journal
https://read.qxmd.com/read/38372511/the-effectiveness-of-public-awareness-initiatives-aimed-at-encouraging-the-use-of-evidence-based-recommendations-by-health-professionals-a-systematic-review
#1
JOURNAL ARTICLE
Esther Jie Tian, Cathy Nguyen, Lilian Chung, Chloe Morris, Saravana Kumar
OBJECTIVES: Public awareness initiatives have attracted growing attention globally, as a strategy to reduce low-value care and disinformation. However, knowledge gap remains in determining their effects. The aim of this systematic review was to summarize existing evidence to date on global effectiveness of public awareness initiatives. METHODS: Primary quantitative studies focusing on passive delivery of public awareness initiatives that targeted health professionals were included...
February 20, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38372558/a-prospective-quasi-experimental-study-of-multifaceted-interventions-including-computerized-drug-utilization-evaluation-to-improve-an-antibiotic-stewardship-program
#2
JOURNAL ARTICLE
Sunudtha Suksamai, Sirinporn Sajak, Kanokporn Thongphubeth, Thana Khawcharoenporn
OBJECTIVE: This study aimed to determine and evaluate interventions that improve an antibiotic stewardship program (ASP) in reduction of the amount of antibiotic use and errors in drug utilization evaluation (DUE) form completion. METHODS: A prospective quasi-experimental study was conducted to evaluate the effectiveness of the multifaceted interventions (preauthorization with computerized DUE, self-supervised checklists, and short active reminders of the antibiotic guidelines recommendations) incorporating an ASP among hospitalized internal medicine patients in a Thai tertiary care center...
February 16, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38372504/medication-management-strategies-by-community-dwelling-older-adults-a-multisite-qualitative-analysis
#3
JOURNAL ARTICLE
Fatoumata Jallow, Elisa Stehling, Zara Sajwani-Merchant, Kathryn M Daniel, Kimberly G Fulda, Ayse P Gurses, Alicia I Arbaje, Yan Xiao
OBJECTIVES: Community-dwelling older adults taking 5 or more medications are at risk for medication-related harm. Managing multiple medications is a challenging task for patients and caregivers. Community-dwelling older adults self-manage their medications with minimal healthcare professional supervision. Although organizations, such as the Food and Drug Administration, often issue guidelines to ensure medication safety, how older adults understand and mitigate the risk of harm from medication use in the home environment is poorly understood...
February 16, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38345409/multi-institution-survey-of-accepting-physicians-perception-of-appropriate-reasons-for-interhospital-transfer-a-mixed-methods-evaluation
#4
JOURNAL ARTICLE
Khanh T Nguyen, Tiffany M Lee, Stephanie K Mueller
OBJECTIVES: There is a lack of evidence-based guidelines to direct best practices in interhospital transfers (IHTs). We aimed to identify frontline physicians' current and ideal reasons for accepting IHT patients to inform future IHT research and guidelines. METHODS: We conducted a cross-sectional survey of hospitalist physicians across 11 geographically diverse hospitals. The survey asked respondents how frequently they currently consider and should consider various factors when triaging IHT requests...
February 12, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38345404/the-impact-of-adding-a-2-way-video-monitoring-system-on-falls-and-costs-for-high-risk-inpatients
#5
JOURNAL ARTICLE
Marie Anne Sosa, Marcio Soares, Samira Patel, Kimberly Trujillo, Doreen Ashley, Elizabeth Smith, Bhavarth Shukla, Dipen Parekh, Tanira Ferreira, Hayley B Gershengorn
OBJECTIVES: We aimed to investigate the value of adding a video monitoring (VM) system with falls and costs for patients at high risk. METHODS: We conducted a retrospective, historically controlled study of adults (≥18 y old) at high risk of fall admitted at the University of Miami Hospital and Clinics from January 1 to November 30, 2020 (pre-VM) and January 1 to November 30, 2021 (post-VM); in-person sitters were available in both periods. Fall risk assessment was conducted on admission and at every nursing shift; we defined patients as high risk if their Morse Fall Scale was ≥60...
February 12, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38345403/integrating-multifaceted-strategies-to-prevent-patient-falls-insights-and-implementations-at-taoyuan-psychiatric-center
#6
JOURNAL ARTICLE
Lien-Chung Wei
No abstract text is available yet for this article.
February 12, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38345393/improving-direct-admissions-to-internal-medicine-services
#7
JOURNAL ARTICLE
Seth Scheetz, Micah Prochaska, Rukmini Roy, Khanh T Nguyen
BACKGROUND: Direct admissions from clinic or home to the hospital may improve efficiency and reduce emergency room utilization, but nonoptimized processes may increase the risk of harm during the transition of care. Our multidisciplinary team aimed to understand and improve the process of directly admitting patients to inpatient medicine services at a large academic medical center. METHODS: In this single-institution quality improvement initiative, we identified key communication gaps within the direct admission process and implemented a handoff tool in the form of a templated note and order set to bridge those communication gaps...
February 12, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38345377/patients-experiences-of-dental-diagnostic-failures-a-qualitative-study-using-social-media
#8
JOURNAL ARTICLE
Enihomo Obadan-Udoh, Rachel Howard, Luke Carmichael Valmadrid, Muhammad Walji, Elizabeth Mertz
OBJECTIVE: Despite the many advancements made in patient safety over the past decade, combating diagnostic errors (DEs) remains a crucial, yet understudied initiative toward improvement. This study sought to understand the perception of dental patients who have experienced a dental diagnostic failure (DDF) and to identify patient-centered strategies to help reduce future occurrences of DDF. METHODS: Through social media recruitment, we conducted a screening survey, initial assessment, and 67 individual patient interviews to capture the effects of misdiagnosis, missed diagnosis, or delayed diagnosis on patient lives...
February 12, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38345209/comparison-of-who-umc-and-naranjo-scales-for-causality-assessment-of-reported-adverse-drug-reactions
#9
JOURNAL ARTICLE
Sukant Pandit, Dhruve Soni, Bhaskar Krishnamurthy, Mahesh N Belhekar
OBJECTIVES: The 2 most commonly used scales worldwide are the World Health Organization-Uppsala Monitoring Centre (WHO-UMC) and the Naranjo scales. The present study was planned to assess the degree of agreement between the 2 scales when the same adverse drug reactions (ADR) were assessed by 5 raters independently. METHODS: One hundred individual case safety reports were selected randomly from the ADR database of our institute and the details were emailed to 5 different experts (raters), who were DM Clinical Pharmacology residents from different institutes in India...
February 12, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38314796/publication-trends-of-research-on-adverse-event-and-patient-safety-in-nursing-research-a-8-year-bibliometric-analysis
#10
JOURNAL ARTICLE
Miaoyuan Lin, Bei Chen, Leyao Xiao, Li Zhang
BACKGROUND: Adverse events (AEs), which are associated with medical system instability, poor clinical outcomes, and increasing socioeconomic burden, represent a negative outcome of the healthcare system and profoundly influence patient safety. However, research into AEs remains at a developmental stage according to the existing literature, and no previous studies have systematically reviewed the current state of research in the field of AEs. Therefore, the aims of this study were to interpret the results of published research in the field of AEs through bibliometric analysis and to analyze the trends and patterns in the data, which will be important for subsequent innovations in the field...
February 5, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38265053/availability-bias-the-peril-of-modern-patient-safety-reviews
#11
JOURNAL ARTICLE
Benjamin Vipler
No abstract text is available yet for this article.
January 25, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38240652/implementation-of-hospital-mortality-reviews-a-systematic-review
#12
JOURNAL ARTICLE
Moritz Sebastian Schönfeld, Martin Härter, Ann Sophie Schröder, Katrin Kokartis, Hans-Jürgen Bartz, Levente Kriston
OBJECTIVE: The objective of this study was to give an overview of the published literature on the implementation of mortality reviews in hospital settings. METHODS: We searched MEDLINE, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, and Web of Science databases up to August 2022 for studies describing implementation or results of implementation of hospital mortality reviews published in English or German. Quality appraisal was conducted using the Mixed Methods Appraisal Tool...
January 19, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38240645/implementation-of-guidelines-limiting-postoperative-opioid-prescribing-at-a-children-s-hospital
#13
JOURNAL ARTICLE
Krista J Stephenson, Derek J Krinock, Isabel L Vasquez, Connor N Shewmake, Beverly J Spray, Bavana Ketha, Lindsey L Wolf, Melvin S Dassinger
OBJECTIVES: Variability in opioid-prescribing practices after common pediatric surgical procedures at our institution prompted the development of opioid-prescribing guidelines that provided suggested dose limitations for narcotics. The aims of this study were to improve opioid prescription practices through implementation of the developed guidelines and to assess compliance and identify barriers preventing guideline utilization. METHODS: We conducted a single-center cohort study of all children who underwent the most common outpatient general surgery procedures at our institution from August 1, 2018, to February 1, 2020...
January 19, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38240643/medication-errors-detection-methodology-matters
#14
JOURNAL ARTICLE
Merna Seleman, Nilesh M Mehta, Youyang Yang
No abstract text is available yet for this article.
January 19, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38231892/evaluating-independent-double-checks-in-the-pediatric-intensive-care-unit-a-human-factors-engineering-approach
#15
JOURNAL ARTICLE
Leah Konwinski, Caryn Steenland, Kayla Miller, Brian Boville, Robert Fitzgerald, Robert Connors, Elizabeth Sterling, Alicia Stowe, Surender Rajasekaran
OBJECTIVES: The goal of this human factors engineering-led improvement initiative was to examine whether the independent double check (IDC) during administration of high alert medications afforded improved patient safety when compared with a single check process. METHODS: The initiative was completed at a 24-bed pediatric intensive care unit and included all patients who were on the unit and received a medication historically requiring an IDC. The total review examined 37,968 high-risk medications administrations to 4417 pediatric intensive care unit patients over a 40-month period...
January 18, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38197910/trend-analysis-of-inpatient-medical-adverse-events-in-taiwan-2014-2020-findings-from-taiwan-patient-safety-reporting-system
#16
JOURNAL ARTICLE
Dulmaa Munkhtogoo, Yueh-Ping Liu, Sheng-Hui Hung, Pi-Tuan Chan, Chih-Hung Ku, Chung-Liang Shih, Pa-Chun Wang
OBJECTIVES: Medical adverse event (MAE) reporting and management are essential for patient safety campaigns. An epidemiological assessment of MAE trends is crucial for understanding the effectiveness of patient safety improvement efforts. This study analyzed the trends of inpatient MAEs, focusing on MAE incidence and harm severity. METHODS: Longitudinal secondary data (over 2014-2020) on MAEs reported by 18 hospitals were retrieved from the Taiwan Patient-safety Reporting system...
January 5, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38197907/impact-of-repeated-reimbursement-penalties-on-hospital-total-quality-scores
#17
JOURNAL ARTICLE
Alice Brewer, M Courtney Hughes, Kunal N Patel
OBJECTIVES: The incidence of hospital-acquired conditions (HACs) is a serious public health issue with implications ranging from patient morbidity and mortality to negative financial impacts on patients and health care systems. Despite substantial efforts to address and reduce HACs, research into the effect of quality improvement programs is inconclusive. This study seeks to better understand the relationship between repeated reimbursement penalties and improvement in HAC quality scores...
January 5, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38147064/enhancing-pressure-injury-surveillance-using-natural-language-processing
#18
JOURNAL ARTICLE
Carly E Milliren, Al Ozonoff, Kerri A Fournier, Jennifer Welcher, Assaf Landschaft, Amir A Kimia
OBJECTIVE: This study assessed the feasibility of nursing handoff notes to identify underreported hospital-acquired pressure injury (HAPI) events. METHODS: We have established a natural language processing-assisted manual review process and workflow for data extraction from a corpus of nursing notes across all medical inpatient and intensive care units in a tertiary care pediatric center. This system is trained by 2 domain experts. Our workflow started with keywords around HAPI and treatments, then regular expressions, distributive semantics, and finally a document classifier...
December 27, 2023: Journal of Patient Safety
https://read.qxmd.com/read/38147062/the-influence-of-preoperative-waiting-time-on-anxiety-and-pain-levels-in-outpatient-surgery-for-breast-diseases
#19
JOURNAL ARTICLE
Bei Wu, Han-Jin Wang, Xiu-Pin Yang, Zhen-Hua Zhong
OBJECTIVE: This study aims to examine the effects of different preoperative waiting times on anxiety and pain levels in patients undergoing outpatient surgery for breast diseases, providing insights for clinical interventions during the perioperative phase. METHODS: Patients who underwent outpatient surgery at a hospital breast center in Ningbo between January 2021 and December 2021 were selected. Their anxiety levels at the time when they entered the preoperative preparation room and when they ended the postoperative waiting period for the rapid frozen section procedure were assessed using the State Anxiety Inventory (S-AI) questionnaire, and their pain levels at the end of the postoperative waiting period were assessed using the short-form McGill Pain Questionnaire...
December 27, 2023: Journal of Patient Safety
https://read.qxmd.com/read/38147059/a-novel-role-to-manage-capacity-and-flow-in-hospital-medicine
#20
JOURNAL ARTICLE
Gabrielle Kis Bromberg, Marjory A Bravard, Kimiyoshi J Kobayashi, Amber Moore
No abstract text is available yet for this article.
December 27, 2023: Journal of Patient Safety
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