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2023 | OriginalPaper | Hoofdstuk

16. Strategieën voor bevordering van patiëntveiligheid

Auteurs : Dr. Marieke Zegers, Dr. Gijs Hesselink, Dr. Hub Wollersheim

Gepubliceerd in: Implementatie

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Er is van oudsher veel aandacht voor het voorkomen van schade aan patiënten door toedoen van de zorgverlening. Het meten en verbeteren van patiëntveiligheid heeft zich in de afgelopen jaren sterk ontwikkeld. Het risico op schade is hoger bepaalde patiënten, interventies, geneesmiddelen en omstandigheden. Voor het bereiken van verbetering wordt onder meer ingezet op scholing van zorgverleners, verbetering van samenwerking in teams, werkprocessen en van de organisatie van zorg. Concrete thema’s zijn bijvoorbeeld het voorkomen van ziekenhuisinfecties, decubitus en vallen. Het bewijs voor de effectiviteit van veiligheidsbevorderende interventies is over het algemeen beperkt.
Literatuur
go back to reference Agency for Healthcare Research and Quality. Report. Surveys on Patient Safety Culture User Network. 2009;1:1–6. Agency for Healthcare Research and Quality. Report. Surveys on Patient Safety Culture User Network. 2009;1:1–6.
go back to reference Al-Babtain B, Cheema E, Hadi MA. Impact of community-pharmacist-led medication review programmes on patient outcomes: A systematic review and meta-analysis of randomised controlled trials. Res Social Adm Pharm. 2022;18(4):2559–68. Al-Babtain B, Cheema E, Hadi MA. Impact of community-pharmacist-led medication review programmes on patient outcomes: A systematic review and meta-analysis of randomised controlled trials. Res Social Adm Pharm. 2022;18(4):2559–68.
go back to reference Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Ann Saudi Med. 2011;31:407. CrossRef Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Ann Saudi Med. 2011;31:407. CrossRef
go back to reference Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18:11–21. CrossRef Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18:11–21. CrossRef
go back to reference Bergs J, Hellings J, Cleemput I, et al. Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications. Br J Surg. 2014;101:150–8. CrossRef Bergs J, Hellings J, Cleemput I, et al. Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications. Br J Surg. 2014;101:150–8. CrossRef
go back to reference Boet S, Bould MD, Fung L, et al. Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Can J Anaesth. 2014;61:571–82. CrossRef Boet S, Bould MD, Fung L, et al. Transfer of learning and patient outcome in simulated crisis resource management: a systematic review. Can J Anaesth. 2014;61:571–82. CrossRef
go back to reference Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Reality check for checklists. Lancet. 2009;374:444–5. CrossRef Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Reality check for checklists. Lancet. 2009;374:444–5. CrossRef
go back to reference Braithwaite J, Wears RL, Hollnagel E. Resilient health care: turning patient safety on its head. Int J Qual Health Care. 2015;27(5):418–20. CrossRef Braithwaite J, Wears RL, Hollnagel E. Resilient health care: turning patient safety on its head. Int J Qual Health Care. 2015;27(5):418–20. CrossRef
go back to reference Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results from the Harvard medical practice study I. N Engl J Med. 1991;324:370–6. CrossRef Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results from the Harvard medical practice study I. N Engl J Med. 1991;324:370–6. CrossRef
go back to reference Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res. 2015;15:280. CrossRef Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Serv Res. 2015;15:280. CrossRef
go back to reference Cameron ID, Dyer SM, Panagoda CE, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2018;(9):CD005465. Cameron ID, Dyer SM, Panagoda CE, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2018;(9):CD005465.
go back to reference Chiozza ML, Ponzetti C. FMEA: a model for reducing medical errors. Clin Chim Acta. 2009;404:75–8. CrossRef Chiozza ML, Ponzetti C. FMEA: a model for reducing medical errors. Clin Chim Acta. 2009;404:75–8. CrossRef
go back to reference Christensen M, Lundh A. Medication review in hospitalised patients to reduce morbidity and mortality. Cochrane Database Syst Rev. 2016;(2):CD008986. Christensen M, Lundh A. Medication review in hospitalised patients to reduce morbidity and mortality. Cochrane Database Syst Rev. 2016;(2):CD008986.
go back to reference Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patients safety climate: a review of surveys. Qual Saf Health Care. 2005;14:364–6. CrossRef Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patients safety climate: a review of surveys. Qual Saf Health Care. 2005;14:364–6. CrossRef
go back to reference Cooperrider DL, Whitney D. A positive revolution in change: Appreciative inquiry. In: Cooperrider DL, Sorensen PF, Whitney D, Yaeger T, editors. Appreciative inquiry: rethinking human organization toward a positive theory of change. Champaign, Illinois: Stypes Publishing LLC; 2000. p. 3–28. Cooperrider DL, Whitney D. A positive revolution in change: Appreciative inquiry. In: Cooperrider DL, Sorensen PF, Whitney D, Yaeger T, editors. Appreciative inquiry: rethinking human organization toward a positive theory of change. Champaign, Illinois: Stypes Publishing LLC; 2000. p. 3–28.
go back to reference Czarniawska-Joerges B. Exploring Complex Organizations: a Cultural Perspective. Newbury Park (CA): Sage Publications; 1992. Czarniawska-Joerges B. Exploring Complex Organizations: a Cultural Perspective. Newbury Park (CA): Sage Publications; 1992.
go back to reference Damiani E, Donati A, Serafini G, et al. Effect of performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis of observational studies. PLoS ONE. 2015;10:e0125827. CrossRef Damiani E, Donati A, Serafini G, et al. Effect of performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis of observational studies. PLoS ONE. 2015;10:e0125827. CrossRef
go back to reference Davey P, Marwick CA, Scott CL, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2013;(4):CD003543. Davey P, Marwick CA, Scott CL, et al. Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev. 2013;(4):CD003543.
go back to reference Davies H, Nutley S, Mannion M. Organisational Culture and Quality of Health Care. Qual Health Care. 2000;9:111–9. CrossRef Davies H, Nutley S, Mannion M. Organisational Culture and Quality of Health Care. Qual Health Care. 2000;9:111–9. CrossRef
go back to reference De Blok C, Koster E, Schilp J, Wagner C. Implementatie VMS veiligheidsprogramma. Evaluatieonderzoek in Nederlandse ziekenhuizen. Utrecht/Amsterdan: Nivel/EMGO; 2013. De Blok C, Koster E, Schilp J, Wagner C. Implementatie VMS veiligheidsprogramma. Evaluatieonderzoek in Nederlandse ziekenhuizen. Utrecht/Amsterdan: Nivel/EMGO; 2013.
go back to reference De Bruijne MC, Zegers M, Hoonhout LHF, Wagner C. Onbedoelde schade in Nederlandse ziekenhuizen. Amsterdam, Utrecht: EMGO-NIVEL; 2007. De Bruijne MC, Zegers M, Hoonhout LHF, Wagner C. Onbedoelde schade in Nederlandse ziekenhuizen. Amsterdam, Utrecht: EMGO-NIVEL; 2007.
go back to reference De Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17:216–23. CrossRef De Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17:216–23. CrossRef
go back to reference De Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928–37. CrossRef De Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928–37. CrossRef
go back to reference Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20:618–24. Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20:618–24.
go back to reference Erlenwein J, Koschwitz R, Pauli-Magnus D, et al. A follow-up on Acute Pain Services in Germany compared to international survey data. Eur J Pain. 2016;20:874–83. CrossRef Erlenwein J, Koschwitz R, Pauli-Magnus D, et al. A follow-up on Acute Pain Services in Germany compared to international survey data. Eur J Pain. 2016;20:874–83. CrossRef
go back to reference Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25. CrossRef Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25. CrossRef
go back to reference Flin R, Burns C, Mearns K, et al. Measuring safety climate in health care. Qual Saf Health Care. 2006;15:109–15. CrossRef Flin R, Burns C, Mearns K, et al. Measuring safety climate in health care. Qual Saf Health Care. 2006;15:109–15. CrossRef
go back to reference Fung L, Boet S, Bould MD, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic review. J Interprof Care. 2015;29:433–44. CrossRef Fung L, Boet S, Bould MD, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic review. J Interprof Care. 2015;29:433–44. CrossRef
go back to reference Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care physicians and nurses. J Eval Clin Pract. 2010a;16(3):639–43. Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care physicians and nurses. J Eval Clin Pract. 2010a;16(3):639–43.
go back to reference Gaal S, Verstappen W, Wensing M. Patient safety in primary care: a survey of general practitioners in the Netherlands. BMC Health Serv Res. 2010b;10(1):21. CrossRef Gaal S, Verstappen W, Wensing M. Patient safety in primary care: a survey of general practitioners in the Netherlands. BMC Health Serv Res. 2010b;10(1):21. CrossRef
go back to reference Gaal S, Verstappen W, Wolters R, Lankveld H, van Weel C, Wensing M. Prevalence and consequences of patient safety incidents in general practice in The Netherlands: a retrospective medical record review study. Implem Sci. 2011;6:37. CrossRef Gaal S, Verstappen W, Wolters R, Lankveld H, van Weel C, Wensing M. Prevalence and consequences of patient safety incidents in general practice in The Netherlands: a retrospective medical record review study. Implem Sci. 2011;6:37. CrossRef
go back to reference Gillespie BM, Marshall A. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implem Sci. 2015;10:137. CrossRef Gillespie BM, Marshall A. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implem Sci. 2015;10:137. CrossRef
go back to reference Gould DJ, Moralejo D, Drey N, Chudleigh JH, Taljaard M. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;(9):CD005186. Gould DJ, Moralejo D, Drey N, Chudleigh JH, Taljaard M. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;(9):CD005186.
go back to reference Grayson ML, Stewardson AJ, Russo PL, et al. Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. Lancet Infect Dis. 2018;18:1269–77. CrossRef Grayson ML, Stewardson AJ, Russo PL, et al. Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. Lancet Infect Dis. 2018;18:1269–77. CrossRef
go back to reference Hanskamp-Sebregts M, Zegers M, Boeijen W, Wollersheim H, van Gurp PJ, Westert GP. Process evaluation of the effects of patient safety auditing in hospital care (part 2). Int J Qual Health Care. 2019 Jul 1; 31(6): 433–441. Hanskamp-Sebregts M, Zegers M, Boeijen W, Wollersheim H, van Gurp PJ, Westert GP. Process evaluation of the effects of patient safety auditing in hospital care (part 2). Int J Qual Health Care. 2019 Jul 1; 31(6): 433–441.
go back to reference Hanskamp-Sebregts M, Zegers M, Boeijen W, et al. Effects of auditing patient safety in hospital care: design of a mixed-method evaluation. BMC Health Serv Res. 2013;13:226. Hanskamp-Sebregts M, Zegers M, Boeijen W, et al. Effects of auditing patient safety in hospital care: design of a mixed-method evaluation. BMC Health Serv Res. 2013;13:226.
go back to reference Haynes AB, Weiser TG, Berry WR, et al. Safe surgery saves lives study group: a surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9. CrossRef Haynes AB, Weiser TG, Berry WR, et al. Safe surgery saves lives study group: a surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9. CrossRef
go back to reference Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6:e009837. CrossRef Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6:e009837. CrossRef
go back to reference Herling SF, Greve IE, Vasilevskis EE, et al. Interventions for preventing intensive care unit delirium in adults. Cochrane Database Syst Rev. 2018;(11):CD00978. Herling SF, Greve IE, Vasilevskis EE, et al. Interventions for preventing intensive care unit delirium in adults. Cochrane Database Syst Rev. 2018;(11):CD00978.
go back to reference Hollnagel E. FRAM: the functional resonance analysis method. Farnham, UK: Ashgate; 2012. Hollnagel E. FRAM: the functional resonance analysis method. Farnham, UK: Ashgate; 2012.
go back to reference Hollnagel E, Wears R, Braithwaite J. From safety I to safety II: a white paper. 2015. Hollnagel E, Wears R, Braithwaite J. From safety I to safety II: a white paper. 2015.
go back to reference Johnson TR, Tang X, Graham MJ, et al. Attitudes toward medical device use errors and the prevention of adverse events. Jt Comm J Qual Patient Saf. 2007;33:689–94. Johnson TR, Tang X, Graham MJ, et al. Attitudes toward medical device use errors and the prevention of adverse events. Jt Comm J Qual Patient Saf. 2007;33:689–94.
go back to reference Kwan JL, Lo L, Sampson M, Shojania KG. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:397–403. CrossRef Kwan JL, Lo L, Sampson M, Shojania KG. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:397–403. CrossRef
go back to reference Lainer M, Vögele A, Wensing M, Sönnichsen A. Improving medication safety in primary care. A review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21 Suppl:14–18. Lainer M, Vögele A, Wensing M, Sönnichsen A. Improving medication safety in primary care. A review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21 Suppl:14–18.
go back to reference Leistikow IP, Den Ridder K, De Vries B, De Vries B. Patient safety. Systematic incident reconstruction and evaluation, 3th edition. Houten: Bohn Stafleu van Loghum; 2016. Leistikow IP, Den Ridder K, De Vries B, De Vries B. Patient safety. Systematic incident reconstruction and evaluation, 3th edition. Houten: Bohn Stafleu van Loghum; 2016.
go back to reference Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. BMJ Qual Saf. 2004;13(suppl 1):i85–90. CrossRef Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. BMJ Qual Saf. 2004;13(suppl 1):i85–90. CrossRef
go back to reference Luangasanatip N, Hongsuwan M, Limmathurotsakul D, et al. Comparative efficacy of interventions to promote hand hygiene in hospital: systematic review and network meta-analysis. BMJ. 2015;351: h3728. CrossRef Luangasanatip N, Hongsuwan M, Limmathurotsakul D, et al. Comparative efficacy of interventions to promote hand hygiene in hospital: systematic review and network meta-analysis. BMJ. 2015;351: h3728. CrossRef
go back to reference MacDonald RD. Articles that may change your practice: crew resource management. Air Med J. 2016;35:65–6. CrossRef MacDonald RD. Articles that may change your practice: crew resource management. Air Med J. 2016;35:65–6. CrossRef
go back to reference Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19:254. CrossRef Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19:254. CrossRef
go back to reference Mann S, Marcus R, Sachs B. Lessons from the cockpit: how teamtraining can reduce errors on L&D. Contemp Obst Gyn. 2006;51:1–6. Mann S, Marcus R, Sachs B. Lessons from the cockpit: how teamtraining can reduce errors on L&D. Contemp Obst Gyn. 2006;51:1–6.
go back to reference Martinez F, Tobar C, Hill N. Preventing delirium: should non-pharmacological, multicomponent interventions be used? A systematic review and meta-analysis of the literature. Age Ageing. 2014;44:196–204. CrossRef Martinez F, Tobar C, Hill N. Preventing delirium: should non-pharmacological, multicomponent interventions be used? A systematic review and meta-analysis of the literature. Age Ageing. 2014;44:196–204. CrossRef
go back to reference McGaughey J, O’Halloran P, Porter S, Blackwood B. Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review. J Adv Nurs. 2017;73:2877–91. CrossRef McGaughey J, O’Halloran P, Porter S, Blackwood B. Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review. J Adv Nurs. 2017;73:2877–91. CrossRef
go back to reference McInnes E, Jammali-Blasi A, Bell-Syer SE, Dumville JC, Middleton V, Cullum N. Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev. 2015;(9);CD001735. McInnes E, Jammali-Blasi A, Bell-Syer SE, Dumville JC, Middleton V, Cullum N. Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev. 2015;(9);CD001735.
go back to reference Meddings J, Rogers MA, Krein SL, et al. Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf. 2014;23:277–89. CrossRef Meddings J, Rogers MA, Krein SL, et al. Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf. 2014;23:277–89. CrossRef
go back to reference Meissner W, Coluzzi F, Fletcher D, et al. Improving the management of post-operative acute pain: priorities for change. Curr Med Res Opin. 2015;31:2131–43. CrossRef Meissner W, Coluzzi F, Fletcher D, et al. Improving the management of post-operative acute pain: priorities for change. Curr Med Res Opin. 2015;31:2131–43. CrossRef
go back to reference Meissner W, Huygen F, Neugebauer EAM, et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Curr Med Res Opin. 2018;34:187–96. CrossRef Meissner W, Huygen F, Neugebauer EAM, et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Curr Med Res Opin. 2018;34:187–96. CrossRef
go back to reference Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:390–6. CrossRef Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:390–6. CrossRef
go back to reference Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS system: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Qual Saf Health Care. 2009;18:104–8. CrossRef Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS system: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Qual Saf Health Care. 2009;18:104–8. CrossRef
go back to reference Mohr BJ, Watkins JM. The Essentials of Appreciative inquiry: a Roadmap for Creating Positive Futures. Williston, Vt: Pegasus Communications; 2002. Mohr BJ, Watkins JM. The Essentials of Appreciative inquiry: a Roadmap for Creating Positive Futures. Williston, Vt: Pegasus Communications; 2002.
go back to reference Øvretveit J. Improvement leaders: what do they and should they do? A summary of a review of research. Qual Saf Health Care. 2010;19:490–2. Øvretveit J. Improvement leaders: what do they and should they do? A summary of a review of research. Qual Saf Health Care. 2010;19:490–2.
go back to reference Parand A, Dopson S, Renz A, Vincent C. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open. 2014;4:e005055. CrossRef Parand A, Dopson S, Renz A, Vincent C. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open. 2014;4:e005055. CrossRef
go back to reference Prgomet M, Li L, Niazkhani Z, Georgiou A, Westbrook JI. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. J Am Med Inform Assoc. 2017;24:413–22. Prgomet M, Li L, Niazkhani Z, Georgiou A, Westbrook JI. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. J Am Med Inform Assoc. 2017;24:413–22.
go back to reference Rennke S, Nguyen OK, Shoeb MH. Hospital-initiated translational care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:433–40. CrossRef Rennke S, Nguyen OK, Shoeb MH. Hospital-initiated translational care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:433–40. CrossRef
go back to reference Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:375–80. CrossRef Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:375–80. CrossRef
go back to reference Runciman W, Hibbert P, Thomson R, et al. Towards an international classification for patient safety: key concepts and terms. Int J Qual Health Care. 2009;21:18–26. CrossRef Runciman W, Hibbert P, Thomson R, et al. Towards an international classification for patient safety: key concepts and terms. Int J Qual Health Care. 2009;21:18–26. CrossRef
go back to reference Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a review. Ann Intern Med. 2013;158:426–32. CrossRef Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a review. Ann Intern Med. 2013;158:426–32. CrossRef
go back to reference Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110:529–34. CrossRef Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110:529–34. CrossRef
go back to reference Scott T, Mannion R, Davies H, Marshall M. The quantitative measurement of organisational culture in health care: a review of the available instruments. Health Serv Res. 2003a;38:923–45. CrossRef Scott T, Mannion R, Davies H, Marshall M. The quantitative measurement of organisational culture in health care: a review of the available instruments. Health Serv Res. 2003a;38:923–45. CrossRef
go back to reference Scott T, Mannion R, Marshall M, Davies H. Does organisational culture influence health care performance? A review of the evidence. J Health Serv Res. 2003b;8:105–17. CrossRef Scott T, Mannion R, Marshall M, Davies H. Does organisational culture influence health care performance? A review of the evidence. J Health Serv Res. 2003b;8:105–17. CrossRef
go back to reference Selvadis N, Lyons M, Healey AN, et al. Observational teamwork assessment for Surgery: construct validation with expert versus novice raters. Ann Surg. 2009;249:1047–51. CrossRef Selvadis N, Lyons M, Healey AN, et al. Observational teamwork assessment for Surgery: construct validation with expert versus novice raters. Ann Surg. 2009;249:1047–51. CrossRef
go back to reference Sexton JB, Adair KC, Leonard MW, Frankel TC, Proulx J, Watson SR. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf. 2018;27:261–70. CrossRef Sexton JB, Adair KC, Leonard MW, Frankel TC, Proulx J, Watson SR. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf. 2018;27:261–70. CrossRef
go back to reference Shaw KN, Lavelle JL, Crescenzo K, Noll J, Bonalumi N, Baren J. Creating unit-based patient safety walk-rounds in a pediatric emergency department. Clin Pediatr Emerg Med. 2006;7:231–7. CrossRef Shaw KN, Lavelle JL, Crescenzo K, Noll J, Bonalumi N, Baren J. Creating unit-based patient safety walk-rounds in a pediatric emergency department. Clin Pediatr Emerg Med. 2006;7:231–7. CrossRef
go back to reference Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Pat Saf. 2009;5:86–94. CrossRef Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Pat Saf. 2009;5:86–94. CrossRef
go back to reference Siddiqi N, Harrison JK, Clegg A, et al. Interventions for preventing delirium in hospitalised non‐ICU patients. Cochrane Database Syst Rev. 2016;(3):CD005563. Siddiqi N, Harrison JK, Clegg A, et al. Interventions for preventing delirium in hospitalised non‐ICU patients. Cochrane Database Syst Rev. 2016;(3):CD005563.
go back to reference Smits M. Unintended events in hospitals: causes and the role of patient safety culture. Proefschrift. Amsterdam: Vrije Universiteit; 2009. Smits M. Unintended events in hospitals: causes and the role of patient safety culture. Proefschrift. Amsterdam: Vrije Universiteit; 2009.
go back to reference Smits M, Janssen JCJA, De Vet HCW, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Int J Qual Health Care. 2009;21(4):292–300. CrossRef Smits M, Janssen JCJA, De Vet HCW, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Int J Qual Health Care. 2009;21(4):292–300. CrossRef
go back to reference Snijders C, Van der Schaaf TW, Klip H, et al. Feasibility and reliability of PRISMA-Medical for specialty-based incident analysis. Qual Saf Health Care. 2009;18:486–91. CrossRef Snijders C, Van der Schaaf TW, Klip H, et al. Feasibility and reliability of PRISMA-Medical for specialty-based incident analysis. Qual Saf Health Care. 2009;18:486–91. CrossRef
go back to reference Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:410–6. Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:410–6.
go back to reference Tricco AC, Thomas SM, Veroniki AA, et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. JAMA. 2017;318:1687–99. CrossRef Tricco AC, Thomas SM, Veroniki AA, et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. JAMA. 2017;318:1687–99. CrossRef
go back to reference Tuijn SM, Robben PB, Janssens FJ, Van den Bergh H. Evaluating instruments for regulation of health care in the Netherlands. J Eval Clin Pract. 2011;17:411–9. CrossRef Tuijn SM, Robben PB, Janssens FJ, Van den Bergh H. Evaluating instruments for regulation of health care in the Netherlands. J Eval Clin Pract. 2011;17:411–9. CrossRef
go back to reference Van Gelderen SC, Zegers M, Boeijen W, et al. Evaluation of the organisation and effectiveness of internal audits to govern patient safety in hospitals: a mixed-methods study. BMJ Open. 2017;7:e015506. CrossRef Van Gelderen SC, Zegers M, Boeijen W, et al. Evaluation of the organisation and effectiveness of internal audits to govern patient safety in hospitals: a mixed-methods study. BMJ Open. 2017;7:e015506. CrossRef
go back to reference Van Schoten S, Van Eikenhorst L, Schouten B, Baartmans M, De Bruijne MC, De Jong L, Waals M, Asscheman H, Wagner C. Monitor Zorggerelateerde schade 2019: dossieronderzoek bij overleden patiënten in Nederlandse ziekenhuizen. NIVEL/APH, Utrecht/Amsterdam; 2022. Van Schoten S, Van Eikenhorst L, Schouten B, Baartmans M, De Bruijne MC, De Jong L, Waals M, Asscheman H, Wagner C. Monitor Zorggerelateerde schade 2019: dossieronderzoek bij overleden patiënten in Nederlandse ziekenhuizen. NIVEL/APH, Utrecht/Amsterdam; 2022.
go back to reference Verleysen B, Lambrechts F, Van Acker F. Building psychological capital with appreciative inquiry: Investigating the mediating role of basic psychological need satisfaction. J Appl Behav Sci. 2015;51(1):10–35. CrossRef Verleysen B, Lambrechts F, Van Acker F. Building psychological capital with appreciative inquiry: Investigating the mediating role of basic psychological need satisfaction. J Appl Behav Sci. 2015;51(1):10–35. CrossRef
go back to reference Verstappen W, Gaal S, Esmail A, Wensing M. Patient safety improvement programs for primary care. Review of a delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21:S50–5. Verstappen W, Gaal S, Esmail A, Wensing M. Patient safety improvement programs for primary care. Review of a delphi procedure and pilot studies by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21:S50–5.
go back to reference Vincent C. Understanding and responding to adverse events. N Engl J Med. 2003;348:1051–6. CrossRef Vincent C. Understanding and responding to adverse events. N Engl J Med. 2003;348:1051–6. CrossRef
go back to reference Wagner C, Van der Wal G. Voor een goed begrip. Bevordering patiëntveiligheid vraagt om heldere definities. Med Contact. 2005;47:1888–90. Wagner C, Van der Wal G. Voor een goed begrip. Bevordering patiëntveiligheid vraagt om heldere definities. Med Contact. 2005;47:1888–90.
go back to reference Wang T, Benedict N, Olsen KM, et al. Effect of critical care pharmacists intervention on medication errors: a systematic review and meta-analysis of observational studies. J Crit Care. 2015;30:1101–6. CrossRef Wang T, Benedict N, Olsen KM, et al. Effect of critical care pharmacists intervention on medication errors: a systematic review and meta-analysis of observational studies. J Crit Care. 2015;30:1101–6. CrossRef
go back to reference Wears RL, Hollnagel E, Braithwaite J. Resilient health care, volume 2: the resilience of everyday clinical work. Abingdon, Oxon: Routledge; 2015. Wears RL, Hollnagel E, Braithwaite J. Resilient health care, volume 2: the resilience of everyday clinical work. Abingdon, Oxon: Routledge; 2015.
go back to reference Weaver SJ, Lubokomski LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:369–74. CrossRef Weaver SJ, Lubokomski LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:369–74. CrossRef
go back to reference Wells N, Pasero C, McCaffery M. Improving the quality of care through pain assessment and management. In: Hughes RG (ed.), Patient safety and quality: an evidence-based handbook for nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008. Wells N, Pasero C, McCaffery M. Improving the quality of care through pain assessment and management. In: Hughes RG (ed.), Patient safety and quality: an evidence-based handbook for nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008.
go back to reference Wilf-Miron R, Lewenhoff I, Benyamini Z, Aviram A. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Health Care. 2003;12:35–9. CrossRef Wilf-Miron R, Lewenhoff I, Benyamini Z, Aviram A. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Health Care. 2003;12:35–9. CrossRef
go back to reference Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:417–25. CrossRef Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158:417–25. CrossRef
go back to reference World Alliance for Patient Safety. The research priority setting working group. Summary of the evidence on patient safety: implications for research. Geneva: WHO; 2008. World Alliance for Patient Safety. The research priority setting working group. Summary of the evidence on patient safety: implications for research. Geneva: WHO; 2008.
go back to reference World Health Organization Alliance for Patient Safety. The conceptual framework of an international patient safety event classification: executive summary. Geneva: WHO; 2009. World Health Organization Alliance for Patient Safety. The conceptual framework of an international patient safety event classification: executive summary. Geneva: WHO; 2009.
go back to reference Zegers M, De Bruijne MC, Wagner C, et al. Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Qual Saf Health Care. 2009;18:297–302. CrossRef Zegers M, De Bruijne MC, Wagner C, et al. Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Qual Saf Health Care. 2009;18:297–302. CrossRef
go back to reference Zegers M, Hesselink G, Geense W, Vincent C, Wollersheim H. Evidence based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ Open. 2016 Sep 29;6(9):e012555. CrossRef Zegers M, Hesselink G, Geense W, Vincent C, Wollersheim H. Evidence based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ Open. 2016 Sep 29;6(9):e012555. CrossRef
Metagegevens
Titel
Strategieën voor bevordering van patiëntveiligheid
Auteurs
Dr. Marieke Zegers
Dr. Gijs Hesselink
Dr. Hub Wollersheim
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2909-0_16