Search results for "patient safety"
showing 10 items of 113 documents
Pacientu drošas vides organizēšana intensīvās terapijas nodaļā
2017
Bakalaura darba tēma ir „Pacientu drošas vides organizēšana intensīvās terapijas nodaļā“. Darba mērķis bija noskaidrot, kā pacientiem tiek organizēta droša vide intensīvās terapijas nodaļās. Darbs sastāv no teorētiskās un pētnieciskās daļas. Teorētiskajā daļā iekļauts pacientiem drošas vides apraksts, intensīvās terapijas nodaļā. Intensīvās terapijas nodaļas vides apraksts. Pētniecības daļā iekļauta pētījuma metodoloģija, pētījumā iegūtie rezultāti, analīze un secinājumi. Pētījuma veikšanā tika izmantota kvalitatīvā metode. Pētījuma instrumenti: intervija un novērojumu protokols. Darbs sastāv no 66 lapaspusēm un 6 pielikumiem. Darbā tika izmantoti 37 literatūras avoti, no kuriem 22 bija lat…
Implementation of A Year-Long Antimicrobial Stewardship Program in A 227-Bed Community Hospital in Southern Italy
2023
Background: Healthcare-Acquired Infections (HAIs) are serious healthcare complications affecting hospital stay, in-hospital mortality, and costs. Root cause analysis has identified the inappropriate use of antibiotics as the main causative factor in the expansion of multi-drug-resistant organisms (MDRO) in our hospital. An Antimicrobial Stewardship (AMS) program was implemented to optimize antibiotic use, limit the development of resistance, improve therapeutic efficacy and clinical outcomes, and reduce costs. Methods: The stewardship strategies were: antimicrobial oversight on “critical” antibiotics; the development of hospital guidelines on antibiotic selection with the production of a co…
Tilgangsstyring av elektronisk pasientjournal : en Delphistudie av dagens utfordringer og synliggjøring av potensielle forbedringer
2014
Masteroppgave i helse- og sosialinformatikk HSI 500 Universitetet Agder 2014 In health care, access to sensitive information about patients is a necessity in order to offer care to the patient, and maintain patient safety. At the same time it is important that the information is protected against unauthorized access, to ensure patient privacy. Access control is an essential function in electronic health records (EHR) to maintain the duality between patient safety and patient privacy by ensuring that authorized personnel are allowed access to information they need. However, care processes are often unpredictable, and a number of end users can be involved in treatment across organizational un…
Inappropriateness in laboratory medicine: an elephant in the room?
2017
Appropriateness of diagnostic testing can be conventionally described as prescription of the right test, using the right method, at the right time, to the right patient, with the right costs and for producing the right outcome. There is ongoing debate about the real burden of inappropriateness in laboratory diagnostics. The media coverage of this issue has also recently led to either over- or under-emphasizing the clinical, organizational and economic consequences. This is quite problematic, inasmuch as some reliable data are available in the current scientific literature, showing that inappropriateness of laboratory testing can be as high as 70%. This is especially evident for, though not …
Monitoring the quality of the hospital pharmacoterapeutic process by sentinel patient program
2018
To analyze the results of sentinel patient program to monitoring the quality pharmacoterapeutic process in the hospitalized patient through medication errors.Design: Observational, prospective and transversal study. Ambit: General hospital of 1,000 beds.From May 2011 to June 2016. Sample: Patients with treatment prescribe within 24 hours of being admitted with 4 or more medications.Medication error, drugs prescribed, medications and doses dispensing, drugs administered. Safety indicators were defined based on medication errors at each stage of the pharmacotherapeutic process.Of the 746 patients studied, 334 had at least 1 medication error (44.8%; IC95%: 41.7-47.8). In the 746 treatm…
Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership interven…
2018
IntroductionNursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context.Methods and analysisThe aim of the ‘Improving Quality and Safety in Primary Care—Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety compe…
Surgical learning and guidance on operative risks and potential errors
2017
Purpose Within the framework of learning from errors, this study focused on how operative risks and potential errors are addressed in guidance to surgical residents during authentic surgical operations. The purpose of this paper is to improve patient safety and to diminish medical complications resulting from possible operating errors. Further in the process of the optimal contexts for instruction aimed at preventing risks and errors in the practical hospital environment was evaluated. Design/methodology/approach The five authentic surgical operations were analyzed, all of which were organized as training sessions for surgical residents. The data (collected via video-recoding) were analyze…
Patient safety and nurse managers' competencies in decision making relating to rationing of care - the state of the art
2020
To prevent potential health- or life-threatening events during patient care at every stage of hospitalisation, all possible causes that could lead to adverse events should be recognised by the highly qualified medical staff who are responsible for patient safety. The aim of this state-of-the-art paper is to summarise the issue of patient safety in the hospital and nurse managers’ competencies relating to rationing of care, and to discuss implementation of the evidence-based practice as the key foundation for the development and knowledge management of nursing care. Research evidence does not provide any innovative solutions to direct knowledge management in clinical settings. Therefore, we …
Lessons in clinical reasoning – pitfalls, myths, and pearls: the contribution of faulty data gathering and synthesis to diagnostic error
2021
Abstract Objectives Errors in clinical reasoning are a major factor for delayed or flawed diagnoses and put patient safety at risk. The diagnostic process is highly dependent on dynamic team factors, local hospital organization structure and culture, and cognitive factors. In everyday decision-making, physicians engage that challenge partly by relying on heuristics – subconscious mental short-cuts that are based on intuition and experience. Without structural corrective mechanisms, clinical judgement under time pressure creates space for harms resulting from systems and cognitive errors. Based on a case-example, we outline different pitfalls and provide strategies aimed at reducing diagnost…