Journal of patient safety
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Journal of patient safety · Jun 2015
Multicenter StudyThe effectiveness of a multicenter quality improvement collaborative in reducing inpatient mortality.
This study examines the evidence that a particular quality improvement collaborative that focused on Quality, Efficiency, Safety and Transparency (QUEST) was able to improve hospital performance. ⋯ The study concludes with a discussion of those methods that were plausible reasons for the successes.
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Journal of patient safety · Sep 2014
Multicenter StudyThe relationship between nurse staffing and failure to rescue: where does it matter most?
This study further expands on the relationship between nurse staffing levels and patient outcomes, in particular, failure to rescue. Many studies are based on single-site hospitals or single-year data, thus limiting the generalizations of the findings. The purpose was to evaluate in a multisite multiyear study the relationship between unit-level nurse staffing and FTR mortality, for ICU and non-ICU patients. ⋯ We did not observe any of the expected associations between the nurse staffing variables and FTR for either general care unit or ICU discharges. The comprehensive risk adjustments provided adequate "leveling of the playing field" to evaluate the impact of unit-based nurse staffing levels on FTR mortality. Future studies should evaluate the influence of unit environment and patient risk.
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Journal of patient safety · Sep 2010
Multicenter StudyA multicenter trial of aviation-style training for surgical teams.
This study measured the effect of aviation-style team training on 3 surgical teams from different specialties. It focused on team working and communication, particularly briefing, time-out, and debriefing, and sought to understand how improvements in team skills could be implemented in a broad range of naturalistic surgical environments to improve safety, quality, and efficiency. ⋯ Aviation-style teamwork training can increase compliance and team performance, but this was influenced by the attitude and collaboration of key individuals, and the effect was reduced by significant latent failures. This study demonstrates the need to improve organizational and personal management factors in the National Health Service if training in patient safety is to be effective and sustained. It also shows the influence of working conditions on clinical studies of quality improvement.
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Journal of patient safety · Mar 2009
Multicenter StudyIncidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
In recent years, medication error has received considerable attention because it causes substantial mortality, morbidity, and additional health care costs. Collecting information in this field depends on the willingness of health professionals to report their errors. Another important point is to identify patients at high risk for an adverse drug event (ADE) to oversee the quality of the entire drug distribution chain, including prescription, drug choice, dispensing, and preparation to the administration of drugs. ⋯ This study argues the need for pharmacovigilance to extend its scope to medication errors to improve the safety of drugs. Our results underlined that medication errors are likely to be more serious than ADRs. Our approach based on the collaboration between the pharmacovigilance center and clinicians can be a powerful tool for incorporating error reporting into the culture of medicine.