Patient safety improvement in the gastroenterology department: An action research

BACKGROUND: Patient safety is a global concern. Safe and effective care can shorten hospital stays and prevent or minimize unintentional harm to patients. Therefore, it is necessary to continuously monitor and improve patient safety in all medical environments. This study is aimed at improving patie...

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Autores principales: Sadeghi, Amir, Masjedi Arani, Abbas, Karami Khaman, Hosna, Qadimi, Arezoo, Ghafouri, Raziyeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426960/
https://www.ncbi.nlm.nih.gov/pubmed/37582075
http://dx.doi.org/10.1371/journal.pone.0289511
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author Sadeghi, Amir
Masjedi Arani, Abbas
Karami Khaman, Hosna
Qadimi, Arezoo
Ghafouri, Raziyeh
author_facet Sadeghi, Amir
Masjedi Arani, Abbas
Karami Khaman, Hosna
Qadimi, Arezoo
Ghafouri, Raziyeh
author_sort Sadeghi, Amir
collection PubMed
description BACKGROUND: Patient safety is a global concern. Safe and effective care can shorten hospital stays and prevent or minimize unintentional harm to patients. Therefore, it is necessary to continuously monitor and improve patient safety in all medical environments. This study is aimed at improving patient safety in gastroenterology departments. METHODS: The study was carried out as action research. The participants were patients, nurses and doctors of the gastroenterology department of Ayatollah Taleghani Hospital in Tehran in 2021–2022. Data were collected using questionnaires (medication adherence tool, patient education effectiveness evaluation checklist, and medication evidence-based checklist), individual interviews and focus groups. The quantitative data analysis was done using SPSS (v.20) and qualitative data analysis was done through content analysis method using MAXQDA analytic pro 2022 software. RESULTS: The majority of errors were related to medication and the patient’s fault due to their lack of education and prevention strategy were active supervision, modification of clinical processes, improvement of patient education, and promotion of error reporting culture. The findings of the research showed that the presence of an active supervisor led to the identification and prevention of more errors (P<0.01). Regarding the improvement of clinical processes, elimination of reworks can increase satisfaction in nurses (P<0.01). In terms of patient education, the difference was not statistically significant (P>0.01); however, the mean medication adherence score was significantly different (P<0.01). CONCLUSION: The improvement strategies of patient safety in Gastroenterology department included the modification of ward monitoring processes, improving/modification clinical processes, improvement of patient education, and development of error reporting culture. Identifying inappropriate processes and adjusting them based on the opinion of the stakeholders, proper patient education regarding self-care, careful monitoring using appropriate checklists, and presence of a supervisor in the departments can be effective in reducing the incidence rate. A comprehensive error reporting program provides an opportunity for employees to report errors.
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spelling pubmed-104269602023-08-16 Patient safety improvement in the gastroenterology department: An action research Sadeghi, Amir Masjedi Arani, Abbas Karami Khaman, Hosna Qadimi, Arezoo Ghafouri, Raziyeh PLoS One Research Article BACKGROUND: Patient safety is a global concern. Safe and effective care can shorten hospital stays and prevent or minimize unintentional harm to patients. Therefore, it is necessary to continuously monitor and improve patient safety in all medical environments. This study is aimed at improving patient safety in gastroenterology departments. METHODS: The study was carried out as action research. The participants were patients, nurses and doctors of the gastroenterology department of Ayatollah Taleghani Hospital in Tehran in 2021–2022. Data were collected using questionnaires (medication adherence tool, patient education effectiveness evaluation checklist, and medication evidence-based checklist), individual interviews and focus groups. The quantitative data analysis was done using SPSS (v.20) and qualitative data analysis was done through content analysis method using MAXQDA analytic pro 2022 software. RESULTS: The majority of errors were related to medication and the patient’s fault due to their lack of education and prevention strategy were active supervision, modification of clinical processes, improvement of patient education, and promotion of error reporting culture. The findings of the research showed that the presence of an active supervisor led to the identification and prevention of more errors (P<0.01). Regarding the improvement of clinical processes, elimination of reworks can increase satisfaction in nurses (P<0.01). In terms of patient education, the difference was not statistically significant (P>0.01); however, the mean medication adherence score was significantly different (P<0.01). CONCLUSION: The improvement strategies of patient safety in Gastroenterology department included the modification of ward monitoring processes, improving/modification clinical processes, improvement of patient education, and development of error reporting culture. Identifying inappropriate processes and adjusting them based on the opinion of the stakeholders, proper patient education regarding self-care, careful monitoring using appropriate checklists, and presence of a supervisor in the departments can be effective in reducing the incidence rate. A comprehensive error reporting program provides an opportunity for employees to report errors. Public Library of Science 2023-08-15 /pmc/articles/PMC10426960/ /pubmed/37582075 http://dx.doi.org/10.1371/journal.pone.0289511 Text en © 2023 Sadeghi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sadeghi, Amir
Masjedi Arani, Abbas
Karami Khaman, Hosna
Qadimi, Arezoo
Ghafouri, Raziyeh
Patient safety improvement in the gastroenterology department: An action research
title Patient safety improvement in the gastroenterology department: An action research
title_full Patient safety improvement in the gastroenterology department: An action research
title_fullStr Patient safety improvement in the gastroenterology department: An action research
title_full_unstemmed Patient safety improvement in the gastroenterology department: An action research
title_short Patient safety improvement in the gastroenterology department: An action research
title_sort patient safety improvement in the gastroenterology department: an action research
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426960/
https://www.ncbi.nlm.nih.gov/pubmed/37582075
http://dx.doi.org/10.1371/journal.pone.0289511
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