Background Identifying, reporting, measuring, and tracking events provide an opportunity to study system issues, motivate learning, measure the frequency and severity of events, and manage high-risk ones which refer to a safety culture that is focused on valuing the input of working staff and improving the quality of care. Aim Enhance the implementation of the occurrence variance reporting (OVR) system at the Obstetrics and Gynecological Hospital in Port Said Governorate, Egypt. Design A quasi-experimental research design for one group (pre–posttest) and a mixed-methods approach was conducted in this study. Method This study was carried out at an Obstetrics and Gynecological Hospital in Port Said Governorate, Egypt. Study subjects included a convenient sample of 100 doctors and nurses. The study used three tools: OVR Knowledge, Attitude, and Practice (KAP) questionnaire, the OVR trend analysis clinical audit checklist, and barriers that hinder staff to report patient safety events through two open-ended questions. Results Significant improvements were detected in the OVR system post-program implementation than pre-program implementation phase. A statistically significant increase in nurses’ and doctors’ total knowledge score from 0.74 to 3.39 and a statistically significant decrease in nurses’ and doctors’ total negative attitude score from 3.87 to 3.27. Also, a statistically significant increase in total practice score from 2.35 to 2.45. Conclusion There were significant improvements in the hospital OVR system postprogram implementation than preprogram implementation. Relevance to clinical practice To maintain performance and make sure that the original result is not lost, the health care facilities should emphasize the ongoing monthly and quarterly monitoring and analysis of data. Meetings, lectures, and training sessions are used for ongoing education.

Background: The Magnet hospital is the hospital that implements specific organizational attributes in order to achieve a high quality of care through well-qualified and committed nursing staff. Aim of the study: The study was aimed at studying attributes of the Magnetic work environment, and its relation to work stress among nursing staff. Methods: Setting: It was carried out in the children's cancer hospital, Egypt. Design: Using a descriptive correlational design. Subjects: Consisted of 172 nursing staff. Tools and procedure: two different self-administered tools were utilized (Magnet attributes questionnaire, and stress questionnaire). The fieldwork lasted from April to July 2016. Results: The study revealed that the highest percentage of nursing staff aged between 20 and 30 years. Nearly two thirds (64%) were having a bachelor degree in nursing. Total attributes of work environment were available with strength. 96.6% of nursing staff recorded low scores of stress. Conclusions: The nursing staff in the study setting considered "total attributes of Magnet work environment" as an area of strength. The total scores of stress were generally low. Statistically significant negative correlations were revealed between the scores of total Magnet attributes and stress. Recommendations: It is a matter of priority for Egyptian children's cancer hospital to enhance and promote the development and maintenance of Magnetism and taking the lead in promoting the status of Magnetism in Egypt.

Background:The Five Moments for Medication Safety tool are critical times when a patient's or caregiver's actions can significantly lower the risk of damage linked with their medication(s). Aim: This study aimed to: investigate the effectiveness of nurses' application of the World Healthcare Organization's Five moments for medication safety tool on patients' medication management in long-term care units. Method: an intervention research design was conducted/ A quasiexperimental study with two groups (nurses and patients), and a pre-test and post-test design was conducted. A sample included all nurses who were working in Long-Term Care Units at Alexandria' New Medical Center, Egypt (N= 55) and a proportional sample of 35 patients at Long-Term Care Units. The World Health Organization's Five Moments for Medication Safety tools were used to measure study variables. Results: there were significant differences between patients' and nurses' responses regarding their application of the World Health Organization's five moments for medication safety tool at the two evaluative times of intervention (pre and post) where (P = <0.001*). There was a positive significant correlation between nurses' and patients' outcomes in the overall responses especially in the Second Stage (Taking medication), and Fourth Stage (Reviewing medication) where (p = <0.001*). the intervention had a large effect on the overall patient outcome, with an effect size (of 0.873). Conclusion: When patients are informed about their drugs, encouraged to ask questions, and give good answers, they can play a critical role in minimizing medication errors. Additionally, nurses play a crucial role in medication management by involving, teaching, supporting, and involving all pertinent parties. For them to fulfill this duty, they need to be strengthened by ongoing education and training.