Quality & Safety in Health Care
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- BMJ Group, CSA, Ovid from 2002, Gale, and Proquest
Navigating a revision.
Intensive nursing work schedules and the risk of hypoglycaemia in critically ill patients who are receiving intravenous insulin.
Nurses in the intensive care unit (ICU) commonly work frequent 12 h shifts, potentially leading to fatigue and reduced vigilance. The authors hypothesised that rates of hypoglycaemia in patients receiving an insulin infusion would be associated with the intensity of work of the bedside nurse in the...
How different are complications that affect the older adult inpatient?
We found that while some common complications are not age specific (electrolyte disorders and cardiac arrhythmias), others (urinary tract and lower respiratory tract infections) are more common in the older adult inpatient. For inpatients aged >70 years, the risks of complications increase. The inci...
Readiness for organisational change among general practice staff.
Increasing demands on general practice to manage chronic disease may warrant organisational change at the practice level. Staff's readiness for organisational change can act as a facilitator or barrier to implementing interventions aimed at organisational change. To explore general practice staff re...
Patient report on information given, consultation time and safety in primary care.
To analyse the frequency of adverse events to treatment reported by patients in relation to consultation time, attention from their usual doctor and information provided by their doctor about treatment. Descriptive study. Patients were invited to respond to a telephone survey. 21 Primary Care health...
Consistency of performance indicators for cardiovascular risk management across procedures and panels.
We aimed to examine the consistency of indicator selection across different procedures and across different panels. Analysis of three indicator set development procedures: the EPA Cardio project, which used international GP panels; the UniRap project, a Dutch GP indicator project; and the Vitale Vat...
Rationalising the treatment of anaemia in cardiac surgery: short and mid-term results from a local quality improvement initiative.
We report results from a focused quality-improvement initiative to rationalise treatment of perioperative anaemia. Transfusion rates declined significantly across each phase of the project....
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Assess the impact of infusion pump technologies (traditional pump vs smart pump vs smart pump with barcode) on nurses' ability to safely administer intravenous medications. Experimental study with a repeated measures design. High-fidelity simulated inpatient unit. The nurses remedied 60% of "wrong d...
Establishing a global learning community for incident-reporting systems.
Incident-reporting systems (IRS) collect snapshots of hazards, mistakes and system failures occurring in healthcare. These data repositories are a cornerstone of patient safety improvement. Compared with systems in other high-risk industries, healthcare IRS are fragmented and isolated, and have not...
Simulation and patient safety: evaluative checklists for central venous catheter insertion.
In the advent of concerns for patient safety, simulation training is emerging as a method to train healthcare providers to perform invasive procedures such as central venous catheter (CVC) insertion while minimising harmful complications to the patient. New technologies in medical simulation have be...