Medication incidents in primary care medicine: a prospective study in the Swiss Sentinel Surveillance Network (<i>Sentinella</i>)

Gnädinger, Markus; Conen, D; Herzig, Lilli; Puhan, Milo A.; Sauvy, Alfred; Zoller, Marco; Ceschi, Alessandro

doi:10.1136/bmjopen-2016-013658

Cited by 14 publications

(14 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since we report rates of patients who visited their PCP, we expect the proportion of colonoscopy/FOBT to be higher than among the general popula- Strengths of this study include the high adherence of PCPs in the Sentinella network, some of whom have participated in the network for over 30 years. The Network routinely collects nationwide and country representative patient data and has participated in several studies (Gnadinger et al 2017;Hurlimann et al 2015;Schmutz et al 2017), so Sentinella physicians are practiced in providing quality data. The data collection form was developed and tested with PCPs, and was based on a comprehensible algorithm that limited the amount of data PCPs needed to collect, and standardized data collection between PCPs.…”

Section: Discussionmentioning

confidence: 99%

Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland

Braun

Prati

Martin

et al. 2019

Int J Public Health

View full text Add to dashboard Cite

Objective: To determine the proportion of 50-75-year-old patients of primary care physicians (PCP) who were tested for colorectal cancer (CRC) by either colonoscopy within 10 years or fecal occult blood testing (FOBT) within 2 years. To describe the variation in care between PCPs and factors associated with these proportions. Methods: Cross-sectional study between April and December 2017. Participants: PCPs reporting for the Swiss Sentinel Surveillance Network. Each PCP collected demographic data and CRC testing status from 40 consecutive patients. Measurements: proportions of patients up-to-date with CRC screening and method used (colonoscopy/FOBT/Other); variation in the outcome measures between PCPs; association of physician-level factors with main outcomes. Results: 91/129 PCPs collected data from 3,451 patients; 45% had been tested for CRC within recommended intervals (41% colonoscopy, 4% FOBT). The proportions of patients tested and testing with colonoscopy vs. FOBT varied widely between PCPs. Language region was associated with PCPs' rate of FOBT prescription. Conclusion: Less than half of patients who visited PCPs in Switzerland were up-to-date with CRC screening recommendations. PCPs varied widely in their testing practices.

show abstract

Section: Discussionmentioning

confidence: 99%

Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland

Braun

Prati

Martin

et al. 2019

Int J Public Health

View full text Add to dashboard Cite

show abstract

“…Additionally, nurses' mental distress and psychological discomfort, that is, emotional exhaustion, STSS symptoms, low job satisfaction, and moral distress, seem to be associated with impersonal attitude towards patients, indifference, and anger manifestations [ 12 , 36 , 37 ], negatively influencing the quality of interaction with the consumers of health services and colleagues [ 23 , 27 , 38 ]. Yet, the effectiveness of the therapeutic relationship constitutes a fundamental element of the quality of care provision, as well as patient safety standards [ 39 – 41 ], while empathy is a core clinical skill towards this [ 42 ]. Empathy is a cognitive process, regarding clinicians' ability to understand the unique experiences of others, for example, patients and their families, and communicate their understanding with them [ 40 – 42 ].…”

Section: Introductionmentioning

confidence: 99%

Exploration of the Association between Nurses’ Moral Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety in Mental Health Services

Christodoulou-Fella

Middleton

Papathanassoglou

et al. 2017

BioMed Research International

View full text Add to dashboard Cite

Work-related moral distress (MD) and secondary traumatic stress syndrome (STSS) may be associated with compromised health status among health professionals, reduced productivity, and inadequate safety of care. We explored the association of MD with the severity of STSS symptoms, along with the mediating role of mental distress symptoms. Associations with emotional exhaustion and professional satisfaction were also assessed. This cross-sectional survey conducted in 206 mental health nurses (MHNs) was employed across public sector community and hospital settings in Cyprus. The analysis revealed that MD (measured by the modified Moral Distress Scale) was positively associated with both STSS (measured by the Secondary Traumatic Stress Scale) and mental distress symptoms (assessed by the General Health Questionnaire-28). The association of MD with STSS symptoms was partially mediated by mental distress symptoms. This association remained largely unchanged after adjusting for gender, age, education, rank, and intention to quit the job. Our findings provide preliminary evidence on the association between MD and STSS symptomatology in MHNs. Situations that may lead health professionals to be in moral distress seem to be mainly related to the work environment; thus interventions related to organizational empowerment of MHNs need to be developed.

show abstract

“…More specifically, EFA results indicated a factorial structure with 11 dimensions in the NP subscale. The reorganization of MAE and MSE gave rise to the dimensions CFAMA and FMAM, focusing on “communication failures” (CFAMA), in line with scientific evidence, which points out the communication problems between the medical and nursing staff as a factor causing the occurrence of AE, namely medication administration failures ( 20 - 22 ) .…”

Section: Discussionmentioning

confidence: 91%

Scale of adverse events associated to nursing practices: a psychometric study in Portuguese hospital context

Neves

Rodrigues

Graveto

et al. 2018

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective to contribute to the validation study of the Scale of Adverse Events associated with Nursing Practices in the hospital context.Method cross-sectional study, in public hospital units, in the central and northern regions of Portugal. The exploratory factor analysis of the Scale of Adverse Events associated to Nursing Practices was conducted with a sample of 165 nurses and the confirmatory factorial analysis was made with a sample of 685 nurses. Reliability, internal consistency and construct validity were estimated. The invariance of the model was evaluated in two subsamples to confirm the stability of the factorial solution.Results the global sample consisted of 850 nurses aged between 22 and 59, mostly licensed professionals. The model had a good overall fit in the subscales (Nursing Practices: χ2/df = 2.88, CFI = 0.90, GFI = 0.86, RMSEA = 0.05, MECVI = 3.30; Adverse Events: χ2/df = 4.62, CFI = 0.93, GFI = 0.95, RMSEA = 0.07, MECVI = 0.39). There was a stable factor structure, indicating strong invariance in the subscale Nursing Practices and structural invariance in the subscale Adverse Events.Conclusion the refined model of the Scale of Adverse Events associated with Nursing Practices revealed good fit and stability of the factorial solution. The instrument was adjusted to evaluate the perception of nurses about adverse events associated with health care, precisely nursing care, in the hospital setting.

show abstract

Medication incidents in primary care medicine: a prospective study in the Swiss Sentinel Surveillance Network (Sentinella)

Cited by 14 publications

References 27 publications

Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland

Variation in colorectal cancer testing between primary care physicians: a cross-sectional study in Switzerland

Exploration of the Association between Nurses’ Moral Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety in Mental Health Services

Scale of adverse events associated to nursing practices: a psychometric study in Portuguese hospital context

Contact Info

Product

Resources

About