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Abbreviations IOM: Institute of Medicine; IPE: Inpatient experience; OPE: Outpatient experience; PFE: Patient and family education
Source publication
Background:
This study aims to increase understanding of how patient and family education affects the prevention of medical errors, thereby providing basic data for developing educational contents.
Methods:
This descriptive study surveyed patients, families, and Patient Safety Officers to investigate the relationship between educational contents...
Citations
... Dari hasil analisis pada kegiatan edukasi ini ditemukan bahwa nilai rata-rata posttest soal nomor 1 yang berisi informasi tentang gelang identitas pasien lebih rendah daripada nilai ratarata prettest sebelum pemberian edukasi terkait patient safety pada edukasi pertemuan pertama. Hal ini tidak sejalan dengan penelitian yang dilakukan oleh Kim et al (2020) yang menyebutkan bahwa metode yang paling efektif diberikan untuk mengedukasi pasien dan keluarganya terkait pemberian informasi identitas pasien adalah metode speak up. ...
In 2019, data was obtained that there were 12 cases of Potential Injury Events (KPC) at RSUD Sayang Rakyat. Therefore, RSUD Sayang Rakyat is the target of Patient Safety Education activities for patients and their families at the Polyclinic. The aim of carrying out community service is to prevent and reduce risks, errors and losses that occur to patients during the provision of health services. This community service uses educational methods for polyclinic patients and families using video and flayers and is simulated directly to patients and families. Besides that, to measure patient and family understanding before education, they are given a pre-test and after education, it is given a post-test which consists of 6 multiple choice questions related to 6 patient safety goals in the hospital. The evaluation results obtained after 3 times of education showed significantly increased knowledge of patients and patient families compared to before education with values 0,529 (p= 0,041) in education 1, 0,8 (p=0,046) in education 2 and 0,692 (p=0,041) in education 3 it is hoped that hospitals will pay more attention to and improve patient safety in hospitals in order to prevent incidents to patients.
... Patient safety is the avoidance or prevention of injuries or adverse events arising from healthcare and is considered a core element of healthcare organisations. 1 It is defined as a risk control process that reduces unnecessary healthcare-related injuries (ie medical accidents or preventable injuries) to an acceptable minimum. 2,3 Its purpose is to prevent and reduce the risks, errors and injuries that affect patients during the provision of healthcare. 4 A previous study estimated that about 10% of patients worldwide would be injured while receiving medical care every year, mainly due to adverse events. 5 Patient safety is an important part of the quality of medical care. ...
Background
Patient safety is an important aspect of healthcare delivery and is critical to healthcare quality. An assessment of the attitudes of nursing staff in infectious diseases wards towards patient safety may identify deficiencies and allow for the development of educational programmes to train nursing staff to participate in good patient safety practices.
Objective
To explore the current situation and influencing factors on nurses’ attitudes towards patient safety in infectious diseases wards.
Methods
This cross-sectional study enrolled 446 nurses from infectious diseases wards in eight hospitals in the Hebei Province to participate in an electronic questionnaire survey from October to December 2020. The Chinese version of the safety attitude questionnaire was used to gather the opinions of these participants, and SPSS 22.0 statistical software was used to analyse the data.
Results
The average score of safety attitudes towards patients was 3.59 ± 0.30. The scores for each dimension, from high to low, were as follows: management perception: 3.77 ± 0.42 points, pressure perception: 3.77 ± 0.42 points, safety atmosphere: 3.57 ± 0.43 points, job satisfaction: 3.57 ± 0.43 points, teamwork: 3.55 ± 0.50 points and working conditions: 3.50 ± 0.45 points. The results of the multiple stepwise regression analysis showed that the influential factors on nurses’ attitudes towards patient safety in infectious diseases wards were as follows: night shift working (β = 11.885, P = 0.000), years of nursing experience (β = 2.862, P = 0.001), education level (β = 4.462, P = 0.001) and marital status (β = 3.871, P = 1.002), which together explained 33.5% of the total variance.
Conclusion
Nurses’ attitudes towards patient safety in infectious diseases wards were moderately high. Night shift work, years of nursing experience, education level and marital status affected nurses’ attitudes towards patient safety. Managers should focus on these groups of nurses and improve their working conditions and job satisfaction to further enhance patient safety.
... It should also be noted that continued educational programs and activities regarding the aforementioned practices for physicians, pharmacists, nurses, patients, and their caregivers are crucial in reducing medication errors due to PRN orders. 4,7,16 Importantly, the Pharmacy and Therapeutics (P&T) Committee plays a crucial role in devising institutional guidelines related to the safe and therapeutic use of drugs. The P&T Committee not only evaluates, educates and advises the medical staff and administration/management in all matters related to the use of medications, but is also responsible for overseeing policies and procedures pertaining to all aspects of medication use. ...
... 19 Patient participation in the medical process almost always improves patient safety by decreasing medical errors. 16 This is because patients are able to contribute to their treatment processes through enhanced knowledge of their medical conditions and medicines, better self-care, and increased adherence to medical advice (specifically, medication compliance), all of which in return advance their treatment outcomes, patient safety and overall satisfaction. 16 In our report, a 51-year-old woman developed metabolic acidosis and acute kidney injury following consumption of 3 g of diclofenac suppositories PR over 5 days. ...
... 16 This is because patients are able to contribute to their treatment processes through enhanced knowledge of their medical conditions and medicines, better self-care, and increased adherence to medical advice (specifically, medication compliance), all of which in return advance their treatment outcomes, patient safety and overall satisfaction. 16 In our report, a 51-year-old woman developed metabolic acidosis and acute kidney injury following consumption of 3 g of diclofenac suppositories PR over 5 days. Despite receiving supportive treatment, sudden cardiac arrest ensued, and the patient expired. ...
Pro re nata" (PRN) or "as needed" medicine administration and usage is a relatively neglected area in medication management (pharmacotherapy/pharmaceutical care) which contributes to error-prone use of medications and is unsafe for patients. In this case, we report the incident of diclofenac toxicity in a 51-year-old woman due to a prescription of 100 mg diclofenac suppositories PRN, or as needed, for postoperative pain control without explanation of the maximum daily dose (150 mg daily), which led to arbitrary consumption of 3 g of diclofenac over 5 days (600 mg daily) by the patient, and subsequent development of metabolic acidosis, acute kidney injury, and sudden cardiac arrest. The implementation of practical guidelines and training programs for health care workers to appropriately prescribe , dispense, and administer PRN medicines are necessary, and should at least include providing clarification for their indication, dose and frequency, as well as any cautionary instructions to ensure safe and effective use of such medicines.
... Na segunda categoria, estão as 'ações que estimulam o desenvolvimento da autonomia do paciente para o autocuidado e o envolvimento dos pacientes e familiares no cuidado' 29 , como questionar os profissionais de saúde sobre seu diagnóstico e suas condições médicas, a fim de esclarecer todas as dúvidas, implementação das instruções médicas recomendadas, explorar as decisões compartilhadas com os profissionais com relação a outros tratamentos alternativos 41 . Isso pode ser particularmente difícil com pacientes e familiares com baixo nível socioeconômico, cultural e baixo letramento em saúde. ...
This essay sought to discuss the role of patients and families in quality of care and patient safety. Traditionally, the role of health professionals – especially physicians – has been predominant in discussing and defining what constitutes high-quality health care. However, other actors have been recognized in the contemporary debate on the quality of care and, in particular, patient safety and centrality of care. The patient’s role in the quality of care and even their protagonism in identifying the main problems in the provision of care and how to contribute to safer care are highlighted. Initially, discusses the role of patients and relatives in the quality of care and patient safety. Then, the factors that influence and hinder their participation are discussed. Finally, strategies for increasing patient participation are proposed. Patients and families can play an essential role in improving the quality of health care and patient safety. However, they must be actively involved in making this happen, with their contributions considered in an environment favorable to a just safety culture.
Keywords:
Patient safety; Patient participation; Patient preference
... 20,21,27 In addition, programmes and various other patient safety education resources such as leaflets, patient safety videos or patient-safety campaigns targeting patients positively affect their attitudes towards and behaviours of patient participation. 10,27,45 In this study, we developed a mobile application to encourage health consumers' participation in patient safety activities by providing information on patient participation and actionable tools for participation in their care process, and evaluated the effects of the mobile application. ...
Background
Patient participation in patient safety activities in care processes is a fundamental element of safer care. Patients play an important role in preventing patient safety incidents and improving health outcomes. Therefore, healthcare providers need to develop and provide educational materials and actionable tools for patient participation.
Objectives
This study aimed to develop a mobile application for health consumers' participation and evaluate the effect of the mobile application on improving health consumers' participation in patient safety.
Methods
A quasi‐experimental design was adopted. We developed a mobile application on the basis of a needs assessment, literature review, compilation of patient safety topics, and validity testing of the application. The target population included Korean adults aged between 30 and 65 years who had visited a medical institution more than once within the most recent 6 months. The intervention group received patient participation training by using the mobile application, Application for Patient Participation in Safety Enhancement, for 2 months. The primary outcome variables were patient safety knowledge, self‐efficacy of participation, willingness to participate and experience of patient participation in patient safety activities. End‐user satisfaction was assessed using a questionnaire. To assess participants' experiences with the intervention, qualitative data were collected through a focus group interview and open‐ended responses to an end‐user satisfaction survey.
Results
The intervention group (n = 60) had significantly higher overall average scores than the control group (n = 37) with regard to patient safety knowledge (p < .001), self‐efficacy of participation (p = .001), willingness to participate (p = .010) and experience of participation (p = .038) in the post‐survey. The total mean end‐user satisfaction score was 3.56 ± 0.60. The participants expressed the realization that patients could play an important role in improving patient safety.
Conclusions
This study demonstrated that educating health consumers through a mobile application with useful information improves patient participation in patient safety activities. Educational materials and patient participation tools could motivate health consumers' health‐related behaviours.
Patient or Public Contribution
Patients were involved during the programme development and evaluation.
... These results emphasise the importance of and the need for medication safety education, especially among older adults using OTC drugs. Furthermore, Kim et al. reported the impact of education on preventing medical errors [48]. These findings have great implications for the importance of drug safety education. ...
Background:
Older adults have certain limitations in acquiring and understanding information regarding medication safety. This study surveyed their medication habits and analysed the importance of relevant education to improve knowledge, attitudes, and practice (KAP).
Methods:
Our survey included adults aged 65 years or older. We developed a questionnaire on medication safety based on the KAP model. To identify the interrelationships among KAP, we calculated the correlation coefficients using Pearson's correlation analysis. A t-test was performed to verify the differences in KAP associated with the respondents' medication safety education experience.
Results:
We found that 79.4% of respondents self-administered their medications. Of the respondents, 28.2% had received medication safety education. Overall, the respondents had typical levels of knowledge, attitude responses, and behavioural practices associated with medication safety. The results showed significant differences between knowledge and practice; those who were educated on medication safety performed higher levels of safe practice than those who were not (p < 0.05).
Conclusion:
The KAP survey confirmed that knowledge about the safe use of medication positively affected older adults' attitudes and practices. To improve their medication usage habits, older adults should receive well-organised medication safety education.
... Literature on medical errors shows that there are strategies, used to reduce medical errors. The major ones are HF/E [8], reporting errors [9], the establishment of safety culture [10], education on medical errors [11], and getting help from health information technology [12]. ...
Medical errors are committed by health workers anywhere, and can result in severe patient injuries or death. World Health Organization indicates that medical errors cause great damage to health care systems around the world. Several strategies are used to reduce medical errors, including Human Factors/Ergonomics (HF/E). Accordingly, the present research aims to highlight the contribution of HF/E to the control of medical errors. This research is based on a literature review carried out on the web search engine Google Scholar. With the selection key “HF/E and medical errors”, during the period 2010 to 2020 (17,100) articles were obtained. The articles were shortlisted to include only peer-reviewed articles that directly deal with HF/E and medical errors. After a careful examination of the obtained research, only 42 papers are closely related to the research topic. Research papers were categorized into four categories: HF/E of medical work, HF/E of medical equipment, HF/E of the physical environment and HF/E of medical drugs naming. It has been found that the application of HF/E in each of those areas has significantly reduced medical errors.
... The most frequently received patient safety education by the study participants was "Tell your medicines" (69.9% of the patients) and "Orientation to hospitalization" (67.0% of the families). In other studies, the most frequent patient safety education was "Describe your medical condition" in 69.0% of the patients and "Hospitalization orientation" in 62.0% of the families [23]. When a patient is hospitalized in Korea, one of the family members lives in the hospital with the patient and takes care of the patient. ...
The aim of this comparative study involving pre- and post-tests was to analyze the effectiveness of patient safety educational materials developed for the Comprehensive Plans for Patient Safety in Korea (2018-2022), and to suggest how to improve patient safety literacy. A face-to-face survey interview comprising items related to general information and patient safety literacy was completed by 217 patients and their families who visited three general hospitals in Seoul and one general hospital in Gyeonggi-do for treatment between 25 October and 15 November 2019. In the interview, the patients were asked questions about whether the patient safety educational materials were "easy to understand," provided "help in safe hospitalization," and enabled patients to practice patient safety independently ("do it yourself"). The literacy of the patient safety educational materials was analyzed using a paired t-test with a p value of 0.05. The comparison between patient safety literacy on pre- and post-tests revealed that among all participants, there were significant differences in "easy to understand," "help in safe hospitalization," and "do it yourself" scores. To improve patient safety literacy, patient education materials need to optimize communication by improving patients' knowledge, skills, and attitudes for maintaining and promoting healthy living.
Previous research has shown that visitors can decrease the risk of patient harm; however, the potential to increase the risk of patient harm has been understudied. We queried PA-PSRS to identify event reports from January 1 through June 30, 2019, that described visitor behaviors contributing to patient harm. Event reports were coded to identify visitor influence on risk of harm, visitor behavior, and event type. A total of 427 event reports were analyzed and we identified five categories of visitor behavior that influenced patient safety by either decreasing or increasing the risk of patient harm. We found that 63.7% (272 of 427) of reports described a visitor behavior that decreased the risk of patient harm and the remaining 36.3% (155 of 427) described behavior that increased the risk of harm. There was a greater variety of visitor behaviors that contributed to an increased risk of patient harm, as opposed to a decreased risk of harm. The visitor behavior most frequently associated with a decreased risk of patient harm was communicating with staff (91.2%, 248 of 272); for example, to inform staff of deterioration of a patient’s condition. The visitor behavior most frequently associated with an increased risk of patient harm was moving a patient (63.2%, 98 of 155). Across the 427 event reports, we found that visitor behavior was associated with seven event types; the falls event type (61.6%, 263 of 427) and medication-related event type (14.8%, 63 of 427) occurred most frequently. This study provides insight into which visitor behaviors are contributing to a decreased risk of patient harm and adds to the literature by identifying behaviors that can increase the risk of patient harm, across multiple event types. Table 6 and Table 7 outline potential safety strategies to consider. The use of warning and instructional signage can be a relatively low-effort and effective strategy to influence visitor behavior and address multiple behavior categories and event types.
