data for 2013 journal of patient safety report

What is the value of E-Reporting in patient safety research?

Objectives: Electronic patient safety event reporting (e-reporting) is an effective mechanism to learn from errors and enhance patient safety. Unfortunately, the value of e-reporting system (a software or web server based platform) in patient safety research is greatly overshadowed by low quality reporting.

Who are the authors of patient safety in primary and outpatient health?

Patient safety in primary and outpatient health care Rene Kuriakose,1Amit Aggarwal,2Ramandeep Kaur Sohi,3Richa Goel,4NC Rashmi,5and Ramandeep Singh Gambhir6 Rene Kuriakose

Are there studies on electronic patient safety event reporting systems?

Review studies of electronic patient safety event reporting systems implemented or still in use at healthcare systems or patient safety organizations; Studies introducing the process of developing an electronic patient safety event reporting system. Studies were excluded if one of the following applied:

Should public sector health care institutions publish research on patient safety?

Funding on patient safety research is minimal in the country. There is hesitation to publish research on patient safety by both public and private sector health care institutions as this may tarnish the image of the institution. Potential solutions for improving patient safety

How many patients were treated in tertiary hospitals in 2004?

In a somewhat similar study published in March 2011 in the journal Health Affairs, investigators examined the medical records of 795 patients treated in 1 of 3 tertiary hospitals in the month of October 2004. 18 These hospitals had been recognized for their efforts to improve patient safety. The investigators also used the GTT to discover adverse ...

What is the 2 tier approach to medical records?

All studies used a 2-tier approach that consisted of screening of medical records by nonphysicians, usually nurses or pharmacists, to flag suspect events. In the second tier, physicians examined the suspect events to determine if a genuine adverse event had occurred and, if so, the level of seriousness of the event.

When was the OIG pilot study published?

A pilot study by the OIG was published in 2008 in an effort to explore the effectiveness of search methods for adverse events. 21 As noted in the methods section, this study relied on 5 search methods for flagging potential adverse events in medical records but did not specify whether such events were preventable.

What is a lethal error of communication?

Errors of communication can occur between 2 or more providers or between providers and patient. One example of a lethal error of communication between provider and patient occurred when cardiologists failed to warn their 19-year-old patient not to run.

What is patient safety?

Patient safety is defined by World Health Organization (WHO) as 'the prevention of errors and adverse effects to patients associated with health care' and 'to do no harm to patients.'[1,2] Unsafe medical practices are leading to disabilities, ...

Why is patient safety important?

Patient safety has been recognised as an issue of global importance for the past 10 years. Unsafe primary and ambulatory care results in greater morbidity, higher healthcare usage and economic costs. According to data from World Health Organization (WHO), the risk of a patient dying from preventable medical accident while receiving health care is 1 ...

How many ambulatory visits are there yearly due to adverse drug events?

These types of errors are very common in primary or ambulatory care as according to findings of some landmark study, 4.5 million ambulatory care visits take place yearly due to adverse drug events. Similarly, prescribing errors are also very common in primary care practice.

What are the most common causes of patient harm?

Unsafe medication practices and inaccurate and delayed diagnosis are the most common causes of patient harm which affects millions of patients globally. However, majority of the work has been focussed on hospital care and there is very less understanding of what can be done to improve patient safety in primary care.

What is the impact of preventable safety lapses on health?

Patient harm which is caused by preventable safety lapses also exerts a considerable health burden across the globe , which can be compared to diseases like malaria and tuberculosis. There is also considerable direct financial cost of harm on health systems.

What are the causes of clinical reasoning failures?

Failures in clinical reasoning (because of lack of access to the patient's medical history, insufficient medical knowledge, high workload, age and being high risk), proved to a major cause for these incidents. Transitions of care. Movement between different parts of the health care system makes people vulnerable.