1.Metrics matter
Acta Medica Philippina 2024;58(1):5-6
There is limited evidence to substantially describe the state of Patient Safety (PS) in the Philippines.1,2 With most publications reflecting respondent-based assessments of institutional patient safety culture, patient-sensitive and records-based indicators are scarce.3 Despite the Institute of Medicine’s4 call to action to address preventable errors and the publication of patient safety indicators5, there has been slow progress in patient safety in the country.
Patient Safety
2.Development and preliminary evaluation of patient perceptions on safety culture in a hospital setting scale
Kathlyn Sharmaine Valdez ; Paul Froilan Garma ; Andrew Sumpay ; Mickaela Gamboa ; Ma. Stefanie Reyes ; Ma. Carmela Gatchalian ; Erwin Mendoza ; Anna Alexis Forteza
Acta Medica Philippina 2024;58(8):101-107
Objectives:
Majority of the existing patient safety culture tools are designed for healthcare workers. Despite the claims that this patient safety tools are patient-centered, limited attention was given to the patients’ perspectives and cultural considerations in the development. Local studies are not available in extant literature that capture patient perspectives on being safe during hospitalization. The goal of the study was to develop and provide preliminary psychometric analysis on a tool that measures patients’ perception of safety culture in a hospital setting.
Methods:
The study was a quantitative methodological study. The instrument was developed in three phases, conceptualization and item generation through literature review, clinical observation, and focus group discussion, two rounds of expert panel review, and pilot testing. The tool was tested on 122 eligible patients admitted in a tertiary hospital. Factor analysis of the items was done to determine the underlying factor under each item. Cronbach’s alpha was used to test the degree of internal consistency of the scale.
Results:
The Patient Perceptions on Safety Culture in Hospital Setting Scale consists of 25 items. The analysis yielded four factors explaining a total of 69.23% of the variance in the data. Items were grouped in four dimensions: Hospital workforce (4 items), Hospital Environment (5 items), Heath Management and Care Delivery (7 items), and Information Exchange (9 items). Each factor registered a Cronbach’s alpha of 0.81, 0.78, 0.91, 0.94, respectively. The overall Cronbach’s alpha of the scale is 0.95.
Conclusion
The study offers preliminary evidence on the psychometric properties of a newly developed tool that measures patient perceptions on hospital safety culture. Subsequent studies on larger samples need to be conducted to determine the reliability and validity of the tool when applied to different population and contexts as well as determining valid cut-off points in scoring and interpretation.
Patient Safety
;
Patient Participation
3.Policy for drug safety and its impact on the patient safety.
Journal of the Korean Medical Association 2012;55(9):816-818
No abstract available.
Humans
;
Patient Safety
4.Patient Safety and the Medical Physicist.
Korean Journal of Medical Physics 2011;22(2):59-60
No abstract available.
Humans
;
Patient Safety
5.Perception of Patient Safety Culture and Safety Care Activity of Entry-level Nurses.
Korean Journal of Occupational Health Nursing 2013;22(1):24-34
PURPOSE: We investigated the relationship between patient safety culture and safety care activity, and identified factors for safety care activity of entry-level nurses. METHODS: The subjects of the study were 204 entry-level nurses working at five general and advanced hospitals with over 500 beds located in C and D City. The data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation and hierarchical multiple regression with SPSS/WIN 18.0 program. RESULTS: Perception of patient safety culture had significant correlations with safety care activity. Multiple regression analysis showed that demographic variables of quality of nursing on patient safety and health state of entry-level nurses affected safety care activity. In addition, patient safety culture in ward and communication affected safety care activity. These factors explained 38% of variance. CONCLUSION: Based on the results of the study, patient safety culture promotion strategies to facilitate supportive work environment and effective communication are needed.
Humans
;
Patient Safety
6.Will the year 2016 augur well for better patient safety and health of residents in Korea according to the enactment of the Act for improving the resident training environment and enhancing resident's status?.
Journal of Educational Evaluation for Health Professions 2016;13(1):2-
No abstract available.
Humans
;
Korea*
;
Patient Safety*
7.Knowledge and practice of medical students of the usage of personal protective equipment: A comparison of two cohorts of students at the International Medical University
Thiruselvi Subramaniam ; Rosalind Chi Neo Loo
International e-Journal of Science, Medicine and Education 2015;9(2):25-31
Introduction: Standard precautions in health care
is the essence of medical practice encompassing the
safety of patients and health care workers including
medical students. Barriers to the proper use of personal
protective equipment (PPE) exist across the world but
identification of areas of weaknesses and appropriate
remedies will reduce them. This study assesses knowledge
and use of PPE among fourth year students after a period
of educational interventions.
Objective: To evaluate appropriate use, awareness and
knowledge about PPE among fourth year students after
interventions.
Method: A cross- sectional study where forty year
4 students (Group B) were randomly observed and
later asked to answer a questionnaire. Students had
undergone interventions to improve PPE use, which
included lectures and video sessions during each
posting. Results were compared with a previous group
(Group A). Chi-square test or Fisher’s exact test was
used to analyse the data.
Results: There was statistically significant improvement
in the use of PPE like wearing and removing mask during
invasive procedures (p < 0.001) and hand-washing before
and after a non- invasive task (p < 0.001) . Comparison
of Groups A and B on the results of the questionnaire for
‘Questions in which more than 10% students answered
incorrectly’, showed that there was improvement in
Group B in all the questions, some being statistically
significant with p value=0.01.
Conclusion: An overall improvement in the use of the
PPE and knowledge was noted. Sometimes, students’
attitude and personality may be a challenge and these
students may defy changes, but this can be overcome
if the strategies are embedded in the curriculum and
taught from as early as the first semester
Patient Safety
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Students, Medical
8.The quest for patient safety
Korean Journal of Anesthesiology 2019;72(3):281-282
No abstract available.
Humans
;
Patient Safety
9.Development of a patient safety checklist for use during Fluoroscopic or Image-guided, minimally-invasive procedure in the Department of Radiology, Philippine General Hospital
Ryan Jason DL. Urgel ; Imarzen V. Elepano
Acta Medica Philippina 2021;55(7):748-752
Objective:
This study aimed to develop a patient-safety checklist for use during fluoroscopic- or image-guided minimally-invasive procedures in the Department of Radiology, Philippine General Hospital.
Methodology:
A comparison of the Radiological Patient Safety System (RADPASS) and the Cardiovascular and Interventional Society of Europe (CIRSE) checklists was done. Together with the knowledge of the workflow and through observation of the different procedures in the department, a checklist was developed to suit the appropriate hospital setting. This developed checklist was tested in several procedures, and was evaluated and modified during trial testing.
Result:
A patient safety checklist for minimally-invasive and fluoroscopic procedures in the Department of Radiology, Philippine General Hospital was developed through the analysis of the workflow of the department, and observation during the data gathering and trial testing phases.
Conclusion
This simple tool was developed to ensure that all the necessary details before a procedure have been addressed. It has been made as simple as possible, to make it user-friendly. The developed checklist is a step forward in promoting and ensuring the safety of patients undergoing fluoroscopic and minimally-invasive procedures in the Department of Radiology, PGH.
Patient Safety
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Checklist
;
Radiology
10.Effect of General Hospital Nurses' Perception of Patient Safety Culture and Burnout on Safety Management Activities.
Hyun Mi JANG ; Ju Young PARK ; Young Ju CHOI ; Sung Won PARK ; Han Na LIM
Journal of Korean Academy of Nursing Administration 2016;22(3):239-250
PURPOSE: The aim of this study was to examine effects of patient safety culture and burnout on safety management activities with a focus on clinical experience of nurses in general hospitals. METHODS: Self-administered questionnaires were given to nurses in a general hospital in C Province, and 107 questionnaires were used for final analysis. Collected data were analyzed using SPSS/WIN 21.0 Program for t-test, ANOVA, Pearson correlation coefficients, and multiple regression. RESULTS: The highest score as perceived by general hospital nurses for patient safety culture was for 'Immediate superior/Manager'(3.84), for burnout, the highest score was for 'Emotional exhaustion' (4.13), and for safety management activities, the highest score was for 'Prevention of infection' (3.96). Patient safety culture and safety management activities perceived by general hospital nurses showed significant positive correlations (r=.35 p<.001). The correlations between burnout and safety management activities perceived by the nurses showed significant negative correlations (r=-.37, p<.001). Results of hierarchical regression analysis conducted to identify factors that affect safety management activities showed that patient safety culture (β=.40 p<.001) was effective for controlling safety management activities. CONCLUSION: The findings indicate a need to build a patient safety culture that fits the characteristics and situations of various hospitals.
Hospitals, General*
;
Humans
;
Patient Safety*
;
Safety Management*