanib received US Food and Drug Administration approval in 2009 for advanced renal cell carcinoma. During clinical development, liver chemistry abnormalities and adverse hepatic events were observed, leading to a boxed warning for hepatotoxicity and detailed label prescriber guidelines for liver monitori...

journal_title：Journal of patient safety

authors： Shantakumar S,Nordstrom BL,Hall SA,Djousse L,van Herk-Sukel MPP,Fraeman KH,Gagnon DR,Chagin K,Nelson JJ

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:The experience feedback committee (EFC) is a tool designed to involve medical teams in patient safety management, through root cause analysis within the team. OBJECTIVE:The aim of the study was to determine whether patient safety culture, as measured by the Hospital Survey on Patient Safety Culture (HSOPS),...

journal_title：Journal of patient safety

authors： Boussat B,Seigneurin A,Giai J,Kamalanavin K,Labarère J,François P

更新日期：2017-12-27 00:00:00

abstract：INTRODUCTION:Falls represent a serious problem facing hospital-admitted patients, and the severity of fall-related complications rises steadily after the age of 65 years. OBJECTIVES:The aims of this study were (a) to calculate the rate of falls among elderly patients in the internal medicine departments in Ain Shams U...

journal_title：Journal of patient safety

authors： al Tehewy MM,Amin GE,Nassar NW

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVES:Improved safety and teamwork culture has been associated with decreased patient harm within specific units in hospitals or hospital groups. Most studies have focused on a specific harm type. This study's objective was to document such an association across an entire hospital system and across multiple harm t...

journal_title：Journal of patient safety

authors： Berry JC,Davis JT,Bartman T,Hafer CC,Lieb LM,Khan N,Brilli RJ

更新日期：2020-06-01 00:00:00

abstract：OBJECTIVE:To evaluate medication boxed warning nonadherence in the inpatient setting. METHODS:This was a prospective cohort quality improvement project approved by our institution's Total Quality Council. General medicine and ICU patients 18 years and older were included if they were cared for by a prescriber-led mult...

journal_title：Journal of patient safety

authors： Kloet MA,Lohr BR,Smithburger PL,Seybert AL,Kane-Gill SL

更新日期：2017-03-01 00:00:00

abstract：OBJECTIVES:Hospital leaders lack tools to determine the financial impact of poor patient outcomes and adverse events. To provide health-care leaders with decision support for investments to improve care, we created a tool, the Healthcare Quality Calculator (HQCal), which uses institution-specific financial data to calc...

journal_title：Journal of patient safety

authors： Yarbrough WG,Sewell A,Tickle E,Rhinehardt E,Harkleroad R,Bennett M,Johnson D,Wen L,Pfeiffer M,Benegas M,Morath J

更新日期：2014-12-01 00:00:00

abstract：OBJECTIVES:Serious adverse events at out-of-hours services in primary care (OHS-PC) are rare, and the most often concern is missed acute coronary syndrome (ACS). Previous studies on serious adverse events mainly concern root cause analyses, which highlighted errors in the telephone triage process but are hampered by hi...

journal_title：Journal of patient safety

authors： Erkelens DC,Rutten FH,Wouters LT,Kirkels HG,Poldervaart JM,de Groot E,Damoiseaux RA,Hoes AW,Zwart DL

更新日期：2020-12-14 00:00:00

abstract：OBJECTIVE:: This study aimed to evaluate different shortcuts of Healthcare Failure Mode and Effects Analysis (HFMEA) in a radiotherapy setting. DESIGN:: A 2 × 2 study design was set up, in which 4 similar groups analyzed separately the possible risks of the same process by using different versions of HFMEA. SETTING::...

journal_title：Journal of patient safety

authors： Vlayen A

更新日期：2011-09-01 00:00:00

abstract：INTRODUCTION:Significant resource is invested into investigation of adverse healthcare events. Outcomes of such investigations have varying degrees of effectiveness. The "hierarchy of effectiveness" model proposes system-focused changes have greater impact than person-focused actions. The traditional approach to invest...

journal_title：Journal of patient safety

authors： Robbins T,Tipper S,King J,Ramachandran SK,Pandit JJ,Pandit M

更新日期：2020-03-24 00:00:00

abstract：OBJECTIVE:The aim of this study was to investigate the influence of medical error case reporting by national newspapers on inpatient volume at acute care hospitals. DESIGN:A case-control study was conducted using the article databases of 3 major Japanese newspapers with nationwide circulation between fiscal years 2012...

journal_title：Journal of patient safety

authors： Fukuda H

更新日期：2017-06-30 00:00:00

abstract：OBJECTIVES:In this literature review, we discuss 2 system-level, nurse-targeted patient safety practices (PSPs) that aim to reduce medication errors associated with infusion pumps, including smart pumps. One practice focuses on implementing structured process changes and redesigning workflows to improve efficiencies wi...

journal_title：Journal of patient safety

authors： Bacon O,Hoffman L

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVES:Little is known about patient safety performance under the social insurance medical fee schedule in Japan. The Health Ministry in Japan introduced the preferential patient safety countermeasure fee (PPSCF) to promote patient safety in 2006 and revised the PPSCF system in 2010. This study aims to address the ...

journal_title：Journal of patient safety

authors： Hirose M,Kawamura T,Igawa M,Imanaka Y

更新日期：2017-11-16 00:00:00

abstract：OBJECTIVE:Pharmacists can play an important role as leaders to reduce patient safety risks, optimize the safe function of medication management systems, and align pharmacy services with national initiatives that measure and reward quality performance. The objective of this article is to determine the actions that pharm...

journal_title：Journal of patient safety

authors： Burgess LH,Cohen MR,Denham CR

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:To date, there is a paucity of theory-driven research on the likely determinants of patient involvement in safety-relevant behaviors. In particular, very little work has focused on predictors of patient behaviors that do not involve direct interactions with health-care staff. OBJECTIVE:To examine predictors...

journal_title：Journal of patient safety

authors： Davis RE,Vincent C,Sevdalis N

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVE:In this systematic review, we evaluate 2 of the most used trigger tools according to the criteria of the World Health Organization for evaluating methods. METHODS:We searched Embase, PubMed, and Cochrane databases for studies (2000-2017). Studies were included if medical record review (MRR) was performed wit...

journal_title：Journal of patient safety

authors： Klein DO,Rennenberg RJMW,Koopmans RP,Prins MH

更新日期：2020-03-11 00:00:00

abstract：:Patient safety reporting systems (PSRSs) currently operate at local, regional, and national levels within health care. This article analyzes 6 different PSRSs using a World Health Organization and public health classification system. Patient safety incidents (PSIs) are reported, analyzed, mitigated, and evaluated in a...

journal_title：Journal of patient safety

authors： Noble DJ,Panesar SS,Pronovost PJ

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVES:Despite endorsements for greater use of systems approaches and reports from national consensus bodies calling for closer engineering/health care partnerships to improve care delivery, there has been a scarcity of effort of actually engaging the design and engineering disciplines in patient safety projects. T...

journal_title：Journal of patient safety

authors： Henriksen K,Rodrick D,Grace EN,Shofer M,Jeffrey Brady P

更新日期：2019-02-09 00:00:00

abstract：INTRODUCTION:Economic and medical risks threaten the national security of America. The spiraling costs of United States' avoidable healthcare harm and waste far exceed those of any other nation. This 2-part paper, written by a group of aviators, is a national call to action to adopt readily available and transferable s...

journal_title：Journal of patient safety

authors： Denham CR,Sullenberger CB 3rd,Quaid DW,Nance JJ

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVES:This study aimed to explore nurses' perceptions regarding disclosure of patient safety incidents. METHODS:An anonymous online survey was conducted, and results were compared with those of the general public using the same questionnaire in a previous study. RESULTS:Among 689 nurses, 96.8% of nurses felt maj...

journal_title：Journal of patient safety

authors： Choi EY,Pyo J,Lee W,Jang SG,Park YK,Ock M,Lee H

更新日期：2020-09-08 00:00:00

abstract：BACKGROUND:Despite increasing recognition that patients could play an important role in promoting the safety of their care, little is known on this issue regarding health-care professionals' (HCPs') attitudes toward patient involvement. OBJECTIVES:To investigate physicians' and nurses' attitudes toward patient involve...

journal_title：Journal of patient safety

authors： Davis RE,Sevdalis N,Vincent CA

更新日期：2012-12-01 00:00:00

abstract：INTRODUCTION:The second victim is defined as the health professionals who commit an error and are traumatized by the event manifesting psychological, cognitive, and/or physical reactions that have a personal negative impact.The SVEST (Second Victim Experience and Support Tool) is a survey developed and validated in the...

journal_title：Journal of patient safety

authors： Brunelli MV,Estrada S,Celano C

更新日期：2018-05-03 00:00:00

abstract：OBJECTIVE:Safety advocates have identified barcode verification technology as an important tool to improve health-care practices. METHODS:We evaluated the evidence for the role of barcode technology in improving a wide range of medication safety outcomes across a broad range of settings. Important implementation issue...

journal_title：Journal of patient safety

authors： Leung AA,Denham CR,Gandhi TK,Bane A,Churchill WW,Bates DW,Poon EG

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Although more than a decade has passed since the imperative to reduce fragmentation of care, high rehospitalization rates among Medicare patients with chronic diseases persist; at least 25% of these are considered preventable. Transitional care models that emphasize coordination among providers have demonstr...

journal_title：Journal of patient safety

authors： Radhakrishnan K,Jones TL,Weems D,Knight TW,Rice WH

更新日期：2018-03-01 00:00:00

abstract：OBJECTIVES:Many patients with cancer believe that something has gone wrong in their care but are reluctant to speak up. This pilot study sought to evaluate the impact of an intervention of active outreach to patients undergoing cancer treatment, wherein patients were encouraged to speak up if they had concerns about th...

journal_title：Journal of patient safety

authors： Mazor KM,Kamineni A,Roblin DW,Anau J,Robinson BE,Dunlap B,Firneno C,Gallagher TH

更新日期：2018-06-27 00:00:00

abstract：OBJECTIVES:Inpatient healthcare delivery to people who use drugs is an opportunity to provide acute medical stabilization and offer treatment for underlying substance use disorder (SUD). The process of delivering quality healthcare to people with SUD can present challenges. METHODS:We convened a group of stakeholders ...

journal_title：Journal of patient safety

authors： Wurcel AG,Yu S,Burke D,Lund A,Schelling K,Weingart SN,Freund KM

更新日期：2020-05-07 00:00:00