journal of patient safety 2013 report

What are the JCAHO patient safety guidelines?

The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The Joint Commission’s state-of-the-art standards set expectations for organization performance that are reasonable, achievable and surveyable.

How to use data to improve patient safety?

Use health IT to improve patient safety. Improve the usability of your EHR. Improve healthcare quality with EHR technology. Quality healthcare means doing the right thing — for the right patient, at the right time, in the right way — to achieve the best possible results. Patient safety practices protect patients from accidental or ...

How EHR simulation can help improve patient safety?

These resources will help you:

• Implement or optimize EHRs in your practice
• Understand how eCQI can help to improve care and support better health
• Use data to improve quality of care and outcomes
• Plan quality improvement goals and enhancements

How to manage patient safety?

• Appropriate use of prophylaxis to prevent venous thromboembolism in patients at risk
• Use of perioperative beta-blockers in appropriate patients to prevent perioperative morbidity and mortality
• Use of maximum sterile barriers while placing central intravenous catheters to prevent infections

More items...

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 ...

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 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.

What is patient safety?

Patient safety is a fundamental principle of health care. Every point in the process of caregiving contains a certain degree of inherent unsafety. Adverse events may result from problems in practice, products, procedures, or systems 1 - 3. Patient safety improvements demand a complex system-wide effort, involving a wide range of actions in performance improvement, environmental safety and risk management, including infection control, safe use of medicines, equipment safety, safe clinical practice, and safe environment of care 4 - 6 .

When was the patient safety culture study published?

In this study, we reviewed the literature on patient safety culture published from January 2001 to December 2011 in English and Chinese language journals. We hope to find out the distribution of articles published over the last decade in terms of theme, study designs, and authors’ affiliations and assess the general quality of identified articles. Meanwhile, we also hoped that through this study it will be able to provide insight into the current status of patient safety culture research in China and ways in which it can be advanced and guided.

What are the elements of a patient safety subculture?

We classified all the included articles into patient safety subculture elements (leadership, communication, report errors, team work, just culture, learning, non-punitive environment, etc) 25, patient safety culture scale/questionnaire , patient safety culture with medical error and others according to the themes that reported by the original articles (Table 1 ).

How many studies were conducted on patient safety culture?

The included 193 studies on patient safety culture were conducted in the following four institutions: hospitals (including teaching hospitals, general hospitals, and specialized hospitals, with 179 articles), geracomium (9 articles), Veterans Health Administration hospitals (4 articles), and medical schools (1 article). In China, all of the included 39 studies were conducted in hospitals including 27 in the teaching hospitals, 10 in the general hospitals, and 2 in the specialized hospitals.

Is patient safety culture research non-comparative?

There is a growing change trend in the number of articles on patient safety culture research in recent 10 years, most of which are non-comparative studies. More methodologically rigorous designs are needed to improve research quality on patient safety culture.

Access Options

You can be signed in via any or all of the methods shown below at the same time.

My Profile

The email address and/or password entered does not match our records, please check and try again.

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.