International journal for quality in health care : journal of the International Society for Quality in Health Care
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Int J Qual Health Care · Jun 2016
Observational StudyCohort study for evaluation of dose omission without justification in a teaching general hospital in Bahia, Brazil.
To evaluate the incidence of medication errors due to dose omissions and the reasons for non-administration of medications. ⋯ High incidence of omission errors occurs in our institution. Factors such as the deficit of nursing staff and clinical pharmacists and a weak medication dispensing system, probably contributed to incidence detected. Blinding nursing staff was essential to improve the sensibility of the method for detecting omission errors.
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Int J Qual Health Care · Jun 2016
Development, implementation and evaluation of a patient handoff tool to improve safety in orthopaedic surgery.
To develop, implement and test the effect of a handoff tool for orthopaedic trauma residents that reduces adverse events associated with the omission of critical information and the transfer of erroneous information. ⋯ Preliminary evidence suggests that our resident handoff tool may contribute to a decrease in adverse events in orthopaedic patients.
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Int J Qual Health Care · Jun 2016
Observational StudyA PICU patient safety checklist: rate of utilization and impact on patient care.
In healthcare, checklists help to ensure patients receive evidence-based, safe care. Since 2007, we have used a bedside checklist in our PICU to facilitate daily discussion of care-related questions at each bedside. The primary objective of this study was to assess compliance with checklist use and to assess how often individual checklist elements affected patient management. A secondary objective was to determine whether patient and unit factors (severity of illness, unit census, weekday vs. weekend, admitting diagnosis group) influenced checklist use. ⋯ Our study found high rates of compliance with an established checklist that has been in use in the PICU since 2007. Checklist use frequently resulted in a change in the patient management plan.
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Int J Qual Health Care · Jun 2016
Off-hours admission and quality of hip fracture care: a nationwide cohort study of performance measures and 30-day mortality.
Higher risks of adverse outcomes have been reported for patients admitted acutely during off-hours. However, in relation to hip fracture, the evidence is inconsistent. We examined whether time of admission influenced compliance with performance measures, surgical delay and 30-day mortality in patients with hip fracture. ⋯ Patients admitted off-hours and on-hours received similar quality of care. The risk of surgical delay and 30 days mortality was higher among patients admitted during weekends; explanations need to be clarified.
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Int J Qual Health Care · Jun 2016
Development and testing of the cancer multidisciplinary team meeting observational tool (MDT-MOT).
To develop a tool for independent observational assessment of cancer multidisciplinary team meetings (MDMs), and test criterion validity, inter-rater reliability/agreement and describe performance. ⋯ MDT-MOT demonstrated good criterion validity. Agreement between clinical and non-clinical observers (within one point on the scale) was high but this was inconsistent with reliability coefficients and warrants further investigation. If further validated MDT-MOT might provide a useful mechanism for the routine assessment of MDMs by the local workforce to drive improvements in MDT performance.