Search results for "patient safety"
showing 10 items of 113 documents
Is MRI imaging in pediatric age totally safe? A critical reprisal.
2017
Current radiological literature is strongly focussed on radiation imaging risks. Indeed, given there is a small but actual augment in cancer risk from exposure to ionizing radiation in children, it is important to understand what the risk of alternative techniques could be. We retrospectively review literature data concerning possible MR imaging risks, focussing on the biological effects of MR, sedation and gadolinium compound risks when dealing with infant patients. The main concerns can be summarized in: (1) Biological effects of non-ionizing electromagnetic fields (EMF) employed—whose mechanisms of interaction with human tissues are polarization, induced current, and thermal heating, res…
Proposal of a "Checklist" for endodontic treatment.
2013
Objectives: On the basis of the “Surgical Checklist” proposed by the WHO, we propose a new Checklist model adapted to the procedures of endodontic treatment. Study Design: The proposed document contains 21 items which are broken down into two groups: those which must be verified before beginning the treatment, and those which must be verified after completing it, but before the patient leaves the dentist’s office. Results: The Checklist is an easy-to-use tool that requires little time but provides, order, logic and systematization by taking into account certain basic concepts to increase patient safety. Discussion: We believe that the result is a Checklist that is easy to complete and which…
US Food and Drug Administration's Risk Evaluation and Mitigation Strategy for Extended-Release and Long-Acting Opioids Pros and Cons, and a European …
2012
Prescriptions for opioid analgesics to manage moderate-to-severe chronic non-cancer pain have increased markedly over the last decade. An unintentional consequence of greater prescription opioid utilization has been the parallel increase in misuse, abuse and overdose, which are serious risks associated with all opioid analgesics. In response to disturbing rises in prescription opioid abuse, the US Food and Drug Administration (FDA) has proposed the implementation of aggressive Risk Evaluation and Mitigation Strategies (REMS). While REMS could dramatically change the development, release, marketing and prescription of extended-release opioids, questions remain on how these programmes may inf…
Video-assisted surgery: suggestions for failure prevention in laparoscopic cholecystectomy
2014
Background: Surgery differs from other medical specialties in its execution. It is often complex and includes considerable individual variations. Observing problems in operating theatres (OT) allows for the identification of system failures which should be defined for learning purposes to increase patient safety and enhance general safety culture within hospital organizations. This study evaluates a common video-assisted surgical procedure, laparoscopic cholecystectomy (LC) through failure analysis. The profile of the LC procedure and failure sources is presented. Methods: Data consisted video-observations and interviews concerning twelve LC operations performed at a day surgery unit. All o…
Imaging Approach for Evaluation of Focal Liver Lesions
2009
Focal liver lesions are common in the general population. Radiology (imaging) plays a pivotal role for the diagnosis, staging, treatment planning, and follow-up of focal liver lesions. To maximize lesion detection and characterization, imaging needs to be performed with appropriate equipment by using protocols carefully designed on the basis of the underlying clinical context. In addition, the decision of an imaging modality cannot be based on the diagnostic accuracy of an imaging test solely but must also consider patient safety and cost-effectiveness.
Usefulness of Midline Catheters versus Peripheral Venous Catheters in an Inpatient Unit: A Pilot Randomized Clinical Trial
2022
Canalization of vascular accesses is one of the most used techniques in hospitalization units. When talking about peripherally inserted catheters, we can differentiate between peripheral intravenous catheters (PIVC), midline catheters, and long peripheral catheters (LPC). Midline catheters are rarely used despite being recommended for intravenous therapies lasting more than six days. This research is a pilot study of a longitudinal clinical trial. It aims to compare the complications associated with intravenous therapy between the control group (CG) with a PIVC and the experimental group (EG) with a midline in an Internal Medicine Unit of a Spanish hospital for three months. In this study, …
Safety of intra-articular hip injection of hyaluronic acid products by ultrasound guidance: an open study from ANTIAGE register.
2013
Abstract. – OBJECTIVE: We developed a standardized technique for ultrasound guided intra-articular injection of the hip joint with the purpose of extending routine intra-articular injection of hyaluronans and steroids to the hip, as commonly used in the knee. In this article we report the safety of this technique in an extended series of patients. PATIENTS AND METHODS: Patients were injected supine with an anterosuperior approach under ultrasound guidance. The Us probe is applied with a target device for biopsy. RESULTS: The standardised technique was used to inject 1906 patients with 4002 injections of hyaluronan products over a four-year period. The treatment was well tolerated with few, …
Safety of hospital discharge before return of bowel function after elective colorectal surgery
2020
Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…
Bulings : pacientu drošība
2020
Šī bakalaura darba tēma ir “Bulings : pacientu drošība”, un tā mērķis ir noskaidrot bulinga ietekmi uz māsām un pacientu drošību. Veselības aprūpes sistēma ir viena no svarīgākajām sabiedrības labklājības pamatvērtībām. Medicīnas aprūpes attīstība rada arvien jaunas iespējas un veidus kā palīdzēt cilvēkiem, glābt to dzīvības un uzlabot dzīves kvalitātes līmeni tiem, kam tas ir krities dažādu saslimšanu dēļ. Jāteic gan, veselības nozarei piedzīvojot izaugsmi un dažādu inovāciju ieviešanu, ir iespējami arī negaidīti sarežģījumi, kuri var veicināt nepatīkamu riska situāciju rašanos. Medicīnas nozare, pēc autores domām, ir augstākā riska nozare, kurā jebkuram iesaistītajam ir jābūt gatavam pied…
System Dynamics Models To Support Health Care Companies In Managing Clinical Risk
2011
Clinical risk management has gained an increasing relevance because of the higher monetary and no monetary effects of clinical errors on health care companies' performance. For this reason, different risk management techniques from the industrial sector have been adopted by managers of health care companies in order to reduce the occurrences of errors and their relative impacts. However, these methods, based on a linear and static perspective, do not properly support the health care companies' management in the identification and assessment of policies aimed at improving the clinical risk profile without reducing financial performances. Therefore, it is necessary to adopt a systemic and mul…