Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations.

abstract：OBJECTIVES:There is a pressing need to improve safety and efficiency in the operating room (OR). Postsurgical adverse events, such as surgical site infections and surgical flow disruption, occur at a significant rate in industrial countries where a considerable portion of such complications result in death. The aim of ...

journal_title：Journal of patient safety

authors： Taaffe K,Joseph A,Khoshkenar A,Machry H,Allison D,Reeves ST,RIPCHD.OR Study Group.

更新日期：2020-03-13 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：INTRODUCTION:This study was designed to determine whether systemic cobalt toxicity as an adverse event could be documented using the Food and Drug Administration's (FDA) Manufacturer and User Facility Device Experience (MAUDE) database for cobalt-chromium containing hip implant recipients. Class 3 Johnson & Johnson (J&...

journal_title：Journal of patient safety

authors： Kavanagh KT,Kraman SS,Kavanagh SP

更新日期：2018-12-01 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：OBJECTIVES:We sought to synthesize data on systemic arthroprosthetic cobaltism, a recently described syndrome that results from wear or corrosion of chrome-cobalt hip components. METHODS:We conducted a systematic literature review to identify all reported cases of systemic arthroprosthetic cobaltism. To assess the epi...

journal_title：Journal of patient safety

authors： Gessner BD,Steck T,Woelber E,Tower SS

更新日期：2019-06-01 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：BACKGROUND:In the pediatric setting, adverse events occurring at the administration stage are the most common type of preventable adverse drug events. Few data are available on the effect of advice from medical professionals on medication safety. METHODS:This is a prospective cohort study of 1685 pediatric patients, 6...

journal_title：Journal of patient safety

authors： Lemer C,Bates DW,Yoon C,Keohane C,Fitzmaurice G,Kaushal R

更新日期：2009-09-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to explore whether information captured in falls reports in incident management systems could be used to explain how and why the falls occurred, with a view to identifying whether such reports can be a source of subsequent learnings that inform practice change. METHODS:An analysis o...

journal_title：Journal of patient safety

authors： de Jong LD,Francis-Coad J,Waldron N,Ingram K,McPhail SM,Etherton-Beer C,Haines TP,Flicker L,Weselman T,Hill AM

更新日期：2018-09-05 00:00:00

abstract：OBJECTIVES:In recent years, several instruments for measuring patient safety culture (PSC) have been developed and implemented. Correct interpretation of survey findings is crucial for understanding PSC locally, for comparisons across settings or time, as well as for planning effective interventions. We aimed to evalua...

journal_title：Journal of patient safety

authors： Gambashidze N,Hammer A,Wagner A,Rieger MA,Brösterhaus M,Van Vegten A,Manser T,WorkSafeMed Consortium.

更新日期：2019-03-15 00:00:00

abstract：OBJECTIVES:Patients are a valuable, yet underutilized source of information for safety measurement and improvement in health care. The aim of this review was to identify patient-report safety climate (SC) measures described in the literature, analyze the included items to consider their alignment with previously establ...

journal_title：Journal of patient safety

authors： Madden C,Lydon S,O'Dowd E,Murphy AW,O'Connor P

更新日期：2020-04-27 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：INTRODUCTION:Apologizing to patients is an encouraged practice, yet little is known about how and why providers apologize and what insights apologies could provide in improving quality and safety. OBJECTIVE:The aim of the study was to determine whether provider apologies in the electronic health record could identify ...

journal_title：Journal of patient safety

authors： Matulis JC 3rd,North F

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVES:Reporting of adverse and near miss events are essential to identify system level targets to improve patient safety. Resident physicians historically report few events despite their role as front-line patient care providers. We sought to evaluate barriers to adverse event reporting in an effort to improve rep...

journal_title：Journal of patient safety

authors： Tevis SE,Schmocker RK,Wetterneck TB

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVES:This study was designed to explore awareness and attitudes of community pharmacists toward the national ADR reporting system activities in the northern states of Malaysia. METHODS:A cross-sectional survey using a validated self-administered questionnaire was used in this study. The questionnaire was deliver...

journal_title：Journal of patient safety

authors： Elkalmi RM,Hassali MA,Ibrahim MI,Jamshed SQ,Al-Lela OQ

更新日期：2014-06-01 00:00:00

abstract：OBJECTIVES:The use of peripherally inserted central catheters (PICCs) has increased substantially within hospitals during the past several years. Yet, the prevalence and practices of designated nurse PICC teams (i.e., specially trained nurses who are responsible for PICC insertions at a hospital) are unknown. We, there...

journal_title：Journal of patient safety

authors： Krein SL,Kuhn L,Ratz D,Chopra V

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:Because internal medicine hospitalist programs were developed to address issues in medicine such as a need to improve quality, improve efficiency, and decrease healthcare cost, obstetrical (OB) hospitalist models were developed to address needs specific to the obstetrics and gynecology field. Our objective wa...

journal_title：Journal of patient safety

authors： Decesare JZ,Bush SY,Morton AN

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVES:The intensive care unit (ICU) is a complex environment in terms of data density and alerts, with alert fatigue, a recognized barrier to patient safety. The Electronic Health Record (EHR) is a major source of these alerts. Although studies have looked at the incidence and impact of active EHR alerts, little r...

journal_title：Journal of patient safety

authors： Kizzier-Carnahan V,Artis KA,Mohan V,Gold JA

更新日期：2019-09-01 00:00:00

abstract：INTRODUCTION:The reported 90-day rate of death from living donor nephrectomy is 3 in 10,000 donations. Although this risk is low, the important question is how many deaths are preventable? METHODS:To study this question, all living donor nephrectomy cases, 139,186 procedures, recorded in the Scientific Registry of Tra...

journal_title：Journal of patient safety

authors： Keith DS,Brown J,Andreoni K

更新日期：2019-12-01 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：:On May 20 to 22, 2009, the National Patient Safety Foundation (NPSF) held its Annual NPSF Patient Safety Congress in National Harbor, Md. Entitled Patient Safety in Challenging Times: Now More Than Ever, A Critical Need, the meeting focused on the need to strengthen efforts to improve patient safety and quality in the...

journal_title：Journal of patient safety

authors： Bonacum D,Corrigan J,Gelinas L,Pinakiewicz DC,Stepnick L

更新日期：2009-09-01 00:00:00

abstract：OBJECTIVES:The aims of the study were to examine the reactions of first-year health profession students to medical errors and determine whether differences exist between disciplines. METHODS:After viewing the Team STEPPS Program's Susan Sheridan video that describes two separate medical errors, students from anesthesi...

journal_title：Journal of patient safety

authors： Davis BP,Clevenger C,Dillard R,Moulia D,Ander DS

更新日期：2020-03-11 00:00:00

abstract：OBJECTIVES:Relatively little is known about rates of outpatient adverse drug events (ADEs), and most health systems do not routinely identify them. We developed a computerized ADE measurement process and used it to detect ADEs from electronic health records and then categorized them according to type, preventability, a...

journal_title：Journal of patient safety

authors： Gandhi TK,Seger AC,Overhage JM,Murray MD,Hope C,Fiskio J,Teal E,Bates DW

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVES:Drugs can come in concentrated solutions that require dilution before intravenous bolus administration. Upon dilution, the syringe can contain more than the required amount of drug. The user may mistakenly administer the full contents of the syringe, resulting in an overdose. In this cross-sectional study, w...

journal_title：Journal of patient safety

authors： Ng YYY,Wan PW,Chan KP,Sim GG

更新日期：2020-09-08 00:00:00

abstract：OBJECTIVES:The aim of this study was to identify physical design elements that contribute to potential falls in patient rooms. METHODS:An exploratory, physical simulation-based approach was adopted for the study. Twenty-seven subjects, older than 70 years (11 male and 16 female subjects), conducted scripted tasks in a...

journal_title：Journal of patient safety

authors： Pati D,Valipoor S,Cloutier A,Yang J,Freier P,Harvey TE,Lee J

更新日期：2017-02-03 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：OBJECTIVES:Adverse drug events (ADEs) are common in ambulatory care and may result from poor patient-physician communication about medication-related symptoms. A module was developed within an electronic patient portal that was designed to enhance communication about medication symptoms and, in turn, reduce ADEs and he...

journal_title：Journal of patient safety

authors： Weingart SN,Carbo A,Tess A,Chiappetta L,Tutkus S,Morway L,Toth M,Davis RB,Phillips RS,Bates DW

更新日期：2013-09-01 00:00:00

abstract：INTRODUCTION:ProVation Medical documentation software was introduced in our Department of Gastroenterology (GI). We evaluated the use of a simulation module to improve the introduction of new documentation software into a tertiary care center GI department. MATERIALS AND METHODS:Train-the-trainer education was provide...

journal_title：Journal of patient safety

authors： Richie E,Dove C,Crowe SL,DeArment V,Manwiller J,Wallace M,Thiel DD

更新日期：2014-09-01 00:00:00

abstract：INTRODUCTION:Mortality and morbidity (M&M) meetings present a forum to discuss and review in-hospital deaths and complications to improve patient care. However, it remains an untapped resource to improve the exposure of the trainees to the principles of patient safety METHODS: We modified the departmental M&M meetings ...

journal_title：Journal of patient safety

authors： Singh HP,Durani P,Dias JJ

更新日期：2019-03-01 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：OBJECTIVE:Evaluating organizational safety culture is critical for high-stress, high-risk professions such as prehospital emergency medical services (EMS). The aim of the study was to evaluate the psychometric properties of a safety culture instrument for EMS, based on the Agency for Healthcare Research and Quality's w...

journal_title：Journal of patient safety

authors： Crowe RP,Cash RE,Christgen A,Hilmas T,Varner L,Vogelsmeier A,Gilmore WS,Panchal AR

更新日期：2018-06-11 00:00:00