This journal article reviews seven studies that examined the leadership and team factors that support safe and effective maternity care. It provides a synthesis of the key attributes of safe leadership and teamwork, concluding that leaders with capability and experience on the front line have a greater impact than leaders that hold formal roles of seniority.
This systematic review aims to evaluate programmes for transition from paediatric to adult care for effectiveness and identify which components of the programmes make them successful. The authors found six studies which demonstrated statistically significant improvement after intervention in the transition process, all amongst patients with diabetes.
Evaluating and predicting patient safety in medical device use is critical for developing interventions to reduce such errors either by redesigning the devices or, if redesign is not an option, by training the users on the identified trouble spots in the devices.
The team developed two methods for evaluating and predicting patient safety in medical devices with integral information technology, then applied and tested them on several infusion pumps.
Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program
This paper describes the development, implementation, and progress of the MedSun program. Medical Product Surveillance Network (MedSun). The purpose of MedSun is to rapidly detect and understand previously unknown and serious problems, particularly close-call events.
Consistent, reliable high-quality care is what all patients want and health workers aim to provide. However, the reality for most patients, particularly those in acute hospitals, often falls far short of the ideal. In the context of acute care, the risks of fragmentation and breakdown in care co-ordination are high, especially for older patients.
This article reports on a systematic review of the use and effects of patient safety checklists in medicine and provides useful evidence in support of checklist interventions. It encompasses thirty four studies of safety checklists and suggests that checklists are effective tools for improvement patient safety. Specifically, the review found that checklists improve communication, reduce adverse events, improve adherence to procedures and reduce morbidity and mortality.
This paper, published in the journal Endocrine Practice, looks at the development of a multidisciplinary Diabetes Inpatient Safety Committee to effectively address the many barriers to achieving glycaemic control in the inpatient setting.
REFINE (REducing Falls in In-patieNt Elderly) using bed and bedside chair pressure sensors linked to radio-pagers in acute hospital care: a randomised controlled trial
This paper describes a randomized controlled trial of bed and bedside chair pressure sensors using radio-pagers (intervention group) compared to standard care (control group) in elderly patents admitted to acute, general medical wards in a large UK teaching hospital.