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Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.
This report suggests that a systems approach to child social services in Great Britain would facilitate a fair and open culture and encourage learning from near misses.
Journal Article > Study
The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.
Thiel H, Bolton J. Clin Chiropract. 2006;9:139-149.
The authors explored the usefulness of a reporting format to record errors in chiropractic practice and found that their process was appropriate for that clinical environment.
Journal Article > Study
Baqir W, Jones K, Horsley W, et al. Int J Pharm Pract. 2015;23:327-332.
Omitted or delayed medication doses occur frequently in hospitals. Although the majority of these medication administration errors do not harm patients, some have serious effects and contribute to patient deaths. Recent interventions, such as barcode medication administration systems, may help mitigate this problem, but the evidence to date has been mixed on how electronic systems affect omitted or delayed doses. This study evaluated the strategy of providing the support of pharmacy assistants to nurses during medication administration on an acute care ward at a district hospital in England. The intervention group was compared to both intraward and interward control groups. Over the course of 2 weeks, unacceptable omitted medication doses were observed in 18.5% of patients on the control ward, versus only 1.1% of patients on the wards with pharmacy assistant support. While these findings suggest a possible robust solution to this common problem, major limitations to this study include the brief study period and the lack of an economic analysis to support the feasibility of this approach.
Journal Article > Review
Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review.
Papadopoulos I, Koulouglioti C, Ali S. Contemp Nurse. 2018;54:425-442.
Robotics are increasingly used to assist in both complicated and routine activities in health care. Although safety hazards associated with robotic technologies have been explored in surgery, risks related to purely assistive devices is understudied. This review highlights clinician perspectives regarding assistive robots in health care and highlights infection control and reliability issues as concerns associated with their use.