Journal of patient safety
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Journal of patient safety · Jun 2019
Research Priorities in the Field of Patient Safety in Iran: Results of a Delphi Study.
There is inadequate evidence to direct and support patient safety practice. Therefore, identifying research priorities in this field is relevant for many stakeholders. This study, which was built on the World Health Organization work, aimed to identify and prioritize research topics for patient safety in Iran. ⋯ Among 4 research groups, the extent and epidemiology threatening patient safety group received the highest priority; and among research topics, adverse drug events and its epidemiology were the top-ranked research priorities. In addition to the priorities identified in previous work, more research priorities that reflect important and needed issue related to patient safety, especially in Iran, were recognized. This priority research list, which most stakeholders agree with it, can serve as a blueprint for patient safety research.
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Journal of patient safety · Jun 2019
Considerations for Multiteam Systems in Emergency Medical Services.
Despite good intentions, mishaps in teamwork continue to affect patient's lives and plague the medical community at large and Emergency Medical Services (EMS) in particular. Effective and efficient management of patient care necessitates that sets of multiple teams (i.e., multiteam systems [MTSs] - EMS ground crews, EMS air crews, dispatch, and receiving hospital teams) seamlessly work together. Although advances have been made to improve teams, little research has been dedicated to enhancing MTSs especially in the critical yet often under studied domain of EMS. The purpose of this paper is to assist the pre-hospital community in strengthening patient care by presenting considerations unique to multiteam systems. ⋯ MTSs are prevalent in prehospital care, as they define how multiple component healthcare teams work together to intervene in emergency situations. We provided some initial directions regarding considerations for success in EMS MTSs based on existing research, but we also recognize the need for further study on these issues.
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Journal of patient safety · Mar 2019
Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department.
Little is known about which methods are best for detecting adverse events in the emergency department (ED). ⋯ The reporting methods more effectively captured greater numbers of adverse events, whereas the adverse events captured by the trigger tool methods were more likely to be severe physical impacts. The combined use of the different methods had synergistic benefits for monitoring adverse events in the ED.
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Journal of patient safety · Dec 2018
Acute Fracture Neck of Femur Among Inpatients: Severe Injuries Which Need to be Taken Seriously.
This study assesses fall prevention measures and subsequent incident reporting of falls resulting in an "inpatient fracture neck of femur (FNOF)" within a single NHS Trust, with the aim of identifying potential areas of improvement and changing practice within a Trust. ⋯ Accurate fall risk assessments and adequate patient supervision are essential to minimize risks of falls, as the inpatient FNOF is linked to a higher mortality rate than patients injured in the community. A standardized method of analyzing such incidents and dissemination of the results of investigation are also required to reduce the risk of similar incidents from occurring within the hospital environment.
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Journal of patient safety · Jun 2018
Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experience.
This study aimed to determine whether Pennsylvania ACT 13 of 2002 (Mcare) requiring the written and verbal disclosure of "serious events" was accompanied by increased malpractice claims or compensation costs in a large U.S. health system. ⋯ Implementation of a mandated serious event disclosure law in Pennsylvania was not associated with an overall increase in malpractice claims filed. Among events of similar degree of harm, disclosed events had higher compensation paid compared with those that had not been disclosed.