Journal Article10.12968/BJOM.2004.12.10.16105
Enhancing patient safety and reporting near misses
Isobelle Madden,Frank Milligan +1 more
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TL;DR: It is argued that as in other parts of healthcare, significant improvements in the quality of maternity care can be achieved through an enhanced focus on patient safety.
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Abstract: Patient safety incidents are acknowledged as a significant cause of unnecessary and preventable harm in modern healthcare. This article outlines the nature and extent of the problem and applies the concepts of patient safety incidents and near miss events to maternity care. It is argued that as in other parts of healthcare, significant improvements in the quality of maternity care can be achieved through an enhanced focus on patient safety.
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Citations
Establishing a culture for patient safety – The role of education
TL;DR: It is argued that the process of making significant moves towards a patient safety culture requires changes in healthcare education, and specifically mention made of the Human Factors Analysis and Classification System (HFACS).
107
From the School of Nursing Quality and Safety Officer: Nursing Students' Use of Safety Reporting Tools and Their Perception of Safety Issues in Clinical Settings
TL;DR: The innovative new role ofquality and safety officer (QSO) developed by one university in response to the Quality and Safety Education for Nurses challenge to increase quality and safety education for prelicensure nursing students is described.
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Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care —A Systematic Literature Review
TL;DR: Few studies have examined strategies for managing AEs despite the existence of programmes that target the implementation of changes, such as improved teamwork training, and the importance of communication with patients and between professionals in order to maintain and enhance safety.
A spotlight on strategies for increasing safety reporting in nursing education.
TL;DR: Strategies to increase error and near-miss reporting in a school of nursing and introduce nurses to error reporting at the beginning of their educational experience could lead to a reduction in barriers toerror reporting and promote error reporting.
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The Value of Learning From Near Misses to Improve Patient Safety: A Scoping Review
TL;DR: In this paper , a scoping review of the healthcare literature was undertaken to explore the value of learning from near misses in the improvement of patient safety, and a total of 4745 articles were identified through the searches with 19 included in the final review.
3
References
To Err Is Human Building a Safer Health System
Linda T. Kohn,Janet M. Corrigan,Molla S. Donaldson +2 more
- 01 Jan 2000
TL;DR: Boken presenterer en helhetlig strategi for hvordan myndigheter, helsepersonell, industri og forbrukere kan redusere medisinske feil.
Error in Medicine
TL;DR: Evidence from a number of sources indicates that a substantial number of patients suffer treatment-caused injuries while in the hospital, and inappropriate use of drugs was the leading cause of injuries.
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Error, stress, and teamwork in medicine and aviation: cross sectional surveys
TL;DR: Medical staff reported that error is important but difficult to discuss and not handled well in their hospital and barriers to discussing error are more important since medical staff seem to deny the effect of stress and fatigue on performance.
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