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    Tytuł:
    Self-reported medication administration errors in clinical practice of nurses: a descriptive correlation study
    Autorzy:
    Červený, Martin
    Hajduchová, Hana
    Brabcová, Iva
    Chloubová, Ivana
    Prokešová, Radka
    Malý, Josef
    Malá-Ládová, Kateřina
    Doseděl, Martin
    Tesař, Ondřej
    Vlček, Jiří
    Tóthová, Valérie
    Powiązania:
    https://bibliotekanauki.pl/articles/2203024.pdf
    Data publikacji:
    2023-05-19
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    nursing
    patient safety
    drug
    safety management
    errors
    medication administration
    Opis:
    Background Medication administration errors (MAE) are a worldwide issue affecting the safety of hospitalized patients. Through the early identification of potential causes, it is possible to increase the safety of medication administration (MA) in clinical nursing. The study aimed to identify potential risk factors affecting drug administration in inpatient wards in the Czech Republic. Material and Methods A descriptive correlation study through a non-standardized questionnaire was used. Data were collected from September 29 to October 15, 2021, from nurses in the Czech Republic. For statistical analysis, the authors used SPSS vers. 28 (IBM Corp., Armonk, NY, USA). Results The research sample consisted of 1205 nurses. The authors found that there was a statistically significant relationship between nurse education (p = 0.05), interruptions, preparation of medicines outside the patient rooms (p < 0.001), inadequate patient identification (p < 0.01), large numbers of patients assigned per nurse (p < 0.001), use of team nursing care and administration of generic substitution and an MAE. Conclusions The results of the study point to the weaknesses of medication administration in selected clinical departments in hospitals. The authors found that several factors, such as high patient ratio per nurse, lack of patient identification, and interruption during medication preparation of nurses, can increase the prevalence of MAE. Nurses who have completed MSc and PhD education have a lower incidence of MAE. More research is needed to identify other causes of medication administration errors. Improving the safety culture is the most critical challenge for today’s healthcare industry. Education for nurses can be an effective way to reduce MAEs by enhancing their knowledge and skills, mainly focusing on increasing adherence to safe medication preparation and administration and a better understanding of medication pharmacodynamics. Med Pr. 2023;74(2):85–92
    Źródło:
    Medycyna Pracy; 2023, 74, 2; 85-92
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Classification of the appropriate behaviors of Patients for Patient Safety against the Chinese cultural background, based on grounded theory
    Autorzy:
    Wang, Yaohui
    Liu, Quanlong
    He, Lina
    Li, Xinchun
    Powiązania:
    https://bibliotekanauki.pl/articles/2116601.pdf
    Data publikacji:
    2020-04-30
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    behavior
    classification
    grounded theory
    Patient for Patient Safety
    medical safety
    theoretical guidance
    Opis:
    ObjectivesThe purpose of this research is to explore the appropriate behaviors and characteristics of Patients for Patient Safety (PFPS) against the Chinese cultural background, especially the types and internal logical relationships of behaviors of PFPS.Material and MethodsIn this research, Glazer’s methodology principle of the traditional grounded theory was adopted, and the methods of objective sampling, theoretical sampling and snowball sampling were employed. Considering the diversity of the interviewed subjects’ gender, age, professional title, qualification and demographic characteristics, representatives of hospital management staff, doctors, nurses, patients and their family members from different provinces and cities across the country were selected for semi-structured in-depth interviews to assess the behaviors of PFPS against the Chinese cultural background. In addition, some PFPS reports were collected from network media to supplement the interview data. All interviews were recorded and collated into Word text documents. Qualitative research data analysis software Nvivo 12 was used to sort out the collected data, and the theme was separated out through the strategy of substantive coding and theoretical coding.ResultsIn this research, the appropriate behaviors of PFPS were taken as the research content; 6 categories of appropriate behaviors of PFPS were separated out; and a model diagram of PFPS was constructed accordingly.ConclusionsA model diagram of the appropriate behaviors of PFPS against the Chinese cultural background was constructed to provide theoretical guidance for relevant research and practice.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2020, 33, 3; 263-272
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Bacteria contamination of touch surfaces in Polish hospital wards
    Autorzy:
    Różańska, Anna
    Romaniszyn, Dorota
    Chmielarczyk, Agnieszka
    Bulanda, Małgorzata
    Powiązania:
    https://bibliotekanauki.pl/articles/2164081.pdf
    Data publikacji:
    2017-06-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    patient safety
    hand hygiene
    occupational exposure to biological agents
    safety and health at work
    touch surfaces
    hospital hygiene
    Opis:
    Background The objective of the study has been to evaluate the pathogenic bacteria contamination of touch surfaces in hospital wards. Material and Methods Samples were taken from frequently touched surfaces in the hospital environment in 13 units of various types. Culturing was carried out on solid blood agar and in growth broth (tryptic soy broth – TSB). Species identification was performed using the analytical profile index (API) biochemical testing and confirmed with matrix assisted laser desorption ionization time-flight mass spectrometry (MALDI-TOF-MS) system. Results The total of 161 samples were taken for the study. Fifty-two of them, after 24 h of culture on a solid medium, demonstrated bacterial growth and further 60 samples had growth after prior multiplication in TSB. Overall, 69.6% of samples exhibited growth of 19 bacterial species. Pathogenic species – representing indicator organisms of efficiency of hospital cleaning – was demonstrated by 21.4% of samples. Among them Acinetobacter spp., Enterocococci spp. and Staphylococcus aureus were identified. Coagulase-negative staphylococci (CNS) were predominant. The proportion of various groups of bacteria significantly varied in respective hospitals, and in various types of wards. Disturbing observation is a large proportion of resistance of isolated CNS strains as a potential reservoir of resistance genes. Conclusions The results show that touch surfaces in hospital units are contaminated by both potentially pathogenic and pathogenic bacterial species. In connection with the reported, also in Poland, frequent omission or incorrect execution of hand hygiene by hospital staff, and probably patients, touch surfaces still constitute important reservoir of pathogenic bacteria. Improving hand hygiene compliance of health-care workers with recommendations is necessary for increasing biological safety of hospital environment. Med Pr 2017;68(3):459–467
    Źródło:
    Medycyna Pracy; 2017, 68, 4; 459-467
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Bundle care – prewencja zapaleń płuc u wentylowanych pacjentów w pandemii COVID-19 – wyzwanie dla bezpieczeństwa pacjentów i personelu
    Bundle care – prevention of pneumonia in patients mechanically ventilated in COVID-19 pandemia – a challenge for patients and personnel safety
    Autorzy:
    Różańska, Anna
    Brudło, Michał
    Jachowicz, Estera
    Wójkowska-Mach, Jadwiga
    Powiązania:
    https://bibliotekanauki.pl/articles/2108208.pdf
    Data publikacji:
    2021-12-22
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    mechaniczna wentylacja
    środki ochrony osobistej
    COVID-19
    bezpieczeństwo personelu
    bezpieczeństwo pacjentów
    zapalenia płuc
    mechanical ventilation
    personal protective equipment
    personnel safety
    patient safety
    pneumonia
    Opis:
    Oddziały intensywnej terapii charakteryzują się najwyższym ryzykiem wystąpienia zakażeń u pacjentów. Zapalenia płuc to jedna z ich najczęściej występujących form, obarczona wysokim ryzykiem zgonu. Dla poprawy bezpieczeństwa pacjentów wdrażane są specyficzne pakiety procedur, tzw. bundle care, obejmujące optymalne dla zapobiegania zapaleniom płuc rozwiązania. Jednak ich stosowanie wiąże się z ryzykiem przeniesienia drobnoustrojów z pacjentów na personel, co w przypadku takich patogenów jak SARS-CoV-2 może mieć poważne konsekwencje zdrowotne dla personelu. Przy ich wdrażaniu konieczne jest zatem użytkowanie środków ochrony inwazyjnej i przestrzegania odpowiednich zasad izolacji, które w dobie obecnej pandemii powinny być uzupełnione o specyficzne elementy. Praca prezentuje przegląd artykułów dotyczących optymalizacji opieki nad pacjentami i bezpieczeństwa personelu w ramach tzw. bundle care w pandemii COVID-19.
    Intensive care units are characterized by the high risk of infections in patients. Pneumonia is one of the most common forms of infection with a high risk of death. Hence, to improve patient safety, specific packages of procedures, the so-called “bundle care,” are recommended by experts in the field. The usage of selected protective procedures carries the risk of transmitting microbes from patients to staff, which in the case of pathogens such as SARS-CoV-2 can have serious health consequences for staff. Therefore, medical staff of intensive care units should strictly follow recommendation concerning healthcare workers safety and the rules of isolation, which in the current pandemic should be supplemented with specific elements. The paper presents an overview of the optimization of patient care and staff safety within the so-called “bundle care” in the COVID-19 pandemic.
    Źródło:
    Medycyna Pracy; 2021, 72, 6; 721-728
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Safe patient handling education: analysis from European higher education institutions
    Autorzy:
    Karppi, Marion
    Jerez-Roig, Javier
    Naamanka, Kati
    Mimoso, Teresa
    Sormunen, Erja
    Dudoniene, Vilma
    Mämmelä, Eija
    Lucena, Aldina
    Tamminen-Peter, Leena
    Powiązania:
    https://bibliotekanauki.pl/articles/2153011.pdf
    Data publikacji:
    2022
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    ergonomics
    occupational safety
    risk prevention
    framework
    assistive aids
    patient handling
    Opis:
    Objectives According to current research, patient handling is not universally taught in academic nursing programs in Europe. Miscellaneous patient handling education may expose students and novice health care workers to occupational hazards, especially if the evidence-based contents of safe patient handling are not recognized. Health care workers deal with high physical workloads daily, which points out the importance of evidence-based curricula contents from the early phases of education. The aim of this study was to describe the patient handling education and to analyse the differences in curricula among higher education institutions (HEIs) in Europe. Material and Methods The study used a cross-sectional design and was conducted in HEIs educating health care professionals in Europe. The data was collected through a Webropol questionnaire consisting of structured and open-ended questions. Results Only 68.4% of the respondents stated that they have a framework that guides the patient handling education. Additionally, some answers referred to guidelines that are not adequate to be referred to as evidence-based guidelines on patient handling. There is variation in emphasizing workplace safety and risk assessment issues in the curricula, and variation in teaching of assistive aids. Conclusions Currently the patient handling education in the studied HEIs does not meet the requirements of evidence-based practice. The establishment of a European-wide framework, including both theoretical and practical training for safe patient handling is needed. The inclusion of risk assessment and workplace safety issues is essential to improve the risk management knowledge and skills and further avoid work-related musculoskeletal disorders.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2022, 35, 5; 615-623
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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