Implementation of a colour-coded universal protocol safety initiative in Guatemala

Taicher, Brad M.; Tew, Shannon; Figueroa, Ligia; Hernandez, Fausto; Ross, Scott E.; Rice, Henry E.

doi:10.1136/bmjqs-2017-007217

Cited by 4 publications

(3 citation statements)

References 26 publications

(6 reference statements)

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“…Based on the web data and literature review, there appears to be a lack of implementation of some (39)(40)(41)(42)(43). Creating more of these programs will aid in the goal of equity in resources, particularly knowledge and research opportunities, and contribute to the breakdown of power dynamics.…”

Section: Implementing the Idea Of Decolonization And Health Equitymentioning

confidence: 99%

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Fujimara,

Jabbarpour

2023

mjgh

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There is significant support for decolonization in global health medical education, yet there is little documented on the inclusion of physicians from low- and middle-income countries (LMICs) into U.S.- based training. This paper aims to explore the options that are available to physicians from LMICs to receive academic training in global health at U.S.-based institutions and contemplate solutions that align with the ideals of sustainability and decolonization. A narrative review conducted through library databases and a web-based search of academic websites were carried out in 2022 to find programs that discussed inclusion of physicians from LMICs into U.S.-based global health fellowships. Fifteen articles were found that discussed the inclusion of physicians from LMICs into a U.S.-based program. From the web-based search, five programs plainly stated the acceptance of physicians from LMICs. Therefore, there are limitedcurrent U.S.-based academic programs accepting physicians from LMICs, based on a literature search and applicant requirements published online. This shows an important gap in training that is meant to focus on health equity and decolonization, particularly in the realm of knowledge sharing. However, this study was limited by what data was formally published through journal articles or online. Programs that have bidirectional aspects may exist but have no publication or formal website.

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Section: Implementing the Idea Of Decolonization And Health Equitymentioning

confidence: 99%

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Fujimara,

Jabbarpour

2023

mjgh

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“…We deployed a comprehensive program to improve patient safety in Guatemala based on several components, including (1) tools to measure and foster a strong safety culture, (2) teaching principles of patient safety, (3) improving local governance, (4) enhanced safety event reporting, and (5) use of a team-based preoperative checklist [6][7][8]. The aim of the current study was to identify the barriers and facilitators for the implementation of this safety program in a perioperative unit in Guatemala.…”

Section: Introductionmentioning

confidence: 99%

Implementation Analysis of a Perioperative Patient Safety Program in Guatemala

et al. 2020

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Background The implementation of programs to improve patient safety remains challenging in low-and middleincome countries. The goal of our study was to define the barriers and facilitators to implementation of a perioperative patient safety program in Guatemala. Material and methodsWe conducted semi-structured interviews with 16 staff pre-intervention and a follow-up focus group discussion 1 year later in the perioperative department at the Roosevelt Hospital in Guatemala. We performed qualitative thematic analysis to identify barriers and facilitators to the implementation process, with analysis guided by the Consolidated Framework for Implementation Research. Results We found several dominant themes affecting implementation of a patient safety program. Implementation facilitators included strong prioritization of patient needs, program compatibility with existing workflow, and staff attributes. Barriers included a lack of knowledge about patient safety, limited resources, limited leadership engagement, and lack of formal implementation leaders. Several program modifications were made to enhance successful implementation iteratively during the implementation process. Discussion Our analysis highlights several dominant themes which affect the implementation of a perioperative safety program in Guatemala. Understanding the barriers and facilitators to implementation during program deployment allows for program modification and improvement of the implementation process itself.

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“…The Duke Global Health Patient Safety Fellowship grew from a collaboration between Duke University and the Roosevelt Hospital/University of San Carlos in Guatemala. Over the recent years, we have expanded this partnership to programmes in healthcare safety, focusing on initiatives to enhance patient safety in Guatemala 26 27. We conducted a formal needs assessment using semistructured interviews early in this collaboration, which identified several institutional needs to improve patient safety, such as enhanced understanding of the value of measuring medical errors, improved data collection systems and access to tools to modify the safety culture.…”

Section: Introductionmentioning

confidence: 99%

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship

et al. 2019

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Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3–4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes. We have learnt several lessons from this programme, including the need to contextualise training to local needs and resources, and to focus training on building interdisciplinary patient safety teams. Implementation challenges include a lack of resources and data collection systems, and limited recognition of the role of safety in global health contexts. This report can serve as an operational guide for intensive training in patient safety that is contextualised to global health challenges.

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Implementation of a colour-coded universal protocol safety initiative in Guatemala

Abstract: Care teams of providers from different countries pose potential challenges with patient safety. Implementation of a colour-coded universal protocol in this setting can prevent and reduce errors that could potentially lead to patient harm.

Cited by 4 publications

References 26 publications

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Implementation Analysis of a Perioperative Patient Safety Program in Guatemala

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship

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