Understanding Clinical Alarm Safety

2015 ◽  
Vol 35 (4) ◽  
pp. 45-57 ◽  
Author(s):  
Carol L. Lukasewicz ◽  
Elizabeth Andersson Mattox
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Organizations ◽  
Nonprofit Organization ◽  
Contributing Factors ◽  
Alarm Management ◽  
High Acuity ◽  
National Patient ◽  
Health Care Accreditation

Patient safety organizations and health care accreditation agencies recognize the significance of clinical alarm hazards. The Association for the Advancement of Medical Instrumentation, a nonprofit organization focused on development and use of safe and effective medical equipment, identifies alarm management as a major issue for health care organizations. ECRI Institute, a nonprofit organization that researches approaches for improving patient safety and quality of care, identifies alarm hazards as the most significant of the “Top Ten Health Technology Hazards” for 2014. A new Joint Commission National Patient Safety Goal focusing on clinical alarm safety contains new requirements for accredited hospitals to be fully implemented by 2016. Through a fictional unfolding case study, this article reviews selected contributing factors to clinical alarm hazards present in inpatient, high-acuity settings. Understanding these factors improves contributions by nurses to clinical alarm safety practice.

Anaesthetics

2016 ◽  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Professional Practice ◽  
Health Care Organizations ◽  
Quality Care ◽  
Technical Skills ◽  
High Quality ◽  
Ventilatory Assistance ◽  
Applied Physiology

Current anaesthetic practice is provided using a combination of many different available techniques and drugs, with the primary aim of ensuring patient safety and high-quality care are provided for patients. Anaesthesia today is extremely safe, with mortality less than one death in 250 000 directly related to anaesthetic intervention alone. This is due to a continued focus on the principles of patient safety and quality of care, underpinned by continued innovation in pharmacology, applied physiology, physics, and engineering. These have yielded improved techniques and technologies to enhance airway management, provide ventilatory assistance and haemodynamic support, and monitor physiological parameters. Modern professional practice is continually seeking to improve by emphasizing the importance of individual non-technical skills in educational curricula and the workplace. In addition, anaesthetists are heavily involved in the integration of human factors science into health-care organizations.

A New Patient Safety Initiative

2003 ◽  
Vol 38 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Sondra K. May
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Organizations ◽  
Joint Commission ◽  
Healthcare Organizations ◽  
National Patient ◽  
Safety Initiative ◽  
The Joint Commission

Learning from the experiences of others is one of our most effective tools for improving patient safety. This column will describe how some health care organizations have effectively implemented the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO's) National Patient Safety Goals (NPSGs). The articles will focus on practical strategies for meeting the NPSGs and on JCAHO surveys related to the NPSGs. Updates on new goals and recommendations established by JCAHO will also be provided.

Using Employer Purchasing Power to Improve the Quality of Perinatal Care

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 248-254 ◽  
Author(s):  
Anne G. Castles ◽  
Arnold Milstein ◽  
Cheryl L. Damberg
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perinatal Care ◽  
Quality Measurement ◽  
Quality Data ◽  
Purchasing Power ◽  
Care Services

Large employers have become increasingly involved in helping to set the agenda for quality measurement and improvement. Moreover, they are beginning to hold health care organizations accountable for their performance through marketplace incentives, including the public reporting of comparative quality data and the linkage of reimbursement to performance on quality measures. The Pacific Business Group on Health (PBGH) is an employer coalition that has been prominent in establishing models for collaborative quality measurement and improvement in the California marketplace. PBGH's involvement in quality stems from an environment in which purchasers were faced with high health care costs, yet virtually no information with which to assess the value their employees received from that care. Research indicating widespread variation in performance across health care organizations and seemingly limited oversight for quality of care within the industry has further motivated purchasers' efforts to better understand the quality of care being delivered to their em-ployees. Using the purchasing power of employers representing 2.5-million covered lives, PBGH endeavors to encourage the transition of the health care marketplace from one that competes solely on price to one that competes on price and quality. This entails collaborating with the health care industry to develop and publicly report valid performance data for use by both large employers and consumers of health care services. It also includes communicating to the marketplace purchasers' commitment to making purchasing decisions based on quality as well as cost. PBGH efforts to measure, report, and improve quality have been demonstrated by several undertakings in the perinatal care arena, including research to assess cesarean section rates and newborn readmission rates across California hospitals. employer coalition, purchaser, quality measurement, quality improvement, report cards, perinatal quality of care.

scholarly journals REVIEW OF THE BASIC COMPONENTS OF CLINICAL PHARMACEUTICAL CARE IN PAKISTAN

2011 ◽  
Vol 1 ◽  
pp. 168-173
Author(s):  
Taha Nazir ◽  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Developing Countries ◽  
Pharmaceutical Care ◽  
Health Care Organizations ◽  
International Health ◽  
Health Care Facilities ◽  
Care Facilities ◽  
International Health Care

The current clinical and pharmaceutical systems in developing countries potentially need special attention of international health care organizations. The undermined health care facilities are hurting the overall quality of life and international health standards.

scholarly journals Audit of compliance with WHO surgical safety checklist (modified for electroconvulsive therapy including NPSA advice)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S64-S64
Author(s):  
Faisal Alam ◽  
Rizwan Ashraf ◽  
Kyaw Sein ◽  
Terri Feeney
Keyword(s):  
Patient Safety ◽  
Electroconvulsive Therapy ◽  
Time Pressure ◽  
Clinical Situation ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
National Patient ◽  
Service Standards ◽  
Therapy Treatment

AimsThis audit aims to evaluate the compliance with the WHO surgical safety checklist during the electroconvulsive therapy treatment in ECT clinic at Greater Manchester Mental Health Bolton Directorate. The audit is based on WHO surgical safety checklist modified for ECT including National Patient Safety Agency advice. The goal is to improve the compliance and in turn improve clinical outcomes.BackgroundThe WHO surgical safety checklist (modified for Electroconvulsive therapy including NPSA advice) is devised to promote patient safety, improve teamwork, reduce errors/adverse events and improve overall quality of care. An audit was completed regarding the compliance with the safety checklist at the Bolton ECT clinic and to assess how this could be improved.MethodFollowing approval from the clinical audit department, GMMH NHS Foundation Trust, 20 checklists from randomly selected patient ECT files were included in this audit. We looked at whether the checklists were completed, signed and dated. Our current WHO surgical safety checklist is as per the Electroconvulsive therapy accreditation service standards.ResultA total of 20 WHO surgical safety checklists were reviewed. 95% of the checklists (19/20) were completed by the duty Psychiatrist. 1 form was not completed. 25% (5/20) were not signed rendering them invalid. A total of 75% checklists were complete and valid. Checklists were present in all the case notes.ConclusionCompliance with the WHO surgical safety checklist during the electroconvulsive therapy treatment can be challenging due to various reasons ranging from time pressure to difficult clinical situation. This audit has highlighted that the overall compliance with the set standards (100% completion) was not achieved. A repeat audit will be important to further improve the compliance and overall clinical outcome.

Intellectual Capital Report in the Healthcare Sector

2017 ◽  
pp. 272-285
Author(s):  
Giovanni Bronzetti ◽  
Maria Assunta Baldini ◽  
Graziella Sicoli
Keyword(s):  
Health Care ◽  
Intellectual Capital ◽  
Exploratory Study ◽  
Health Care Organizations ◽  
Healthcare Sector ◽  
Quality Of Services ◽  
Structure Knowledge

In the healthcare sector the growing interest in intellectual capital begins with the understanding that the ability to maintain and develop knowledge within it is one of a major reason for the success of the structure. Knowledge presents in health care organizations is a valuable asset, essential to ensure a good quality of services, which has been not only enhanced but also continuously developed. In this sense, analyzing the intellectual capital in healthcare means put at the centre of attention knowledge, the processes that make it possible. This exploratory study aims to investigate the importance of intellectual capital in the healthcare sector, thorough the examination and interpretation of Intellectual Capital Report in a specific realty: the hospital in Udine, which systematically by few years prepares this report.

scholarly journals Lessons learned from implementing a responsive quality assessment of clinical ethics support

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Eva M. Van Baarle ◽  
Marieke C. Potma ◽  
Maria E. C. van Hoek ◽  
Laura A. Hartman ◽  
Bert A. C. Molewijk ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Assessment ◽  
Learning Process ◽  
Clinical Ethics ◽  
Health Care Organizations ◽  
Lessons Learned ◽  
Clinical Ethics Support ◽  
Ethics Support ◽  
Dutch Health

Abstract Background Various forms of Clinical Ethics Support (CES) have been developed in health care organizations. Over the past years, increasing attention has been paid to the question of how to foster the quality of ethics support. In the Netherlands, a CES quality assessment project based on a responsive evaluation design has been implemented. CES practitioners themselves reflected upon the quality of ethics support within each other’s health care organizations. This study presents a qualitative evaluation of this Responsive Quality Assessment (RQA) project. Methods CES practitioners’ experiences with and perspectives on the RQA project were collected by means of ten semi-structured interviews. Both the data collection and the qualitative data analysis followed a stepwise approach, including continuous peer review and careful documentation of the decisions. Results The main findings illustrate the relevance of the RQA with regard to fostering the quality of CES by connecting to context specific issues, such as gaining support from upper management and to solidify CES services within health care organizations. Based on their participation in the RQA, CES practitioners perceived a number of changes regarding CES in Dutch health care organizations after the RQA: acknowledgement of the relevance of CES for the quality of care; CES practices being more formalized; inspiration for developing new CES-related activities and more self-reflection on existing CES practices. Conclusions The evaluation of the RQA shows that this method facilitates an open learning process by actively involving CES practitioners and their concrete practices. Lessons learned include that “servant leadership” and more intensive guidance of RQA participants may help to further enhance both the critical dimension and the learning process within RQA.

Nurses' perception regarding patient safety climate and quality of health care in general hospitals in Japan

2020 ◽  
Author(s):  
Youko Nakano ◽  
Tetsuya Tanioka ◽  
Tomoya Yokotani ◽  
Hirokazu Ito ◽  
Misao Miyagawa ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Of Health Care ◽  
Safety Climate ◽  
General Hospitals ◽  
Patient Safety Climate
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