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 · Oct 2010
Adverse events in a Tunisian hospital: results of a retrospective cohort study.
Despite the worldwide growing attention to patient safety, Tunisia has no data on the magnitude and consequences of hospital adverse events (AEs). ⋯ This study confirms that preventable AEs were not rare in our context. They caused human harm and consumed a significant part of hospital resources. Thus, targeted interventions are needed.
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Int J Qual Health Care · Oct 2010
Perspectives in quality: designing the WHO Surgical Safety Checklist.
The World Health Organization's Patient Safety Programme created an initiative to improve the safety of surgery around the world. In order to accomplish this goal the programme team developed a checklist with items that could and, if at all possible, should be practised in all settings where surgery takes place. ⋯ The authors of the WHO Surgical Safety Checklist drew lessons from the aviation experience to create a safety tool that supports essential clinical practice. In order to inform the methodology for development of future checklists in health care, we review how we applied lessons learned from the aviation experience in checklist development to the development of the Surgical Safety Checklist and also discuss the differences that exist between aviation and medicine that impact the use of checklists in health care.
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Int J Qual Health Care · Jun 2010
Multicenter StudyIntensive care unit safety culture and outcomes: a US multicenter study.
Safety culture may influence patient outcomes, but evidence is limited. We sought to determine if intensive care unit (ICU) safety culture is independently associated with outcomes. ⋯ In a multicenter study conducted in the USA, perceptions of management and safety climate were moderately associated with outcomes. Future work should further develop methods of assessing safety culture and association with outcomes.
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Int J Qual Health Care · Dec 2009
Impact and preventability of adverse events in Spanish public hospitals: results of the Spanish National Study of Adverse Events (ENEAS).
To determine the impact and preventability of adverse events (AEs) associated with health care in Spanish hospitals. ⋯ In Spanish hospitals, AEs associated with health care cause distress, disability, death, lengthen hospital stay and cause increased consumption of health-care resources. A relatively high percentage of AEs in Spain may be preventable with improvements in medical care.