Journal of healthcare quality research
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To analyse the effectiveness of corrective measures arising from the analysis of safety incident notifications in the Paediatric Emergency Unit. ⋯ The implementation of improvement actions arising from the analysis of voluntary notification of incidents is an effective strategy to improve patient effective strategy to improve.
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Observational Study
[Impact of a strategy to improve the quality of care and risk management in a paediatric emergency department].
Emergency departments are a high risk area for the occurrence of adverse events. The aim of this study is to analyse the impact of a strategy to improve the quality assurance and risk management in the notification of incidents in our Unit, and describe the improvement actions developed from the reported incidents. ⋯ It is considered that the implementation of a risk management process, and the promotion of a safety culture, through training and feed-back sessions to all professionals, contributed to increase the volume of notifications in our Unit. The voluntary and anonymous reporting of incidents is useful to identify risks, and plan corrective measures, contributing to improve quality assurance and patient safety.
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Multicenter Study Comparative Study Observational Study
[User satisfaction in 2hospitals with different management models].
Public, private, and mixed care management models coexist in the Spanish National Health System, in addition to those private models with state-funded financial support since the General Health Law was enacted. In order to function well, health systems must include quality management systems, and they must use patient satisfaction evaluations as an outcome indicator. ⋯ High satisfaction levels were found, with little differences between the 2hospitals, and higher rates in some areas compared to other studies. As quality indicators, there are factors such as time, flexibility in systems and in information, probably due to changes in needs and user expectations. There are only a few studies that compare satisfaction between different management models.
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Observational Study
[Patient safety in psychiatric hospitalization - What incidents are reported and managed?]
Reporting and management systems monitoring patient safety incidents (PSIs) facilitate the understanding of mechanisms of action and allow work on improvement activities to minimise their occurrence. In our country, little is known about the adverse effects of healthcare during psychiatric hospitalisation (PH). The aim of this study is to determine the occurrence and characteristics of the PSIs, as well as the improvement actions resulting from them, in the PH services being offered at the Parc Sanitari Sant Joan de Deu (an institution specialized in mental healthcare). ⋯ PH demonstrates its own characteristics with regard to the type of PSIs and differs from general hospitalisation. Reporting of PSIs is higher in ASA than in MLS, although the level of harm experienced by the patients is similar. There is a clear understanding of reporting in PH, demonstrated by the steady increase in the numbers declared and also highlights the high level of awareness of the nursing staff.