Safety challenges of medical equipment in nurse anaesthetist training in Haiti

Santos, Ana Laura Rodrigues; Wauben, L.S.G.L.; Guilavogui, S.; Brezet, J.C.; Goossens, Richard; Rosseel, Peter

doi:10.1016/j.apergo.2015.06.011

Cited by 9 publications

(4 citation statements)

References 39 publications

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“…While maintaining the physical environment and equipment is a critical responsibility for healthcare institutions [41,42], teaching clinics have added challenges. Healthcare students might not recognize safety risks in the environment or understand how to use equipment properly, leading to potential harms to patients [43]. Novel strategies, such as safety huddles, might be incorporated into clinical training experiences to enhance the identification of potential threats to patient safety, including those arising from equipment and clinical setting factors [44].…”

Section: Discussionmentioning

confidence: 99%

Patient safety in chiropractic teaching programs: a mixed methods study

et al. 2020

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Background Patient safety research has lagged within academic settings, including chiropractic teaching institutions. To develop a robust patient safety culture, the Institute of Medicine emphasized the need for employee’s attitudes to be understanding and positive. To initiate the assessment of the current culture and future needs, this study evaluated patient safety attitudes among chiropractic teaching clinic stakeholders (supervising clinicians, student interns, and administrative staff) and compared their standardized survey scores to established medical survey databases. Methods We conducted a cross-sectional, mixed methods survey design with quantitative analytic priority. Chiropractic interns, clinical faculty, and clinic staff of 5 international chiropractic educational programs completed a modified version of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Culture for Medical Offices Survey with open-ended comment fields between 2014 and 2016. Composite means of positive responses were calculated and compared to patient safety, quality of care, and overall self-ratings benchmarks from Canadian providers and academic settings in the AHRQ database. Qualitative responses were thematically categorized for a convergent analysis of quantitative results for the chiropractic sample. Results Chiropractic survey response rate was 45.3% (n = 645). Quantitative survey results indicated moderate scores and ranges (57–85%) on all patient safety dimensions for the chiropractic samples. Academic medicine and chiropractic providers’ benchmarks scored higher positive responses than chiropractic teaching clinics on most quantitative dimensions, except for work pressure/pace. Teamwork, organizational learning, and patient tracking/follow-up were the most positively endorsed quantitative dimensions, with communication, staff training, office standardization, and leadership support considered areas for improvement in both settings. Qualitative responses for the chiropractic clinics identified a need for open communication; additional staff training and student involvement in creating safety cultures; standardization of office processes including information exchange, scheduling, and equipment maintenance; and leadership support that focused on decreasing work pressure/pace and setting safety priorities. Conclusion As the first report of patient safety attitudes from stakeholders in chiropractic teaching clinics, specific areas of improvement were identified. Chiropractic teaching programs might consider incorporating these and related patient safety concepts into their formal curricula. Mixed methods approach offers teaching clinics opportunities to assess stakeholders’ insights and enhance safe delivery of chiropractic care.

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Section: Discussionmentioning

confidence: 99%

Patient safety in chiropractic teaching programs: a mixed methods study

et al. 2020

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“…In a CAS, it is impossible for the HCPs to anticipate all of the consequences of adjustments of procedures and trade-offs [80,81]. Feedback systems are needed to acquire knowledge of how to adapt and its outcomes [82].…”

Section: Supporting Resilient Practicesmentioning

confidence: 99%

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis

Berg

Rørtveit

Walby

et al. 2022

BMC Health Serv Res

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Background The prevailing patient safety strategies in suicide prevention are suicide risk assessments and retrospective reviews, with emphasis on minimising risk and preventing adverse events. Resilient healthcare focuses on how everyday clinical practice succeeds and emphasises learning from practice, not from adverse events. Yet, little is known about resilient practices for suicidal inpatients. The aim of the study is to draw upon the perspectives of patients and healthcare professionals to inform the conceptual development of resilient practices in inpatient suicide prevention. Methods A narrative synthesis was conducted of findings across patients and healthcare professionals derived from a qualitative case study based on interviews with patients and healthcare professionals in addition to a systematic literature review. Results Three sub-themes categorise resilient practices for healthcare professionals and for patients hospitalised with suicidal behaviour: 1) interactions capturing non-verbal cues; 2) protection through dignity and watchfulness; and 3) personalised approaches to alleviate emotional pressure. The main theme, the establishment of relationships of trust in resilient practices for patients in suicidal crisis, is the foundation of their communication and caring. Conclusion Clinical practice for patients hospitalised with suicidal behaviour has characteristics of complex adaptive systems in terms of dynamic interactions, decision-making under uncertainty, tensions between goals solved through trade-offs, and adaptations to patient variability and interpersonal needs. To improve the safety of patients hospitalised with suicidal behaviour, variability in clinical practice should be embraced. Trial registration https://doi.org/10.1136/bmjopen-2016-012874

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“…Recommendations Use adequate materials and shapes knowing that breakable materials cannot be repaired and parts must be replaced knowing that grooves and porosity tend to be dirty knowing that portable devices are more exposed and may therefore be lost Design adequate components knowing that the dependency of specialized components and accessories limits the use of a device knowing that the need for special maintenance or repair tools inhibits use of device knowing that cables, as opposed to alternative energy sources, constrain movements of HCP This chapter was accepted as: Santos, A.L.R., Wauben L.S.G.L., Guilavogui S., Brezet, J.C., Goossens R., Rosseel P.M.J. (2015).…”

Section: 5% (N=5)mentioning

confidence: 99%

Systemic barriers and enablers in humanitarian technology transfer

Santos

Wauben

Goossens

et al. 2016

Journal of Humanitarian Logistics and Supply Chain Management

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Technological or manmade Complex b Sudden-onset Tropical storm/tornado Earthquake/Tsunami Landslide Volcano Industrial accident Road/Air-traffic accident Terrorist attack Conflict Epidemics Slow-onset Drought Famine Air and water pollution Political or refugee unrest Conflict Poverty a The World Risk Index rates countries according to the impact risk from an extreme natural phenomena (slow or fast onset). The index is based on each country's vulnerability, exposure, coping and adapting capacities (Institute for Environment and Human Securiy 2014). Other indication risk, specific of geophysical hazards are the delineations of disaster-prone areas, such as the Ring of Fire and the Alpide belt. This index emphasizes the "unnatural" social, economic and political causes behind the denominated "natural disasters" above the extreme natural phenomena. b The term "complex emergencies" is usually classified under Technological/man-made. It was purposely separated here to highlight that complex emergencies are caused by interrelated natural and technological/man-made emergencies. Potential role of design When applied to healthcare, effective design thinking can deliver products, services, processes and environments that are intuitive, simple to understand, simple to use, convenient, comfortable and consequently less likely to lead to accidental misuse, error and accidents (Clarkson et al., 2003, p. 9).

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Safety challenges of medical equipment in nurse anaesthetist training in Haiti

Cited by 9 publications

References 39 publications

Patient safety in chiropractic teaching programs: a mixed methods study

Patient safety in chiropractic teaching programs: a mixed methods study

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis

Systemic barriers and enablers in humanitarian technology transfer

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