Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses

McFarland, Diane M.; Doucette, Jeffrey N.

doi:10.1097/ncq.0000000000000291

Cited by 10 publications

(32 citation statements)

References 10 publications

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“…9 Researchers found a clinically significant increase in the number of event reports in the 6-month period after nurses received a high reliability educational program, indicating an increase in the HRO principle preoccupation with failure. 10 Limited research to date compares manifestations of HRO among hospital units with high and low safety performance. This type of research can provide a basis for translating theoretical HRO principles into clinical and administrative practice, furthering the pursuit of HRO in health care and achieving the aim of delivering safe, high-quality care.…”

mentioning

confidence: 99%

Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles

Mossburg¹,

Weaver²,

Pillari

et al. 2019

Journal of Nursing Care Quality

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Background: To prevent patient harm, health care organizations are adopting practices from other complex work environments known as high reliability organizations (HRO). Purpose: The purpose was to explore differences in manifestations of HRO principles on hospital units with high and low safety performance. Methods: Focus groups were conducted on units scoring high or low on safety measures. Themes were identified using a grounded theory approach, and responses were compared using qualitative thematic analysis. Results: High-performers indicated proactive responses to safety issues and expressed understanding of systems-based errors, while low-performers were more reactive and often focused on individual education to address issues. Both groups experienced communication challenges, although they employed different methods of speaking up. Conclusion: Some HRO principles were present in the language used by our participants. Highperformers exhibited greater manifestations of HRO, although HRO alone was insufficient to describe our results. Mindful organizing, which expands on HRO, was a better fit. Keywords communication; high reliability organizations; mindful organizing; patient safety; teamwork Regulatory and government agencies are encouraging hospitals to adopt high reliability principles-though there is little guidance about what doing so looks like in the context of a The authors declare no conflicts of interest

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mentioning

confidence: 99%

Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles

Mossburg¹,

Weaver²,

Pillari

et al. 2019

Journal of Nursing Care Quality

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“…43 Many other studies have also identified the need for high quality education to improve AEFI reporting among HCPs. 43,44 The current study has shown a significant improvement in the knowledge of AEFIs and their reporting in the study population and could help to initiate and strengthen the reporting culture among the HCPs practicing at both private and public health care facilities. There would be a need for ongoing motivational communication to HCPs for AEFI reporting to maintain this at an optimum level.…”

Section: Outcome Of Educational Intervention On Safe and Quality Use Of Vaccinesmentioning

confidence: 78%

Impact of educational intervention on the best immunization practices among practicing health care professionals in a south Indian city

Sebastian

Parthasarathi

Ravi

2021

Therapeutic Advances in Vaccines and Immunotherapy

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Background and Aims: Maintaining the quality and safety of immunization is as important as the efficacy of vaccines in vaccine-preventable diseases (VPD) programs. The aim of this study was to determine the problems associated with different stages of vaccine use and to assess the outcome of an educational intervention on safety and quality use of vaccines among health care providers. Methods: A pilot prospective interventional study was conducted over a period of 2 years at 271 sites in Mysuru, India. The study population was health care professionals (HCPs) involved in immunization and a sample of parents (one per site). A validated questionnaire was used as a study tool. An educational intervention on best immunization practice was conducted for the enrolled HCPs and the impact of the educational intervention was assessed using the study tool after 3 weeks. Results: The total number of the study population was 594 (323 HCPs and 271 parents). Of these, 41.49% were working at community health care facility and 33.13% were enrolled from primary care centers. There were statistically significant improvements in post interventional assessment of all stages of the immunization process including storage ( p −0.001), transportation ( p −0.001), administration ( p 0.001), monitoring and reporting of adverse events following immunization (AEFIs) ( p −0.001), knowledge of AEFIs ( p 0.001), and HCP-parent communication ( p 0.001). AEFI reporting improved by 30% in the post education phase. Conclusion: Continuous education and motivation can result in positive behavioral changes on best immunization practices amongst HCPs involved in immunization, which may help to improve and maintain the safety and quality use of vaccines in immunization centers irrespective of the type of facility.

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“…Dimana dari total 2.877 rumah sakit yang ada di Indonesia termasuk rumah sakit negeri maupun swasta hanya 334 rumah sakit yang melaporkan insiden keselamatan pasien (Daud, 2020). Kegagalan serta terlambatnya pelaporan insiden keselamatan pasien memiliki beberapa dampak serius jika tidak dijalankan dengan baik, dampak yang dapat ditimbulkan antara lain: terancamnya keselamatan pasien, pemberian perawatan serta pengobatan yang tidak tepat, serta dapat menimbulkan resiko kerugian terhadap rumah sakit (McFarland & Doucette, 2018).…”

Section: Pendahuluanunclassified

Evaluasi Pelaporan Insiden Keselamatan Pasien Di Rumah Sakit Umum Daerah Karangasem

Adnyani

Nugraha²,

Rudiartha³

2022

jikep

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Pendahuluan: Rumah Sakit Umum Daerah Karangasem telah menerapkan pelaporan insiden keselamatan pasien pada setiap unit pelayanan, namun pelaksanaan pelaporan insiden keselamatan pasien tersebut masih banyak mengalami kendala sehingga diperlukan suatu evaluasi untuk mengetahui permasalahan yang terjadi. Tujuan: untuk mengevaluasi pelaporan insiden keselamatan pasien di RSUD Karangasem. Metode: Jenis penelitian yang digunakan adalah kualitatif dengan menggunakan pendekatan studi kasus, proses pengambilan data dengan teknik wawancara mendalam terhadap 18 partisipan . Tahapan analisis data terdiri dari persiapan analisis data, mencermati data, interpretasi data, verifikasi data serta representasi data. Hasil: RSUD Karangasem telah memiliki pedoman pelaporan insiden keselamatan pasien, namun ketaatan petugas dalam melakukan pelaporan insiden keselamatan pasien masih rendah. Alur pelaporan internal insiden keselamatan pasien sudah dilaksanakan sesuai pedoman, tetapi masih terdapat permasalahan yang ditemui. Faktor yang menjadi penghambat pelaporan insiden keselamatan pasien adalah kurangnya pengetahuan serta adanya pelaporan insiden secara lisan melalui telepon, dan faktor yang menjadi pendukung pelaporan insiden keselamatan pasien yaitu adanya motivasi, serta budaya tidak menyalahkan. Kesimpulan: RSUD Karangasem telah menerapkan pelaporan insiden keselamatan pasien, namun dalam penerapannya masih mengalami kendala, hal ini dikarenakan kurangnya ketaatan petugas dalam melakukan pelaporan insiden keselamatan pasien

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Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses

Cited by 10 publications

References 10 publications

Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles

Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles

Impact of educational intervention on the best immunization practices among practicing health care professionals in a south Indian city

Evaluasi Pelaporan Insiden Keselamatan Pasien Di Rumah Sakit Umum Daerah Karangasem

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