4.4.2 Acceptability of the Instrument Acceptability or ease of use is determined by the number of participants who completed the questionnaire scale without omitting any items in addition to the required time to complete it (Kalisch et.al, 2010). 90.96% of the participants (N= 181) completed the instrument without omitting any items. Another 7.54% omitted only one item and only 3 participants (1.51%) omitted 2 items. Most participants were able to complete the questionnaire within 15 minutes. Accordingly, the low portion of missing data indicates that the instrument was well accepted by the participants. 4.4.3 Reliability of the Instrument Reliability is defined as “the extent to which a variable or set of variables is consistent in what is …show more content…
Descriptive statistics of the frequencies, means and percentages of medical errors occurrence as a result of each cause are presented in Table 4.3. The staff who participated in this study reported that their team often or frequently encountered medical errors because of lack of equipments (52%), lack of training/experience (47%), lack of teamwork skills (44%), communication breakdown (45%), Lack of planning, failure in decision making, conflict within team members, failure in patient’s information sharing (37%), lack of collaboration within team members (36%), conflict with other teams (31%), delegation of authority (28%), weakness in controlling team members(26%) and lack of following guidelines …show more content…
Errors occurrence in sharing patient’s information varied with team leadership style. Failure in planning and lack of collaboration varied with medical unit and team leadership. Failure in decision-making varied with medical units. Delegation of authority varied with positions. However specialist doctors witnessed errors due to the delegation of authority more than other. Weakness in controlling team members varied with hospital type, position, preferred working style and team leadership. In summary, it is evident from Table 4.4 that the majority of medical errors causes vary with medical unit where all of them were more likely to occur in the ICUs. Also, they varied with team leadership. However, those who perceive autocratic team leadership style witnessed more frequently errors than other. On the other hand, preferred working style also affects the occurrence of errors. All of those who preferred working individually encountered more frequently errors as a result of teamwork-related skills than those preferred working on teams because the nature of medical environments requires working on teams to best satisfy patient’s
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Table 4.4 The Reliability of the Instrument Constructs Items Corrected Item-total Correlation Alpha if Item Deleted Cronbach's Alpha Value of the Constructs Parents' Attitude toward FB A1 .890 .920 .942 A2 .775 .940 A3 .853 .927 A4 .848 .928 A5 .855
The purpose of the eICU is to: - Accurately monitor and enhance care delivery to the ICU patients remotely - Reduce the time from when the problem is identified till some action is taken over it - Help bring better results, reduction in costs and smaller stays - 10 percent of inpatient beds nationwide are allocated to ICUs, the percentage is higher in tertiary-care centers. - The highest acuity is for the ICU patients. The mortality rate of the ICU patients exceeds 10 percent, and their daily costs are four times higher as compared to those of other inpatients. - They experience more incidents of medical errors (1.7 per patient per day), and because of their inherent instability, they have greater chance to get harmed from suboptimal care.
Interprofessional teamwork has become essential part of health care system in order to improve the quality of care. Many researches has suggested that collaboration of health care workers has impacted the patient care outcome in a positive way, as well as assisting to avoid errors by, “watching each other’s backs” (Cherry & Jacob, p 398). Furthermore, “Important indicators of safety, patient care, and environment of care, such as complications and error rate, length of hospital stay, conflict among caregivers, staff turnover, and mortality rate, have all been shown to decrease in collaborative care environment” (Green & Johnson, 2015, p. 2) In recent years, nurses are in front line in running health care in USA. According to Lomax and White (2015), the Institute of Medicine (IOM) published the report stating that in order to provide safe and high-quality care, it is crucial for nursed to collaborate with other health care professionals (para. 6).
Communication is an essential piece of caring for patients. Multiple team members will collaborate when providing patient care. It is crucial that critical information is included in the numerous hand-offs that will occur. A lack of communication will definitely put the patient at an increased risk for errors and threaten patient safety. It is essential to include all members of the team.
Some doctors was not trained to do certain jobs that they was doing. Also communication and collaboration in health care is because everybody has to either interacts with health professionals At the same time that professional interest and research has expand Some level of collaboration between health
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
Communication is an important factor in determining patient outcomes, patient experiences, and healthcare costs, both positively and negatively. In fact, communication breakdown accounts for two thirds of sentinel events, the most serious of errors reported to the Joint Commission, making it the leading cause of medical errors (Starmer et al., 2014). The Institute of Medicine (1999) conservatively estimates that between 44,000 and 98,000 patients die each year from medical errors. More recent estimates predicted this number to be upwards of 400,000 deaths annually, making medical errors the third leading cause of death in the United States (Makary & Daniel, 2016). Miscommunication and handoff errors are the primary point these errors occur.
Because errors, particularly adverse events, are caused by the cumulative effects of smaller errors within organizational structures and processes of care, focusing on the systemic approach of change focuses on those factors in the chain of events leading to errors and adverse events. From a systems approach, avoidable errors are targeted through key strategies such as effective teamwork and communication, institutionalizing a culture of safety, providing patient-centered care, and using evidence-based practice with the objective of managing uncertainty and the goal of improvement (p.
For some jobs you would need teamwork skills to get your tasks done in time. In my placement at Vellore Woods Density most of the time we need to use teamwork skills because we are handling with people’s teeth and need to communicate with each other on what we need such as equipment’s. Patients are sometimes hard to keep them calm when they are all worked up or simply really nervous. We would try to reassure them, and tell them things would work out well. I learned a trick from my co-workers that if you keep calm, the patients will keep calm as well.
Hospitals frequently enhance their quality of care by improving their best practices. Bedside reporting is a best practice that has numerous benefits including a decrease in the potential for mistakes, increased patient involvement and understanding of their care, increased teamwork among nurses, and an increased accountability of nurses (AHRQ, 2013). A review of the literature was run and showed several studies and literature reviews on bedside reporting. The majority of these articles were conducted on adult medical-surgical
The contingency leadership team should conduct their policy and strictly rely on the aspect of patient care during the emergency. The development team should consider the delicate situation of patients and plan towards avoiding a situation of inconvenience to the nursing team and the patients in the facility. The leadership team will be evaluated based on their leadership approaches and the abilities of the members of their team (Westergaard, 2012). The relationship among the members of the leadership team determines their effectiveness as well as the trust of the nursing team. The manner in which the leadership team allocates its tasks determines their measure of maturity and their skills and methods to meet the requirement of patient care.
This resulted in 7% of the respondents reporting involvement in a medication error during that past year. Good interpersonal skills and effective communication ensures that concerns regarding patient safety can be brought up without seemingly challenging the knowledge of the other healthcare
RELIABILITY AND VALIDITY RELIABILITY Reliability is the consistency or repeatability of a measure For example, if I use the measurement twice (e.g. take a test twice) would my scores be the same? Reliability focuses on the consistency of the measurement. If a measurement is reliable you should get the same results if you repeat it. With any measurement the score you get is the observed score.