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[PMID]:28453829
[Au] Autor:Tereanu C; Smith SA; Sampietro G; Sarnataro F; Mazzoleni G; Pesenti B; Sala LC; Cecchetti R; Arvati M; Brioschi D; Viscardi M; Prati C; Barbaglio GG
[Ad] Endereço:Department of Hygiene and Prevention, Agenzia di Tutela della Salute, Via Borgo Palazzo n. 130, 24125 Bergamo, Italy.
[Ti] Título:Experimenting the hospital survey on patient safety culture in prevention facilities in Italy: psychometric properties.
[So] Source:Int J Qual Health Care;29(2):269-275, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture (HSOPS) was designed to assess staff views on patient safety culture in hospital. This study examines psychometrics of the Italian translation of the HSOPS for use in territorial prevention facilities. Design: After minimal adjustments and pre-test of the Italian version, a qualitative cross-sectional study was carried out. Setting: Departments of Prevention (DPs) of four Local Health Authorities in Northern Italy. Participants: Census of medical and non-medical staff (n. 479). Intervention: Web-based self-administered questionnaire. Main outcome measures: Descriptive statistics, internal reliability, Confirmatory Factor Analysis (CFA) and intercorrelations among survey composites. Results: Initial CFA of the 12 patient safety culture composites and 42 items included in the original version of the questionnaire revealed that two dimensions (Staffing and Overall Perception of Patient Safety) and nine individual items did not perform well among Italian territorial Prevention staff. After dropping those composites and items, psychometric properties were acceptable (comparative fit index = 0.94; root mean square error of approximation = 0.04; standardized root mean square residual = 0.04). Internal consistency for each remaining composite met or exceeded the criterion 0.70. Intercorrelations were all statistically significant. Conclusions: Psychometric analyses provided overall support for 10 of the 12 initial patient safety culture composites and 33 of the 42 initial composite items. Although the original instrument was intended for US Hospitals, the Italian translation of the HSOPS adapted for use in territorial prevention facilities performed adequately in Italian DPs.
[Mh] Termos MeSH primário: Segurança do Paciente
Psicometria/estatística & dados numéricos
Gestão da Segurança
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Estudos Transversais
Pessoal de Saúde/psicologia
Pessoal de Saúde/estatística & dados numéricos
Seres Humanos
Itália
Saúde Pública
Reprodutibilidade dos Testes
Traduções
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx014


  2 / 18456 MEDLINE  
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[PMID]:28453824
[Au] Autor:Tricarico P; Castriotta L; Battistella C; Bellomo F; Cattani G; Grillone L; Degan S; De Corti D; Brusaferro S
[Ad] Endereço:Dipartimento di Scienze Mediche e Biologiche (Department of Medical and Biological Sciences), Università degli Studi di Udine (University of Udine), Piazzale Kolbe 4, 33100 Udine, Italy.
[Ti] Título:Professional attitudes toward incident reporting: can we measure and compare improvements in patient safety culture?
[So] Source:Int J Qual Health Care;29(2):243-249, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: To establish categories of professionals' attitudes toward incident reporting by analyzing the trends in incident reporting while accounting for general risk indicators. Design: The incident reporting system was evaluated over 6 years. Reporting rates, stratified by year and profession, were estimated using the non-mandatory reported events/full-time equivalent (NM-IR/FTE) rate. Other indicators were collected using the hospital's official database. Staff attitudes toward self-reporting were analyzed. Univariate and multivariable analyses were performed. Setting: A 1000-bed Italian academic hospital. Participants: Staff of the hospital (over 3200 professionals). Interventions: None. Main outcome measures: NM-IT/FTE rates, self-reported rates, patient complaints/praises, work accidents among professionals and 30-day readmissions. Results: The overall reporting rate was 0.44 (95% confidence interval [CI]: 0.42-0.46) among doctors and 0.40 (95% CI: 0.39-0.41) among nurses. Between 2010 and 2015, only the doctors' reporting rate increased significantly (P = 0.04), from 0.29 (95% CI: 0.25-0.34) to 0.67 (95% CI: 0.60-0.73). Patient complaints decreased from 384 to 224 (P < 0.001) and work accidents decreased from 296 to 235 (P = 0.01), while other indicators remained constant. Multivariable logistic regression showed that self-reporting was more likely among nurses than doctors (odds ratio: 1.51; 95% CI: 1.31-1.73) and for severe events than near misses (odds ratio: 1.78; 95% CI: 1.11-2.87). Conclusions: Because the doctors' reporting rates increased during the study period, doctors may be more likely to report adverse events than nurses, although nurses reported more events. Incident reporting trends and other routinely collected risk indicators may be useful to improve our understanding and measurement of patient safety issues.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Segurança do Paciente
Gestão de Riscos/tendências
Gestão da Segurança/tendências
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Acidentes de Trabalho/estatística & dados numéricos
Feminino
Seres Humanos
Itália
Masculino
Corpo Clínico Hospitalar/psicologia
Readmissão do Paciente/estatística & dados numéricos
Satisfação do Paciente/estatística & dados numéricos
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx004


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[PMID]:29480849
[Au] Autor:Al Sweleh FS; Al Saedan AM; Al Dayel OA
[Ad] Endereço:Department of Dental Clinics, College of Dentistry, King Saud University.
[Ti] Título:Patient safety culture perceptions in the college of dentistry.
[So] Source:Medicine (Baltimore);97(2):e9570, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A positive safety culture is essential to patient safety because it improves quality of care. The aim of this study was to assess staff and student perceptions of the patient safety culture in the clinics of the College of Dentistry at King Saud University in Saudi Arabia.A cross-sectional study was conducted in the College of Dentistry at King Saud University in Saudi Arabia. It included 4th and 5th year students, interns, general practitioners, and dental assistants. The data were collected by using paper-based questionnaire of modified version of the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture. Data were entered into SPSS Version 20. Score on a particular safety culture dimension was calculated.The overall response rate was 72.8% (390/536). Team work dimension had the highest average percent positive dimension score (72.3%) while staffing had the lowest score (10%). Dental assistant had high agreement in Teamwork dimension (87.8%); Supervisor/Manager Expectations and Actions Promoting Patient Safety dimension (66.9%); Organizational Learning-Continuous Improvement dimension (79.1%); Management Support for Patient Safety dimension (84.5%); Feedback and Communication About Error dimension (58.3%); Frequency of Events Reported dimension (54.0%); Teamwork Across Units dimension (73.2%). Most of areas perceived that there is no event reported (76.1-85.3%) in the past 12 months.Overall patient safety grade is more than moderate in the clinic. Teamwork within Units and Organizational Learning-Continuous Improvement dimension had the highest score while staffing had the lowest score. Dental assistants perceived positive score in most dimensions while students perceived slight negative score in most dimensions.
[Mh] Termos MeSH primário: Segurança do Paciente
Gestão da Segurança
Faculdades de Odontologia
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Estudos Transversais
Assistentes de Odontologia/psicologia
Odontólogos/psicologia
Seres Humanos
Estudantes de Odontologia/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009570


  4 / 18456 MEDLINE  
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[PMID]:29406648
[Au] Autor:Murray E; Vess J; Edlund BJ
[Ti] Título:Implementing a Pediatric Fall Prevention Policy and Program.
[So] Source:Pediatr Nurs;42(5):256-9, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Preventing patient falls begins with an accurate assessment of a patient's risk of falling followed by the initiation and continued evaluation of a fall prevention program based on patient-specific identified risks. Children have a normal tendency to fall based on developmental growth, and each child is different in physical and cognitive abilities. Falls may occur both in and out of the hospital setting. Prevention programs that have revealed the most favorable restuls include the use of a validated fall risk assessment tool. The Humpty Dumpty fall Scale is a screening tool specifically developed for pediatric patients to assess risk for fall. This project developed a pediatric fall prevention policy and implemented an inpatient pediatric fall prevention program. Pediatric staff contributed to the development of this policy and program by providing feedback, support, and cooperation, which was instrumental in the success of this program resulting in no falls after implementation.
[Mh] Termos MeSH primário: Acidentes por Quedas/prevenção & controle
Política de Saúde
Segurança do Paciente/normas
Enfermagem Pediátrica/normas
Gestão da Segurança/normas
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29293194
[Au] Autor:Eisenberg S
[Ad] Endereço:Seattle Cancer Care Alliance, Ambulatory Clinic, Seattle, Washington. Seth Eisenberg, ADN, RN, OCN®, BMTCN®, is a professional practice coordinator for infusion services at the Seattle Cancer Care Alliance, Ambulatory Clinic, in Seattle, Washington. He has practiced in the field of oncology since 1983. His experience includes 32 years in hematopoietic stem cell transplantation. He specializes in hazardous drug safety and has published numerous articles and book chapters on chemotherapy and biotherapy.
[Ti] Título:USP <800> and Strategies to Promote Hazardous Drug Safety.
[So] Source:J Infus Nurs;41(1):12-23, 2018 Jan/Feb.
[Is] ISSN:1539-0667
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The term hazardous drug (HD) includes medications that have any of the following properties: carcinogenicity, teratogenicity, reproductive toxicities, genotoxicities, toxicities at low doses, and a structure that mimics other drugs meeting the criteria. Numerous studies continue to demonstrate widespread environmental contamination and human uptake of these agents. Safe handling guidelines have existed for more than 30 years but have not been routinely implemented. USP General Chapter 800 (USP <800>) represents a new enforceable standard for HD safety. Nurses will need to understand the impact of USP <800>, which is expected to be enforced beginning December 1, 2019.
[Mh] Termos MeSH primário: Substâncias Perigosas/normas
Exposição Ocupacional/prevenção & controle
Guias de Prática Clínica como Assunto/normas
Gestão da Segurança/normas
[Mh] Termos MeSH secundário: Antineoplásicos/administração & dosagem
Antineoplásicos/toxicidade
Substâncias Perigosas/toxicidade
Seres Humanos
Recursos Humanos de Enfermagem no Hospital/normas
Preparações Farmacêuticas
Roupa de Proteção
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antineoplastic Agents); 0 (Hazardous Substances); 0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1097/NAN.0000000000000257


  6 / 18456 MEDLINE  
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[PMID]:29406659
[Au] Autor:Rollins JA
[Ti] Título:Sharing a Room: Updated Recommendations for a Safe Infant Sleeping Environment.
[So] Source:Pediatr Nurs;43(1):7, 14, 2017 Jan-Feb.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Leitos
Promoção da Saúde
Gestão da Segurança/métodos
Sono
Morte Súbita do Lactente/prevenção & controle
[Mh] Termos MeSH secundário: Aleitamento Materno
Meio Ambiente
Seres Humanos
Lactente
Recém-Nascido
Prevenção Primária
Fatores de Risco
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  7 / 18456 MEDLINE  
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[PMID]:29384302
[Au] Autor:Mallouli M; Aouicha W; Tlili MA; Limam M; Ajmi T; Mtiraoui A; Zedini C
[Ti] Título:[Safety culture in Tunisian primary health care: A multicenter study].
[Ti] Título:Culture de sécurité des soins dans les centres de soins primaires tunisiens?: une étude multicentrique..
[So] Source:Sante Publique;29(5):685-691, 2017 Dec 05.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:AIMS: To assess safety culture in primary healthcare centres and to explore its associated factors. METHODS: This multicentre cross-sectional descriptive study was conducted in the 30 primary healthcare centres in central Tunisia and used the validated French version of the Hospital Survey on Patient Safety Culture questionnaire' (HSOPSC). RESULTS: A total of 214 professionals participated, corresponding to a response rate of 85%. The ?Teamwork within centres? dimension had the highest score (71.5%). However, two safety dimensions had very low scores: ?Frequency of event reporting?, ?Non-punitive response to errors? with percentages of 31.4% and 35.4%, respectively. Among the associated factors, the ?Frequency of reported events? dimension was significantly higher among professionals involved in risk management committees (p = 0.01). CONCLUSION: This study demonstrates that the level of safety culture needs to be improved in primary healthcare centres in Tunisia and also highlights the need to implement a quality management system in primary healthcare centres.
[Mh] Termos MeSH primário: Cultura Organizacional
Segurança do Paciente
Atenção Primária à Saúde
Gestão da Segurança/organização & administração
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
Tunísia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.3917/spub.175.0685


  8 / 18456 MEDLINE  
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[PMID]:29364936
[Au] Autor:Guo M; Wu Z; Zhu H
[Ad] Endereço:Department of Aeronautics and Astronautics, Fudan University, Shanghai, China.
[Ti] Título:Empirical study of lane-changing behavior on three Chinese freeways.
[So] Source:PLoS One;13(1):e0191466, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lane-changing (LC) behavior is investigated on Chinese freeways, where the driving circumstances are relatively aggressive. Three data sets were collected from urban expressways and an intercity highway in the form of traffic videos. Different aspects of LC behaviors are analyzed, i.e., the LC rate, motivation, target lane choice and impact on traffic. The results suggest that LC is a transient behavior that randomly occurs with high frequency, which is the main feature of aggressive driving. Several LC patterns and the combination effect of ramps, fast lanes and various vehicle types are presented. The influence of LC on local traffic endures for approximately 15 to 30 s, which rapidly increases and slowly declines. LC behavior will increase the risk of high-speed car-following. All results are obtained from the empirical data; they will be useful for traffic management and traffic modeling.
[Mh] Termos MeSH primário: Condução de Veículo/psicologia
[Mh] Termos MeSH secundário: Acidentes de Trânsito/prevenção & controle
Acidentes de Trânsito/psicologia
Agressão
Condução de Veículo/estatística & dados numéricos
Comportamento
China
Seres Humanos
Modelos Psicológicos
Motivação
Gestão da Segurança
População Urbana
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191466


  9 / 18456 MEDLINE  
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[PMID]:28470640
[Au] Autor:Gehring H; Rackebrandt K
[Ti] Título:Vermeidung von Feuer/Brand/Explosion im OP..
[So] Source:Anasthesiol Intensivmed Notfallmed Schmerzther;52(4):303-309, 2017 Apr.
[Is] ISSN:1439-1074
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The combination of an oxidant source, ignition energy and flammable material is the reason for fire, burning and explosion (FBE) in the OR. Attending anaesthesiologists face these risks in their daily routine. Mostly, a situation with FBE arises in an unexpected situation. It is essential to have at hand a catalogue of measures to prevent severe injuries to patients and avoid material damages. There is a systematic way to decrease the risk: awareness and definition of high-risk situations; team work; building up a strategy to avoid the occurrence of fire, burning and explosion in high-risk situations. The risk profile should be part of security checklists. If there is physical injury caused by fire in the OR, the extent of trauma must be assessed and documented. Finally, an interdisciplinary review may be indicated. Institutional standards regarding risk- and quality management, e. g. working place orders and measures of fire prevention, increase patient security. Systematic implementation of measures and annual training sessions are indispensable.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Explosões/prevenção & controle
Fogo/prevenção & controle
Traumatismos Ocupacionais/diagnóstico
Traumatismos Ocupacionais/terapia
Salas Cirúrgicas/organização & administração
Gestão da Segurança/organização & administração
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência/métodos
Alemanha
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-116688


  10 / 18456 MEDLINE  
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[PMID]:29195531
[Au] Autor:Hester S; Harrelson C; Mongo T
[Ad] Endereço:Western Carolina University, Bryson City, North Carolina, USA.
[Ti] Título:Workplace Violence Against Nurses: Making It Safe to Care.
[So] Source:Creat Nurs;22(3):204-209, 2016 Aug 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article explores the topic of workplace violence in the health care setting. A definition of workplace violence and those who are most vulnerable is provided. National and state legislation that addresses the topic of workplace violence will be discussed. Other organizations such as the American Nurses Association and The Joint Commission and their position statements will be explored. Lastly, strategies targeting workplace violence prevention and the barriers to implementing identified strategies will be discussed. Workplace violence is a rapidly growing concern for those working in health care. This article provides recommendations for legislative and workplace actions to protect health care workers.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Pessoal de Saúde/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
Gestão da Segurança/métodos
Gestão da Segurança/normas
Violência no Trabalho/prevenção & controle
Violência no Trabalho/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.3.204



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