Promoting patient safety in Bhutan: Challenges and priority strategies for accelerating progress.
Bhutan
challenges
patient safety
policy
strategies
Journal
The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
03
04
2019
accepted:
04
04
2019
pubmed:
18
4
2019
medline:
29
5
2020
entrez:
18
4
2019
Statut:
ppublish
Résumé
Patient safety is a fundamental principle of quality health care. In Bhutan, which is a resource poor nation, improving patient safety in the health care context is a challenge. Bhutan requires sound patient safety policies and strategies to mitigate safety issues in the health care system. Drawing upon the available literature on patient safety in Bhutan and the author's own experience, this paper attempts to explore the challenges that the Bhutanese health care system is facing in terms of promoting patient safety. Based upon the challenges identified, this paper offers a roadmap to move forward-ie, suggestions on how Bhutan could promote patient safety.
Types de publication
Journal Article
Langues
eng
Pagination
1469-1476Informations de copyright
© 2019 John Wiley & Sons, Ltd.
Références
Pronovost PJ, Wachter RM. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-169.
Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff. 2010;29(1):165-173.
Ministry of Health-Royal Government of Bhutan. National Health Policy; 2011a. Available at http://www.gnhc.gov.bt/wp-content/uploads/2012/04/nationalHpolicy.pdf. Accessed 20 March, 2013
Ministry of Health-Royal Government of Bhutan. Patient Safety Guidelines for Health Care Professional. Thimphu: Nursing Services, Department of Medical Services; 2013.
Pelzang R, Hutchinson AM. Patient safety policies, guidelines, and protocols in Bhutan. Int J Health Plann Mgmt. 2019:1-10. https://onlinelibrary.wiley.com/10.1002/hpm.2729
Pelzang R, Hutchinson AM. Patient safety issues and concerns in Bhutan's healthcare system: a qualitative exploratory descriptive study. BMJ Open. 2018;8(7):1-11.
Pelzang R. Patient Safety Issues and Concerns in Bhutan's Healthcare System: A Qualitative Study. Melbourne, Australia: School of Nursing and Midwifery, Deakin University, 2016.
Australian Institute of Health and Welfare. OECD health data; 2012. Available at http://www.aihw.gov.au/oecd-health-data/. Accessed 6 July, 2012
Ministry of Health - Royal Government of Bhutan. Annual Health Bulletin 2015; 2015. Available at https://www.google.com.au/?gfe_rd=cr&ei=06bAVdu8FK7u8wfC5Yb4BA&gws_rd=ssl#q=ANNUAL+HEALTH+BULLETIN+2015. Accessed 20 March, 2016
Pelzang R, Hutchinson AM. How is patient safety understood by healthcare professionals? The case of Bhutan. J Patient Saf. 2017;1-4. https://journals.lww.com/journalpatientsafety/Abstract/publishahead/How_Is_Patient_Safety_Understood_by_Healthcare.99408.aspxwith. https://doi.org/10.1097/PTS.0000000000000450
Pelzang R, Wood B, Black S. Nurses' understanding of patient-centred care in Bhutan. Br J Nurs. 2010;19(3):186-193.
Pelzang R, Johnstone MJ, Hutchinson AM. Culture matters: indigenizing patient safety in Bhutan. Health Policy Plan. 2017;32(7):1042-1048.
Haraden C, Leitch J. Scotland's successful national approach to improving patient safety in acute care. Health Aff. 2011;30(4):755-763.
Madhok R, Vaid S, Carson-Stevens A, et al. Promoting patient safety in India: situational analysis and the way forward. Natl Med J India. 2014;27(4):217-223.
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
Schwendimann R, Milne J, Frush K, Ausserhofer D, Frankel A, Sexton JB. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. Am J Med Qual. 2013;28(5):414-421.
Budrevics G, O'Neil C. Changing a culture with patient safety walkarounds. Healthc Q. 2005;8(Sp(sp):20-25.
Boddington R, Arthur H, Cummings D, Mellor S, Salter D. Team resource management and patient safety: a team focused approach to clinical governance. Clin Govern Int J. 2006;11(1):58-68.
Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and-resolution programs. Health Aff. 2014;33(1):11-19.
Scott I. What are the most effective strategies for improving quality and safety of health care? Intern Med J. 2009;39(6):389-400.
Adibi H, Khalesi N, Ravaghi H, Jafari M, Jeddian AR. Development of an effective risk management system in a teaching hospital. J Diabetes Metab Disord. 2012;11(1):15.
Classen DC, Kilbridge PM. The roles and responsibility of physicians to improve patient safety within health care delivery system. Acad Med. 2002;77(10):963-972.
Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academies Press; 2001.
Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington D.C.: National Academy Press; 2000.
Nolan TW. System changes to improve patient safety. BMJ. 2000;320(7237):771-773.
Walston SL, Al-Omar BA, Al-Mutari FA. Factors affecting the climate of hospital patient safety: a study of hospitals in Saudi Arabia. Int J Health Care Qual Assur. 2010;23(1):35-50.
Ventola CL. The drug shortage crisis in the United States: causes, impact, and management strategies. Pharm Ther. 2011;36(11):740-742.
Mahmood A, Chaudhury H, Valente M. Nurses' perceptions of how physical environment affects medication errors in acute care settings. Appl Nurs Res. 2011;24(4):229-237.
Kaakeh R, Sweet BV, Reilly C, et al. Impact of drug shortages on U.S. health systems. Am J Health Syst Pharm. 2011;68(19):1811-1819.
Hignett S, Lu J. Space to care and treat safely in acute hospitals: recommendations from 1866 to 2008. Appl Ergon. 2010;41(10):666-673.
De Oliveira GSJ, Theilken LS, McCarthy RJ. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;13(6):1429-1435.
Nantsupawat A, Nantsupawat R, Kulnaviktikul W, McHugh MD. Relationship between nurse staffing levels and nurse outcomes in community hospitals, Thailand. Nurs Health Sci. 2014;17(1):112-118.
Nantsupawat A, Srisuphan W, Kunaviktikul W, Wichaikhum OA, Aungsuroch Y, Aiken LH. Impact of nurse work environment and staffing on hospital nurse and quality of care in Thailand. J Nurs Scholarsh. 2011;43(4):426-432.
Hall LMG, Doran D, Pink GH. Nurse staffing models, nursing hours, and patient safety outcomes. J Nurs Adm. 2004;34(1):41-45.
Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995;274(9):700-705.
Chopra V, Gesink BJ, de Jong J, Bovill JG, Spierdijk J, Brand R. Does training on an anaesthesia simulator lead to improvement in performance? Br J Anaesth. 1994;73(3):293-297.
Straight M. One strategy to reduce medication errors: the effect of an online continuing education module on nurses' use of the Lexi-Comp feature of the Pyxis MedStation 2000. Comput Inform Nurs. 2008;26(1):23-30.