JournalTOCs

Clinical Risk
Journal Prestige (SJR): 0.133

Number of Followers: 6

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1356-2622 - ISSN (Online) 1758-1028
Published by Sage Publications

[1176 journals]

Patient reports of patient safety: An underused technology
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  Authors: Albert W Wu
  Pages: 72 - 73
  Abstract: Journal of Patient Safety and Risk Management, Volume 29, Issue 2, Page 72-73, April 2024.
  
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-05-04T10:13:32Z
  DOI: 10.1177/25160435241248869
  Issue No: Vol. 29, No. 2 (2024)
The effectiveness of opioid stewardship interventions in healthcare: A
Making Healthcare Safer rapid review
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  Authors: Julie M Waldfogel, Michael A Rosen, Ritu Sharma, Allen Zhang, Eric B. Bass, Sydney M Dy
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  ObjectiveOpioid stewardship interventions promote appropriate use of opioids. We synthesized evidence from recent studies on the effectiveness of opioid stewardship interventions in United States healthcare settings on opioid prescribing and clinical outcomes.MethodsWe followed the Evidence-based Practice Center Program's rapid review processes. We searched PubMed and Cochrane for original studies meeting specified inclusion criteria from January 2016 (correlating with the Centers for Disease Control and Prevention Pain Guidelines) to April 2023, supplemented by gray literature searches.FindingsOur search identified 13 randomized controlled trials and 6 nonrandomized studies. Randomized controlled trials addressed interventions involving multiple components (typically combining prescriber education, care management, and facilitated access to resources), clinical decision support (CDS) or electronic health records (EHR), and patient education and engagement, mainly in ambulatory chronic pain. Multicomponent interventions and opioid stewardship practices involving CDS or EHR were associated with decreased opioid prescribing or reduced doses and no increases in pain, emergency department visits, or hospitalizations (low strength of evidence for all outcomes). Patient engagement and education interventions had mixed results for opioid prescribing outcomes (insufficient strength of evidence) and no increases in pain, emergency department visits, or hospitalizations (low strength of evidence).ConclusionsSelected opioid stewardship interventions may be effective for reducing opioid prescribing without adversely affecting clinical outcomes. Interventions to reduce opioid prescribing should monitor unintended consequences and include access to nonpharmacological pain management resources with patient education and engagement.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-08-07T01:47:26Z
  DOI: 10.1177/25160435241262958
The relationship between burnout syndrome and emotional intelligence in
anesthesiologists during the COVID-19 pandemic: A cross-sectional study
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  Authors: Airton Bagatini, Daniela Benzano Bumaguin, Lorenzo Zambenedetti Bagatini, Ana Paula Ardais
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundBurnout, a type of long-lasting work-related stress, is highly prevalent among health professionals. It includes dimensions of emotional exhaustion, depersonalization and low professional achievement. Emotional intelligence is the ability to accurately perceive, evaluate, and express emotions, to perceive and/or produce feelings that facilitate thought, to understand emotion and acquire emotional knowledge, and to control emotions in order to promote emotional and intellectual growth. Among the extensive literature on burnout, no studies have measured its prevalence among anesthesiologists in Brazil during the COVID-19 pandemic. Studies on the association between emotional intelligence and burnout are also scarce in this population. The aim of this study was to describe the prevalence of burnout in anesthesiologists at a hospital during the COVID-19 pandemic and to assess its association with emotional intelligence.MethodsThis cross-sectional study was conducted in a large private hospital in southern Brazil. A non-probabilistic convenience sample of anesthesiologists was selected from a hospital's clinical staff. Via Google Forms, participants responded to an anonymous self-applied self-explanatory questionnaire with sections on sociodemographic data, burnout (Maslach Burnout Inventory), and emotional intelligence (Wong and Law's Emotional Intelligence Scale). Descriptive analysis of the variables was performed and the association between burnout and emotional intelligence was evaluated using the Pearson or Spearman correlation coefficient, depending on data distribution.ResultsA burnout prevalence of 8.1% was found, as well as a strong negative correlation between total burnout scores and emotional intelligence.ConclusionsAccording to the regression analysis, emotional intelligence can be considered an independent factor associated with this outcome.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-05-29T06:27:36Z
  DOI: 10.1177/25160435241255925
Patient and family engagement in patient safety practices: A Making
Healthcare Safer rapid response review
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  Authors: Vadim Dukhanin, Sydney M. Dy, Ritu Sharma, Montrell Vass, Allen Zhang, Eric B. Bass, Michael Rosen
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundPatient and family engagement (PFE) is a developing area in reducing patient harm. This review addresses two questions: 1) What PFE patient safety practices (PSPs) have been used to prevent, report, or mitigate harms to patients and in what settings have they been used' 2) What evidence of effectiveness and unintended effects of PFE PSPs has been published since the Making Healthcare Safer (MHS) III report'MethodsWe searched PubMed and the Cochrane Library for studies published between January 2019 and April 2023. We included reviews of and primary studies on safety, quality, or utilization outcomes associated with any intervention focused on PFE in reporting and/or reducing patient safety events and harms.ResultsWe retrieved 768 citations and found one systematic review and five studies meeting the inclusion criteria. The studies were either multi-component patient fall interventions or patient portals and information tools. Patient fall intervention PFE PSPs demonstrated significant decreases in overall rate of fall (15%–71% reductions) and fall with injury (34%–67% reductions) across three studies and a 17% decrease in the hospital length of stay in one study. Across three studies employing portals and information tools, PFE PSPs facilitated the identification of errors and significantly decreased the hospital length of stay and readmissions.ConclusionsResearch on PFE PSPs provides emerging evidence of the effectiveness of including PFE as a component of interventions targeting specific preventable harms. More research is needed to support the measurement of and better determine the overall effectiveness of a broader implementation of PFE PSPs.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-05-16T05:29:31Z
  DOI: 10.1177/25160435241255155
The impact of nurse empowerment program on patient safety culture in
general public hospital in Indonesia
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  Authors: Lilis Suryani, Santhna Letchmi, Faridah Binti Moch Said
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundPatient safety is crucial to health-care quality and is one of the major parameters monitored by all health-care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because of their intensity in caring patients and families.ObjectivesThis study aimed to determine the impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia.MethodsThis study was designed as a quasi-experimental design in Indonesia. This program was conducted for three months with a five-day workshop (4 h for each day), followed by hanging up posters and handing out informative pamphlets to the experimental group's nurses and supervisors at their place of work in three common place that visited by nurses such as changing room, nurse station and near toilet.ResultsIn the intervention group, patient safety culture practice score was significantly increased from 3.11(standard deviation [SD] = 1.43) before intervention to 4.89 (SD = 1.33) after three-month intervention (T2), with the t was 5.78, and p = .001. While in the control group, no significant increased score of patient safety culture practice before intervention and after three months intervention (3.05 ± 1.49 vs. 3.09 ± 1.25, t = 0.76, p = .516).ConclusionThe implementation of this innovative empowerment program, which included nurses and supervisors, resulted in an increase in patient safety culture scores as well as growth in domain score. Therefore, this program can be used to advance these critical facets of patient safety culture, which are currently underdeveloped.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-05-02T06:33:06Z
  DOI: 10.1177/25160435241244664
Updating Eindhoven: Clarifying the features of a patient safety near miss
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  Authors: Nick Woodier, Charlotte Burnett, Paul Sampson, Iain Moppett
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundThere are benefits to healthcare from reporting and learning from near misses in patient care. However, there have been longstanding issues with identifying near misses, with variation in definitions. Learning is being lost, unlike in other industries that have harnessed their learning potential. The features of a healthcare near miss have never been described nor modelled. This study aimed to identify those features to support near-miss identification, reporting and learning.MethodsThis study took a mixed-methods approach with participants from healthcare and four high-reliability industries – aviation, maritime, nuclear and rail. Qualitative exploration helped identify the features of a near miss, while quantitative supported assessment of agreement on features between participants through the use of a scenario.ResultsParticipants from 17 healthcare and 35 industry organisations took part. Quantitative findings demonstrated variation in agreement of the features of a near miss using Fleiss Kappa. Qualitative findings identified the following themes in relation to the features of a near miss – context dependent, involve control, are complex and represent vulnerabilities. In particular, several industries have lists of specific situations that constitute near misses that support reporting and focus.ConclusionWithout clear agreement of the features of a healthcare near miss, definitions will continue to vary. This study has, for the first time, provided exploration and clarification of the features of a near miss with the offer of a healthcare model for future validation. Without addressing the fundamentals, such as agreeing what a near miss is, healthcare cannot hope to learn from them.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-04-18T08:03:03Z
  DOI: 10.1177/25160435241247096
Shared decision-making in an era of silo-based care (or what it takes to
Tango)
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  Authors: Annegret F Hannawa
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-04-15T04:23:58Z
  DOI: 10.1177/25160435241246348
Turkish adaptation and verification of the incident-reporting attitude
scale used for staff in long-term care facilities
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  Authors: Ayşegül Yılmaz, Ayşe Yıldız Keskin, Sergül Duygulu, Müjdat Yeşildal
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundDetermining nurses’ attitudes and behaviors toward error reporting is important in providing safe, high-quality patient care. The current study aimed to test Turkish validity and reliability of the Incident-Reporting Attitude Scale for Staff in Long-Term Care Facilities.MethodsThis psychometric study was conducted in two stages with 395 nurses and nurse managers in long-term care at a university hospital between May 2021 and January 2022. First, the Turkish adaptation of the scale was performed. The scale's internal consistency was evaluated using Cronbach's alpha and corrected item-total score correlation. Content validity indices were used for content validity, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used for construct validity. Discriminant analysis and internal consistency coefficient were used for reliability analyses.ResultsThe results showed that the Turkish scale adaptation is adequate for language and content equivalence. According to CFA, the scale comprising 31 items and two subscales in the original version showed a significantly good fit in a 26-item and five-factor model. The Cronbach's alpha of the modified scale was 0.92; it was 0.88, 0.94, 0.82, 0.96, and 0.90 for the subscales, respectively.ConclusionsThe Turkish scale adaptation has consistently shown acceptable psychometric reliability and validity characteristics. It can be used by healthcare services and nursing managers to evaluate nurses’ attitudes toward incident reporting in healthcare facilities providing long-term care.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-04-13T09:13:54Z
  DOI: 10.1177/25160435241246347
Falls in the hospital: An Italian clinical risk management perspective
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  Authors: Luigi Buongiorno, Federica Mele, Biagio Solarino, Davide Ferorelli, Fiorenza Zotti, Alessandro Dell’Erba, Felice Francesco Carabellese, Roberto Catanesi, Stefano Ferracuti, Gabriele Mandarelli
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundHospital falls are a frequent sentinel event worldwide, yet prevention remains challenging. There is a need to standardize hospital fall management in healthcare facilities. This study aimed to analyze policies and procedures used by Italian healthcare facilities to reduce hospital falls.MethodsThe Italian hospitals’ public procedures on patients’ falls issued between November 2011 and June 2022 were retrieved by a web search using the Google search engine and further evaluated according to their compliance with the 2011 Italian Ministerial recommendation for the prevention of patients’ falls.ResultsWe found 37 official online procedures, of which 45.6% showed full compliance with the 2011 Ministerial recommendation. All the documents explicitly addressed the issue of identifying patient-related fall risk profiles, whereas 28 set appropriate environmental risk factors. More than 80% of the retrieved procedures used the Conley scale. Forty-three percent of the procedures did not provide for national monitoring and reporting of patient falls.ConclusionsPublic procedures for preventing patient falls in Italian hospitals are scarcely compliant with the 2011 Ministerial recommendation. Local monitoring, compliance, and reporting of hospital falls are needed to improve patient outcomes and reduce the risk of litigation for staff and organizations. Additionally, standardized tools for evaluating the risk of falls, healthcare professionals’ training, and implementing environmental prevention strategies are needed to contrast this issue.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-04-08T05:16:15Z
  DOI: 10.1177/25160435241246344
Consequences of erroneous reporting and interpretation of positive
antibody screen in Rhesus (Rh) negative pregnancy: A report of two cases
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  Authors: Bengt-Ola S Bengtsson, John P van Houten
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundRhesus (Rh) D Immunoglobulin (RhIG), (Rhogam®) is indicated for all pregnant Rh-negative women at 28 weeks of gestation followed by a second dose within 72 h after birth if the newborn is Rh-positive and it reduces the risk for Rh alloimmunization of the mother from 13%–16% to 0.1%–0.2%.MethodsRetrospective review of causes and outcomes of two cases of Rh-induced hemolytic disease of the newborn (Rh-HDN) at our institution.ResultsThe determination of passive anti-D from RhIG versus active anti-D from maternal sensitization and subsequent management, relies entirely on a reliable history of prior and timely RhIG administration in the mother.ConclusionThese two cases illustrate the importance of communication (and the detriment of the lack thereof) between blood bank and maternal—and neonatal care providers in the prevention—and management of Rh-HDN.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-04-03T07:34:47Z
  DOI: 10.1177/25160435241245172
Is something missing in our approaches to ‘just culture’ in
healthcare' What about the patient'
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  Authors: Peter Walsh
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-04-03T07:34:28Z
  DOI: 10.1177/25160435241241101
Healthcare workers’ safety and emotional exhaustion: Exploring the
impact of violence and trust in emergency departments
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  Authors: Mehmet Özel, Habip Balsak, Talat Yıldız
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundIn the challenging and often high-stress environment of emergency departments (EDs), healthcare workers (HCWs) frequently encounter a concerning issue of workplace violence (WPV). This study delves into the effects of WPV management and safety on the emotional well-being of ED HCWs.MethodsData collected between 15 March 2023 and 15 May 2023 from 186 HCWs across Obstetrics and Gynecology, Pediatrics, and Adult EDs are analyzed. The survey includes the Safety and Confidence Scale (SCS) to gauge HCWs' perceptions of violence and the Job-Related Emotional Exhaustion Scale (JREES).ResultsKey findings highlight the prevalence of various forms of WPV in the ED, such as verbal violence (77.4%), threats, and insults (68.8%), with patients and their relatives identified as the primary perpetrators. Male HCWs scored significantly higher on the Violence Management and Safety (VMS) scale compared to their female counterparts.ConclusionsIn summary, within the demanding ED setting, this study sheds light on the profound impact of WPV on HCWs' emotional exhaustion and their overall sense of safety. It underscores the urgent need to build trust and bolster support mechanisms to alleviate emotional exhaustion among HCWs. Addressing WPV in the ED is paramount for the mental well-being of healthcare workers, particularly when faced with violence from patients and their families.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-03-21T06:39:19Z
  DOI: 10.1177/25160435241240517
Determinants influencing implementation of clinical risk management –
Qualitative results of a national survey among clinical risk managers in
Germany (KHaSiMiR21)
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  Authors: Hannah Roesner, Karl Blum, Nikoloz Gambashidze, Martina Schmiedhofer, Matthias Weigl, Reinhard Strametz
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundThe improvement of patient safety requires management of clinical risks in hospitals. However, implementation status of clinical risk management (CRM) varies substantially across hospitals. Investigations into facilitators and barriers for effective implementation are thus necessary. Using an in-depth interview study with CRM experts in hospitals, this study aimed to investigate factors accountable for effective development and implementation status of CRM measures in Germany.MethodsAs part of a nationwide survey, we conducted semi-standardized interviews with n = 10 selected clinical risk managers from general hospitals. We used qualitative content analysis to identify barriers and facilitators to the implementation of CRM.ResultsA broad range of determinants influencing CRM implementation were identified. Determinants were categorized into five thematic categories: general knowledge of CRM, safety culture, availability of resources, multi-level engagement and organizational structures.DiscussionWhile numerous barriers to CRM implementation were identified, interviewees reported only a few supporting factors in comparison. Results suggest further challenges in effective CRM implementation and inform future research and implementation efforts.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-03-20T07:32:49Z
  DOI: 10.1177/25160435241240831
The use of graphic displays and their influence on awareness and
understanding of patient safety incidents: An exploratory study
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  Authors: Lisen Schortz, Liz Mossop, Annika Bergström, Catherine Oxtoby
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  BackgroundMedical incidents cause harm in both human and veterinary care. Repercussions are similar and reach far beyond the patient, negatively impacting the people close to the patient, healthcare professionals, and the healthcare organization. Whilst good practice is to capture events in incident reporting systems to facilitate learning, critics argue that there is too much focus on this process and too little focus on harnessing the benefits from the data. This exploratory study aimed to investigate how graphic display of data could influence awareness and understanding of patient safety risks.MethodsA dashboard graphically displaying incident data was created and a mixed methods approach was utilized to investigate how the dashboard influenced participants awareness and understanding of incidents. Quantitative pre-intervention and post-intervention survey data was integrated with semi-structured interview data through a pillar integration process.ResultsThe survey response rates were 48% (n = 77) and 46% (n = 74), and 12 interviews were conducted. The four pillars: Emerging enlightenment, tools, behaviours and habits, language and education were identified. There was a difference in understanding of incident data between clinically and non-clinically trained participants.ConclusionThis novel study suggests that graphic displays of data may bring increased understanding of safety risks, trigger activity, and bridge conversations between clinically and non-clinically trained stakeholders.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-02-14T08:00:49Z
  DOI: 10.1177/25160435241230130
Usability of home use medical technology: The patient perspective
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  Authors: Arkeliana Tase, Peter Buckle, Melody Z. Ni, George B. Hanna
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  IntroductionTechnological advancements have increased the scope and range of home-use medical devices. These have allowed development of care at home. This requires appropriate understanding of patient's needs with regards to such devices for safe use of medical technology at home and minimise usability errors. This study sought to investigate patient experiences of usability and to identify future requirements for such devicesMethodsA qualitative mixed methods study was chosen. The participants were asked to complete a survey which included both multiple-choice and free-text entry questions. Participant recruitment was through purposive and snowball sampling approaches. All participants were required to have direct experience in using a medical device. Data were thematically analysed.ResultsThere were 360 responses by patients, parents and carers. 503 devices were used by these participants. 99.4% used their device(s) on a daily basis. The largest group of responders were from type 1 diabetic patients. Multiple usability challenges were reported with respect to training, device interoperability, development of workarounds and the device-user interfaces. Device acceptance and their costs were also raised as issues for concern. A list of usability challenges was compiled.ConclusionsPatients and other end users continue to experience multiple usability challenges in the use of medical devices at home despite guidance from regulatory bodies. Better post market studies are required to generate evidence to enable the improved design and safety of the device. This should be accompanied with an evaluation of improvements in patient satisfaction and their compliance with monitoring and treatment.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-02-05T07:48:01Z
  DOI: 10.1177/25160435241230143
The Health Services Safety Investigations Body (HSSIB) and safety
management systems: An integrated approach to managing safety in
healthcare
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  Authors: Jonathan Back, Deinniol Owens, Rosie Benneyworth
  Abstract: Journal of Patient Safety and Risk Management, Ahead of Print.
  The Health Services Safety Investigations Body (HSSIB) was established by the Health and Care Act 2022 as a new non-departmental arm's length body, replacing the former Healthcare Safety Investigation Branch. HSSIB exists to help reduce patient harm by understanding the complex interactions that exist within healthcare that may lead to patient safety events occurring. In other safety critical industries, a safety management system (SMS) approach is used to help enable proactive assessments of risks, specification of how risks should be managed, and set clear lines of accountability and responsibility in addressing risks. HSSIB has begun to explore how an SMS may operate in healthcare to help better equip the system to identify, respond, and proactively identify emerging and recurring concerns that may impact on the safety of patients.
  Citation: Journal of Patient Safety and Risk Management
  PubDate: 2024-01-05T08:16:40Z
  DOI: 10.1177/25160435231224583

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