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Search results for "Health Care Executives and Administrators"

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  • Asia
  • Health Care Executives and Administrators
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Journal Article > Study

Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.

Patel S, Wu AW. J Patient Saf. 2016;12:75-81.

This validation study translated and adapted the Safety Attitudes Questionnaire, a safety culture measurement tool, into Gujarati and implemented it in four private hospitals in India. The authors found that safety culture was similar among the hospitals, even in comparisons between urban and rural settings.

Newspaper/Magazine Article

Overclocking the hospital.

Ho V, Patton S. CIO Asia. September 2006.

This article discusses computerized physician order entry implementation in US and Asian hospital systems and provides insight into selecting a system and achieving team commitment to the development process.

Meeting/Conference > Asia Meeting/Conference

International Forum on Quality & Safety in Healthcare: Asia.

British Medical Journal, Institute for Healthcare Improvement. August 24–26, 2017, Kuala Lumpur, Malaysia.

This program will explore health care quality and safety in Asia and focus on the theme "Aim. Act. Achieve." The conference will cover key topics including learning from sentinel events, implementing safety improvements in primary care, and preventing burnout. Featured speakers include Dr. Donald Berwick and Derek Feeley.

Journal Article > Review

Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis.

Prgomet M, Li L, Niazkhani Z, Georgiou A, Westbrook JI. J Am Med Inform Assoc. 2017;24:413-422.

While prior research has shown that computerized provider order entry and clinical decision support systems have the potential to improve patient safety, less is known about the impact of such systems in intensive care units. In this systematic review and meta-analysis, investigators found an 85% decrease in prescribing errors and a 12% reduction in ICU mortality rates in critical care units that converted from paper orders to commercially available computerized provider order entry systems.

Journal Article > Review

Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review.

Ock M, Lim SY, Jo MW, Lee SI. J Prev Med Public Health. 2017;50:68-82.

This systematic review of disclosure of patient safety incidents found variation in the frequency of event disclosure. Motivation for disclosure included fostering trust with patients, reducing negative impact on health care professionals, and decreasing the risk of malpractice. Barriers to disclosure included fear of lawsuits and blame and a suboptimal patient safety culture. These results suggest that error disclosure remains incompletely implemented.

Journal Article > Study

Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.

Harada S, Suzuki A, Nishida S, et al. J Eval Clin Pract. 2017;23:582-585.

Insulin is known to be a high-risk medication. This pre–post study found that introduction of a standardized sliding scale insulin order led to decreased rates of insulin prescribing errors. However, the incidence of hyperglycemia or hypoglycemia did not change. This study demonstrates how standardization can support patient safety.

Journal Article > Study

Adverse event and error of unexpected life-threatening events within 24h of emergency department admission.

Zhang E, Hung SC, Wu CH, Chen LL, Tsai MT, Lee WH. Am J Emerg Med. 2017;35:479-483.

Trigger tools are frequently utilized to identify adverse events. The authors of this prospective study suggest that unexpected life-threatening events that occur within 24 hours of admission from the emergency department may be a useful trigger tool.

Special or Theme Issue

Mistakes We Make in Dialysis.

Rodby RA, Perazella MA, eds. Semin Dial. 2016;29:253-328.

Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal replacement management strategies that may need to be assessed and redesigned to improve the safety of patients receiving dialysis.

Journal Article > Study

Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates.

Awan S, Abid S, Tariq M, et al. Postgrad Med J. 2016;92:721-725.

In this educational study, investigators tested students and resident physicians on their understanding of medical abbreviations, including "do not use" phrases, and found significant comprehension gaps. Despite efforts to address unclear abbreviations, this work shows that abbreviations still carry risk for misunderstanding and should be avoided.

Journal Article > Review

Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.

Bannan DF, Tully MP. J Clin Pharm Ther. 2016;41:246-255.

Many successful patient safety programs involve the use of bundled interventions. For example, the seminal Keystone ICU project combined a checklist with regular data audit and feedback and efforts to improve safety culture. This systematic review of bundled interventions to prevent prescribing errors and medication administration errors in hospitalized children characterized several types of approaches. The authors ultimately determined that the poor quality of existing literature precludes conclusions about effectiveness.

Journal Article > Study

Does time pressure have a negative effect on diagnostic accuracy?

ALQahtani DA, Rotgans JI, Mamede S, et al. Acad Med. 2016;91:710-716.

Diagnosis is a critical area of patient safety. Prior research demonstrates that physicians perceive time pressure as an impediment to diagnosis, but this has not been objectively documented. This educational simulation study examined the ability of internal medicine residents to correctly diagnose written cases with and without time pressure. Residents under time pressure had reduced diagnostic accuracy, and this decrement was more marked for difficult cases. These results demonstrate the benefit of allowing physicians more time for accurate diagnosis, consistent with recent Institute of Medicine recommendations to examine novel models of care and reimbursement to foster diagnostic safety. A recent PSNet interview discussed diagnostic errors and how to reduce them.

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 > Commentary

Two fatal cases of accidental intrathecal vincristine administration: learning from death events.

Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Chemotherapy. 2015;61:108-110.

Incorrectly administered vincristine can lead to serious adverse consequences. Discussing two incidents involving accidental intrathecal vincristine administration, this commentary describes how the health care organization implemented changes (including using different bags for drugs and label colors for syringes) following the first event and made further revisions when the second incident occurred 7 years later (such as ensuring drugs are delivered during different times and in certain settings).

Journal Article > Study

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.

Suzuki S, Chan A, Nomura H, Johnson PE, Endo K, Saito S. J Oncol Pharm Pract. 2017;23:18-25.

Chemotherapy is known to be a high-risk treatment that requires specific safety protocols. This study found that pharmacy checks of physician chemotherapy orders entered via computer order entry do uncover errors. The authors conclude that electronic prescribing is not sufficient to ensure safe chemotherapy prescription and recommend maintaining the role of oncology pharmacists.

Journal Article > Study

Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems.

Aziz MT, Ur-Rehman T, Qureshi S, Bukhari NI. HIM J. 2015;44:13-22.

This quality improvement study to enhance the safety of chemotherapy was conducted at a tertiary care hospital in Pakistan. Investigators found that standardized chemotherapy orders within a computerized provider order entry system were associated with fewer medication errors as well as improved dispensing efficiency compared with the older, paper-based order system.

Journal Article > Review

Classification of antecedents towards safety use of health information technology: a systematic review.

Salahuddin L, Ismail Z. Int J Med Inform. 2015;84:877-891.

This systematic review classifies the social and technical factors that influence how health information technology (IT) may be used to improve patient safety. The authors describe the five classifications (person, technology, tasks, organization, and environment) and suggest that those interested in health IT adoption consider the complex interaction between these elements.

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 > Study

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.

Cho I, Lee JH, Choi SK, Choi JW, Hwang H, Bates DW. Int J Med Inform. 2015;84:694-701.

Applying the Leapfrog computerized provider order entry evaluation tool to four hospitals in South Korea exposed many opportunities for improvement. Although initially there was concern that national differences in drug prescription patterns might make the tool, which was developed for practices in the United States, unreliable, researchers found sufficient overlap to successfully complete the evaluation.

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

Physicians failed to write flawless prescriptions when computerized physician order entry system crashed.

Hsu CC, Chou CL, Chen TJ, Ho CC, Lee CY, Chou YC. Clin Ther. 2015;37:1076-1080.

Although computerized provider order entry has eliminated many medication errors, it has introduced errors as well. In this case study, system failures resulted in physicians reverting to handwritten medication orders in a hospital, which led to many errors—most commonly omissions. The authors suggest implementation of standalone electronic prescription software so that back-up computerized provider order entry is available in case of electronic health record failure.

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