Abstract
Based on extensive global research into complex healthcare systems and the persistent challenge of patient safety, the prevalence of healthcare-related harm continues to be a significant concern. This study sought to identify recurring themes in organizational incidents, develop a targeted training program, and assess its efficacy in augmenting patient safety knowledge among healthcare professionals. Employing a mixed-methods approach, the study encompassed a survey to evaluate the impact of organizational training on clinicians' patient safety knowledge, alongside a comprehensive review of incident reports, which identified seven common themes for improvement. The study proposed a model emphasizing seven focus areas for improving clinical care and preventing medical malpractice, stressing the importance of evidence-based practices and organizational learning. The resulting training program comprised 13 sessions attended by 141 staff members, including physicians, nurses, allied healthcare workers, and managers. Results indicated that 71% of participants concurred that a patient safety curriculum developed from organizational scenarios could enhance clinical care and reduce instances of medical negligence. Furthermore, the study underscored inadequate communication, insufficient documentation, and failure to escalate as primary contributors to patient safety events.
The analysis of organizational incidents and case reviews was found to significantly contribute to patient safety and care quality, offering valuable insights for improvement. To bolster safety frameworks and augment care quality, it is recommended to prioritize and invest in the identified focus areas. The study also suggests replicating the research in multiple organizations to enhance generalizability and develop more robust models for patient safety.
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