Patient safety risk assessment and risk management: A review on Indian hospitals

Sharma, Gaurav; Awasthi, Swapnil; Dixit, Anuj; Sharma, Garima

doi:10.4103/2229-5186.93022

Cited by 9 publications

(5 citation statements)

References 36 publications

(38 reference statements)

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“…The common reasons for underutilization of services in government sector are due to provision of poor quality of services and attitudes of HCP. [ 6 ] A grass roots model of health-care quality was conceived at Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) a tertiary care hospital at Puducherry, South India. In this model, one member from each department or service domain was nominated to form a Quality Council, rather than forming a standalone Quality cell, which is the norm.…”

Section: Introductionmentioning

confidence: 99%

Perception of patient safety culture among health-care providers in a Tertiary Care Hospital, South India

Rajalatchumi

Ravikumar²,

Muruganandham

et al. 2018

J Nat Sc Biol Med

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Introduction:Patient safety is a global concern and is the most important domains of health-care quality. Medical error is a major patient safety concern, causing increase in health-care cost due to mortality, morbidity, or prolonged hospital stay.Aim:The aim of the study was to assess the perceptions on patient safety culture among health-care providers (HCPs) at a public sector tertiary care hospital in South India.Settings and Design:A hospital-based cross-sectional study was conducted 1 year after patient safety initiatives were implemented.Materials and Methods:Participants were selected through proportionate stratified random sampling. The Hospital Survey on Patient Safety Culture was used to assess perception of patient safety culture. Responses were collected on a Likert scale and were categorized into four types as negative, neutral, positive response, and nonresponse.Statistical Analysis Used:The data were entered in EpiData Version 3.1 and analyzed using SPSS Version 17. “Composite positive response rate” for the various dimensions was calculated.Results:The overall response rate in the study was 91.6%. Average composite positive response rate was 58%, and it varied among different cadres of HCPs ranged from 53% to 61%. The dimensions “teamwork within the unit,” “organizational learning and continuous improvement,” and “supervisor or officer-in-charge expectations” showed highest positive responses (80.1%, 77.8%, and 71.5%, respectively).Conclusions:This survey conducted after implementation of patient safety drive showed that, in many dimensions, the patient safety culture has taken roots. The dimensions such as “hand-off and transitions,” “frequency of events reporting,” and “communication openness” had scope for further improvement.

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Section: Introductionmentioning

confidence: 99%

Perception of patient safety culture among health-care providers in a Tertiary Care Hospital, South India

Rajalatchumi

Ravikumar²,

Muruganandham

et al. 2018

J Nat Sc Biol Med

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“…It is estimated that, 239000 patients died under Medicare between 2004 and 2006 in the USA merely due to medical errors. Furthermore, 24000 died because of medical errors in Canada ( Sharma et al, 2011 ; Woolhandler et al, 2003 ). In addition to death and inabilities, medical errors impose considerable costs to the health sector.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to death and inabilities, medical errors impose considerable costs to the health sector. As indicated by reports, medical errors cost $8.8 billion in the USA Medicare program between 2004 and 2006 ( Sharma et al, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Analyzing and Prioritizing the Dimensions of Patient Safety Culture in Emergency Wards Using the TOPSIS Technique

Tourani¹,

Hassani²,

Ayoubian³

et al. 2015

GJHS

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Background and Aim:Doubtlessly, permanent development in patient care services is not feasible without paying attention to the culture of safety by health and treatment institutes. The present study is an attempt to analyze the cultural aspects of patient safety in the emergency wards of hospitals affiliated with the Tehran Medical Science University. The viewpoint of the nurses and hospital officials and their priorities were studied. For prioritizing the results of this study the TOPSIS technique was chosen.Methods:The study was conducted as an analytical-descriptive and cross-sectional one. It was carried out in two parts: at first the cultural aspects of the patients were measured using a questionnaire for a six months period in 2011 in emergency wards of the hospitals under study. The study population was constituted of physicians and nurses of the emergency wards. The sample group (n=270) was selected through a cluster sampling and its size was determined by using the sample size formula. For data gathering, the standard questionnaire of Hospital Survey on Patient Safety Culture (HSOPSC) was used. The data were analyzed in SPSS. The aspects of the safety culture were prioritized using the TOPSIS model. The criteria were ranked by using the MATLAB software.Results:There was a significant relationship among the aspects of performance, teamwork, feedback, mistake relationships, and the support of the managers (P ≤ 0.05). The total point of the patient safety culture in the majority of the hospitals were at a mean level of 3. The maximum score was 5. The maximum and minimum mean points were obtained by the Hasheminejad and Sina hospitals respectively. The results of the multivariate decision-making analysis indicated that human, managerial, organizational, and environmental factors were at the top of priorities in a descending order. The factors were extremely effective in the improvement of safety in hospitals.Conclusion:Human factors were the most effective and important factors in the improvement of safety in emergency wards. Therefore, there is a need to pay more attention to such factors in safety improvement programming. Training, cultural works, preparation of organizational environments, and motivating environmental factors were of the main measures that must be taken into account by the managers.

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“…The instability of the nanoemulsion is undesirable and creates several problems in longer storage [12]. The samples didn't demonstrate sedimentation, a clear sign of stability.…”

Section: Resultsmentioning

confidence: 98%

Influence of Matrix Type and Oil Phase Composition on the Stability of Polysaccharide- Based Nanoemulsions

Abreu

2022

PSPRJ

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Polymeric nanoemulsions are systems capable of protecting bioactive compounds, improving bioavailability and controlled release. Stable formulations must present uniform micellar dispersion with nanometric particle size and homogeneous morphology. Thus, a detailed analysis regarding oily and aqueous phase in nanoemulsions and their compositions is fundamental to meet the physicochemical stability criteria. For this study, we tested the matrices of alginate and chitosan as wall material and commercial soy oil and mineral oil as co-adjuvants along with the surfactant for the micelle's composition. Nanoemulsions coated with alginate and with soy oil presented the best stability factors, with particle size around 200nm, morphological homogeneity, and high values of Zeta potential, being promising for controlled release.

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Patient safety risk assessment and risk management: A review on Indian hospitals

Cited by 9 publications

References 36 publications

Perception of patient safety culture among health-care providers in a Tertiary Care Hospital, South India

Perception of patient safety culture among health-care providers in a Tertiary Care Hospital, South India

Analyzing and Prioritizing the Dimensions of Patient Safety Culture in Emergency Wards Using the TOPSIS Technique

Influence of Matrix Type and Oil Phase Composition on the Stability of Polysaccharide- Based Nanoemulsions

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