Journal of patient safety
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The present paper has 2 primary objectives as a pilot study on health-care safety climate in China: to develop its prototypical model well fit to the country's current hospital situations and validated external reliability and to elicit essential characteristics of safety climate for hypothetical general features in Chinese health care. ⋯ Safety climate has been not yet mature in the hospital surveyed that might be partly tied with blame culture. Considering health-care policies, procedures, and management styles shared with many other health-care organizations as well as Chinese culture, we would hypothesize that the immature nature is common in Chinese health care as overall characteristics of safety climate. From these results, we would suggest that a nonpunitive health-care culture should be fostered to improve patient safety in China.
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Journal of patient safety · Dec 2011
Creating an oversight infrastructure for electronic health record-related patient safety hazards.
Electronic health records (EHRs) have potential quality and safety benefits. However, reports of EHR-related safety hazards are now emerging. The Office of the National Coordinator for Health Information Technology recently sponsored an Institute of Medicine committee to evaluate how health information technology use affects patient safety. ⋯ We discuss the rationale of the proposed oversight program and its potential organizational components and functions. These include mechanisms for robust data collection and analyses of all safety concerns using multiple methods that extend beyond reporting, multidisciplinary investigation of selected high-risk safety events, and enhanced coordination with other national agencies to facilitate broad dissemination of hazards information. Implementation of this proposed infrastructure can facilitate identification of EHR-related adverse events and errors and potentially create a safer and more effective EHR-based health care delivery system.
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Journal of patient safety · Sep 2011
Physicians-in-training attitudes on patient safety: 2003 to 2008.
: Physician trainees will embody medicine's future culture. We assess whether trainees' patient safety attitudes have evolved over time. ⋯ : Physician trainee safety attitudes at 1 institution improved between 2003 and 2008, and these trainees support many system-based solutions to adverse events. The changes seem incremental and responses do not fully align with all aspects of a safety culture. Cultural change in health care must involve trainees and address their attitudes.
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Journal of patient safety · Sep 2011
Physicians' attitudes toward reporting medical errors-an observational study at a general hospital in Saudi Arabia.
: Accurate medical error reporting is crucial for reducing the occurrence of such errors and their adverse consequences. This study aims to investigate the views of physicians about medical error reporting in a tertiary care hospital in Saudi Arabia. ⋯ : The physicians in our study are likely to disclose errors made by a colleague only if the error resulted in a severe damage to the patient, and as such, medical errors go underreported for a variety of reasons. It was felt that assurance of confidentiality and protection from backlash would promote medical error disclosure.
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Journal of patient safety · Sep 2011
Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.
: This study was carried out to evaluate the introduction of preoperative safety briefings on operating theater start times. In addition, we assessed staff attitudes toward the safety briefings. Lack of time, motivation, and a negative perception in staff are often cited as barriers to the implementation of safety briefings. ⋯ : The safety briefings were popular among staff and did not delay the operating theater start time.