Patient safety at a public hospital in southern India: A hospital administration perspective using a mixed methods approach

Wundavalli, LaxmiTej; Bulkapuram, SG; Bhaskar, N. Lakshmi; Satyanarayana, N.

doi:10.4103/0970-258x.243415

Cited by 4 publications

(2 citation statements)

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“…There is low awareness among health workers of patient safety incidents, and there is no robust mechanism for reporting such incidents [20]. The reduction of adverse events involving negligence will require an increased emphasis on education, improved dissemination and enforcement of practice guidelines that might be effective [13].…”

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confidence: 99%

Medical negligence in cases decided by the National Consumer Disputes Redressal Commission: A five-year retrospective review.

Sukumar¹

2023

IJME

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Background: There has been a gradual increase in disputes between doctors and patients in the healthcare system over the years. The aim of this review was to determine the speciality-wise prevalence of medical negligence in cases decided by the National Consumer Disputes Redressal Commission (NCDRC) and the factors responsible for it. Methods: A total of 253 cases of medical negligence decided by the NCDRC from 2015 to 2019 were reviewed and categorised with respect to the number of cases compensated, the speciality involved, the compensation payout for the specialities involved, and the nature of the error leading to negligence. Results: Among the cases analysed, negligence was identified in 135(53%) cases. Of these, the incidence of negligence was highest in surgery [37(27%)], followed by obstetrics and gynaecology (OBG) [29(21%)]. The highest compensation payouts were Rs 1.38 crore and Rs 1.1 crore in the paediatrics and OBG specialties, respectively. The common errors were lack of skill/care in the treatment of the patient [62(36%)] and failure to maintain accurate medical records [38 (22%)]. Conclusion: The study of adverse events in healthcare practice can improve the quality of patient care, and steps can be taken to reduce such events. Many adverse events are preventable by improving the skill/care in the treatment and meticulous record keeping.

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confidence: 99%

Medical negligence in cases decided by the National Consumer Disputes Redressal Commission: A five-year retrospective review.

Sukumar¹

2023

IJME

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“…In India, patients' physical safety also constituted designing, planning and maintenance of hospital infrastructure (Madhok et al, 2014). Wundavalli et al, (2018) documented forty patients' safety incidents that included adverse and sentinel events. Medication administration errors were the commonest (30%) and falls the least (7.5%) documented.…”

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confidence: 99%

Knowledge and Practice of Healthcare Workers Regarding Patients’ Physical Safety at Mbarara Regional Referral Hospital.

Nakayenga

Namagga²

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Background: Patients’ physical safety is one of the most crucial elements considered during the provision of patient-centered healthcare. It entails the prevention of physical harm to a patient. The overall purpose of this study was to describe the knowledge and practice of healthcare workers regarding patients’ physical safety. The aims of the study were to determine the knowledge of health workers regarding patients' physical safety and describe the practice of health workers regarding patients’ physical safety at Mbarara Regional Referral Hospital. Methodology: The target sample for the study was 70 respondents and these were selected using convenience sampling because of the ease in assembling the sample. Frequencies and percentages were conducted to analyze quantitative data using SPSS version 25. Results: The study showed most healthcare workers had knowledge about patient’s physical safety, most got this knowledge from their colleagues on the ward and they always considered the mental health status while assessing the risk of falls daily. Conclusion and recommendations: The study concluded that in stressful and often hazardous work environments, the health and safety of patients are the first priority. The study, therefore, recommends that the health care sector must make a fundamental shift to equate worker safety with patient safety. It must also make this shift a strategic priority if it is to deliver exemplary patient care and ensure the health and safety of patients. Failure to do so puts the sector at risk and makes it vulnerable to crises.

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Analysis of Adverse Event Notifications Within the Scope of Patient and Employee Safety: An Example of a Public Hospital

Özdemir,

Malatyalı

2024

OPUS Toplum Araştırmaları Dergisi

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This study aimed to analyze the adverse events reported in a public hospital within the scope of patient and employee safety, to develop studies aimed at learning from errors and to increase the awareness of healthcare professionals and to increase the quality of healthcare service provision. The research was designed as a descriptive, cross-sectional, and retrospective quantitative research design. Data were obtained from the Hospital Information Management System and written records with the data collection form created by the researcher. Data were obtained from the adverse events reported between 01.01.2022 and 30.12.2023. According to the findings of the research; A total of 3447 patient safety adverse event reports were made in 2022, and it was determined that 19 of them were falls, 8 were medication safety, 5 were transfusion safety, and 3415 were laboratory safety. A total of 4788 patient safety adverse event reports were made in 2023, and it was determined that 37 of them were falls, 20 were medication safety, 2 were transfusion safety, and 4729 were laboratory safety. In 2022, a total of 111 employee safety undesirable incidents were reported, of which 59 were sharp-edged injuries, 9 were blood and body fluid splashes, and 45 were legal incidents. In 2023, a total of 120 employee safety undesirable incidents were reported, of which 63 were sharp-edged injuries, 6 were blood and body fluid splashes, and 51 were legal incidents. When the 2022-2023 undesirable incident reports are compared, it is seen that the number of reports has increased over the years, which indicates that a reporting culture has been formed in the institution. As a result of the research; It was determined that the most reported undesirable incidents were laboratory safety and sharp-edged injuries.

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Patient safety at a public hospital in southern India: A hospital administration perspective using a mixed methods approach

Cited by 4 publications

References 1 publication

Medical negligence in cases decided by the National Consumer Disputes Redressal Commission: A five-year retrospective review.

Medical negligence in cases decided by the National Consumer Disputes Redressal Commission: A five-year retrospective review.

Knowledge and Practice of Healthcare Workers Regarding Patients’ Physical Safety at Mbarara Regional Referral Hospital.

Analysis of Adverse Event Notifications Within the Scope of Patient and Employee Safety: An Example of a Public Hospital

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