journal of patient safety report 2013

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.

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About this journal

The Journal of Patient Safety and Risk Management considers patient safety and risk at all levels of the health care system, from patients to practitioners, managers, organizations, and policy makers.

Discount for AvMA Members

Action Against Medical Accidents (AvMA) members ​are entitled to a discounted rate when they subscribe to the Journal, members should contact the society directly for further details on how to access this discount.

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.

When was the report "Man is fallible" released?

The Institute of Medicine (IOM) released a report in 1999 entitled "Man is fallible: create a safe health system" in relation to the incidence of medical errors in United States, and consequently, initiated widespread international change in the field of patient safety (2).

Is patient safety a threat?

Despite increased attention toward the quality of health care services, there are still numerous threats to patient safety in healthcare settings. Since patient safety is multidimensional and grounded in ethical and legal imperatives, both ethical and legal challenges should be taken into account.

What is the Joint Commission Journal?

The Joint Commission Journal on Quality and Patient Safety is published monthly by Elsevier, and is a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care.

Is the Joint Commission Journal on Quality and Patient Safety an official position?

No statement in The Joint Commission Journal on Quality and Patient Safety should be construed as an official position of The Joint Commission or Joint Commission Resources unless otherwise stated. In particular, there has been no official review with regard to matters of standards compliance.