scholarly journals Nurses Perceptions' of Bedside Reporting on an Intensive Care Unit Following Implementation

2017 ◽  
Author(s):  
Christine McGinn
Keyword(s):  
Patient Safety ◽  
Quality Care ◽  
Daily Practice ◽  
Nursing Intervention ◽  
Active Involvement ◽  
National Patient ◽  
Nurses Perceptions ◽  
Sick Population ◽  
Efficient Care ◽  
Bedside Reporting

<p>Shift handoffs were included in The Joint Commission's 2009 National Patient Safety Goals, which requires that shift hand-offs must include up-to-date information about the care, treatment, current condition, and recent or anticipated changes with the patient. Bedside reporting addresses The Joint Commission's Goal 13, a safety strategy that encourages the patient's active involvement in care. The demand for quality care while caring for the sick population with multisystem complex diagnoses calls healthcare provides to look at ways to provide more efficient care while improving patient safety and outcomes.</p> <p>Bedside reporting is one nursing intervention which can be implemented to improve communication, increase patient safety and improve the quality of care. While on the surface the benefits of bedside reporting seem clear, some who have tried to implement bedside shift reports have faced significant challenges. This quality project surveyed 32 nurses on a trauma unit to determine their perceptions of bedside reporting following implementation over 2 years ago. Nurses were provided with a ten question survey based on a Likert scale of 1-5. One additional qualitative question asked nurses ‘perceptions and thoughts about the bedside reporting process.</p> <p>Results overall revealed that although many nurses were aware of the benefits of bedside reporting and its practical uses, most nurses still were hesitant with its daily practice. Despite strong evidence demonstrating the benefits of bedside reporting, many issues still remain regarding the sustainability after implementation.</p>

scholarly journals Intensive Care and Anesthesiology

2020 ◽  
pp. 161-175
Author(s):  
S. Damiani ◽  
M. Bendinelli ◽  
Stefano Romagnoli
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Intensive Care ◽  
Cultural Change ◽  
Quality Care ◽  
Daily Practice ◽  
Medical Specialties ◽  
Surgical Interventions ◽  
True Incidence ◽  
Medical Disciplines

AbstractThe wide range of medical disciplines afferent to anesthesiology (anesthesia, perioperative care, intensive care medicine, pain therapy, and emergency medicine), carry a great, cross-specialty opportunity to influence safety and quality of patients’ care. Operating rooms and Intensive Care Units are settings burdened with a high risk of error: surgery is evolving, while the medical staff working in ICU is expected to provide high-quality care in a stressful and complex setting. It is estimated that about 1.5% of surgical interventions are complicated by critical events, but the true incidence is likely underestimated. Across medical specialties, preventable patient harm is more prevalent in the ICU.Recommendations and good practices for the safe provision of anesthesia and critical care exist and must be known and transferred into daily practice, since one of the main duties of anesthesia and critical care providers is to provide patient safety. Strategies to reduce the occurrence of medication errors, appropriate monitoring practices, equipment care and knowledge, planification and mastery of non-technical skills during emergencies, as well as designing and sustaining a healthy work environment and adopting adequate staffing policies could have an impact on patient safety and positively influence patient outcomes in this setting. The development of simulation training and cognitive aids (e.g., checklists, emergency manuals) is also changing the approach to crises and is expected to encourage a deeper cultural change.

scholarly journals Quality management model to bring security culture promotion to the hospitals of the Secretaria de Salud in Hidalgo, Mexico

2019 ◽  
Vol 7 (14) ◽  
pp. 13-18
Author(s):  
Marco Antonio Escamilla Acosta ◽  
José María Busto Villarreal ◽  
Gloria Samantha Mendoza
Keyword(s):  
Patient Safety ◽  
Quality Management ◽  
Large Scale ◽  
Quality Care ◽  
The State ◽  
Security Culture ◽  
Specialized Care ◽  
Quality Management Model ◽  
Key Indicators ◽  
Efficient Care

Patient safety is a priority at any level of health care, each stakeholder involved in the process serves as a key element for efficient care, providing quality, safe, and on time procedures that generate key indicators for the development of our state and our country. Multiple actions have been carried out to highlight the importance of this issue, small nuclei actions to even large specialized care units relate particular efforts that generate large-scale results and that directly impact in statistics at the state, national and global levels which reflect the commitment to a universal right: health. Generating a program that standardizes and promotes the culture of safety in the procedures carried out in a second and third level of care, consolidates a strategy of the Secretaría de Salud in Hidalgo with its 16 hospitals distributed within the State; this strategy, encourages commitment to safe, efficient and quality care. The development of this article, will focus on the educational and quality management strategy implemented, which aims to join efforts and align policies with the vision of zero preventable deaths of the Patient Safety Movement, a movement with the participation of 43 countries.

scholarly journals P044 Can an electronic prescribing system ensure clear anticoagulation discharge communication?

2019 ◽  
Vol 104 (7) ◽  
pp. e2.49-e2
Author(s):  
Susie Gage
Keyword(s):  
Patient Safety ◽  
Discharge Summary ◽  
Electronic Prescribing ◽  
List Type ◽  
Heparin Infusion ◽  
National Patient Safety Agency ◽  
High Dependency ◽  
National Patient ◽  
Discharge Summaries

AimThe National Patient Safety Agency (NPSA)1 identified heparin as a major cause of adverse events associated with adverse incidents, including some fatalities. By ensuring good communication, this should be associated with risk reduction.1 The aim of this study was to ensure there is clear anticoagulation communication on discharge, from the paediatric intensive care unit (PICU) electronic prescribing system (Philips), to the paediatric cardiac high dependency unit and paediatric cardiac ward. To investigate whether the heparin regimen complies with the hospital’s anticoagulant guidelines and if there is any deviation; that this is clearly documented. To find out if there is an indication documented for the heparin regimen chosen and if there is a clear long term plan documented for the patient, after heparin cessation.MethodsA report was generated for all patients who were prescribed a heparin infusion on PICU, between 1st January 2018 and 30th June 2018, from the Philips system. All discharge summaries from the PICU Philips system were reviewed. Only paediatric cardiac patients were included that had a heparin infusion prescribed on discharge, all other discharge summaries were excluded from the study. Each discharge summary was reviewed in the anticoagulant section; for the heparin regimen chosen, whether it complies with the hospital’s anticoagulant guidelines and if there was any deviation whether this was documented. The indication documented of which heparin regimen was chosen and whether a clear long term plan was documented after heparin cessation; for example if the patient is to be transferred onto aspirin, clopidogrel, warfarin or enoxaparin.Results82 discharge summaries were reviewed over the 6 month period between 1st January 2018 and 30th June 2018; 16 were excluded as were not paediatric cardiac, leaving 66 paediatric cardiac discharge summaries that were reviewed. 45 out of 66 (68%) complied with the hospital’s heparin anticoagulation guidelines. Of the 32% that deviated from the protocol; only 33% (7 out of 21) had a reason documented. Only 50% (33) of the summaries reviewed had an indication for anticoagulation noted on the discharge summary and 91% of discharge summaries had a long term anticoagulant plan documented.ConclusionThe electronic prescribing system can help to ensure a clear anticoagulation communication as shown by 91% of the anticoagulation long term plan being clearly documented; making it a more seamless patient transfer. On the Philips PICU electronic prescribing system there is an anticoagulant section on the discharge summary that has 3 boxes that need to be completed; heparin regimen, indication and anticoagulation long term plan. However, despite these boxes; deviations from the anticoagulant protocol were poorly documented as highlighted by only 33% having the reason highlighted in the discharge summary, only 50% of the indications were documented. Despite having prompts for this information on the discharge summary, the medical staffs needs to be aware to complete this information, in order to reduce potential medication errors and risk.ReferenceThe National Patient Safety Agency (NPSA). Actions that make anticoagulant therapy safer. NPSA; March 2007.

Examining the new NHS National Patient Safety Syllabus

2021 ◽  
Vol 30 (11) ◽  
pp. 682-683
Author(s):  
John Tingle
Keyword(s):  
Patient Safety ◽  
Law School ◽  
National Patient ◽  
Recent Patient

John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, introduces the recently published NHS National Patient Safety Syllabus and some recent patient safety reports

Quality improvement in hospitals: barriers and facilitators

2017 ◽  
Vol 30 (1) ◽  
pp. 16-24 ◽  
Author(s):  
Dick E. Zoutman ◽  
B. Douglas Ford
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Patient Care ◽  
Acute Care ◽  
Medical Staff ◽  
Acute Care Hospitals ◽  
Content Type ◽  
Active Involvement ◽  
Staff Engagement ◽  
Positive Impacts

Purpose The purpose of this paper is to examine quality improvement (QI) initiatives in acute care hospitals, the factors associated with success, and the impacts on patient care and safety. Design/methodology/approach An extensive online survey was completed by senior managers responsible for QI. The survey assessed QI project types, QI methods, staff engagement, and barriers and factors in the success of QI initiatives. Findings The response rate was 37 percent, 46 surveys were completed from 125 acute care hospitals. QI initiatives had positive impacts on patient safety and care. Staff in all hospitals reported conducting past or present hand-hygiene QI projects and C. difficile and surgical site infection were the next most frequent foci. Hospital staff not having time and problems with staff prioritizing QI with other duties were identified as important QI barriers. All respondents reported hospital leadership support, data utilization and internal champions as important QI facilitators. Multiple regression models identified nurses’ active involvement and medical staff engagement in QI with improved patient care and physicians’ active involvement and medical staff engagement with greater patient safety. Practical implications There is the need to study how best to support and encourage physicians and nurses to become more engaged in QI. Originality/value QI initiatives were shown to have positive impacts on patient safety and patient care and barriers and facilitating factors were identified. The results indicated patient care and safety would benefit from increased physician and nurse engagement in QI initiatives.

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency

2007 ◽  
Vol 136 (1) ◽  
pp. 26-29 ◽  
Author(s):  
T. P. Baglin ◽  
D. Cousins ◽  
D. M. Keeling ◽  
D. J. Perry ◽  
H. G. Watson
Keyword(s):  
Patient Safety ◽  
National Patient Safety Agency ◽  
National Patient ◽  
British Committee
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