scholarly journals Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization’s Checklists in Surgery

JAMA Surgery ◽  
2020 ◽  
Vol 155 (7) ◽  
pp. 562 ◽  
Author(s):  
Anette Storesund ◽  
Arvid Steinar Haugen ◽  
Hans Flaatten ◽  
Monica W. Nortvedt ◽  
Geir Egil Eide ◽  
...  
Keyword(s):  
Patient Safety ◽  
Clinical Efficacy ◽  
Safety System ◽  
World Health ◽  
Surgical Patient ◽  
The World

scholarly journals Validation of a Norwegian version of SURgical PAtient Safety System (SURPASS) in combination with the World Health Organizations’ Surgical Safety Checklist (WHO SSC)

2019 ◽  
Vol 8 (1) ◽  
pp. e000488 ◽  
Author(s):  
Anette Storesund ◽  
Arvid Steinar Haugen ◽  
Hilde Valen Wæhle ◽  
Rupavathana Mahesparan ◽  
Marja A Boermeester ◽  
...  
Keyword(s):  
Patient Safety ◽  
Focus Groups ◽  
Content Validity ◽  
Surgical Care ◽  
Safety System ◽  
World Health ◽  
Surgical Patient ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Norwegian Version

IntroductionSurgical safety checklists may contribute to reduction of complications and mortality. The WHO’s Surgical Safety Checklist (WHO SSC) could prevent incidents in operating theatres, but errors also occur before and after surgery. The SURgical PAtient Safety System (SURPASS) is designed to intercept errors with use of checklists throughout the surgical pathway.ObjectiveWe aimed to validate a Norwegian version of the SURPASS’ preoperative and postoperative checklists for use in combination with the already established Sign In, Time Out and Sign Out parts of the WHO SSC.Methods and materialsThe validation of the SURPASS checklists content followed WHOs recommended guidelines. The process consisted of six steps: forward translation; testing the content; focus groups; expert panels; back translation; and approval of the final version. Qualitative content analysis was used to identify codes and categories for adaption of the SURPASS checklist items throughout Norwegian surgical care. Content validity index (CVI) was used by expert panels to score the relevance of each checklist item. The study was carried out in a neurosurgical ward in a large tertiary teaching hospital in Norway.ResultsTesting the preoperative and postoperative SURPASS checklists was performed in 29 neurosurgical procedures. This involved all professional groups in the entire surgical patient care pathway. Eight clinical focus groups revealed two main categories: ‘Adapt the wording to fit clinical practice’ and ‘The checklist items challenge existing workflow’. Interprofessional scoring of the content validity of the checklists reached >80% for all the SURPASS checklists.ConclusionsThe first version of the SURPASS checklists combined with the WHO SSC was validated for use in Norwegian surgical care with face validity confirmed and CVI >0.80%.Trial registration numberNCT01872195.

scholarly journals Segurança do paciente no transoperatório: análise do protocolo de cirurgia segura

2019 ◽  
Vol 14 ◽  
Author(s):  
Laura Fabiane Macedo Lopes Pereira ◽  
Samanta Alves Ramos de Oliveira ◽  
Gidelson Gabriel Gomes
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
World Health ◽  
Surgical Patient ◽  
Perioperative Nursing ◽  
Safe Surgery ◽  
Surgery Patient ◽  
The World ◽  
Quantitative Descriptive ◽  
Surgical Teams

Objetivo: analisar a assistência ao paciente cirúrgico no transoperatório conforme os postulados do protocolo de cirurgia segura da Organização Mundial de Saúde. Método: trata-se de um estudo quantitativo, descritivo, observacional, no bloco cirúrgico, com pacientes e equipes anestésicos-cirúrgicas, a partir do checklist e um questionário. Analisaram-se os dados de forma descritiva levando=se em consideração frequências e percentuais dispostos em tabelas e figura. Resultados: corresponderam-se as 127 cirurgias nas especialidades: Ortopedia; Geral; Cabeça e Pescoço; Neurologia e Bucomaxilofacial; em 34 cirurgias os pacientes confirmaram a identidade, local da cirurgia, procedimento e consentimento; em 93 procedimentos, este item não foi checado. Conclusão: conclui-se que a comunicação entre a equipe, o conhecimento e a aplicação do que dispõe no setor fazem com que a segurança do paciente aconteça. Descritores: Enfermagem Perioperatória; Cirurgia Segura; Segurança do Paciente; Lista de Verificação; Assistência de Enfermagem; Procedimentos Cirúrgicos Eletivos.AbstractObjective: to analyze the assistance to the surgical patient in the transoperative period according to the postulates of the World Health Organization's safe surgery protocol. Method: this is a quantitative, descriptive, observational study, in the operating room, with patients and anesthetic-surgical teams, from the checklist and a questionnaire. The data was analyzed descriptively, considering frequencies and percentages arranged in tables and figures. Results: the 127 surgeries in the specialties corresponded: Orthopedics; General; Head and neck; Neurology and buccomaxillofacial; in 34 surgeries, patients confirmed identity, place of surgery, procedure and consent; in 93 procedures, this item was not checked. Conclusion: it is concluded that the communication between the team, the knowledge and the application of what is available in the sector make patient safety happen. Descriptors: Perioperative Nursing; Safe Surgery; Patient safety; Verification List; Nursing Care; Elective Surgical Procedures.ResumenObjetivo: analizar la atención quirúrgica del paciente durante la cirugía de acuerdo con los postulados del protocolo de cirugía segura de la Organización Mundial de la Salud. Método: estudio cuantitativo, descriptivo, observacional en el quirófano, con pacientes y equipos de cirugía anestésica, a partir del checklist y un cuestionario. Los datos se analizaron descriptivamente considerando frecuencias y porcentajes organizado en tablas y figuras. Resultados: correspondieron a 127 cirugías en las especialidades: Ortopedia; General; Cabeza y Cuello; Neurología y Bucomaxilofacial; en 34 cirugías, los pacientes confirmaron la identidad, el lugar de la cirugía, el procedimiento y el consentimiento; en 93 procedimientos, este elemento no ha sido verificado. Conclusión: se puede concluir que la comunicación entre el equipo, el conocimiento y la aplicación de lo que está disponible en el sector hace posible la seguridad del paciente. Descriptores: Enfermería Perioperatoria; Cirugía Segura; Seguridad del Paciente; Lista de Verificación; Asistencia de Enfermeira; Procedimientos Quirúrgicos Electivos.

Pharmacy Leadership Amid the Pandemic: Maintaining Patient Safety During Uncertain Times

2021 ◽  
pp. 001857872110375
Author(s):  
Irene Derrong Lin ◽  
John B. Hertig
Keyword(s):  
Patient Safety ◽  
Safety Data ◽  
Clinical Effectiveness ◽  
World Health ◽  
Leadership Strategies ◽  
Pharmaceutical Supply Chain ◽  
The World ◽  
Health Organization ◽  
Pharmacy Leaders ◽  
Effective Treatments

The relentless surges of global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections that caused the Covid-19 disease had pressured researchers and regulators to develop effective treatments quickly. While studying these therapies amid the pandemic, threats to patient care were reported, including (1) maintaining adequate safeguards as clinical effectiveness and safety data evolves, (2) risks from online counterfeit medications, and (3) disruption of the global pharmaceutical supply chain. This article discusses these patient safety threats and suggests strategies that promote patient safety, foster medication intelligence, and mitigate drug shortages. As the world continues to develop safe and effective treatments for Covid-19, patient safety is paramount. In response to the World Health Organization (WHO) Global Safety Challenge: Medication Without Harm, leaders must establish effective approaches to improve medication safety during the pandemic. Successfully integrating these leadership strategies with current practices allows pharmacy leaders to implement robust systems to reduce errors, prevent harm, and advocate for patient safety.

scholarly journals Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in 138 hospitals in China

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jie Tan ◽  
James Reeves Mbori Ngwayi ◽  
Zhaohan Ding ◽  
Yufa Zhou ◽  
Ming Li ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Operating Room ◽  
World Health ◽  
Surgical Patient ◽  
Local Data ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Operating Room Staff

Abstract Background Ten years after the introduction of the Chinese Ministry of Health (MoH) version of Surgical Safety Checklist (SSC) we wished to assess the ongoing influence of the World Health Organisation (WHO) SSC by observing all three checklist components during elective surgical procedures in China, as well as survey operating room staff and surgeons more widely about the WHO SSC. Methods A questionnaire was designed to gain authentic views on the WHO SSC. We also conducted a prospective cross-sectional study at five level 3 hospitals. Local data collectors were trained to document specific item performance. Adverse events which delayed the operation were recorded as well as the individuals leading or participating in the three SSC components. Results A total of 846 operating room staff and surgeons from 138 hospitals representing every mainland province responded to the survey. There was widespread acceptance of the checklist and its value in improving patient safety. 860 operations were observed for SSC compliance. Overall compliance was 79.8%. Compliance in surgeon-dependent items of the ‘time-out’ component reduced when it was nurse-led (p < 0.0001). WHO SSC interventions which are omitted from the MoH SSC continued to be discussed over half the time. Overall adverse events rate was 2.7%. One site had near 100% compliance in association with a circulating inspection team which had power of sanction. Conclusion The WHO SSC remains a powerful tool for surgical patient safety in China. Cultural changes in nursing assertiveness and surgeon-led teamwork and checklist ownership are the key elements for improving compliance. Standardised audits are required to monitor and ensure checklist compliance.

Patient Safety Concerns among Emergency Medical Staff and Patients

2013 ◽  
Vol 1 (1) ◽  
pp. 29-52
Author(s):  
Pi-Fang Hsu ◽  
Wen-Chun Tsai ◽  
Chia-Wen Tsai
Keyword(s):  
Patient Safety ◽  
Emergency Departments ◽  
Medical Staff ◽  
World Health ◽  
The European Union ◽  
Department Of Health ◽  
Perceptions And Attitudes ◽  
The World ◽  
Health Organization

Recently, much of the world, including the World Health Organization, the European Union and many North American countries, have emphasized patient safety. Around the same time, Taiwan’s Department of Health (DOH) devoted a significant amount of resources to better the quality of medical treatment for their patients. This study explores perceptions of and attitudes towards patient safety among medical staff and patients in emergency departments. Analysis results indicate that medical staff and patients significantly differ in perceptions and attitudes. Results of this study provide a valuable reference for governmental authorities and hospital managers in formulating policies aimed at clarifying perceptions and attitudes regarding patient safety among medical staff and patients in emergency departments.

scholarly journals Summary of the International Patient Safety Conference, June 28—29, 2019, Kathmandu, Nepal

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Deepak C. Bajracharya ◽  
Kshitij Karki ◽  
Chhiring Yangjen Lama ◽  
Rajesh Dhoj Joshi ◽  
Shankar Man Rai ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Improve Patient Safety ◽  
World Health ◽  
Patient Centered ◽  
Governmental Organization ◽  
Healthcare Facilities ◽  
The World ◽  
Health Organization ◽  
Improve Patient

AbstractGlobally, medical errors are associated with an estimated $42 billion in costs to healthcare systems. A variety of errors in the delivery of healthcare have been identified by the World Health Organization and it is believed that about 50% of all errors are preventable. Initiatives to improve patient safety are now garnering increased attention across a range of countries in all regions of the world. From June 28--29, 2019, the first International Patient Safety Conference (IPSC) was held in Kathmandu, Nepal and attended by over 200 healthcare professionals as well as hospital, government, and non-governmental organization leaders. During the conference, presentations describing the experience with errors in healthcare and solutions to minimize future occurrence of adverse events were presented. Examples of systems implemented to prevent future errors in patient care were also described. A key outcome of this conference was the initiation of conversations and communication among important stakeholders for patient safety. In addition, attendees and dignitaries in attendance all reaffirmed their commitment to furthering actions in hospitals and other healthcare facilities that focus on reducing the risk of harm to patients who receive care in the Nepali healthcare system. This conference provides an important springboard for the development of patient-centered strategies to improve patient safety across a range of patient care environments in public and private sector healthcare institutions.

scholarly journals A Working Hypothesis Regarding Identical Pathomechanisms between Clinical Efficacy and Adverse Reaction of Clozapine via the Activation of Connexin43

2020 ◽  
Vol 21 (19) ◽  
pp. 7019 ◽  
Author(s):  
Motohiro Okada ◽  
Kouji Fukuyama ◽  
Takashi Shiroyama ◽  
Masahiko Murata
Keyword(s):  
Monitoring System ◽  
Clinical Efficacy ◽  
Adverse Reactions ◽  
Clinical Evidence ◽  
Antipsychotic Agent ◽  
World Health ◽  
Treatment Resistant ◽  
Global Database ◽  
The World ◽  
Severe Adverse Reactions

Clozapine (CLZ) is an approved antipsychotic agent for the medication of treatment-resistant schizophrenia but is also well known as one of the most toxic antipsychotics. Recently, the World Health Organization’s (WHO) global database (VigiBase) reported the relative lethality of severe adverse reactions of CLZ. Agranulocytosis is the most famous adverse CLZ reaction but is of lesser lethality compared with the other adverse drug reactions of CLZ. Unexpectedly, VigiBase indicated that the prevalence and relative lethality of pneumonia, cardiotoxicity, and seizures associated with CLZ were more serious than that of agranulocytosis. Therefore, haematological monitoring in CLZ patients monitoring system provided success in the prevention of lethal adverse events from CLZ-induced agranulocytosis. Hereafter, psychiatrists must amend the CLZ patients monitoring system to protect patients with treatment-resistant schizophrenia from severe adverse CLZ reactions, such as pneumonia, cardiotoxicity, and seizures, according to the clinical evidence and pathophysiology. In this review, we discuss the mechanisms of clinical efficacy and the adverse reactions of CLZ based on the accumulating pharmacodynamic findings of CLZ, including tripartite synaptic transmission, and we propose suggestions for amending the monitoring and medication of adverse CLZ reactions associated with pneumonia, cardiotoxicity, and seizures.

scholarly journals Adaptação da lista de verificação de cirurgia segura para o contexto da COVID-19

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Thais Da Costa Oliveira ◽  
Paula Alencar Gonçalves ◽  
Thatiane Albuquerque Da Costa Lima
Keyword(s):  
Patient Safety ◽  
University Hospital ◽  
World Health ◽  
Protective Equipment ◽  
Surgical Safety ◽  
Material Resources ◽  
Safe Surgery ◽  
Post Procedure ◽  
The World ◽  
Hospital Transmission

Objetivo: Relatar a experiência acerca da adaptação da lista de verificação de cirurgia segura para procedimentos de pacientes em isolamento respiratório no contexto da Covid-19. Método: A experiência foi desenvolvida por um grupo de enfermeiras assistenciais de um hospital universitário, utilizando-se os pressupostos do checklist de cirurgia segura da Organização Mundial de Saúde e as recomendações das entidades científicas nacionais e internacionais para adaptar a lista de verificação de segurança cirúrgica para os procedimentos de pacientes em isolamento respiratório no contexto da Covid-19. Resultados: A lista de verificação adaptada contemplou elementos organizacionais pré e pós-procedimento para orientar a supervisão do enfermeiro de centro cirúrgico, otimizando recursos físicos e materiais, uso de equipamentos de proteção individual e minimizando o risco de transmissão intra-hospitalar da Covid-19. Conclusão: A experiência contribuiu para relacionar a segurança cirúrgica no contexto pandêmico da Covid-19, tendo em vista a manutenção de procedimentos cirúrgicos não adiáveis, retomada dos cronogramas cirúrgicos eletivos e redução dos incidentes de segurança neste público.Descritores: Lista de verificação; Centros Cirúrgicos; Segurança do paciente; Infecções por Coronavírus. ADAPTATION OF THE SAFE SURGERY CHECKLIST TO THE CONTEXT OF COVID-19Objectivos: Report an experience report about the adaptation of the safe surgery checklist for procedures of patients in respiratory isolation in the context of COVID-19. Method: The experience was developed by a group of nurse assistants from a university hospital, using the assumptions of the World Health Organization's safe surgery checklist and the recommendations of national and international scientific entities to adapt the surgical safety checklist for patients procedures in respiratory isolation in the context of COVID-19. Results: The adapted checklist included pre- and post-procedure organizational elements to guide the supervision of the operating room nurse, optimizing physical and material resources, use of personal protective equipment and minimizing the risk of intra-hospital transmission of COVID-19. Conclusion: The experience contributed to relate surgical safety in the pandemic context of COVID-19, with a view to maintaining non-postponing surgical procedures, resuming elective surgical schedules and reducing safety incidents in this public.Descriptors: Checklist; Surgical Centers; Patient safety; Coronavirus infections.ADAPTACIÓN DE LA LISTA DE VERIFICACIÓN DE CIRURGÍA SEGURA AL CONTEXTO DE COVID-19Objetivos: Informar la experiencia sobre la adaptación de la lista de verificación de cirugía segura para procedimientos de pacientes en aislamiento respiratorio en el contexto de COVID-19. Metodo: La experiencia fue desarrollada por un grupo de asistentes de enfermería de un hospital universitario, utilizando los supuestos de la lista de verificación de cirugía segura de la Organización Mundial de la Salud y las recomendaciones de entidades científicas nacionales e internacionales para adaptar la lista de verificación de seguridad quirúrgica para los pacientes. procedimientos para pacientes en aislamiento respiratorio en el contexto de COVID-19. Resultados: La lista de verificación adaptada incluía elementos organizativos previos y posteriores al procedimiento para guiar la supervisión de la enfermera del quirófano, optimizando los recursos físicos y materiales, el uso de equipos de protección personal y minimizando el riesgo de transmisión intrahospitalaria de COVID-19. Conclusión: La experiencia contribuyó a relacionar la seguridad quirúrgica en el contexto pandémico de COVID-19, con miras a mantener procedimientos quirúrgicos no pospuestos, reanudar los horarios quirúrgicos electivos y reducir los incidentes de seguridad en este público.Descriptores: Lista de verificación; Centros quirúrgicos; Seguridad del paciente; Infecciones por coronavirus.

scholarly journals Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0138510 ◽  
Author(s):  
Donna Farley ◽  
Hao Zheng ◽  
Eirini Rousi ◽  
Agnès Leotsakos
Keyword(s):  
Patient Safety ◽  
World Health Organization ◽  
Field Test ◽  
World Health ◽  
Curriculum Guide ◽  
The World ◽  
Health Organization
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