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[PMID]:29496802
[Au] Autor:Chu TG; Makhoul NM; Silva DR; Gonzales TS; Letra A; Mays KA
[Ad] Endereço:Dr. Chu is Associate Dean for Research and Professor of Biomedical and Applied Sciences, School of Dentistry, Indiana University; Dr. Makhoul is Assistant Professor, Faculty of Dentistry, McGill University; Dr. Silva is Chair, Section of Pediatric Dentistry, School of Dentistry, University of Califo
[Ti] Título:Should Live Patient Licensing Examinations in Dentistry Be Discontinued? Two Viewpoints: Viewpoint 1: Alternative Assessment Models Are Not Yet Viable Replacements for Live Patients in Clinical Licensure Exams and Viewpoint 2: Ethical and Patient Care Concerns About Live Patient Exams Require Full Acceptance of Justifiable Alternatives.
[So] Source:J Dent Educ;82(3):246-251, 2018 Mar.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This Point/Counterpoint article addresses a long-standing but still-unresolved debate on the advantages and disadvantages of using live patients in dental licensure exams. Two contrasting viewpoints are presented. Viewpoint 1 supports the traditional use of live patients, arguing that other assessment models have not yet been demonstrated to be viable alternatives to the actual treatment of patients in the clinical licensure process. This viewpoint also contends that the use of live patients and inherent variances in live patient treatment represent the realities of daily private practice. Viewpoint 2 argues that the use of live patients in licensure exams needs to be discontinued considering those exams' ethical dilemmas of exposing patients to potential harm, as well as their lack of reliability and validity and limited scope. According to this viewpoint, the current presence of viable alternatives means that the risk of harm inherent in live patient exams can finally be eliminated and those exams replaced with other means to confirm that candidates are qualified for licensure to practice.
[Mh] Termos MeSH primário: Licenciamento em Odontologia/ética
[Mh] Termos MeSH secundário: Simulação por Computador
Assistência Odontológica/ética
Assistência Odontológica/métodos
Assistência Odontológica/normas
Avaliação Educacional/métodos
Seres Humanos
Licenciamento em Odontologia/normas
Segurança do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180303
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.023


  2 / 13018 MEDLINE  
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[PMID]:29268647
[Au] Autor:Kaufmann M; Lampart A
[Ad] Endereço:1 Departement Anästhesiologie, Universitätsspital Basel.
[Ti] Título:Präoperative Untersuchungen und Abklärungen vor elektiven Eingriffen..
[So] Source:Ther Umsch;74(7):345-350, 2017.
[Is] ISSN:0040-5930
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Eletivos/efeitos adversos
Procedimentos Cirúrgicos Eletivos/métodos
Segurança do Paciente
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/prevenção & controle
Cuidados Pré-Operatórios/métodos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Feminino
Seres Humanos
Masculino
Prognóstico
Medição de Risco/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1024/0040-5930/a000925


  3 / 13018 MEDLINE  
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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


  4 / 13018 MEDLINE  
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[PMID]:28453828
[Au] Autor:Reeves S; Clark E; Lawton S; Ream M; Ross F
[Ad] Endereço:Centre for Health & Social Care Research, Kingston University & St George's, University of London, Hunter Wing, St George's Hospital, Cranmer Terrace, London, UK.
[Ti] Título:Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.
[So] Source:Int J Qual Health Care;29(2):144-150, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose: This narrative review aimed to scope the patient safety literature to identify interprofessional intervention approaches, sources of evidence and reported outcomes. Data sources: Two major databases (MEDLINE and CINAHL) were searched from 2005 to 2015. Study selection: A total of 1552 abstracts were initially identified. After screening these abstracts, 129 full papers were obtained. Further screening resulted in a total of 89 papers included in this review. Data extraction: The following information was extracted from each included paper: details on the patient safety intervention, study methods employed and outcomes reported. Results of data synthesis: It was found that the bulk of the included studies was undertaken in a North American acute care context. Most often, studies involved qualified professionals from nursing and medicine collaborating in hospitals and medical centres. Nearly half the studies reported in this review employed educational interventions, such as TeamSTEPPS, aimed at enhancing practitioners' competence of delivering safe patient care. Nearly a third of studies involved practice-based interventions (e.g. checklists) aimed at improving the delivery of safe care. Most of the studies used a quasi-experimental design and typically gathered survey data. The majority reported outcomes related to changes in professionals' attitudes, knowledge and skills. There were, however, fewer studies reporting changes in practitioners' safety behaviours, organizational practices or patient benefit. Conclusion: The use of different interprofessional interventions are key activities involved in promoting safe patient care practices. However, further work is needed to strengthen these interventions and their evaluations.
[Mh] Termos MeSH primário: Relações Interprofissionais
Segurança do Paciente
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Educação Profissionalizante/métodos
Conhecimentos, Atitudes e Prática em Saúde
Pessoal de Saúde/educação
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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/mzx008


  5 / 13018 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


  6 / 13018 MEDLINE  
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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


  7 / 13018 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


  8 / 13018 MEDLINE  
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[PMID]:29406637
[Au] Autor:Kerfoot KM
[Ti] Título:Patient Safety and Leadership Intentions: Is There a Match?
[So] Source:Pediatr Nurs;42(4):206-7, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Intenção
Liderança
Enfermeiras Administradoras/psicologia
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital/psicologia
Segurança do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
[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


  9 / 13018 MEDLINE  
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[PMID]:29386005
[Au] Autor:Stub T; Quandt SA; Arcury TA; Sandberg JC; Kristoffersen AE
[Ad] Endereço:Wake Forest School of Medicine, Department of Epidemiology and Prevention, Division of Public Health Sciences, Medical Center Boulevard, Winston-Salem, NC, 27157, USA. trine.stub@uit.no.
[Ti] Título:Attitudes and knowledge about direct and indirect risks among conventional and complementary health care providers in cancer care.
[So] Source:BMC Complement Altern Med;18(1):44, 2018 Jan 31.
[Is] ISSN:1472-6882
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Many complementary therapies offer benefits for patients with cancer. Others may be risky for patients due to negative interactions with conventional treatment and adverse effects. Therefore, cancer patients need guidance from health care providers to assess complementary modalities appropriately to receive benefits and avoid harm. METHOD: In a self-administered questionnaire-based cross-sectional study, we compared knowledge and attitudes of health care providers with no training in complementary modalities to that of health care providers with training in complementary modalities about the risks for patients who combine complementary modalities with conventional treatment in cancer care. The analysis was based on responses from 466 participants. RESULTS: The attitudes and knowledge about direct risk followed provider specialty. Ninety-four percent of the medical doctors, 93% of the nurses, and 87% of the providers with dual training, but 70% of the complementary therapists, believed that complementary modalities can cause adverse effects (p < 0.001). The majority of the medical doctors and nurses believed that it is risky to combine complementary and conventional cancer treatments (78% and 93%, respectively), compared to 58% of the providers with dual training and 43% of the complementary therapists (p < 0.001). Eighty-nine percent of the medical doctors and nurses believed that complementary modalities should be subjected to more scientific testing before being accepted by conventional health care providers, in contrast to 56% of the dually trained and 57% of the complementary therapists (p < 0.001). The majority of the medical doctors (61%) and nurses (55%) would have neither discouraged nor encouraged the use of complementary modalities if patients asked them for advice. Moreover, less than 1% of the complementary therapists would have discouraged the use of conventional cancer treatments. The study participants believed that the most important factor to recommend a complementary cancer modality to patients is evidence for safety. CONCLUSION: The health care providers in this study believed that complementary modalities are associated with direct risk and can cause adverse effects, and that it is risky to combine conventional and complementary treatments due to potential harmful interactions.
[Mh] Termos MeSH primário: Terapias Complementares
Conhecimentos, Atitudes e Prática em Saúde
Pessoal de Saúde/psicologia
Pessoal de Saúde/estatística & dados numéricos
Padrões de Prática Médica/estatística & dados numéricos
[Mh] Termos MeSH secundário: Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Segurança do Paciente
Medição de Risco
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:180202
[St] Status:MEDLINE
[do] DOI:10.1186/s12906-018-2106-z


  10 / 13018 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



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