Patient Safety in the NICU

Samra, Haifa Abou; McGrath, Jacqueline M.; Rollins, Whitney

doi:10.1097/jpn.0b013e31821693b2

Cited by 40 publications

(11 citation statements)

References 22 publications

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“…Moreover, the study by Reyna et al [ 20 ] on nurses in a nonteaching medicine indicated that nurses felt there is a lack of “communication openness and nonpunitive response to errors” which is similar to findings of current study that revealed that dental assistants had low score in “communication openness and nonpunitive response to errors” dimension.…”

Section: Discussionsupporting

confidence: 87%

Patient safety culture perceptions in the college of dentistry

Sweleh

Saedan

Dayel³

2018

Medicine

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A positive safety culture is essential to patient safety because it improves quality of care. The aim of this study was to assess staff and student perceptions of the patient safety culture in the clinics of the College of Dentistry at King Saud University in Saudi Arabia.A cross-sectional study was conducted in the College of Dentistry at King Saud University in Saudi Arabia. It included 4th and 5th year students, interns, general practitioners, and dental assistants. The data were collected by using paper-based questionnaire of modified version of the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture. Data were entered into SPSS Version 20. Score on a particular safety culture dimension was calculated.The overall response rate was 72.8% (390/536). Team work dimension had the highest average percent positive dimension score (72.3%) while staffing had the lowest score (10%). Dental assistant had high agreement in Teamwork dimension (87.8%); Supervisor/Manager Expectations and Actions Promoting Patient Safety dimension (66.9%); Organizational Learning—Continuous Improvement dimension (79.1%); Management Support for Patient Safety dimension (84.5%); Feedback and Communication About Error dimension (58.3%); Frequency of Events Reported dimension (54.0%); Teamwork Across Units dimension (73.2%). Most of areas perceived that there is no event reported (76.1-85.3%) in the past 12 months.Overall patient safety grade is more than moderate in the clinic. Teamwork within Units and Organizational Learning—Continuous Improvement dimension had the highest score while staffing had the lowest score. Dental assistants perceived positive score in most dimensions while students perceived slight negative score in most dimensions.

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Section: Discussionsupporting

confidence: 87%

Patient safety culture perceptions in the college of dentistry

Sweleh

Saedan

Dayel³

2018

Medicine

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“…[19] Finally, the study reveals that respondents strongly agreed on the criteria mentioned to evaluate the effectiveness of the courses and trainings listed in Table 2. As mentioned, medical errors impact 1 in 10 patients worldwide; [20] and consequently medication errors are due to wrong patient, wrong or delayed diagnosis and administration or method used for treatment and most common types of medication errors are those of dosing, prescribing, frequency and route of administration. Furthermore, it was also cited that wrong drug infusion rate via pumps, packaging/labelling of drugs, excess oxygen therapy, human factors, miscommunication and equipment/delivery devices failures, patient misidentification and false documentation were all identified as causes of medication errors.…”

Section: Nursing Training On Communicable and Emerging Infectiousmentioning

confidence: 99%

Assessing the impact of nursing training on patient safety in neonatal intensive care unit at maternity and children's hospital in the K.S.A.

Alreshidi

Garcia²,

Aseeri³

et al. 2020

JNEP

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Background and objective: Nursing training programs with thorough planning and implementation, staff knowledge, skills and attitude is enhanced thereby contributing to an improved performance, teamwork and commitment towards achieving organizational goals and objectives. This is a descriptive report of a previously conducted intervention at the hospital. This study seeks to understand the level of staff perception, on the effectiveness of the training/courses implemented or conducted and its impact on staff performance, morale and attitude.Methods: The sample of this study was collected by cluster sampling method which includes 88 NICU staff nurse in Maternity and Children's Hospital of 38 bed capacity. This is a descriptive report of a previously conducted intervention at the hospital. A 5-point likert scale was self-report evaluation tool to assess training effectiveness of the implemented courses and or training and mean score is computed and interpreted. Contents of the questionnaire from the federal authority for government human resources is subjected for content validation.Results: A total of 88 NICU staff nurses, ages ranged between 26-31, majority hold the bachelor degree 77 (87.5%), with an average clinical experience between 1-4 years. According to the 15 enlisted courses/trainings implemented in NICU, the highest rate of attendance is Neonatal Resuscitation Program 60 (68.2%) next is S.T.A.B.L.E. Program 74 (84.1%) and third N.I.D.C.A.P. 48 (54.5%). And base on the self-reported evaluation on the level of agreement of the 6 item question scored by 5-point likert scale the result has a mean score of 4 = agree. Majority of the respondents, 71 (80.9%) had the chance to make use of the skills learnt while 17 (19%) had no chance due to feeling busy most of the time 8 (10%).Conclusions and implication: It is concluded that to ensure patient safety, proper education and correct implementation of training and evaluation results into a positive outcome. A positive outcome on job performance, staff morale and teamwork toward the achievement of organizational goals and objectives.

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“…In the neonatal intensive care unit (NICU), the neonates are considered one of the most susceptible group, to medication errors that can lead to overwhelming, life-threatening significance [1].…”

Section: Introductionmentioning

confidence: 99%

Plan-Do-Check-Act Framework: Effects on Pediatric Students Nurses Compliance toward Using Intravenous Smart Pump

Allam

AlSadhan²

2019

AJPR

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Background: Using Intravenous Smart Pump by pediatric nursing students has shaped the challenge of finding innovative ways to teach clinical skills. The study aimed to assess the effect of PDSA framework on pediatric nurses compliance in using smart pump technology for intravenous medication administration in the pediatric intensive care unit. Design: A Quasi-Experimental quantitative, pre/post-test design was used to conduct the study. A purposive sample of 90 pediatric nursing students chosen based on the simple random sample for the academic year 2016– 2017, participated in the study. Methods: Three tools were designed by the researchers to collect the necessary data to implement the Plan Do Study Act (PDSA) framework. Statistical Analysis: The collected data were coded, analyzed and tabulated using frequencies and percentage, mean, standard deviation & chi-square tests. Results: There was a statistically significant difference and marked improvement in nurses students’ total knowledge and skills levels of smart pump intravenous administration (Pre and Post Plan Do Study Act (PDSA) framework) pre/post periods of assessment. It was observed that the majority of studied sample had good scores (100%, 97.8%, 97.8% & 93.3%) respectively post-intervention compared to (73.3%, 64.5%, 52.2%, 36.7%, 16.7%, 13.3%) pre-program and respectively (p<0.01). Conclusion: Administration of intravenous therapy for neonates can be risky but when supported by the use of smart pump systems with proper programming, compliance nurses students and staff education by reporting, monitoring, it will be a valuable tool to avoid actually catastrophic damage related to medication and infusion errors. Recommendation: Collaboration between health professionals is the key of successful implementation of smart infusion pump technology which can improve patient safety.

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Patient Safety in the NICU

Cited by 40 publications

References 22 publications

Patient safety culture perceptions in the college of dentistry

Patient safety culture perceptions in the college of dentistry

Assessing the impact of nursing training on patient safety in neonatal intensive care unit at maternity and children's hospital in the K.S.A.

Plan-Do-Check-Act Framework: Effects on Pediatric Students Nurses Compliance toward Using Intravenous Smart Pump

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