Patient Safety and Quality Improvement Act of 2005

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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“…[ 4 ] Safety culture differed significantly not only between hospitals but also within the institutions. [ 5 ]…”

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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“…There is evidence that nurses, doctors, and managers are unwilling to challenge poor performance. Although British [9] and American [10] governments have published documents to protect "whistleblowers," these may provide inadequate protection [11]. A recent survey by the British Medical Association found that three quarters of 565 doctors surveyed had, at some stage in their career, harbored concerns about a colleague.…”

Section: Performance Monitoring By Local Peers Is Unrealisticmentioning

confidence: 99%

Quality assurance and credentialing in endoscopy: why drown us in paperwork and regulations?

Rembacken¹

2009

Endoscopy

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“…This legislation provides confidentiality to medical error reports that are voluntarily made to accredited patient safety organizations. Patient safety organizations analyze these reports and provide feedback on how to improve the delivery of healthcare [43]. This law should improve healthcare quality, because information provided by "near misses" can protect patients from future serious harm.…”

Section: How Patient Safety Is Being Improved In the United Statesmentioning

confidence: 99%

Improvements in the safety of patient care can help end the medical malpractice crisis in the United States

Dalton¹,

Samaropoulos

Dalton

2008

Health Policy

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Patient Safety and Quality Improvement Act of 2005

Abstract: The Act protects clinicians who report minor errors to PSOs and protects the information from disclosure, but providers must increasingly embrace a culture of interdisciplinary concern for patient safety if this protection is to have real impact on patient care.

Cited by 36 publications

References 19 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

Quality assurance and credentialing in endoscopy: why drown us in paperwork and regulations?

Improvements in the safety of patient care can help end the medical malpractice crisis in the United States

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