BMJ quality & safety
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BMJ quality & safety · Feb 2017
Multicenter Study Observational StudyThe frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.
Intravenous medication errors persist despite the use of smart pumps. This suggests the need for a standardised methodology for measuring errors and highlights the importance of identifying issues around smart pump medication administration in order to improve patient safety. ⋯ We identified a high rate of error in the administration of intravenous medications despite the use of smart pumps. However, relatively few errors were potentially harmful. The results of this study will be useful in developing interventions to eliminate errors in the intravenous medication administration process.
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BMJ quality & safety · Dec 2016
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.
In 2011, the Accreditation Council for Graduate Medical Education (ACGME) expanded restrictions on resident duty hours. While studies have shown no association between these restrictions and improved outcomes, process-of-care and patient experience measures may be more sensitive to resident performance, and thus may be impacted by duty hour policies. The objective of this study was to evaluate the association between the 2011 resident duty hour reform and measures of processes-of-care and patient experience. ⋯ The 2011 ACGME duty hour reform was not associated with improvements in process-of-care and patient experience measures. These data should be considered when considering reform of resident duty hour policies.
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BMJ quality & safety · Dec 2016
Randomized Controlled TrialRemote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.
Compliance with the surgical safety checklist during operative procedures has been shown to reduce inhospital mortality and complications but proper execution by the surgical team remains elusive. ⋯ Our data indicate that remote video auditing with feedback improves surgical safety checklist compliance for all cases, and turnover time for scheduled cases, but not for unscheduled cases.
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BMJ quality & safety · Dec 2016
Comparing NICU teamwork and safety climate across two commonly used survey instruments.
Measurement and our understanding of safety culture are still evolving. The objectives of this study were to assess variation in safety and teamwork climate and in the neonatal intensive care unit (NICU) setting, and compare measurement of safety culture scales using two different instruments (Safety Attitudes Questionnaire (SAQ) and Hospital Survey on Patient Safety Culture (HSOPSC)). ⋯ Large variation and opportunities for improvement in patient safety culture exist across NICUs. Important systematic differences exist between SAQ and HSOPSC such that these instruments should not be used interchangeably.
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BMJ quality & safety · Dec 2016
Observational StudyA 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.
Outcome benefits of using the WHO Surgical Safety Checklist rely on compliance with checklist administration. ⋯ Improvements in team engagement and compliance with administering checklist items followed introduction of migrated leadership of checklist administration and a wall-mounted checklist. This paradigm change was relatively simple and inexpensive.