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Introduction to Patient Safety and Improvement Knowledge
Published in Michael Ljungberg, Handbook of Nuclear Medicine and Molecular Imaging for Physicists, 2022
In the Safety II approach, focus is turned from “when things that go wrong” towards “when things go right.” The foundation in this approach is that those processes and actions that go right are performed in the same system, and by the same persons, as when things go wrong (Figure 24.6). The outcome of the process is instead dependent on variations of different kinds. Ingredients that need to be present to contribute to safety are flexibility, adjustment, and adaption to the present and variable situation. Thanks to the personnel who discover potential critical situations and make the proper adjustments, the adverse event will be avoided, or be of limited severity for the patient.
Health and urban living
Published in Ben Y.F. Fong, Martin C.S. Wong, The Routledge Handbook of Public Health and the Community, 2021
Cities do concentrate health risks and hazards. The impact of adverse events such as water supply contamination, environmental pollution or natural disasters is amplified in densely populated urban settings. Precarious housing conditions also constitute hazards for many urban residents. In many cities around the world, unfavourable health determinants have converged to create a triple threat of urban diseases and health conditions, consisting of:infectious diseases;non-communicable diseases and conditions; andinjuries from accidents and violence (World Health Organisation, 2010).
Complication management and prevention
Published in Jani van Loghem, Calcium Hydroxylapatite Soft Tissue Fillers, 2020
Pieter Siebenga, Jani van Loghem
While vascular compromise and occlusion can occur with any dermal filler, the risk increases with particulate filler substances. Furthermore, the consequences may be more severe for those fillers without a reversal procedure. The care-provider must be aware of the type of adverse events that can occur and how to treat them. A comprehensive understanding of facial anatomy and dermal filler characteristics is essential. Given the rarity of vascular compromise, physicians might not have any experience in the recognition, nor management, of these complications.
‘Put in a room and left’: a qualitative study exploring the lived experiences of COVID-19 isolation and quarantine among rehabilitation inpatients
Published in Annals of Medicine, 2023
Subbuh Luker, Kate Laver, Rachel Lane, Elizabeth Potter, AnnMarie Harrod, Petra Bierer, Zoe Adey-Wakeling, Jonathan Karnon, Ian D. Cameron, Maria Crotty
Our findings suggest that when outbreaks occur strategies should be adopted to mitigate the impact of isolation and quarantine on patients who remain on rehabilitation wards including, increased staffing ratios for rehabilitation patients in isolation and quarantine to provide disability specific assistance and tailored in-room therapy; increased social engagement from onsite staff to alleviate isolation; provision of dedicated training and staff support to increase use of technologies such as tablet devices and individualised and culturally appropriate care for vulnerable patient groups. Our findings also support formal protocols and systems be implemented to prevent adverse events and provide a structured approach to care for this patient cohort. This should include individualised nursing and occupational therapist review and room set up so that it is tailored to individual patient needs while in isolation as well as regular timed patient welfare checks. Overall these approaches will provide support, alleviate the impact of isolation and utilise technology to improve isolation and deliver therapy as patients recover.
Concurrent versus terminal feedback: The effect of feedback delivery on lumbar puncture skills in simulation training
Published in Medical Teacher, 2023
Anna Liu, Melissa Duffy, Sandy Tse, Marc Zucker, Hugh McMillan, Patrick Weldon, Julie Quet, Michelle Long
Adverse events in healthcare are commonly related to surgical and medical procedures (Baker et al. 2004; Matlow et al. 2012). Of these, a major determinant of procedural outcomes is individual skill (Leape et al. 1991). Simulation-based medical education (SBME) is widely used to teach a variety of procedural skills and has the potential to reduce adverse events by allowing students to first practice skills on simulators and correct performance errors (Issenberg et al. 2005; Ma et al. 2011). A crucial component to the efficacy of SBME is feedback: non-judgmental, specific, and useful information provided to learners to improve future performance on a procedural task (Issenberg et al. 2005; McGaghie et al. 2010; Castro et al. 2021). However, there are knowledge gaps in how to optimize feedback delivery to maximize procedural skill acquisition, particularly in relation to timing of feedback (Hatala et al. 2014; Sattelmayer et al. 2016). The effect of timing of delivery of feedback during procedural skill training has been previously studied, comparing concurrent feedback, which the learner receives during the performance of the task, with terminal feedback, which is received only after the procedure is completed (Hatala et al. 2014; Sattelmayer et al. 2016).
Paediatric adverse event rating scale: a measure of safety or efficacy? Novel analysis from the MADDY study
Published in Current Medical Research and Opinion, 2022
Brenda M. Y. Leung, Priya Srikanth, Barbara Gracious, Irene E. Hatsu, Gabriella Tost, Valerie Conrad, Jeanette M. Johnstone, L. Eugene Arnold
An additional measure was the Pediatric Adverse Event Rating Scale (PAERS), which was required by the United States (US) Food and Drug Administration (FDA) to provide systematic monitoring of possible adverse reactions to the intervention. An adverse event is any unintended negative event after a medication has been administered correctly, in contrast to a side effect, which is a foreseeable unwanted effect7. The PAERS was developed to systematically measure adverse events in pediatric clinical trials. It has been used to evaluate child-reported tolerability8, assess perceived tolerability from different perspectives (patient, parent, physician)9, and characterize psychotropic medication-related AEs in very young children10. Few studies have reported results of the PAERS as a key measure of interest.