Contaminated Instruments Present Patient Safety Issues: The Role of the Perioperative Team

AORN Journal ◽  
2018 ◽  
Vol 108 (4) ◽  
pp. 438-444
Author(s):  
Joan M. Spear
Keyword(s):  
Patient Safety ◽  
Present Patient ◽  
Safety Issues

scholarly journals ROLE OF THE CULTURAL CONTEXT IN DETERMINING THE USE OF PATIENT SAFETY; A MIX METHOD STUDY

2021 ◽  
Vol 71 (5) ◽  
pp. 1577-81
Author(s):  
Najm Us Saqib Khan ◽  
Assad Hafeez ◽  
Rehana Khadim ◽  
Anam Haider ◽  
Aliya Hisam ◽  
...  
Keyword(s):  
Patient Safety ◽  
Public Sector ◽  
Cultural Context ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Public Hospitals ◽  
Safety Issues ◽  
Private And Public ◽  
Asking Questions

Objective: To compare the role of the cultural context in determining the use of patient safety by participants from private and public sector hospitals of Karachi, Pakistan. Study Design: Mix method study. Place and Duration of Study: In two tertiary care hospitals (one private and one public sector) of Karachi from Nov 2016 till Nov 2017. Methodology: A sample size of 153 was enrolled by consecutive convenient sampling technique. The role of the cultural context of both hospitals was compared by asking questions from the hospital's staff. Data were collected by the researcher using an open and closed-ended questionnaire. Results: Data of 153 successful and filled questionnaires were analyzed. Out of 153, 78 (51%) cases were for private hospitals and 75 (49%) cases were for public hospitals. The role of the cultural context in determining the use of the patient safety concept was not sufficiently understood by participants of both hospitals, and most of the participants gave vague answers. Conclusion: Cultural context is one of the key factors in patient safety as with collective mindfulness about safety issues, and health care can be delivered safely.

scholarly journals PATIENT SAFETY ISSUES: THE ROLE OF ORGANIZATIONAL BEHAVIORAL APPROACH (OBA) IN ADDRESSING ISSUES RELATED TO MEDICAL ERROR AND SAFETY CULTURE

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Fatmawati Fatmawati ◽  
Muhammad Taufik
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Error ◽  
Care Setting ◽  
Health Sciences ◽  
Behavioral Approach ◽  
Safety Issues ◽  
Behavioral Theories ◽  
Main Target

During these recent years, patient safety has become a prominent issue in the medical atmosphere and appeared to be the main target for improvement (Leroy et al., 2012). As one of the disciplines in health sciences, psychology might play an important role in addressing the problems occurred in patient safety. There are broad aspects where psychology may contribute (Nash, McKay, Vogel, & Masters, 2012), but the involvement of psychology in changing the safety within health care setting has been underestimated and its role has been partially described (Øvretveit, 2009).Therefore, this paper is proposed in order to demonstrate one of the behavioral theories in psychology, named the Organizational Behavioral Approach (OBA) to give a wider understanding on how psychologist may contribute to address the issues in patient safety, especially the problems related to medical error and safety culture.

The Role of Nurses in the Implementation of Patient Safety and Protection of Patient Rights at the Rahayu Yakkum Purwodadi Hospital

SOEPRA ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 254
Author(s):  
Christina Nur Widayati ◽  
Endang Wahyati Yustina ◽  
Hadi Sulistyanto
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Codes Of Conduct ◽  
Rights Protection ◽  
Patient’S Rights ◽  
Nurses Role ◽  
The Republic ◽  
The Right ◽  
Service Standards

Patient Safety was the right of a patient who was receiving health care. A nurse was one of the health professionals in a hospital having a very important role in realizing Patient Safety. In realizing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had involved the role of the nurses. In carrying out their role the nurses could support the protection of the patient’s rights. The nurses performed health care by conducting six Patient Safety goals that were based on professional standards, service standards and codes of conduct so that the Patient Safety would be realized.This research applied a socio-legal approach to having analytical-descriptive specifications. The data used were primary and secondary those were gathered by field and literature studies. The field study was conducted by having interviews to, among others, the Director of Panti Rahayu Yakkum Hospital of Purwodadi, Head of Room and Chairman of Patient Safety Committee, nurses and patients. The data were then qualitatively analyzed.The arrangement of nurses’ role in implementing Patient Safety and the patient’s rights protection was based on the Constitution of the Republic of Indonesia of 1945, Health Act, Hospital Act, Labor Act, and Nursing Act. These bases made the hospital obliged to implement Patient Safety. The regulations leading the hospital to provide Patient Safety were Health Minister’s Regulation Nr. 11 of 2017 on Patient Safety, Statute of Panti Rahayu Yakkum Hospital of Purwodadi (Hospital ByLaws), Internal Nursing Staff ByLaws. In implementing Patient Safety Panti Rahayu Yakkum Hospital of Purwodadi had established a committee of Patient Safety team consisting of the nurses that would implement six targets of Patient Safety. Actually, the Patient Safety implementation had been accomplished but it had not been optimally done because of several factors, namely juridical, social and technical factors. The supporting factors in influencing the implementation were, among others, the establishment of the Patient Safety team that had been well socialized whereas the inhibiting factors were limitedness of time and funds to train the nurses besides the operational procedure standard (OPS) that was still less understood. Lack of learning motivation among the nurses also appeared as an inhibiting factor in understanding Patient Safety implementation.

Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology

2019 ◽  
Vol 36 (12) ◽  
pp. 946-954 ◽  
Author(s):  
Henry H.L. Wu ◽  
Sharon R. Lewis ◽  
Mirka Čikkelová ◽  
Johannes Wacker ◽  
Andrew F. Smith
Keyword(s):  
Patient Safety ◽  
Helsinki Declaration

scholarly journals Enhancing Patient Safety by Reducing Healthcare-Associated Infections: The Role of Discovery and Dissemination

2010 ◽  
Vol 31 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Keyword(s):  
Patient Safety ◽  
Healthcare System ◽  
Research Agenda ◽  
Position Paper ◽  
Public Confidence ◽  
Healthcare Associated Infections ◽  
Science Base ◽  
Healthcare Associated ◽  
National Approach

Healthcare-associated infections (HAIs) take a major human toll on society and reduce public confidence in the healthcare system. The current convergence of scientific, public, and legislative interest in reducing rates of HAI can provide the necessary momentum to address and answer important questions in HAI research. This position paper outlines priorities for a national approach to HAIs: scrutinizing the science base, developing a prioritized research agenda, conducting studies that address the questions that have been identified, creating and deploying guidelines that are based on the outcomes of these studies, and then initiating new studies that assess the efficacy of the interventions.

Statutory Safety Representatives and Safety Committees: Legal and Industrial Relations Implications

1982 ◽  
Vol 24 (3) ◽  
pp. 337-364 ◽  
Author(s):  
W.B. Creighton
Keyword(s):  
Industrial Relations ◽  
Health And Safety ◽  
Safety Issues ◽  
Statutory Provision ◽  
The United Kingdom ◽  
Sufficient Detail ◽  
Structured System ◽  
Safety Committees ◽  
Practical Implications

This article examines the increasingly important issue of the role of statutory safety representatives and safety committees in helping to promote and protect the health, safety and welfare of the Australian workforce. It consists first of an examination of the development of statutory provision in this area in the United Kingdom, culminating in the passing of the Health and Safety at Work Act 1974 and the introduction of the far-reaching Safety Representatives and Safety Committees Regulations of 1977. It then describes and analyses the reception of these provisions, and the philosophy which underpins them, in Australia. Thirdly, it attempts to identify and discuss some of the more important legal and practical implications of this kind of statutory provision. There is reason to suppose that some of these issues have not been analysed in sufficient detail in either Britain or Australia, but overall it is clear that a properly structured system of statutory safety representatives/com mittees can play an important and constructive part in helping to promote a proper awareness of health and safety issues in this country.

scholarly journals Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 82
Author(s):  
Magdalena Hoffmann ◽  
Christine Maria Schwarz ◽  
Stefan Fürst ◽  
Christina Starchl ◽  
Elisabeth Lobmeyr ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Clinical Practice ◽  
Literature Review ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Rapid Review ◽  
Narrative Synthesis ◽  
Safety Issues

Critically ill patients in the intensive care unit (ICU) have a high risk of developing malnutrition, and this is associated with poorer clinical outcomes. In clinical practice, nutrition, including enteral nutrition (EN), is often not prioritized. Resulting from this, risks and safety issues for patients and healthcare professionals can emerge. The aim of this literature review, inspired by the Rapid Review Guidebook by Dobbins, 2017, was to identify risks and safety issues for patient safety in the management of EN in critically ill patients in the ICU. Three databases were used to identify studies between 2009 and 2020. We assessed 3495 studies for eligibility and included 62 in our narrative synthesis. Several risks and problems were identified: No use of clinical assessment or screening nutrition assessment, inadequate tube management, missing energy target, missing a nutritionist, bad hygiene and handling, wrong time management and speed, nutritional interruptions, wrong body position, gastrointestinal complication and infections, missing or not using guidelines, understaffing, and lack of education. Raising awareness of these risks is a central aspect in patient safety in ICU. Clinical experts can use a checklist with 12 identified top risks and the recommendations drawn up to carry out their own risk analysis in clinical practice.

Digital health technology enhances resilient behaviour: evidence from the ward

2019 ◽  
Vol 40 (1) ◽  
pp. 34-67 ◽  
Author(s):  
Iacopo Rubbio ◽  
Manfredi Bruccoleri ◽  
Astrid Pietrosi ◽  
Barbara Ragonese
Keyword(s):  
Patient Safety ◽  
Dynamic Capabilities ◽  
Digital Health ◽  
Digital Technologies ◽  
Healthcare Management ◽  
Content Type ◽  
Health Technologies ◽  
Management Domain ◽  
Operational Failure

PurposeIn the healthcare management domain, there is a lack of knowledge concerning the role of resilience practices in improving patient safety. The purpose of this paper is to understand the capabilities that enable healthcare resilience and how digital technologies can support these capabilities.Design/methodology/approachWithin- and cross-case research methodology was used to study resilience mechanisms and capabilities in healthcare and to understand how digital health technologies impact healthcare resilience. The authors analyze data from two Italian hospitals through the lens of the operational failure literature and anchor the findings to the theory of dynamic capabilities.FindingsFive different dynamic capabilities emerged as crucial for managing operational failure. Furthermore, in relation to these capabilities, medical, organizational and patient-related knowledge surfaced as major enablers. Finally, the findings allowed the authors to better explain the role of knowledge in healthcare resilience and how digital technologies boost this role.Practical implicationsWhen trying to promote a culture of patient safety, the research suggests healthcare managers should focus on promoting and enhancing resilience capabilities. Furthermore, when evaluating the role of digital technologies, healthcare managers should consider their importance in enabling these dynamic capabilities.Originality/valueAlthough operations management (OM) research points to resilience as a crucial behavior in the supply chain, this is the first research that investigates the concept of resilience in healthcare systems from an OM perspective, with only a few authors having studied similar concepts, such as “workaround” practices.

Hydrotesting and In-Line Inspection: Now and in the Future

2016 ◽  
Author(s):  
Jerry Rau ◽  
Mike Kirkwood
Keyword(s):  
New Technologies ◽  
Inert Gases ◽  
Alternative Methods ◽  
Operating Pressure ◽  
Inherent Safety ◽  
Safety Issues ◽  
The Future ◽  
Integrity Assurance ◽  
High Level

Pressure testing of pipelines has been around in some form or another since the 1950s1–14. In its earliest form, operators used inert gases such as Nitrogen or even air to test for pipeline integrity. However, with the significant increases in pipeline pressures and inherent safety issues with a pressurized gas, the switch to using water happened in the late 1960’s15–17. Hydrostatic tests (referred to as hydrotests) have been used since then to set and reset the Maximum Allowable Operating Pressure (MAOP) for pipelines but as other technologies develop and gain acceptance will hydrotesting still play a key role in pipeline integrity in the years ahead? Currently, hydrotesting is a topic for the impending US Pipeline and Hazardous Materials Safety Administration’s (PHMSA) Proposed New Rule Making (PNRM)18. Under the NPRM, hydrotesting is required to verify MAOP on pre-1970s US “grandfathered” pipelines, as well as on pipelines of any age with incomplete or missing testing record and include a high level test with a “spike” in pressure. But hydrotesting may not be the only method. Alternative methods and new technologies — used alone or used in combination with hydrotesting — may help provide a more comprehensive way for operators to identify and address potential problems before they become a significant threat. This paper explores both sides of the argument. Before In-Line Inspection (ILI) technology was even available, hydrotesting was the absolute means of the proof of integrity. However, hydrotesting is under scrutiny for many reasons that this paper explores. ILI was introduced in the 1960’s with the first commercially available Magnetic Flux Leakage (MFL) tools that presented the industry with an alternative. Currently there are a huge array of available technologies on an ILI tool and so is the role of the hydrotest over? The paper looks at the benefits of the hydrotest and these are presented and balanced against available ILI technology. Furthermore, as pipelines are being developed in even more harsh environments such as deepwater developments, the actual logistics of performing a hydrotest become more challenging. The paper will also look at both applications onshore and offshore where regulators have accepted waivers to a hydrotest using alternative methods of proving integrity. The paper concludes with the current use and needs for hydrotesting, the regulatory viewpoint, the alternatives and also what the future developments need to focus on and how technology may be improved to provide at least a supplement if not a replacement to this means of integrity assurance.

The changing role of the otolaryngology Senior House Officer

2006 ◽  
Vol 88 (2) ◽  
pp. 66-68 ◽  
Author(s):  
AK Arya ◽  
KP Gibbin
Keyword(s):  
Patient Safety ◽  
Junior Doctor ◽  
House Officer ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Senior House Officer ◽  
European Working ◽  
Working Time Directive ◽  
Changing Role

The European Working Time Directive (EWTD) has led to a reduction in the number of hours that a junior doctor is allowed to work. The Hospital at Night project aims to reduce juniors' presence at night through more efficient working. Otolaryngology has been considered to be one of the surgical specialties in which generic junior doctors covering more than one specialty could effectively function. The hope is to reduce junior doctors' hours sufficiently without compromising their training or patient safety.

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