Improving the governance of patient safety in emergency care: a systematic review of interventions

February 24, 2016

Source:  BMJ Open 6/1

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Date of publication:  January 2016

Publication type:  Systematic review

In a nutshell:  The objective of this study was to systematically review interventions that aim to improve the governance of patient safety within emergency care on effectiveness, reliability, validity and feasibility.

The conclusions were that the characteristics of the interventions included in this review (eg, anonymous incident reporting and validation of incident reports by an independent party) could provide useful input for the design of an effective tool to govern patient safety in emergency medical services organisations and emergency departments. However, executives cannot rely on a robust set of evidence-based and feasible tools to govern patient safety within their emergency care organisation and in the chain of emergency care. Established strategies from other high-risk sectors need to be evaluated in emergency care settings, using an experimental design with valid outcome measures to strengthen the evidence base.

Length of publication:  1 webpage

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Situation, background, assessment, and recommendation-guided huddles improve communication and teamwork in the emergency department

December 23, 2015

Source:  Journal of Emergency Nursing 41/6 pp. 484–488

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Date of publication:  October 2015

Publication type:  Journal article

In a nutshell:  A performance-improvement project with the structured processes of a joint patient evaluation and huddle was implemented within a US pediatric emergency department. The following outcomes were measured: presence or absence of joint patient evaluation and SBAR-guided huddle, verbalization of treatment plan, communication, teamwork, and nurse satisfaction. This project showed the feasibility of a simple and inexpensive joint nurse practitioner–registered nurse patient evaluation followed by a structured huddle, which improved communication, teamwork, and nurse satisfaction scores. This performance-improvement project has the potential to enhance efficiency by reducing redundancy, as well as to improve patient safety through the use of structured communication techniques.

Length of publiction:  5 pages

Some important notes:  Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library