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patient safety --- health sciences

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Making Healthcare Safer reports I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors. However, threats to patient safety are still emerging and evolving in a dynamic world. Patient safety research is growing, spanning across more healthcare settings, and considers a wide array of contextual factors. The combination of emerging patient safety threats and the growing amount of published patient safety research, patient safety resources, and accrediting body standards makes it increasingly difficult to prioritize adoption and implementation of evidence-based practices. AHRQ's fourth iteration of Making Healthcare Safer intends to address this issue by publishing evidence-based reviews of patient safety practices and topics as they are completed. This intentional release of updated reviews will aid healthcare organization leaders in prioritizing implementation of evidence-based practices in a timelier way. The report also will help researchers identify where more research is needed in a timelier way and assist policymakers in understanding which patient safety practices have the supporting evidence for promotion. Reviews will be posted below as they are completed. Making Healthcare Safer IV was commissioned in 2022. To kick off the report, AHRQ explored the potential harms that may be associated with telehealth, which has grown exponentially during the wake of the COVID-19 pandemic to facilitate healthcare during a time when in-person clinical encounters between a patient and clinician was significantly reduced to help slow the spread of the virus. Because the benefits of telehealth became evident during the pandemic, the harms and patient safety practices to reduce the risk for medical errors, misdiagnosis, and privacy concerns are still being assessed. This review will serve as a baseline for the evidence of harms and patient safety practices to prevent or mitigate harms associated with the use of telehealth. Making Healthcare Safer IV began with a horizon scan to identify emerging trends and needs in the patient safety field. A technical expert panel (TEP) was convened to prioritize which topics and patient safety practices, including updates to the ones covered in the previous Making Healthcare Safer reports, would be most beneficial to the field if addressed throughout the years of the fourth report. These discussions are summarized in the the Prioritization Report. AHRQ determined that the first rapid review would be on the potential harms that may be associated with telehealth, which has grown exponentially during the wake of the COVID-19 pandemic to facilitate healthcare during a time when in-person clinical encounters between a patient and clinician was significantly reduced to help slow the spread of the virus. Because the benefits of telehealth became evident during the pandemic, the harms and patient safety practices to reduce the risk for medical errors, misdiagnosis, and privacy concerns are still being assessed. This review will serve as a baseline for the evidence of harms and patient safety practices to prevent or mitigate harms associated with the use of telehealth. Since AHRQ asked for this topic to be explored first, it was not discussed during the TEP convening. The first three Making Healthcare Safer reports, published in 2001, 2013, and 2020, have each served as a consolidated source of information for healthcare providers, health system administrators, researchers, and government agencies. A set of tables compares the patient safety practices among the reports.

Evidence-based medicine. --- Patient safety.

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"This book provides a dynamic and comprehensive interprofessional approach to building a culture of safety by using simulation across clinical and education spheres in healthcare. This is a comprehensive guide and resource for healthcare organizations, educators, and diverse interprofessional healthcare team members to use to improve patient safety efforts to adapt to the ever-changing, complex world of healthcare. Its practical application is pertinent in transforming the education and practice of medicine, nursing, and other health-related fields... Weighted Numerical Score: 99 - 5 Stars! Patricia West, MS, BSN Michigan State University College of Nursing Doody's Medical Reviews. [The authors] have brought together a core group of national leaders to produce what I think is a paradigm-busting book that will help to transform education at the graduate level in medicine, nursing, and all related fields. The book speaks expertly about the high fidelity of simulation training, the need for synthetic models, the adult learning theory behind the debrief is a manifesto about where we must go as an interprofessional team, caring for the patient of the future. From the Foreword, by David B. Nash, MD, MBA Dean, Jefferson School of Population Health Philadelphia, PA This groundbreaking book reflects the accomplishments of an internationally recognized leader of innovation regarding interprofessional clinical learning through simulation. Based on the North Shore-LIJ Health System corporate university experience, the book describes how this organization used simulation to successfully tackle the major interprofessional health issue of our time: patient safety. This health system created a transformative simulation center that involves nurses, doctors, and related health professionals whose work in clinical teams has resulted in measurable improvements in all aspects of clinical decision-making, critical thinking, teamwork, and communication skills toward the ultimate goal of improved patient safety. Key Features: Describes in detail a groundbreaking system of achieving patient safety that uses interprofessional clinical learning through simulation Detailed case studies using concrete methods and examples illustrate the application of theory to practice Presents simulations scalable to any size organization and for use by health care professionals in all specialties includes theoretical foundations and practical applications for teaching and learning Focuses on interprofessional cooperation and learning." -- Provided by publisher

Medical errors --- Interprofessional relations. --- Patient safety. --- Cooperation --- Professions --- Prevention.

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Renal Dialysis --- Vascular Surgical Procedures --- Kidney --- Patient Safety --- methods --- surgery

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Over the past two decades, the healthcare community increasingly recognized the importance and the impact of medical errors on patient safety and clinical outcomes. Medical and surgical errors continue to contribute to unnecessary and potentially preventable morbidity and/or mortality, affecting both ambulatory and hospital settings. The spectrum of contributing variables-ranging from minor errors that subsequently escalate to poor communication to lapses in appropriate protocols and processes (just to name a few)-is extensive, and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework-based upon the best practices and evidence-based medical principles-for hospitals and clinics to foster patient safety culture and to develop institutional patient safety champions. Based upon the tremendous interest in the first volume of our Vignettes in Patient Safety series, this second volume follows a similar vignette-based model. Each chapter outlines a realistic case scenario designed to closely approximate experiences and clinical patterns that medical and surgical practitioners can easily relate to. Vignette presentations are then followed by an evidence-based overview of pertinent patient safety literature, relevant clinical evidence, and the formulation of preventive strategies and potential solutions that may be applicable to each corresponding scenario. Throughout the Vignettes in Patient Safety cycle, emphasis is placed on the identification and remediation of team-based and organizational factors associated with patient safety events. The second volume of the Vignettes in Patient Safety begins with an overview of recent high-impact studies in the area of patient safety. Subsequent chapters discuss a broad range of topics, including retained surgical items, wrong site procedures, disruptive healthcare workers, interhospital transfers, risks of emergency department overcrowding, dangers of inadequate handoff communication, and the association between provider fatigue and medical errors. By outlining some of the current best practices, structured experiences, and evidence-based recommendations, the authors and editors hope to provide our readers with new and significant insights into making healthcare safer for patients around the world.

Patient safety. --- Patient Safety. --- Patient Safeties --- Safeties, Patient --- Safety, Patient --- Risk Management --- Medicine --- Public Health --- Preventive Healthcare --- Health Sciences