The economics of patient safety Part IV: Safety in the workplace

Bienassis, Katherine de; Slawomirski, Luke; Klazinga, Nicolaas S.

doi:10.1787/b25b8c39-en

Cited by 4 publications

References 70 publications

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The economics of patient safety

Lachman¹,

Brennan²,

Fitzsimons³

et al. 2022

Oxford Professional Practice: Handbook of Patient Safety

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The economics of patient safety is important, as it is far more cost-effective to deliver safe care than to harm people. This must be based on a sound understanding of the economic aspects of any safety intervention. Health economics is a broad area of study that applies the concepts of economic analysis to the production, maintenance, and consequences of health at the individual and population level. Health economics contains many subdisciplines, the most relevant of which in the context of patient safety is cost-effectiveness analysis (CEA). The chapter provides the foundation for an analysis of the cost effectiveness of an intervention and ways to implement this analysis into patient safety initiatives.

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The economics of patient safety

Lachman¹,

Brennan²,

Fitzsimons³

et al. 2022

Oxford Professional Practice: Handbook of Patient Safety

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Determinants influencing implementation of clinical risk management – Qualitative results of a national survey among clinical risk managers in Germany (KHaSiMiR21)

Roesner,

Blum,

Gambashidze

et al. 2024

Journal of Patient Safety and Risk Management

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Background The improvement of patient safety requires management of clinical risks in hospitals. However, implementation status of clinical risk management (CRM) varies substantially across hospitals. Investigations into facilitators and barriers for effective implementation are thus necessary. Using an in-depth interview study with CRM experts in hospitals, this study aimed to investigate factors accountable for effective development and implementation status of CRM measures in Germany. Methods As part of a nationwide survey, we conducted semi-standardized interviews with n = 10 selected clinical risk managers from general hospitals. We used qualitative content analysis to identify barriers and facilitators to the implementation of CRM. Results A broad range of determinants influencing CRM implementation were identified. Determinants were categorized into five thematic categories: general knowledge of CRM, safety culture, availability of resources, multi-level engagement and organizational structures. Discussion While numerous barriers to CRM implementation were identified, interviewees reported only a few supporting factors in comparison. Results suggest further challenges in effective CRM implementation and inform future research and implementation efforts.

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Emergency team competencies: scoping review for the development of a tool to support the briefing and debriefing activities of emergency healthcare providers

Lorenzini,

Zamboni,

Gelati

et al. 2023

J Anesth Analg Crit Care

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Globally, at least one adverse event occurs in 10% of patients using emergency, inpatient, outpatient, surgical and primary care services. Particularly in emergency health care, this problem is exacerbated by additional variables such as patient criticality, high-risk diagnostic and therapeutic interventions and varying levels of healthcare provider training. In relation to the last point, briefing and debriefing activities during an emergency reinforce staff training and support them in managing work resources, planning interventions and improving future performance. The aim of the scoping review is to explore the state of the art in human factors applied to emergency situations and to develop a new tool to support healthcare professionals in conducting evidence-based briefings and debriefings. This review was developed using a search strategy based on the Arksey and O’Malley’s six-step framework for scoping reviews. The literature analysed and the data identified, which are heterogeneous due to different study methodologies, objectives and types of interventions, suggest that human factors applied to emergency situations are still under-researched. At the end of the data extraction, analysis process, authors’ reviews, discussion rounds and comparison with the multidisciplinary team of healthcare providers, 42 behaviours, 33 elements and 8 domains were considered relevant and included in the Emergency Team Comptencies (ETC) briefing and debriefing tool, ranked in order of priority as follows: communication, decision-making, clinical skills, situational awareness, leadership, task management, collaboration and stress and fatigue management. Further research is needed to investigate human factors applied to emergency situations and to generate new evidence to improve clinical practice and reduce the risk of error. In the near future, further studies will be conducted by the authors to test the validity of the Emergency Team Competencies tool in objectively measuring the performance of professionals and multidisciplinary teams.

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The economics of patient safety Part IV: Safety in the workplace

Cited by 4 publications

References 70 publications

The economics of patient safety

The economics of patient safety

Determinants influencing implementation of clinical risk management – Qualitative results of a national survey among clinical risk managers in Germany (KHaSiMiR21)

Emergency team competencies: scoping review for the development of a tool to support the briefing and debriefing activities of emergency healthcare providers

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