Quality & Safety in Health Care
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- BMJ Group, CSA, Ovid from 2002, Gale, and Proquest
Development and evaluation of an implementation strategy for the German guideline on community-acquired pneumonia.
We developed and evaluated an implementation strategy to improve the quality of care of patients with CAP. A prospective, randomised, controlled trail was conducted within CAPNETZ. In four local clinical centres (LCC), the guideline was implemented by different strategies. The other four LCC served...
Teamwork training with nursing and medical students: does the method matter? Results of an interinstitutional, interdisciplinary collaborati...
The authors conducted a randomised controlled trial of four pedagogical methods commonly used to deliver teamwork training and measured the effects of each method on the acquisition of student teamwork knowledge, skills, and attitudes. The authors recruited 203 senior nursing students and 235 fourth...
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
To describe how in-depth analysis of adverse events can reveal underlying causes. Triggers for adverse events were developed using the hospital's computerised medical record (naloxone for opiate-related oversedation and administration of a glucose bolus while on insulin for insulin-related hypoglyca...
Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.
To assess chemotherapy patients' perceptions of safety and their attitudes towards participating in error-prevention strategies. Semistructured interviews were conducted with 30 chemotherapy patients at baseline. Follow-up interviews were conducted 9 weeks later. A community hospital in Switzerland....
Patient-specific electronic decision support reduces prescription of excessive doses.
We have built and evaluated a CDSS providing upper dose limits personalised to individual patient characteristics thus guaranteeing for specific warnings. For 170 compounds, detailed information on upper dose limits (according to the drug label) was compiled. A comprehensive software-algorithm extra...
A 10-year cohort study of the burden and risk of in-hospital falls and fractures using routinely collected hospital data.
Objectives To document the burden of in-hospital falls and fractures, and to identify factors that may increase the risk of these events. Design A retrospective cohort analysis Setting The study was set in the State of Victoria, Australia. Participants Hospital episode data collected in the Victoria...
Errors associated with the preparation of aseptic products in UK hospital pharmacies: lessons from the national aseptic error reporting sche...
Pharmacy aseptic units prepare and supply injectables to minimise risks. The UK National Aseptic Error Reporting Scheme has been collecting data on pharmacy compounding errors, including near-misses, since 2003. The cumulative reports from January 2004 to December 2007, inclusive, were analysed. The...
Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions.
In an effort to improve patient safety attitudes and skills among third-year medical students, two patient safety training sessions were added to their curriculum, complementing a previously implemented second-year curriculum on quality improvement, patient safety and teamwork. Safety attitudes and...
Teamwork behaviours and errors during neonatal resuscitation.
To describe relationships between teamwork behaviours and errors during neonatal resuscitation. Trained observers viewed video recordings of neonatal resuscitations (n = 12) for the occurrence of teamwork behaviours and errors. Teamwork state behaviours (such as vigilance and workload management, wh...
Frank and Lillian Gilbreth: scientific management in the operating room.