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Patient safety

The latest patient safety related news

Highlighting learning from practitioners and research from human factors in health care.

Follow this theme to discover what patient safety means as a practice. We share learning from practitioners, and researchers and findings from the developing field of human factors in health care.

Patient safety

Agency for Healthcare Research and Quality PSNet

Implications of electronic health record downtime: an analysis of patient safety event reports

“Researchers found that downtime could hinder patient identification and information availability, which may result in serious safety hazards.”

Agency for Healthcare Research and Quality PSNet

Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms

An accurate list of patient medications is a necessary precursor for safe medication use. The authors raise concerns that electronically prepopulated medication reconciliation forms may actually adversely impact medication safety.

British Journal of Nursing

Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?

This project was designed to evaluate whether a discharge medication checklist could reduce errors on nurse-assembled discharge prescriptions.

BMC Health Services Research

Associations between patient factors and adverse events in the home care setting

The study aim was to identify a single, parsimonious model of home care patient factors that, regardless of location and differences in home care program management and design factors, could provide a means of locating patients at higher and lower risk of harm.

BMC Medical Informatics and Decision Making

Using multiclass classification to automate the identification of patient safety incident reports by type and severity

This study aims to evaluate the feasibility of using multiclass classification to automate the identification of patient safety incidents in hospitals.

BMJ

Controlling antibiotic prescribing for lower respiratory tract infections

Antibiotic prescribing in primary care is in the spotlight for two reasons: it is where the greatest raw tonnage of antibiotics is prescribed to humans; and for about half the indications antibiotics are not very effective.

BMJ

A review of surgical safety checklist knowledge

Broadly mandated and put into practice in hospitals around the world, the WHO Surgical Safety Checklist has been the focus of 8 years of extensive research. Initial studies reported positive outcomes on morbidity and mortality.

Infection Disease and Health

Nurses are underutilised in antimicrobial stewardship

This report aims to explore perceptions and attitudes of nurses in regard to antimicrobial stewardship (AMS), their roles as nurses, and identify differences in perceptions and attitudes across paediatric and adult settings.

International Journal for Quality in Health Care

Adverse events related to hospital care: a retrospective medical records review in a Swiss hospital

Retrospective records reviews carried out in several countries have shown substantial rates of adverse events among hospitalized patients, preventable in half the cases.

International Journal for Quality in Health Care

Implementation and evaluation of a prototype consumer reporting system for patient safety events

No methodologically robust system exists for capturing consumer-generated patient safety reports. To address this challenge, we developed and pilot-tested a prototype consumer reporting system for patient safety, the Health Care Safety Hotline.

Medicines and Healthcare products Regulatory Agency

Summary list of field safety notices from medical device manufacturers

If you receive a field safety notice (FSN) from a manufacturer you must always act on it.

National Institute for Health Research

Long-term aspirin use linked to bleeding risk in over 75s

Research published in The Lancet shows that in people aged 75 or over, long-term daily aspirin use is linked to a higher than expected risk of bleeding.

Public Health England

Bloodborne viruses: managing severe serial penetrating injuries

This guidance from Public Health England covers assessing risk of transmission of bloodborne viruses post-exposure interventions for the management of BBVs and managing BBVs in severe serial penetrating injury attack.

Seminars in Perinatology

Tools and methods for quality improvement and patient safety in perinatal care

This article reviews the most common frameworks in use today, including the Model for Improvement, Six Sigma, and Lean. Specific tools as well as checklists are reviewed, with examples from the perinatal literature to illustrate their use in perinatal QI efforts.

World Health Organization

Healthier, fairer, safer: the global health journey 2007–2017

This report reflects on the trends, achievements and challenges in global health over the past decade. It discusses the role of WHO in dealing with such issues as the rise of noncommunicable diseases, leaps in life expectancy, and emerging threats like climate change and antimicrobial resistance.

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