BACKGROUND: Surgical-related incidents are a common cause of in-hospital adverse events. Surgical patient safety would benefit from evidence-based practices, but a comprehensive collection of patient safety recommendations is still lacking. This study aimed to compile and assess the perioperative patient safety recommendations for adults. METHOD: A systematic review of clinical practice guidelines was conducted using Medline, Embase, Cochrane, Virtual Health Library Regional Portal, and Trip Database from 2012 to 2022. Eligibility criteria followed a PICAR strategy for patient safety recommendations in the perioperative care continuum. Guidelines were appraised for quality, particularly focusing on the 'rigour of development' domain of the AGREE-II tool for those containing strong recommendations. Descriptive analyses were conducted, emphasizing guideline quality, recommendation strength, and the supporting level of evidence. RESULTS: From the 267 guidelines, 4666 perioperative patient safety recommendations were extracted, of which 44.9% (2095) were strongly recommended. Of these, 322 had the highest level of evidence, but only 18 guidelines met high standards in the AGREE-II 'rigour of development' domain. A subset of 78 recommendations ranked the highest in the strength of recommendation, level of evidence, and rigour of development of their guidelines. A gap was found within pre-admission and post-discharge care recommendations. DISCUSSION: This review highlights the noteworthy variability in the methodological quality of the guidelines, and a discordance between strength of recommendation and evidence level of the available perioperative patient safety recommendations. These findings provide valuable information for advising policy decisions and promoting best practices to enhance global surgical safety. REGISTRATION: PROSPERO (CRD42022347449).
- MeSH
- bezpečnost pacientů * normy MeSH
- lidé MeSH
- perioperační péče * normy metody MeSH
- směrnice pro lékařskou praxi jako téma * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- systematický přehled MeSH
Urgentní příjmy jsou charakterem poskytované péče rizikovým prostředím. Chyby spojené s poskytováním zdravotní péče jsou z velké části preventabilní. Ke snížení bezpečnosti na urgentním příjmu přispívá nárazové přetížení, přerušování péče a multitasking, rušné prostředí, komplexita pacientů, časový tlak a nutnost stálého rozhodování a s tím spojená i zodpovědnost. Bezpečnost poskytované péče je jedním z klíčových prvků kvality. Je potřeba analyzovat data o nežádoucích událostech a bezpečnostních incidentech a na základě analýzy chyb provést preventivní opatření. Pozornost je potřeba věnovat i pracovním podmínkám personálu a eliminovat tak chyby ovlivněné únavou, vyčerpáním, ztrátou koncentrace nebo vyhořením.
Emergency department is by nature of the provided care a risky environment. Medical errors associated with providing care are in most cases preventable. Overcrowding, frequent disruption of care, multitasking, busy environment, complexity of cases, time pressure and continuous decision-making together with high responsibility are some of the reasons which decrease the safety at emergency departments. Safety of the provided care is one of key elements of quality. It is necessary to analyze the data on adverse events and safety incidents and take preventive measures based on this analysis. It is also importatnt to pay attention to working conditions of the personel and eliminate errors coming from fatigue, exhaustion, loss of concentration or burnout.
Ensuring the correct identification of the patient is key to matching the correct patients with the proper care (e.g. correct administration of medications and treatments), but it is also applied, for example, to monitoring the patient's movement in the hospital environment. This scoping review aims to find out what technologies based on unique patient identifiers are used to identify patients in healthcare facilities to increase patient safety and to identify future research trends. PRISMA-ScR guidelines were used, and the search focused on Web of Science and Scopus citation databases from 2000 to February 2024. Thirty-two papers dealing with patient identification methods from the point of view of person identification were found. The solutions found were built on the technologies (linear or 2D) of barcodes, RFID and NFC tags. None of the patient identification solutions found offer complete accuracy due to the human factor, and each solution targets a different problem context associated with a particular type of health facility. Future research can focus on the combination of multiple technologies, including biometric methods, to improve identification and tools to support decisions about the use of technology in a particular context and health facility (e.g. hospitals, medical nursing homes).
- MeSH
- bezpečnost pacientů MeSH
- identifikace na rádiové frekvenci - prostředky MeSH
- identifikační systémy pacientů * MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Úvod: Simulační výuka na mnoha místech světa již není pouze moderní trend, ale stala se pevnou součástí vzdělávání a výcviku zdravotnických týmů i studentů lékařských fakult. Její validita a přínos je nezpochybnitelná a tuto potřebu odráží i doporučení Evropské odborné společnosti pro gynekologii a porodnictví. Cíl: Naše práce měla za cíl zmapovat momentální technické, prostorové a personální zabezpečení v oblasti simulační medicíny ve velkých gynekologicko-porodnických pracovištích v ČR a zjistit, do jaké míry se jednotlivé výukové metody využívají v rámci pregraduálního i postgraduálního vzdělávání. Soubor a metodika: Sběr informací proběhl formou dotazníku ze sedmi klinických pracovišť a byl zaměřen na technické a prostorové podmínky, lidské zdroje a způsob využití simulačních metod v pregraduálním i postgraduálním výcviku vč. spektra nabízených kurzů. Výsledky a závěr: Naším zjištěním je velmi dobrá úroveň prostorového a technického vybavení na velkých gynekologicko-porodnických pracovištích v ČR a schopnost využívat většinu dostupných metod. Na druhou stranu mimo nácvik vaginálních extrakčních operací je nabízen malý počet jiných simulačních kurzů. Tyto i další výsledky dotazníkového šetření jsou dále využity k diskuzi o možnostech rozvoje simulačního tréninku v rámci gynekologie a porodnictví v ČR.
Introduction: Simulation medicine is no longer just a modern trend and has become a standard part of education and training of the medical staff and students in many countries around the world. Its validity and benefits have been acknowledged and its necessity is reflected in the recommendations of the European Board and College of Obstetrics and Gynaecology. Objectives: The aim of our work was to map the current state of simulation training at large obstetrics and gynaecology departments in the Czech Republic including the equipment available, teaching environment conditions and human resources and to find out to what extent individual teaching methods are being used in undergraduate and postgraduate education. Methods: We have collected the information using a questionnaire which focused on the equipment available to the departments, teaching environment conditions, human resources, and types of simulation methods being used in undergraduate and postgraduate training as well as the spectrum of courses being offered. Results and conclusion: Our finding is that large obstetrics and gynaecology departments in the Czech Republic are well equipped, have good teaching environments available to them, and are able to use most of the current simulation teaching methods. On the other hand, except for an operative vaginal birth course, only a small number of other simulation courses are currently being offered. Data from the survey are further used to discuss the possibilities of developing simulation training in this field in the Czech Republic.
AIM: To explore the influence of supervisory and mentoring relationships on the clinical learning experiences of Czech Nursing and health professional students in the context of patient safety events BACKGROUND: Clinical experience is integral to healthcare education, shaping skills, behaviours, values and professional identity. During clinical placements, students may encounter memorable patient safety events and experience varied reactions from mentors/supervisors/others. Some research has highlighted challenges faced by students on clinical placement. Few studies involve multiple professions, most emanating from Western Europe, the UK, the USA and Australia with little relating to central European countries such as the Czech Republic. DESIGN: Two stage interpretivist qualitative study based in social constructionism METHODS: Convenience sample across 13 undergraduate and 18 postgraduate health professions courses. Stage 1 (2022): using SLIPPS Learning Event Recording Tool translated into Czech. 20 students' (Midwifery=11, Nursing=1, Paramedic=1, Occupational therapy =7) submitted 21 patient safety learning event narratives. Stage 2 (2022): Focus group with 2 nursing and nine midwifery students. Phased thematic analysis involving multiple researchers. RESULTS: Three themes illustrate the circumstances and impact of placement mentoring/supervision experiences, conceptualised as: 'Clinical and Emotional Companionship', 'Clinical and Emotional Abandonment' and 'Sense of agency - Professional and personal growth'. 'Companionship' reflected the students' feelings of being welcomed, respected, heard, trusted and supported. Conversely 'abandonment' emerged from feelings of being unheard, vulnerable, humiliated, afraid, leaving students feeling abandoned, lonely and 'useless'. Notwithstanding these conditions, students showed the ability to identify patient safety issues with agency evident in reactions such as stepping-in to try to ameliorate a situation, rather than speaking-up. Professional and personal growth was also apparent in their narratives and a conceptual diagram illustrates the students' learning journeys in a patient safety context. CONCLUSION: The findings and new conceptualisations around abandonment and companionship emerging from this study expand the evidence base regarding the profound impact of clinical experience and mentorship/supervision on learning and students' emotional wellbeing. A sense of companionship appears to play a buffering role even in challenging circumstances of involvement in or witnessing compromised patients' safety. Allowing students a sense of belonging, to vent, grow, feel supported and safe to ask/learn - contributing to 'emotional safety for learning', promotes students' behaviour that may prevent/minimize hazards or ameliorate the aftermath. However, we must not simply blame mentors/supervisors, staff, or the students themselves- they are simply part of a much larger complex environment of professional education encompassing hidden curriculums, power dynamics and professional socialisation.
- MeSH
- bezpečnost pacientů * MeSH
- dospělí MeSH
- klinické kompetence MeSH
- kvalitativní výzkum * MeSH
- lidé MeSH
- mentoring MeSH
- školitelé psychologie MeSH
- studenti ošetřovatelství * psychologie MeSH
- studenti zdravotnických povolání psychologie MeSH
- studium ošetřovatelství bakalářské MeSH
- učení MeSH
- zjišťování skupinových postojů * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Bezpečnost operovaných pacientů je důležitou a velmi sledovanou oblastí jak ze strany provozovatelů zdravotnických zařízení, tak ze strany pacientů i široké veřejnosti. Jednou z hlavních priorit managementu operačních sálů je kvalita perioperační péče a bezpečnost pacienta i personálu při realizaci operačního výkonu
The safety of patients undergoing surgery is an important and highly monitored area, both by healthcareproviders, and by patients as well as general public. One of the main priorities of operating theatre management is the quality of perioperative care and the safety of patients and staff during surgery.
- MeSH
- bezpečnost pacientů MeSH
- řízení rizik * MeSH
- zdravotnická zařízení * MeSH
- Publikační typ
- přehledy MeSH
Background and Purpose: Nursing students have an essential role in patient safety. The purpose of this study was to evaluate the face validity, content validity, and psychometric properties of the Hospital Survey on Patient Safety Culture for Nursing Students (HSOPS-NS). Methods: The cross-sectional study was carried out between January and October 2021. The participants were undergraduate nursing students (N = 482) from 16 Czech nursing faculties. Results: Exploratory factor analysis revealed an 8-factor structure, which was verified by confirmatory factor analysis using the optimization process that results in adequate goodness-of-fit indices (root mean squared error approximation = .037; standardized root mean squared residuals = .056; comparative fit index = .935; Tucker-Lewis index = .926; incremental fit index = .936). The internal consistency of a new model was excellent (α = .914). Conclusion: The results indicate that the HSOPS-NS shows evidence of reliability and validity and is a valuable measure of safety culture as perceived by nursing students.
- MeSH
- bezpečnost pacientů * normy statistika a číselné údaje MeSH
- dospělí MeSH
- faktorová analýza statistická MeSH
- lidé MeSH
- mladý dospělý MeSH
- organizační kultura MeSH
- průřezové studie MeSH
- průzkumy a dotazníky normy MeSH
- psychometrie * normy MeSH
- reprodukovatelnost výsledků MeSH
- řízení bezpečnosti normy MeSH
- studenti ošetřovatelství * statistika a číselné údaje psychologie MeSH
- studium ošetřovatelství bakalářské * normy statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- validační studie MeSH
