Surviving clinical errors in practice

Gartrell, Brett D.; White, Bridey

doi:10.1080/00480169.2021.1840740

Cited by 6 publications

(7 citation statements)

References 17 publications

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“…Each individual needs to accept the mistakes of other team members and focus on preventing them as a team. 16 An essential element to a strong safety culture is ensuring that all team members have a voice and are encouraged to speak up when they see safety concerns. A focus on strengthening team communication, using specific communication tools, has proven to decrease the risk of medical error.…”

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confidence: 99%

“…Another important idea is to make medical error easier to talk about. Reframing our conversations to look through a medical quality lens while emphasizing continual improvement will help 16,23 …”

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confidence: 99%

“…Reframing our conversations to look through a medical quality lens while emphasizing continual improvement will help. 16,23 How can we develop a strong culture of safety in veterinary hospitals? The idea of medical error and injury to patients seems counterintuitive to everything we stand for.…”

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confidence: 99%

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Veterinary healthcare needs to talk more about error: For the wellbeing of our patients and medical teams

Low¹,

2022

Veterinary Internal Medicne

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Over the past 2 decades, patient safety has become an established priority in human healthcare. There is a large body of research in human medicine on harm caused by healthcare, its impact, and interventions to prevent it. There are also numerous guidelines, policies, and regulations to improve safety. An important realization has been that the same errors that harm patients can also harm members of the healthcare team. Empathetic handling of safety incidents can have positive effects on both the wellbeing of providers and their care of patients. An essential element in patient safety is the creation of a “culture of safety” within the health care team. A strong culture of safety describes a work environment where risk is acknowledged, individuals can report errors without fear of punishment, and the organization has a commitment to collaboratively implementing system changes to prevent future errors. A key element of safety culture is ensuring that healthcare team members are supported and asked to help create solutions for safer care. The principles of safety science and practices to improve safety have not yet been widely adopted in veterinary medicine. We describe a case of a serious medication error and how it was handled to illustrate key components of a culture of safety and a system‐based approach to improvement. This case is timely as a recent review of patient safety events in 3 veterinary hospitals found medication‐related errors to be the most frequently reported events. Open conversations about safety events and errors that can harm not only our patients but also our healthcare teams will help veterinary professionals learn from their mistakes, support members of the team, and prevent future harm.

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Veterinary healthcare needs to talk more about error: For the wellbeing of our patients and medical teams

Low¹,

2022

Veterinary Internal Medicne

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“…The customers, staff, contaminated materials, surfaces, equipment, and devices located in the beauty salon can be sources of infection from pathogenic microorganisms. Proper adherence to aseptic and antiseptic principles, sterilization, disinfection, and cleaning processes play vital roles in infection prevention for all invasive procedures [ 21 , 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…The use of single-use or sterile multiple-use equipment should be the gold standard in all procedures involving the disruption of tissue continuity. However, numerous publications have highlighted that the use of single-use equipment does not guarantee safety from infections unless proper storage and handling conditions are maintained [ 22 , 23 , 24 , 25 ]. Similar to that in medical settings, the risk of infection can be high when reusable equipment is used for cosmetic procedures.…”

Section: Resultsmentioning

confidence: 99%

Assessment of Epidemiological Safety in the Cosmetic Service Industry in Poland: A Cross-Sectional Questionnaire Study

Gębska-Kuczerowska

Kucharska

Segiet-Święcicka

et al. 2021

IJERPH

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The variety of current cosmetic procedures has increased the potential risks of adverse events and infections. In a nationwide cross-sectional study (2013–2015), we assessed the aspects of infection risk in cosmetic services. An anonymous voluntary questionnaire survey was conducted among 813 employees of cosmetic establishments in Poland. The establishments were selected from a register of service providers. The survey was conducted by employees of the State Sanitary Inspectorate during an audit, and the results showed that cosmetic providers were not fully prepared for risk assessment in terms of occupational exposure or infection transmission. The majority of the respondents (84%) reportedly washed the salon tools. Some establishments did not perform any decontamination (2%) or sterilization (~13%) procedures. Occupational punctures or lacerations occurred from needles, ampoules-syringes, or razors. Most respondents had attended professional training or studied medical textbooks. Approximately 1.7% of the respondents had not updated their knowledge, and 5% gained knowledge from unauthorized sources.The project’s results impacted a variety of innovations and improvements in the field of public health. The results were used to update the national education program (2012–2017); more attention has been directed toward effective education in infection prevention,general hygiene, and post-exposure procedures. Moreover, the study’s results were grounds for the introduction of legislative modifications in the field of epidemiological safety standards for cosmetic services in Poland.

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Medical Errors

and¹,

Kipperman²

2022

Ethics in Veterinary Practice

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Surviving clinical errors in practice

Cited by 6 publications

References 17 publications

Veterinary healthcare needs to talk more about error: For the wellbeing of our patients and medical teams

Veterinary healthcare needs to talk more about error: For the wellbeing of our patients and medical teams

Assessment of Epidemiological Safety in the Cosmetic Service Industry in Poland: A Cross-Sectional Questionnaire Study

Medical Errors

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