دورية أكاديمية
National Survey of Patient Safety Experiences in Hospital Medicine During the COVID-19 Pandemic.
| العنوان: | National Survey of Patient Safety Experiences in Hospital Medicine During the COVID-19 Pandemic. |
|---|---|
| المؤلفون: | Carter D, Rosen A, Applebaum JR, Southern WN, Crossman DJ, Shelton RC, Auerbach A, Schnipper JL, Adelman JS |
| المصدر: | Joint Commission journal on quality and patient safety [Jt Comm J Qual Patient Saf] 2024 Apr; Vol. 50 (4), pp. 260-268. Date of Electronic Publication: 2023 Oct 27. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101238023 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-131X (Electronic) Linking ISSN: 15537250 NLM ISO Abbreviation: Jt Comm J Qual Patient Saf Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : Amsterdam : Elsevier Original Publication: Oakbrook Terrace, IL : Joint Commission Resources, c2005- |
| مواضيع طبية MeSH: | COVID-19* , Hospital Medicine*, Humans ; Pandemics ; Patient Safety ; Personal Protective Equipment |
| مستخلص: | Background: During the COVID-19 pandemic, hospitals were caring for increasing numbers of patients with a novel and highly contagious respiratory illness, forcing adaptations in care delivery. The objective of this study was to understand the impact of these adaptations on patient safety in hospital medicine. Methods: The authors conducted a nationwide survey to understand patient safety challenges experienced by hospital medicine clinicians during the COVID-19 pandemic. The survey was distributed to members of the Society of Hospital Medicine via an e-mail listserv. It consisted of closed- and open-ended questions to elicit respondents' experience in five domains: error reporting and communication, staffing, equipment, personal protective equipment (PPE) and isolation practices, and infrastructure. Quantitative questions were reported as counts and percentages; qualitative responses were coded and analyzed for relevant themes. Results: Of 196 total responses, 167 respondents (85.2%) were attending physicians and 85 (43.8%) practiced at teaching hospitals. Safety concerns commonly identified included nursing shortages (71.0%), limiting patient interactions to conserve PPE (61.9%), and feeling that one was practicing in a more hazardous environment (61.4%). In free-text responses, clinicians described poor outcomes and patient decompensation due to provider and equipment shortages, as well as communication lapses and diagnostic errors resulting from decreased patient contact and the need to follow isolation protocols. Conclusion: Efforts made to accommodate shortages in staff and equipment, adapt to limited PPE, and enforce isolation policies had unintended consequences that affected patient safety and created a more hazardous environment characterized by less efficient care, respiratory decompensations, diagnostic errors, and poor communication with patients. (Copyright © 2023 The Joint Commission. Published by Elsevier Inc. All rights reserved.) |
| معلومات مُعتمدة: | T32 HS026121 United States HS AHRQ HHS |
| تواريخ الأحداث: | Date Created: 20231213 Date Completed: 20240329 Latest Revision: 20240506 |
| رمز التحديث: | 20240506 |
| DOI: | 10.1016/j.jcjq.2023.10.010 |
| PMID: | 38087723 |
| قاعدة البيانات: | MEDLINE |
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