A Comprehensive Review of Effective Patient Safety and Quality Improvement Programs in Healthcare Facilities
Main Article Content
Abstract
Ensuring patient safety and enhancing quality of care are paramount objectives in healthcare, pivotal for minimizing errors and optimizing care outcomes. This review synthesizes diverse strategies aimed at improving patient safety and quality across various healthcare sectors. Key initiatives highlighted include specialized training programs for ICU handovers, leadership practices in radiology, and enhancing interprofessional communication to bolster medication safety. The review underscores the positive impact of these strategies on fostering a culture of safety among hospital staff, drawing insights from nationwide safety protocols and simulation-based training in oncology. Furthermore, the review discusses advancements such as machine learning applications in pre-hospital care, standardized prescription protocols, and cultural safety initiatives tailored for Indigenous populations, all significantly improving healthcare outcomes. Additional critical areas encompass structured case management, frameworks for pandemic management, virtual interprofessional education initiatives, incident reporting enhancements in surgical settings, and interventions addressing verbal mistreatment in mental health settings. These efforts highlight the importance of interdisciplinary collaboration, evidence-based practices, and continuous improvement in optimizing patient outcomes and healthcare delivery.
In conclusion, the review emphasizes the effectiveness of diverse strategies and interventions in enhancing patient safety and quality improvement across healthcare settings. These main safety strategies include targeted training programs like the "Room of Improvement" simulation, which enhances error detection during ICU handovers. Standardized practices and effective communication across healthcare facilities ensure consistent quality care. Virtual interprofessional education improves teamwork and discharge processes. Early integration of quality improvement and patient safety education in health curricula equips students with essential skills. Zero-harm programs and simulation-based training also significantly enhance patient safety and readiness to manage complex situations.
Each approach plays a crucial role in mitigating risks and cultivating a robust safety culture, from targeted training and leadership practices to innovative technologies. Embracing proactive measures, interdisciplinary teamwork, and ongoing learning is essential for achieving safer and more effective healthcare delivery globally, underscoring the need for integrated strategies to enhance patient care amidst evolving challenges.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Bhati D, Deogade MS, Kanyal D. Improving Patient Outcomes Through Effective Hospital Administration: A Comprehensive Review. Cureus. 2023;15(10):e47731. Published 2023 Oct 26. doi:10.7759/cureus.47731
3. WHO: Patient Safety (2023) Accessed on: June 10, 2024. Patient safety (who.int)
4. NIH: Quality improvement methods (2024). Accessed on: June 10, 2024. Quality Improvement Methods (LEAN, PDSA, SIX SIGMA) - StatPearls - NCBI Bookshelf (nih.gov)
5. Jones B, Vaux E, Olsson-Brown A. How to get started in quality improvement. BMJ. 2019;364:k5408. Published 2019 Jan 17. doi:10.1136/bmj.k5437
6. Sharkiya SH. Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Serv Res. 2023;23(1):886. Published 2023 Aug 22. doi:10.1186/s12913-023-09869-8
7. Endalamaw, A., Khatri, R.B., Mengistu, T.S. et al. A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact. BMC Health Serv Res 24, 487 (2024). https://doi.org/10.1186/s12913-024-10828-0
8. Institute for Healthcare Improvement. Quality Improvement Essentials Toolkit. Accessed on: June 10, 2024. Quality Improvement Essentials Toolkit | Institute for Healthcare Improvement (ihi.org)
9. Hussein M, Pavlova M, Ghalwash M, Groot W. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Serv Res. 2021;21(1):1057. Published 2021 Oct 6. doi:10.1186/s12913-021-07097-6
10. NIH: Quality in healthcare. Accessed on: June 10, 2024. QUALITY IN HEALTHCARE - 2021 National Healthcare Quality and Disparities Report - NCBI Bookshelf (nih.gov)
11. The lancet Global Health Commission on high quality health systems. Accessed on: June 10, 2024. The Lancet Global Health Commission on High Quality Health Systems 1 year on: progress on a global imperative - The Lancet Global Health
12. Chen Z, Liang N, Zhang H, et al. Harnessing the power of clinical decision support systems: challenges and opportunities. Open Heart. 2023;10(2):e002432. Published 2023 Nov 28. doi:10.1136/openhrt-2023-002432
13. WHO: Strengthening the health system response to COVID-19. Accessed on: June 10, 2024. Strengthening the health system response to COVID-19 (who.int)
14. Shenoy A. Patient safety from the perspective of quality management frameworks: a review. Patient Saf Surg. 2021;15(1):12. Published 2021 Mar 22. doi:10.1186/s13037-021-00286-6
15. WHO: Quality Health services (2020). Accessed on June 10, 2024. Fact sheet: Quality health services (who.int)
16. CDC: Epidemic Intelligence service. Accessed on: June 10, 2024. Healthcare Settings | Epidemic Intelligence Service | CDC
17. CDC: Summary of patient safety Component Annual Survey Data 2016-2020. Accessed on: June 10, 2024. Summary of Patient Safety Component Annual Survey Data 2016-2020 (cdc.gov)
18. Graf C, Rüst CA, Koppenberg J, et al. Enhancing patient safety: detection of in-hospital hazards and effect of training on detection (by training in a low-fidelity simulation Room of Improvement based on hospital-specific CIRS cases). BMJ Open Qual. 2024;13(2)
. Published 2024 May 29. doi:10.1136/bmjoq-2023-002608.
19. Chau M. Enhancing safety culture in radiology: Key practices and recommendations for sustainable excellence. Radiography (Lond). Published online May 25, 2024. doi:10.1016/j.radi.2024.04.025.
20. Alhur A, Alhur AA, Al-Rowais D, et al. Enhancing Patient Safety Through Effective Interprofessional Communication: A Focus on Medication Error Prevention. Cureus. 2024;16(4)
. Published 2024 Apr 10. doi:10.7759/cureus.57991.
21. Finn M, Walsh A, Rafter N, et al. Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. BMJ Open Qual. 2024;13(2)
. Published 2024 May 7. doi:10.1136/bmjoq-2023-002506.
22. Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Health Serv Res. Published online May 8, 2024. doi:10.1111/1475-6773.14317.
23. Al Wachami N, Chahboune M, Youlyouz-Marfak I, Mesradi MR, Lemriss H, Hilali A. Improving the quality of care and patient safety in oncology, the contribution of simulation-based training: A scoping review. Int J Nurs Sci. 2024;11(2):187-196. Published 2024 Mar 7. doi:10.1016/j.ijnss.2024.03.005.
24. Farhat H, Makhlouf A, Gangaram P, et al. Predictive modelling of transport decisions and resources optimisation in pre-hospital setting using machine learning techniques. PLoS One. 2024;19(5)
. Published 2024 May 3. doi:10.1371/journal.pone.0301472.
25. Wegwarth O, Hoffmann TC, Goldacre B, Spies C, Giese HA. General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study. BMJ Qual Saf. Published online May 22, 2024. doi:10.1136/bmjqs-2023-016979.
26. Cormick A, Graham A, Stevenson T, Owen K, O'Donnell K, Kelly J. Co-designing a Health Journey Mapping resource for culturally safe health care with and for First Nations people. Aust J Prim Health. 2024;30
. doi:10.1071/PY23172.
27. Cormick A, Graham A, Stevenson T, Owen K, O'Donnell K, Kelly J. Co-designing a Health Journey Mapping resource for culturally safe health care with and for First Nations people. Aust J Prim Health. 2024;30:PY23172. doi:10.1071/PY23172
28. Smith LE, Escobar T, McCabe A, et al. Optimization of Patient Progression in a New Era: A Comprehensive Framework. Prof Case Manag. 2024;29(3):91-101. doi:10.1097/NCM.0000000000000700.
29. Smith LM, Jacob J, Prush N, et al. Virtual Interprofessional Education: Team Collaboration in Discharge Planning Simulation. Prof Case Manag. Published online March 1, 2024. doi:10.1097/NCM.0000000000000717.
30. Simard C, Poirier-Blanchette L, Rizzolo A, et al. Standardized direct oral anticoagulants prescription for treatment of acute venous thromboembolism in the emergency department: A quality improvement initiative. Thromb Res. 2024;236:68-73. doi:10.1016/j.thromres.2024.02.015.
31. Asadi M, Ahmadi F, Mohammadi E, Vaismoradi M. A grounded theory of the implementation of medical orders by clinical nurses. BMC Nurs. 2024;23(1):113. Published 2024 Feb 13. doi:10.1186/s12912-024-01775-6.
32. Recsky C, Rush KL, MacPhee M, et al. Clinical Informatics Team Members' Perspectives on Health Information Technology Safety After Experiential Learning and Safety Process Development: Qualitative Descriptive Study. JMIR Form Res. 2024;8. Published 2024 Feb 5. doi:10.2196/53302.
33. Gómez-Moreno C, Vélez-Vélez E, Garrigues Ramón M, Rojas Alfaro M, García-Carpintero Blas E. Patient safety in surgical settings: A study on the challenges and improvement strategies in adverse event reporting from a nursing perspective. J Clin Nurs. 2024;33(6):2324-2336. doi:10.1111/jocn.17047.
34. Steiner JL, Belisle N, Cahill JD, et al. Adopting a Novel Approach to Prevent and Address Patient Mistreatment of Staff in a Community Mental Health Center. Psychiatr Serv. 2024;75(5):492-495. doi:10.1176/appi.ps.20230234.
35. Hassan RE, Akbar I, Khan AU, et al. A Clinical Audit of Operation Notes Documentation and the Impact of Introducing an Improved Proforma: An Audit Cycle. Cureus. 2023;15(12). Published 2023 Dec 10. doi:10.7759/cureus.50281.
36. McElroy C, Skegg E, Mudgway M, et al. Psychological Safety and Hierarchy in Operating Room Debriefing: Reflexive Thematic Analysis. J Surg Res. 2024;295:567-573. doi:10.1016/j.jss.2023.11.054.
37. Ghezaywi Z, Alali H, Kazzaz Y, et al. Targeting zero medication administration errors in the pediatric intensive care unit: A Quality Improvement project [published correction appears in Intensive Crit Care Nurs. 2024 Apr 2;83:103687. doi: 10.1016/j.iccn.2024.103687]. Intensive Crit Care Nurs. 2024;81:103595. doi:10.1016/j.iccn.2023.103595.
38. Baptista R, Williams M, Price J. Improving the impact of pharmacy interventions in hospitals. BMJ Open Qual. 2023;12(4)
. doi:10.1136/bmjoq-2023-002276.
39. Sara SA, Schwarz A, Knopp MI, Warm EJ. Twelve tips for creating a longitudinal quality improvement and safety education for early health professions students. Med Teach. 2024;46(3):330-336. doi:10.1080/0142159X.2023.2274137.
40. Paraparambil Vellamgot A, Salameh K, AlBedaywi RR, et al. Kaiser Permanente early-onset sepsis calculator as a safe tool for reducing antibiotic use among chorioamnionitis-exposed term neonates: Qatar experience. BMJ Open Qual. 2023;12(4). doi:10.1136/bmjoq-2023-002459.
41. Obaid LM, Ali I, Al Baker A, et al. Sustaining a culture of safety and optimising patient outcomes while implementing zero harm programme: a 2-year project of the nursing services - SBAHC. BMJ Open Qual. 2023;12(4). doi:10.1136/bmjoq-2022-002063.