Patient Safety in the Emergency Department: Culture, Waiting, and Outcomes of Efficiency and Quality

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: WFRF:(Burström Mats) > Patient Safety in t...

Details
MARC

Burström, LenaUppsala universitet,Institutionen för kirurgiska vetenskaper (author)

Patient Safety in the Emergency Department : Culture, Waiting, and Outcomes of Efficiency and Quality

BookEnglish2014

Publisher, publication year, extent ...

Uppsala :Acta Universitatis Upsaliensis,2014
100 s.
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:uu-223987
ISBN:9789155489717
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-223987URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:vet swepub-contenttype
Subject category:dok swepub-publicationtype

Series

Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine,1651-6206 ;1009

Notes

The overall aim of this thesis was to investigate patient safety in the emergency department (ED) and to determine whether this varies according to patient safety culture, waiting, and outcomes of efficiency and quality variables.I: Patient safety culture was described in the EDs of two different hospitals before and after a quality improvement project. The questionnaire “Hospital Survey on Patient Safety Culture” was used to investigate the patient safety culture. The main finding was that the staff at both hospitals scored more positively in the dimension Team-work within hospital after implementing a new work model aimed at improving patient flow and patient safety in the ED. Otherwise, we found only modest improvements.II: Grounded theory was used to explore what happens in the ED from the staff perspective. Their main concern was reducing patients’ non-acceptable waiting time. Management of waiting was improved either by increasing the throughput of patient flow by structure pushing and by shuffling patients, or by changing the experience of waiting by calming patients and by feinting to cover up.III: Three Swedish EDs with different triage models were compared in terms of efficiency and quality. The median length of stay was 158 minutes for physician-led team triage compared with 243 and 197 minutes for nurse–emergency physician and nurse–junior physician triage, respectively. Quality indicators (i.e., patients leaving before treatment was completed, the rate of unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days) improved under the physician-led team triage.IV: Efficiency and quality variables were compared from before (2008) to after (2012) a reorganization with a shift of triage model at a single ED. Time from registration to physician decreased by 47 minutes, and the length of stay decreased by 34 minutes. Several quality measures differed between the two years, in favour of 2012. Patients leaving before treatment was completed, unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days all improved despite the reduced admission rate.In conclusion, the studies underscore the need to improve patient safety in the ED. It is important to the patient safety culture to reduce patient waiting because it dynamically affects both patients and staff. Physician-led team triage may be a suitable model for reducing patient waiting time and increasing patient safety.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Övrig annan medicin och hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Other Medical and Health Sciences not elsewhere specified hsv//eng
Emergency department
physician
triage
teamwork
HSOPS
grounded theory
waiting
patient safety
culture
Hälso- och sjukvårdsforskning
Health Care Research

Added entries (persons, corporate bodies, meetings, titles ...)

Enlund, Mats,DocentUppsala universitet,Institutionen för kirurgiska vetenskaper (thesis advisor)
Engström, Marie-LouiseUppsala universitet,Centrum för klinisk forskning, Västerås (thesis advisor)
Castrén, maaretKarolinska Institutet (thesis advisor)
Søreide, Eldar,ProfessorICU and SAFER, Stavanger University Hospital (opponent)
Uppsala universitetInstitutionen för kirurgiska vetenskaper (creator_code:org_t)

Internet link

Find in a library

Patient Safety in the Emergency Department Culture, Waiting, and Outcomes of Eff... (Search the publication in LIBRIS)

To the university's database

Find more in SwePub

By the author/editor: Burström, Lena; Enlund, Mats, Do ...; Engström, Marie- ...; Castrén, maaret; Søreide, Eldar, ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Other Medical an ...; and Other Medical an ...

Parts in the series: Digital Comprehe ...

By the university: Uppsala University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se