Article
Public, Environmental & Occupational Health
Mohadese Babaie, Manijeh Nourian, Foroozan Atashzadeh-Shoorideh, Houman Manoochehri, Malihe Nasiri
Summary: This study aimed to explain the concept of safety culture in neonatal intensive care units (NICUs) from the perspective of nurses and physicians. The dimensions of safety culture in NICUs include professional development, constructive interactions, organizational supportive climate, management commitment to neonatal safety, and planning and implementation of neonatal developmental care. Improving these dimensions can enhance neonatal safety, reduce harm to neonates, and save resources. Understanding the status of these dimensions in wards and hospitals can guide efforts in promoting neonate health and policy-making.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Nursing
Matilde Skodstrup Axelsen, Mette Baumgarten, Cecilie Lindstrom Egholm, Janet Froulund Jensen, Thora Grothe Thomsen, Gitte Bunkenborg
Summary: This qualitative study explored hospital managers' perceptions of the Rapid Response Team. The findings revealed that the team has a significant impact on organizational cohesion, patient safety, and nursing quality. However, managers lacked engagement in the team and lacked factual insight into its deliverances. The study emphasizes the need for managerial involvement to fully utilize the team's potential.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Medicine, General & Internal
Raja M. Chinthamuneedi, Sandeep Phaltane, Meher P. Chinthamuneedi, Srinivas Kondalsamy-Chennakesavan, Benjamin K. Cheung
Summary: This study evaluated the effectiveness of modifications to rapid response team (RRT) activation criteria in preventing RRT activation and the impact on adverse events caused by treatment delays. The results showed that modifications to criteria did not affect the rate of RRT activation but had detrimental effects on patient safety, particularly in medical patients.
INTERNAL MEDICINE JOURNAL
(2023)
Article
Medicine, General & Internal
Richard S. Bourne, Mark Jeffries, Denham L. Phipps, Jennifer K. Jennings, Emma Boxall, Franki Wilson, Helen March, Darren M. Ashcroft
Summary: This qualitative study examined the sociotechnical factors affecting medication safety during the transfer of intensive care patients to hospital wards. Interviews with healthcare professionals identified 13 factors within five themes that strongly influenced the performance of the interface system. Based on these findings, recommendations were made to improve electronic prescribing systems, patient flow systems, staff knowledge and skills, team performance, communication and collaboration, and patient and family engagement.
Article
Nursing
Mette Kure Nikolaisen, Stina Fridh, Brita Fosser Olsen
Summary: This study aimed to explore how general ward nurses experience patient safety during patient transfers from ICUs to general wards. The findings showed that in order to promote patient safety, it is important to be well prepared for transfer and to have optimal handover of information. Stress, lack of resources, and a feeling of two different worlds may pose threats to patient safety.
Article
Health Care Sciences & Services
Marcy G. Antonio, Selena Davis, Mindy Smith, Paul Burgener, Morgan Price, Danielle C. Lavallee, Sarah Fletcher, Francis Lau
Summary: Through this study, we have conceptualized five team-based patient-centered measurement methods. These methods can provide greater clarity of care-team roles and responsibilities, guide the incorporation of patient-centered measurement into ongoing provider-patient interactions, evaluate a team's readiness toward digital tool adoption, and engage teams in patient-centered quality improvement. These methods also promote patient-provider interactions, validate patient perspectives of their care, and evaluate the quality of patient-centered care.
Article
Health Care Sciences & Services
Mohamed Ayoub Tlili, Wiem Aouicha, Jihene Sahli, Asma Ben Cheikh, Ali Mtiraoui, Thouraya Ajmi, Chekib Zedini, Souad Chelbi, Mohamed Ben Rejeb, Manel Mallouli
Summary: This study assessed patient safety culture in 15 Tunisian ICUs, revealing a need for improvement in areas such as teamwork within units, frequency of event reporting, communication openness, and non-punitive response to error. Interviews identified themes of hospital management/system failure, teamwork and communication, error management, and working conditions. Improving PSC through quality management and error reporting systems may enhance patient safety outcomes.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Nursing
Karin Berggren, Mirjam Ekstedt, Eva Joelsson-Alm, Lena Swedberg, Peter Sackey, Anna Schandl
Summary: This study aimed to explore the experiences of healthcare workers in intensive care units during the COVID-19 pandemic, particularly regarding preconditions and patient safety risks. The findings indicate that the extremely high workload, imperative adaptations, and reorganization of care during the pandemic resulted in increased patient safety risks. Healthcare workers' adaptability and responsibility played a crucial role in maintaining patient safety.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Cardiac & Cardiovascular Systems
Qiuxia Zhang, Khuan Lee, Zawiah Mansor, Iskasymar Ismail, Yi Guo, Qiao Xiao, Poh Ying Lim
Summary: This study conducted a systematic review to understand the effect of rapid response teams (RRT) on patient outcomes. The results showed that, despite variation in context and intervention type, most studies demonstrated that RRT positively impacts patient outcomes.
Article
Critical Care Medicine
Deena K. Costa, Nathan C. Wright, Osama Hashem, Antonio M. Posa, Julie Juno, Sarah Brown, Ross Blank, Jakob I. McSparron
Summary: During the COVID-19 pandemic, new ICUs were established, and clinicians were assigned or volunteered to work in these units. The dynamics of the newly formed ICU teams were influenced by interpersonal and structural factors, which had both positive and negative impacts. Improving team dynamics in ICUs requires attention to both individual interactions and unit-level factors.
AUSTRALIAN CRITICAL CARE
(2023)
Review
Oncology
Francesco Cuccia, Filippo Alongi, Claus Belka, Luca Boldrini, Juliane Horner-Rieber, Helen McNair, Michele Rigo, Maartje Schoenmakers, Maximilian Niyazi, Judith Slagter, Claudio Votta, Stefanie Corradini
Summary: Hybrid magnetic resonance-guided linear accelerators have the potential to improve the accuracy of target and organs-at-risk identification in radiation oncology, offering tailored treatment plans for patients. However, practical issues such as positioning and longer treatment times need to be addressed further due to the relative novelty of this technology.
RADIATION ONCOLOGY
(2021)
Article
Multidisciplinary Sciences
Ahmed N. Balshi, Mohammed A. Al-Odat, Abdulrahman M. Alharthy, Rayan A. Alshaya, Hanan M. Alenzi, Alhadzia S. Dambung, Huda Mhawish, Saad M. Altamimi, Waleed Th. Aletreby
Summary: Automated activation of the RRT significantly reduced CPR events and rates, improved CPR success rate, reduced hospital length of stay and mortality, but increased the number of RRT activations. There were no differences in unplanned ICU admission or readmission.
Article
Surgery
Egide Abahuje, Carmen M. Diaz, Katherine A. Lin, Kaithlyn Tesorero, Omar Bushara, Sohae Yang, Andrew B. L. Berry, Miriam R. Rafferty, Julie K. Johnson, Anne M. Stey
Summary: This study explored the relationship between team characteristics and leadership and information sharing. It found that team leaders used different leadership techniques to involve team members in discussions related to patient care, predefined tasks for team members allowed them to prepare for effective information sharing during rounds, and a psychologically safe environment allowed team members to participate in discussions related to patient care.
Article
Nursing
Foroozan Atashzadeh-Shoorideh, Azam Shirinabadi Farahani, Amir Hosein Pishgooie, Mohadese Babaie, Nazanin Hadi, Maryam Beheshti, Ensieh Fathollah Zadeh, Victoria Skerrett
Summary: This study assessed patient safety principles in ICUs and found no significant difference in adherence between two university-affiliated hospitals, but significant differences in certain dimensions, highlighting the importance of attention to these areas.
Article
Nursing
Gitte Bunkenborg, Malene Barfod O'Connell, Hanne Irene Jensen, Tracey Bucknall
Summary: This study aims to explore Rapid Response Team nurses' perceptions of their role and the collaborative and organisational aspects of the rapid response team. The study found that being a Rapid Response Team nurse is a complex task, with nurses finding professional satisfaction in helping deteriorating patients. However, inadequate resources for training general ward staff and managing patient acuity are sources of added stress for nurses.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Emergency Medicine
Natalie Root, Ann E. Horigan, Mary E. Lough
Summary: This study described an initiative implemented in an emergency department of a hospital to decrease the number of indwelling urinary catheters and increase the use of external female urinary catheters. The results showed that external catheters were used in place of indwelling catheters in female patients, with no observed skin irritation or breakdown. This project demonstrated the initial staff acceptability and feasibility of external female urinary catheter use in the ED setting.
JOURNAL OF EMERGENCY NURSING
(2021)
Article
Health Care Sciences & Services
Katherine M. Steffen, Laura M. Holdsworth, Mackenzie A. Ford, Grace M. Lee, Steven M. Asch, Enola K. Proctor
Summary: This study used the iPARIHS framework to evaluate practice improvement in PICUs and found that the PICU environment significantly shaped the implementation process. The proposed process model for implementation may be useful to guide efforts to integrate changes. iPARIHS framework was useful in exploring implementation, but further elaboration of subconstructs for facilitation is needed.
IMPLEMENTATION SCIENCE
(2021)
Review
Health Care Sciences & Services
Meredith Fischer, Nadia Safaeinili, Marie C. Haverfield, Cati G. Brown-Johnson, Dani Zionts, Donna M. Zulman
Summary: Human-centered design (HCD) and evidence-grounded health services research (HSR) methods have their strengths and limitations in healthcare intervention design, and integrating the two approaches may strengthen the innovation process and outcomes.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Editorial Material
Multidisciplinary Sciences
Christopher V. Cosgriff, Marie Charpignon, Dana Moukheiber, Mary E. Lough, Judy Gichoya, David J. Stone, Leo Anthony Celi
Article
Medicine, General & Internal
An-Kwok Ian Wong, Marie Charpignon, Han Kim, Christopher Josef, Anne A. H. de Hond, Jhalique Jane Fojas, Azade Tabaie, Xiaoli Liu, Eduardo Mireles-Cabodevila, Leandro Carvalho, Rishikesan Kamaleswaran, R. W. M. A. Madushani, Lasith Adhikari, Andre L. Holder, Ewout W. Steyerberg, Timothy G. Buchman, Mary E. Lough, Leo Anthony Celi
Summary: This study examined racial and ethnic differences in oxygen saturation levels between Spo(2) and Sao(2) measurements, and found that patients with hidden hypoxemia had higher organ dysfunction scores and higher in-hospital mortality rates after arterial blood gas testing.
Editorial Material
Nursing
Mary E. Lough
CLINICAL NURSE SPECIALIST
(2022)
Article
Health Care Sciences & Services
Stacie Vilendrer, Mary E. Lough, Donn W. Garvert, Monique H. Lambert, Jonathan Hsijing Lu, Birju Patel, Nigam H. Shah, Michelle Y. Williams, Samantha M. R. Kling
Summary: This study evaluated changes in nursing workflow following the deployment of inpatient telehealth in a COVID-19 unit. The results showed that total nursing time at the bedside remained unchanged, but the frequency of nurse-patient in-person encounters decreased and the duration of encounters increased in the COVID-19 unit. This suggests that telehealth was a complement to in-person care rather than a replacement.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Urology & Nephrology
Manjula Kurella Tamura, Laura Holdsworth, Margaret Stedman, Annette Aldous, Steven M. Asch, Jialin Han, Glenda Harbert, Karl A. Lorenz, Elizabeth Malcolm, Amanda Nicklas, Alvin H. Moss, Dale E. Lupu
Summary: This study aims to investigate whether a learning collaborative can improve the delivery of palliative care best practices in hemodialysis centers. The results show that participation in the learning collaborative was associated with a significant increase in the probability of complete advance care planning documentation among seriously ill patients.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2022)
Article
Health Care Sciences & Services
Laura M. Holdsworth, Heather Z. Mui, Marcy Winget, Karl A. Lorenz
Summary: This study examines the impact of the COVID-19 pandemic on palliative care programs and how they adapted to the challenges. Six themes emerged, including the involvement in surge preparation, increased emphasis on advance care planning, advocating for visitors for dying patients, providing emotional support to clinicians, adopting virtual approaches to care, and gaps in chaplaincy support. The study highlights the importance of the fit between palliative care programs and practice setting in ensuring program resiliency during the pandemic.
PALLIATIVE MEDICINE
(2022)
Article
Hematology
Katherine M. Steffen, Philip C. Spinella, Laura M. Holdsworth, Mackenzie Ford, Grace M. Lee, Steven M. Asch, Enola K. Proctor, Allan Doctor
Summary: This study aimed to explore factors influencing transfusion decision-making in pediatric intensive care units (PICUs) and identify potential barriers and facilitators to implementing guidelines. The study found that clinical, physiologic, anatomic, and logistic factors influenced providers' transfusion decisions. Different healthcare professionals approached transfusion decisions differently, with the largest differences observed between nurses and subspecialists compared to other ICU providers. Therefore, a multi-professional approach that emphasizes the known risks and limited benefits of transfusion and highlights evidence supporting restrictive approaches is needed for guideline implementation.
Article
Medicine, General & Internal
Rebecca A. Aslakson, Elizabeth Rickerson, Bridget Fahy, Brittany Waterman, Rachel Siden, Kathryn Colborn, Shelby Smith, Mae Verano, Isaac Lira, Caroline Hollahan, Amn Siddiqi, Kemba Johnson, Shivani Chandrashekaran, Elizabeth Harris, Richard Nudotor, Joshua Baker, Shireen N. Heidari, George Poultsides, Alison M. Conca-Cheng, Allyson Cook Chapman, Anna Sophia Lessios, Laura M. Holdsworth, Jillian Gustin, Aslam Ejaz, Timothy Pawlik, Judi Miller, Arden M. Morris, James A. Tulsky, Karl Lorenz, Jennifer S. Temel, Thomas J. Smith, Fabian Johnston
Summary: This study aimed to evaluate whether surgeon-palliative care team comanagement improves patient-reported outcomes for those undergoing curative-intent surgery for upper gastrointestinal cancers. The results showed no significant difference in health-related quality of life, mental health, or overall mortality between the two groups.
Article
Gerontology
Samantha M. R. Kling, Anna Sophia Lessios, Laura M. Holdsworth, Maria Yefimova, Siqi Wu, Marina Martin, Meera Sheffrin, Marcy Winget
Summary: This evaluation aimed to assess caregiver experience and burden in a geriatric home-based primary care (HBPC) program using interviews and surveys. Seventeen caregivers participated in interviews, and change in burden was captured for 44 caregivers at 3 months, 27 caregivers at 6 months, and 22 caregivers at 12 months. The surveyed caregivers were highly satisfied, but the burden did not significantly change over the course of the 1-year intervention. More research is needed to tailor the care to reduce caregiver burden.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Article
Health Policy & Services
Heather Z. Mui, Cati G. Brown-Johnson, Erika A. Saliba-Gustafsson, Anna Sophia Lessios, Mae Verano, Rachel Siden, Laura M. Holdsworth
Summary: Tracking adaptations during implementation is important for assessing outcomes. The FRAME framework provides a structured approach to characterizing adaptations. Applying the FRAME across multiple health services projects, researchers developed an analytic approach to assess the impact of adaptations.
LEARNING HEALTH SYSTEMS
(2023)
Article
Primary Health Care
Stacie Vilendrer, Anna Lestoquoy, Maja Artandi, Linda Barman, Kendell Cannon, Donn W. Garvert, Douglas Halket, Laura M. Holdsworth, Sara Singer, Laura Vaughan, Marcy Winget
Summary: This study aims to quantify the impact of a specialized COVID-19 clinic and remote patient monitoring program on acute care utilization. The results indicate that enrolled patients were more likely to be hospitalized, suggesting that the clinic and monitoring program may contribute to increased appropriate acute care utilization. Stakeholders also recognized the clinic's role in facilitating the reopening of health services.
Article
Health Care Sciences & Services
Stacie Vilendrer, Alexis Amano, Cati G. Brown Johnson, Marissa Favet, Nadia Safaeinili, Jacqueline Villasenor, Jonathan G. Shaw, Attila J. Hertelendy, Steven M. Asch, Megan Mahoney
Summary: The study evaluated the adoption, acceptability, and appropriateness of a mobile app-based intervention designed to support first responders and essential workers during the COVID-19 pandemic, as well as to understand their needs. The app received good acceptance among essential workers, but mixed reviews from first responders, highlighting the need for personalized information and access to testing services. A holistic ecosystem of support may be essential for effectively addressing the challenges faced by these workers.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)