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Search results for "China"

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Journal Article > Study

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.

Lee WH, Zhang E, Chiang CY, et al. J Patient Saf. 2019;15:61-68.

Trigger tools and incident reporting are widely utilized methods for detecting harm in health care. The most useful method for capturing safety events in the emergency department remains unknown. In this prospective observational study, researchers assessed a monitoring system designed to detect adverse events in the emergency department of an academic medical center over a 1-year period. The system included two event reporting methods and five trigger tools. Of the 285 adverse events identified during the study period, 77.2% were captured by reporting systems, 26% by trigger tools, and 3.2% by both approaches. In keeping with prior research, the authors conclude that the use of a combination of methods for capturing harm is more effective than the use of a singular approach. A past PSNet perspective highlighted the importance of feedback with regard to incident reporting.

Journal Article > Study

Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence.

Liang H, Tsui BY, Ni H, et al. Nat Med. 2019;25:433-438.

Artificial intelligence may have the potential to improve patient safety by enhancing diagnostic capability. In this study, researchers applied machine learning techniques to a large amount of pediatric electronic health record data and found that their model was able to achieve diagnostic accuracy analogous to that of skilled pediatricians.

Journal Article > Commentary

The practical implementation of artificial intelligence technologies in medicine.

He J, Baxter SL, Xu J, Xu J, Zhou X, Zhang K. Nat Med. 2019;25:30-36.

Artificial intelligence (AI) is seen as a transformative technology for data application, decision making, and research. This commentary summarizes issues surrounding widespread use of AI in health care, such as integration into clinical workflow, data standardization, and patient safety.

Journal Article > Review

The effectiveness of nurse education and training for clinical alarm response and management: a systematic review.

Yue L, Plummer V, Cross W. J Clin Nurs. 2017;26:2511-2526.

Managing alarms in clinical settings is a patient safety challenge for nurses. This systematic review of nursing educational interventions intended to enhance alarm management suggests that education either in simulated or actual clinical practice settings can help nurses manage clinical alarms safely.

Journal Article > Review

Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review.

Chen C, Kan T, Li S, Qiu C, Gui L. Am J Emerg Med. 2016;34:2432-2439.

Process and procedure consistency contributes to safe, highly reliable health care. This review examined the literature on the use of standard operating procedures and checklists in prehospital emergency medicine and found encouraging results on safety improvements associated with such interventions in this practice environment.

Journal Article > Study

Residents' numeric inputting error in computerized physician order entry prescription.

Wu X, Wu C, Zhang K, Wei D. Int J Med Inform. 2016;88:25-33.

Computerized provider order entry can improve medication safety, but numeric entry errors may still occur. This study found that numeric entry errors are more common in urgent situations and when numbers are entered from a main keyboard rather than a numeric keypad. This work underscores the importance of interface design in safety improvement efforts.

Journal Article > Review

An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review.

Mao XY, Jia PL, Zhang LH, Zhao PJ, Chen Y, Zhang MM. PLoS One. 2015;10:e0129948.

This systematic review of human factors engineering interventions in health care found that most published studies evaluated the effects of HFE on health care workers instead of patient-level outcomes and few addressed the cost-effectiveness of these interventions.

Journal Article > Review

An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review.

Mao X, Jia P, Zhang L, Zhao P, Chen Y, Zhang M. PLoS One. 2015;10:e0129948.

Human factors engineering has been increasingly applied in health care. This systematic review found that while human factors engineering interventions often improved health care worker outcomes and patient safety, most studies were of moderate or low quality and few considered the relevant costs of the programs.

Journal Article > Study

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.

Wang HF, Jin JF, Feng XQ, et al. Ther Clin Risk Manag. 2015;11:393-406.

A hospital in the People's Republic of China was able to achieve a significant reduction in medication administration errors through a multidisciplinary quality improvement effort. The initiative included organizational measures, information technology interventions, quality improvement tools, and process optimization.

Journal Article > Study

A comparison of the effects of different typographical methods on the recognizability of printed drug names.

Or CKL, Wang H. Drug Saf. 2014;37:351-359.

Limited data exists regarding how pharmacies can prevent look-alike, sound-alike medication errors. This study found that several methods of text enhancement—including boldface type and "tall man" lettering—improved the accuracy of drug identification for look-alike drugs.

Journal Article > Study

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.

Wang CJ, Fetzer SJ, Yang YC, Wang JJ. Geriatr Nurs. 2013;34:138-145.

The use of trained community volunteers resulted in improved medication safety knowledge and behaviors among elderly patients with chronic illness in a rural area. This study is notable as there is very little research on methods to augment patient safety in ambulatory care outside of urban settings.

Journal Article > Study

Measuring safety climate in elderly homes.

Yeung KC, Chan CC. J Safety Res. 2012;43:9-20.

This study utilized a modified safety climate scale to identify improvement opportunities for elderly homes in Hong Kong.

Journal Article > Study

Social capital and knowledge sharing: effects on patient safety.

Chang CW, Huang HC, Chiang CY, Hsu CP, Chang CC. J Adv Nurs. 2012;8:1793–1803.  

This study found that nursing perceptions of trust and a shared vision have direct impact on knowledge sharing. Successful knowledge sharing was believed to positively affect patient safety.

Journal Article > Review

A systematic review of the psychological literature on interruption and its patient safety implications.

  • Classic

Li SY, Magrabi F, Coiera E. J Am Med Inform Assoc. 2012;19:6-12.

Interruptions pose a significant safety hazard for health care providers performing complex tasks, such as signout or medication administration. However, as prior research has pointed out, many interruptions are necessary for clinical care, making it difficult for safety professionals to develop approaches to limiting the harmful effects of interruptions. Reviewing the literature on interruptions from the psychology and informatics fields, this study identifies several key variables that influence the relationship between interruption of a task and patient harm. The authors provide several recommendations, based on human factors engineering principles, to mitigate the effect of interruptions on patient care. A case of an interruption leading to a medication error is discussed in this AHRQ WebM&M commentary.

Journal Article > Study

Nursing accreditation system and patient safety.

Teng CI, Shyu YI, Dai YT, Wong MK, Chu TL, Chou TA. J Nurs Manag. 2012;20:311-318.

The self-reported rate of patient safety problems was lower for Taiwanese nurses who had completed a formal accreditation program.

Journal Article > Study

Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.

Teng CI, Shyu YI, Chiou WK, Fan HC, Lam SM. Int J Nurs Stud. 2010;47:1442-1450.

The combination of burnout and time pressures appeared to be associated with patient safety risks, according to this survey of Taiwanese nurses.

Journal Article > Study

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.

Chen KH, Chen LR, Su S. Qual Saf Health Care. 2010;19:138-143.

This Taiwanese study used root cause analysis to identify causal factors for falls in postpartum women, and used the findings to design a quality improvement intervention that significantly reduced the fall rate over a 6-month period.

Journal Article > Study

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

Huang YC, Chang JS, Lai YC, Li PC. Pediatr Neonatol. 2009;50:280-286.

This study sought to quantify the incidence and types of adverse events associated with pediatric cardiac catheterization.

Audiovisual > Image/Poster

Professional commitment, patient safety, and patient-perceived care quality.

Teng CI, Dai YT, Shyu YIL, Wong MK, Chu TL, Tsai YH. J Nurs Scholarsh. 2009;41:301-309.

In this study, higher levels of professional commitment on the part of nurses correlated with higher levels of patient safety and patient-perceived care quality.

Journal Article > Study

Inpatient suicide in a general hospital.

Cheng IC, Hu FC, Tseng MC. Gen Hosp Psychiatry. 2009;31:110-115.

Suicide attempts by hospitalized patients are considered a never event. This study examined 110 such cases and sought to identify predictors of suicide attempts among inpatients.

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