Global Journal on Quality and Safety in Healthcare

Passant Hafez

Commentary on “Transforming Hospital Housekeeping: The Kayakalp Journey” by Pillai et al

评《医院清洁的转型：Pillai 等人的“Kayakalp 之旅”》

Introduction Patient safety is a global concern for both health professionals and the public. Research indicates that assessing patient safety culture can help improve patient safety outcomes. Nursing care strategically positions nurses at the center of patient safety promotion, and their proximity to patients makes them the drivers of patient safety. The actions of frontline staff in healthcare organizations have a notable influence on healthcare outcomes, particularly reporting of adverse events. This study aimed to evaluate the actions of frontline staff on adverse event reporting among nurses in three hospitals in the Savannah Region, Ghana. Methods A quantitative cross-sectional method was used to gather data from 210 respondents across three hospitals. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical linear regression. Results The findings revealed that teamwork within units had a good positive rating score of 82.9%. This was followed by teamwork across hospital units (68.0%) and handover of care (69.8%). Overall, nurses demonstrated a negative attitude toward adverse events reporting (37.3%). Furthermore, enacting safety practices that had a significant relationship with adverse events reporting were teamwork across units (r = .24, p &amp;lt; 0.001) and handover and transition of patient care (r = .19, p &amp;lt; 0.001). Again, the significant predictor of adverse events reporting was teamwork across units (β = .20, p &amp;lt; 0.001). Conclusion Nurses’ perceptions of patient safety culture within and across hospital units as well as handover of patient care were positive. Though the attitude of nurses toward adverse event reporting was low, teamwork across hospital units significantly predicted adverse event reporting. Therefore, frontline staff should continually strengthen teamwork processes and handover practices to achieve the best healthcare outcomes.

Samson Alhassan

Abdul-Malik Abdulai

Farouk Amidu

Mohammed Iddrisu

Feruza Abdulai

Assessing Patient Safety Culture and Adverse Events Reporting Among Nurses: A Cross-Sectional Study in Ghana

评估加纳护士患者安全文化和不良事件报告的横断面研究

Paul Bowie

Alia Al Baharnah

Rabab Alkutbe

Muhammad Mohsin Abid

Abdullah Almelaifi

Muhammad Hasan Abid

Using Human Factors Science to Improve Quality and Safety of Healthcare

运用人因科学提升医疗质量和安全

Introduction The World Health Organization (WHO) introduced the surgical safety checklist (SSC) to reduce postoperative morbidity and mortality; however, its use in low- and middle-income countries is still low. Methods We conducted a survey from January 2 to 22, 2024, in public hospitals’ pediatric surgery departments and units in Senegal to assess the use of the WHO SSC or an adapted version. Results The participation rate was 100% (23 hospitals), with 11 second-level hospitals (47.8%) and 10 (43.5%) having at least two pediatric surgeons. All hospitals had an anesthetist nurse, and 18 hospitals (78.3%) had at least two scrub nurses. For the surgical workload, 14 hospitals (60.9%) had five to 10 surgical interventions weekly. Eleven hospitals (47.8%) had training on use of the SSC, and 8 of the 23 hospitals (34.8%) used the SSC. The WHO SSC nonutilization was mainly due to a lack of training in nine hospitals (60%) and SSC unavailability in five hospitals (33.3%). Members of 22 hospitals (95.6%) were available for training on use of the SSC. Conclusion The WHO SSC is poorly used in pediatric operating rooms of public hospitals in Senegal. The main reasons for nonutilization are remediable.

Florent Tshibwid A Zeng

Cheikh Seye

Seynabou Niang

Mansour Diène

Cheikh Tidiane Mbaye

Nankouman Konaté

Babacar Faye

Teigne Ndiaye

Souleymane Faye

Salsabil Mohamed Sabounji

Papa Balla Sarr

Aminah Oumou Rassoul Niane

Abou Bakry Daff

Madawase Mboup

Daniel Aubin Yonga Tenfa

Ndeye Fatou Seck

Alida Sidi Ngandjio

Faty Balla Lô

Souleymane Camara

Dior Ndiaye

Juvénal Nibogora

Papa Alassane Mbaye

Oumar Ndour

Gabriel Ngom

Assessing use of the WHO surgical safety checklist for pediatric surgery in Senegal: A nationwide survey

评估塞内加尔全国范围内儿童手术中使用世界卫生组织手术安全核查表的情况：一项全国性调查

ABSTRACT Introduction Managing chronic conditions such as endocrinology and diabetes requires consistent access to medications. Traditional methods of medication refill often involve in-person visits to healthcare providers or pharmacies, posing challenges for patients. Online medication refill services offer a promising solution to improve accessibility and convenience. Methods This is a digital-based solution using online medication refill services to enhance the management of endocrinology and diabetes medication refills. It examines the process of online medication refill, including patient registration, refill request submission, verification, provider input, processing, and pickup or delivery. Results Online medication refill services empower patients to easily request refills from the comfort of their homes, streamlining the refill process, and reducing walk-in pressure in clinics. The online medication refill with the option for home delivery option eliminates the need for patients to visit the hospital, further enhancing the patient experience. Before implementing the online medication refill solution, 26 patients will come to the clinic as walk-ins to request medication refills. The average waiting time for each patient is 45 minutes. Each provider will be interrupted for an average of 10 minutes to accommodate the request. The overall processing time required for each walk-in patient to submit the medication request is 1 hour on average. After implementing the online medication refill intervention, zero patients come to the clinic as walk-ins and hence, no interruption to the daily regular clinics. The overall processing time required for submitting the online medication request is now 2 minutes. These interventions promote medication adherence and patient engagement by facilitating access to medications and offering educational resources. Conclusion Online medication refill services represent a valuable tool in the comprehensive management of endocrinology and diabetes. They offer accessibility, convenience, and patient empowerment, potentially improving health outcomes and enhancing the overall patient experience.

Wadah Almansoori

Hadeel Almasarweh

Ghassan Mohamadsalih

Khalid Hussain

Amal Aburamadan

Awais Tariq

Khaled Al-Surimi

Improving Timely Medication Access for Endocrinology and Diabetes Patients: A Quality Improvement Initiative

提高内分泌和糖尿病患者及时用药的可及性：一项质量改进计划

ABSTRACT Introduction The introduction of the innovative group antenatal and postnatal care model into the private health sector in India has the potential to pivot the experiences of families during pregnancy and beyond. Growing evidence worldwide shows this model moves fragmented healthcare systems toward a more integrated model to improve quality in care and outcomes for mothers and children. The aim of this study was to better understand the challenges and benefits of implementation of the group model of antenatal care in the Indian private health sector for the purpose of improving quality of care. Methods Through a collaborative innovation project led by a master’s student of public health and an international organization with expertise in implementing this model, an urban 35-bed private hospital in Pune was identified with readiness to explore the model with stakeholders, train hospital staff as facilitators, and initiate group antenatal care. Semi-structured interviews with facilitators, along with feedback from participants in cohorts and observation of the groups by the trainer, were done for qualitative analysis of themes related to the strengths and barriers in implementing the model. Results A total of 31 pregnant women participated in two cohorts over their second to third trimesters for group antenatal care with a team of three facilitators from November 2022 to June 2023. On review of experiences in implementing the model, the top strengths demonstrated were meeting of felt needs of the participants, high engagement, and relative advantage of the model. Challenges for implementation included for scheduling and attendance, adapting the model for compatibility, capacity-building, and need for more ongoing planning, monitoring, and evaluation. Conclusions Through this innovation project, important lessons were learned for robust planning for a future pilot study. Patient-centered and integrated antenatal care are markers of quality of care that this group model can bring not only in the private healthcare sector but throughout India.

Tara Danielle Kinra

Vanisree Ramanathan

Chinmay Pramod Umarji

Peg Dublin

Sharon Schindler Rising

Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care

印度私营部门群体产前护理启动：提升护理质量的实施历程

Publication Information	Publisher: Innovative Healthcare Institute，Publishing cycle: ，Journal Type: journal，Open Access Journals: Yes
Basic data	Year of publication: 2023，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:
Journal Fees	$2400Details
Average review cycle	24 weeks

Global Journal on Quality and Safety in Healthcare

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Commentary on “Transforming Hospital Housekeeping: The Kayakalp Journey” by Pillai et al

Assessing Patient Safety Culture and Adverse Events Reporting Among Nurses: A Cross-Sectional Study in Ghana

Using Human Factors Science to Improve Quality and Safety of Healthcare

Assessing use of the WHO surgical safety checklist for pediatric surgery in Senegal: A nationwide survey

Improving Timely Medication Access for Endocrinology and Diabetes Patients: A Quality Improvement Initiative

Assessing Patient Safety Culture and Adverse Events Reporting Among Nurses: A Cross-Sectional Study in Ghana

Commentary on “Transforming Hospital Housekeeping: The Kayakalp Journey” by Pillai et al

Using Human Factors Science to Improve Quality and Safety of Healthcare

Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care

Improving Timely Medication Access for Endocrinology and Diabetes Patients: A Quality Improvement Initiative