Patient Safety

Publication Title: 
British Journal of Nursing (Mark Allen Publishing)

Healthcare-associated infection (HCAI) is a major patient safety concern and is associated with morbidity, mortality and increased healthcare costs. Prevention and control requires a multi-modal approach, but the individual's accountability and rigorous application of standard infection prevention and control behaviours is at its core. The third instalment of the epic3 guidance ( Loveday et al, 2014a ) provided the evidence and advanced the importance of hand-hygiene behaviour, the use of non-sterile gloves and environmental cleanliness.

Author(s): 
Cole, Mark
Publication Title: 
Complementary Therapies in Medicine

OBJECTIVES: Homeopathy is a popular treatment modality among patient, however there is sparse research about adverse effects of homeopathy. A concept unique for homeopathy, is homeopathic aggravation that is understood as a transient worsening of the patients' symptoms before an expected improvement occurs. From a risk perspective it is vital that a distinction between homeopathic aggravations and adverse effects is established. There is a lack of systematic information on how frequent adverse effects and homeopathic aggravations are reported in studies.

Author(s): 
Stub, Trine
Musial, Frauke
Kristoffersen, Agnete A.
Alræk, Terje
Liu, Jianping
Publication Title: 
Curationis

BACKGROUND: Herbal and homeopathic remedies have been used to assist with child bearing and pregnancy for centuries. Allopathic ('Western') medicine is traditionally avoided during pregnancy because of limited drug trials and the suspected teratogenic effects of these medications. This has led to an increase in the use of herbal and homeopathic remedies, asthey are viewed to have no teratogenic effect on the developing foetus.

Author(s): 
Boltman-Binkowski, Haaritha
Publication Title: 
The International Journal of Risk & Safety in Medicine

BACKGROUND: Acupuncture is frequently employed to treat chronic pain syndromes or other chronic conditions. Nevertheless, there is a growing literature on adverse events (AEs) from treatments including pneumothorax, cardiac tamponade and spinal cord injury. Acupuncture is provided in almost all NHS pain clinics and by an increasing number of GP's and physiotherapists. Considering acupuncture's popularity, its safety has become an important public health issue. OBJECTIVES: To evaluate the harm caused to patients through acupuncture treatments within NHS organisations.

Author(s): 
Wheway, Jayne
Agbabiaka, Taofikat B.
Ernst, Edzard
Publication Title: 
Forschende Komplementarmedizin (2006)

BACKGROUND: Effective control of hypertension is deeply associated with the secondary prevention of stroke. The blood pressure-lowering effect of acupuncture alone is controversial but worthy of exploration, considering the side effects of and the problems of low adherence to drugs. CASE REPORTS: One male patient experienced severe dizziness after overuse of valsartan, which decreased his blood pressure to 110/70 mm Hg. Our acupuncture treatment of 40 sessions alone regulated his blood pressure to about 110/70-130/80 mm Hg, with disappearance of the dizziness after 3 sessions.

Author(s): 
Zheng, Haizhen
Zhao, Xiaofeng
Du, Yuzheng
Shi, Xuemin
Publication Title: 
Pediatric Research

In recent years, acupuncture has increasingly being integrated into pediatric health care. It was used on ~150,000 children (0.2%). We aim to update the evidence for the efficacy and safety of acupuncture for children and evaluate the methodological qualities of these studies to improve future research in this area. We included 24 systematic reviews, comprising 142 randomized controlled trials (RCTs) with 12,787 participants. Only 25% (6/24) reviews were considered to be high quality (10.00?±?0.63).

Author(s): 
Yang, Chunsong
Hao, Zilong
Zhang, Ling-Li
Guo, Qin
Publication Title: 
Global Public Health

In Burkina Faso, abortion is legally restricted and socially stigmatised, but also frequent. Unsafe abortions represent a significant public health challenge, contributing to the country's very high maternal mortality ratio. Inspired by an internationally disseminated public health framing of unsafe abortion, the country's main policy response has been to provide post-abortion care (PAC) to avert deaths from abortion complications.

Author(s): 
Storeng, Katerini T.
Ouattara, Fatoumata
Publication Title: 
The American Journal of Nursing

OVERVIEW: Hospitalized patients who are suffering from cognitive impairment, delirium, suicidal ideation, traumatic brain injury, or another behavior-altering condition are often placed under continuous observation by designated "sitters." These patients may become agitated, which can jeopardize their safety even when a sitter is present. This quality improvement project was based on the hypothesis that agitation can be decreased by engaging these patients in individualized therapeutic activities.

Author(s): 
Waszynski, Christine
Veronneau, Patricia
Therrien, Karyn
Brousseau, Melissa
Massa, Angela
Levick, Sarah
Publication Title: 
Academic Medicine: Journal of the Association of American Medical Colleges

A call by the Institute of Medicine to advance the cause of patient safety catalyzed the current focus on duty hours limits during resident education. Unrelated benefits to resident education have accrued from those efforts, but, despite rigorous study of the issue, there is little evidence of a positive impact on patient safety resulting from trainee duty hours adjustments. Moreover, the discussion has become worrisomely myopic in its singular preoccupation with the impact of postgraduate medical education duty hours on safe patient care.

Author(s): 
Pellegrini, Vincent D.
Publication Title: 
Academic Medicine: Journal of the Association of American Medical Colleges

PURPOSE: A new internal medicine call structure was implemented at two teaching hospitals at the University of Toronto, Canada, in 2009, motivated by patient safety concerns, new duty hours regulations, and dissatisfaction among attending physicians. This study aimed to determine attendings', residents', and students' experiences with the new structure and to look carefully for unintended consequences.

Author(s): 
Stroud, Lynfa
Oulanova, Olga
Szecket, Nicolas
Ginsburg, Shiphra

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