Listing 1 - 10 of 83 | << page >> |
Sort by
|
Choose an application
Bakgrund: Årligen drabbas miljoner patienter världen över av vårdrelaterade infektioner, vilket representerar ett folkhälsoproblem och ett hotmot patientsäkerheten. Enligt WHO måste varje land därför vidta och fokusera på åtgärder som att förbättra hygienrutiner hos vårdpersonalen, för att minska andelen vårdrelaterade infektioner. Syfte: Att få insyn, förståelse och fördjupad kunskap i hur chefer på ett akutsjukhus i Stockholm arbetar för patientsäkerhet genom följsamhet till hand-, kläd-och hygienrutiner. Hur upplevsföljsamhet till hygienrutinerna vara, ses svårigheter, hur ser praxis för ansvar och uppföljning av följsamheten till hygienrutinernaut?Målet är att kunna ge förslag och inspiration till hur följsamhet till hygienrutiner kan optimeras på det sjukhus där studien utförts, även som inspiration till andra vårdgivare. Metod: 41 chefer på olika nivåer intervjuades. Kvalitativ forskningsansats valdes och manifest kvalitativ innehållsanalys användes som analysmetod. Resultat: Chefer upplever att följsamheten till hygienrutiner generellt är god, men kan skilja sig åt mellan yrkeskategorier. Det finns individer med upprepad icke-följsamhet, trots påpekanden.Det arbetas med följsamhet på den egna enheten, medan det är liten koordinering mellan enheterna. Varje chef bestämmer själv hur arbetet skall läggas upp för sin personal, det finns ingen klar sjukhusgemensam strategi. Önskemål uttrycks om att få tid med sin verksamhetschef att diskutera hur enhetens följsamhet ser ut och behov av åtgärder för förbättring samt åtgärd för de med lägre följsamhet. Konklusion: Följsamheten till hygienrutiner skulle sannolikt kunna öka genom att chefer samverkar, samordnaroch haren mer enad strategi och sjukhusövergripande fokusering på hygienrutiner.
Choose an application
The global medical process is a chain of different medical multidisciplinary procedures. The success in global Patient Safety will depend on the Safety of the consecutive medical processes that intervene in this complex system. Laboratory data is an essential part of health care, indeed it is used in 70% of clinical decisions. Inappropriate laboratory test over requesting is extremely frequent. The prevalence of under requesting has been less studied. The consequences of under requesting are clear, we are missing a diagnosis. Inappropriate over requesting can result not only in a problem of cost but also in a problem regarding patient safety. Additionally, another important consequence of inappropriate tests over requesting is that such amount of unnecessary tests has probably contributed to a significant increase in the volume of those over the last years. In all, there is general consensus that the inadequacy of test requesting must be corrected through strategies and monitored over time through indicators to assure the optimal laboratory contribution to clinical decision-making and patient safety.
Hospitals --- Patient safety. --- Safety measures.
Choose an application
Patient Safety --- Professional-Patient Relations --- Hospitals
Choose an application
"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.
Choose an application
Patient Safety --- Stress, Psychological --- Burnout, Professional --- Patient Care Team
Choose an application
Patient safety. --- Anti-infective agents. --- Infection Control --- Popular Works.
Choose an application
Renal Dialysis --- Vascular Surgical Procedures --- Kidney --- Patient Safety --- methods --- surgery
Choose an application
Patient safety. --- Anti-infective agents. --- Infection Control --- Popular Works.
Choose an application
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
Choose an application
Electroconvulsive therapy (ECT) is a treatment that uses a small electrical current to produce a generalized cerebral seizure under anesthesia in patients with severe depression, as well as other conditions including bipolar disorder, schizophrenia, schizoaffective disorder, delirium, and neuroleptic malignant syndrome. The mechanism of ECT is unknown however changes to the central nervous system resulting from this therapy have been documented and the procedure is considered to be safe and efficacious. A recent Canadian survey of 172 centers identified as conducting ECT indicates that among registered healthcare institutions that conduct this procedure, there exists some variability with regard to written policies and procedures for ECT, the administration of medications, and treatment, however there is generally some consistency with regard to obtaining informed consent and the post-discharge accompaniment of patients. This reported variability has led to a call for the accreditation of facilities that perform ECT in Canada. It is unknown if this variability in performing ECT has had an impact on patient outcomes. ECT may be performed on an inpatient or an outpatient setting in a dedicated ECT treatment suite, hospital post-anesthesia care unit, or an ambulatory surgery site. An estimated 75,000 ECT treatments are delivered annually in Canada, and 90% of these treatments are delivered on an outpatient basis. While an outpatient setting may include non-hospital facilities (e.g. doctor's office, clinic), little is known regarding the safety of conducting ECT specifically in non-hospital environments, and if there are any risks associated with performing ECT in such settings. The present review was conducted to inform decisions regarding the safety and guidelines for ECT therapy delivered outside of hospital settings.
Electroconvulsive Therapy --- Ambulatory Care --- Patient Safety --- Guidelines as Topic --- standards. --- methods. --- Canada --- Patient Safety. --- Guidelines as Topic.
Listing 1 - 10 of 83 | << page >> |
Sort by
|