JMIRx Med

BackgroundPatient safety has been introduced as an epidemic concern, and worldwide, many patients, including children, are affected by medical errors that endanger their safety. This study aimed to patient safety culture from the perspective of pediatric nurses and related factors. Design and MethodsIn this analytical-cross-sectional study, that was adopted between April 2023 and September 2023, 200 nurses worked in the pediatrics wards using the census sampling method. The instruments used wer...

IntroductionComplex chronic patients (CCP) are prone to unplanned hospitalizations leading to a high burden on healthcare systems. To date, interventions to prevent unplanned admissions show inconclusive results. We report a co-creation process performed into the EU initiative JADECARE (2020-2023) to elaborate an integrated care program aiming at preventing unplanned hospitalizations. MethodsA two-phase process of structured interviews and design thinking (DT) sessions was conducted. Firstly, w...

It is noticeable that, because of the amount and quality of information exchanged and the criticality of the decisions guided by them, hospitals are considered as some of the most complex organizations in modern society. Evidencing it, emergency departments in hospitals are examples of such complex environments that need perfect integration among systems, people, departments, and data. The processes behind the Emergency Department (ED) routine cause a set of critical and time-dependent decision-...

Here, the multifractal behavior of the SARS-CoV-2 COVID-19 pandemic daily and death cases is investigated through the so-called Wavelet Transform Modulus Maxima lines (WTMM) method, data available via the World Health Organization (WHO) dashboard of Algeria, Russia, USA and Italy are analyzed. The obtained results show the multifractal behavior of the COVID-19 pandemic data with different spectra of singularities. Keywords: Multifractal behavior, daily and death cases, WTMM, COVID-19 pandemic da...

In Low & Middle Income Countries (LMICs), hospitals often face serious communication issues that threaten to paralyze the process of healthcare provision. The Centre Hospitalier Universitaire de Kigali (CHUK) is located in the middle of a vibrant city of Kigali, and is often overwhelmed by a high number of referred patients from its catchment area, and those brought in by emergency evacuation ambulance system (SAMU). The facility has no interdepartmental landline communication network, which wou...

BackgroundWith the continuous advancement of technology and rapid development of precision medicine, precision medical devices are increasingly being utilized in clinical diagnosis and treatment. These devices play a crucial role in clinical practice. However, improper use accelerates instrument wear and tear, increases hospital costs, and jeopardizes patient safety. In Mainland China, research on surgical instrument wear is limited. Healthcare institutions widely implement Lean Six Sigma (LSS) ...

BackgroundThe rapid advancements in digital technology and its increasing integration into healthcare create an opportunity to leverage these innovations for enhancing nursing quality management. ObjectiveThis paper aims to report the results of a concept analysis of digital nursing quality management. MethodsRodgers Evolutionary Method of concept analysis was used to examine the attributes, antecedents, consequences, and related concepts of digital nursing quality management. ResultsDigital ...

BackgroundMedication errors are frequent but preventable. Critically ill patients may suffer, on average, 1.7 medical errors each day & some of which may be life-threatening. Such errors can be life-threatening because of the severity of the patients and comorbidities they have. ObjectivesTo assess the knowledge about medication error and safety among critical care nurses and assess the effect of implementation of focused intervention sessions to improve medication safety. MethodsThis is a qua...

BackgroundTo reduce duplicate medical exams and tests for patients across different hospitals and alleviate their financial burden, Zhejiang, with the capital Hangzhou, has launched a digital healthcare reform named "Zhejiang Medical Mutual Recognition" from 2021 and become a pilot province in China. This digital healthcare reform policy has begun to be gradually implemented nationwide. This study aims to evaluate and analyze the differences in physicians behavior during the mutual recognition p...

PurposeThe purpose of this study was to validate Hospital at Home as an appropriate care option for patients of certain diagnostic-related groups and acuity levels. Patients and methodsWe compared outcomes for patients in a Hospital at Home program at Virtua Health in 2022 (N = 272) to traditional inpatients at Virtua hospitals during the same year who did not participate in the Hospital at Home program (N = 13879). We defined outcomes as recommendations for subacute rehabilitation (SAR) and fi...

Patient safety remains a global problem that affects both developed and developing countries. Healthcare organizations should focus on the need of assessing safety culture as that will provide basic understanding on safety related perceptions of their staffs. ObjectiveThis study was aimed to assess baseline level and mean score of every domain of the patient safety attitude among doctors and nurses in public hospitals in Selangor and to identify the determinants associated with patient safety a...

Advancements in artificial intelligence (AI) are revolutionising the healthcare sector, but challenges exist in AI adoption and its long-term use. This umbrella review aimed to identify the facilitators and barriers of AI implementation within hospitals and was registered on PROSPERO. Five databases (MEDLINE, HMIC, CINAHL Plus, Web of Science and Cochrane Reviews) were searched in January 2025, 763 articles were screened, with 13 included. The inclusion criteria encompassed studies implementing ...

BackgroundStabilizing inpatient volume is essential for acute care hospitals to sustain operations and meet community needs. Although Japan overall has a high national bed supply, Nerima Ward in Tokyo has one of the lowest bed-to-population ratios, resulting in limited access to acute care. At our 224-bed hospital, ambulance acceptance and inpatient admissions had remained stagnant despite consistent regional demand, suggesting that limited emergency intake capacity might be constraining overall...

Under the ever-dynamic dynamism in healthcare management, one fact holds without a speck of doubt: optimization of program delivery can be a key factor for the accomplishment of enhanced patient outcomes and operational efficiency. This paper conducts a comparative analysis between Agile and traditional management approaches to optimizing healthcare programs, thus responding to the major gap in the literature on how applicable Agile methodologies are in healthcare settings. Our mixed-methods re...

BackgroundDiagnostic errors in healthcare pose substantial risks, leading to increased costs, patient anxiety, and delayed diagnoses. Despite its prevalence, diagnostic errors have historically received less attention compared to other medical errors, necessitating urgent action to address these critical issues. This is more so in the low- and middle-income countries. (LMICs). This study aimed to analyze patterns and associated factors of diagnostic error reported to the Patient Safety Unit of K...

BackgroundConsumer-level drug recalls usually require action by individual patients. FDA has public-facing outlets to inform consumers and healthcare professionals about drug safety information including recalls, but consumers may not be aware of them. Prescribers are not notified about which of their patients are affected. The process may lead some patients to stop taking their medications. Aim To leverage the FDAs Healthy Citizen prototype platform, which provides information about recalls, to...

BackgroundIn order to maintain hospital functionality during exceptional situations, the hospital incident command must be adequately empowered and prepared. As hospitals in Germany and elsewhere are legally required to implement a Hospital Emergency and Response Plan, regular training exercises are essential to ensure that staff acquire the necessary knowledge and competencies. ObjectivesThis study will investigate the transition process from routine clinical operations to an exceptional situa...

BackgroundTo investigate the impact of goggles on their health and clinical practice during management of patients with COVID-19. Methods231 nurse practitioners were enrolled who worked in isolation region in designated hospitals to admit patients with COVID-19 in China. Demographic data, goggle-associated symptoms and underlying reasons, incidence of medical errors or exposures, the effects of fog in goggles on practice were all collected. Data were stratified and analyzed by age or working ex...

ObjectivesBusiness continuity plans (BCPs) are vital for hospital pharmacies (HPs) seeking to maintain essential operations during crises. Although generic BCPs exist, we found no guidelines for HP BCPs. We sought to use an expert consensus methodology to develop specific recommendations for BCP content for HPs. MethodsAn expert panel (comprising hospital chief pharmacists, deputies or quality managers) conducted a two-round Delphi study. Participants were recruited from civilian HPs in Switzer...

ObjectivesDespite the increasing adoption of patient experience measurement in Asia, including Japan, limited progress has been made in identifying suitable patient-level adjusters and developing statistical methods for case-mix adjustment. This study aimed to develop and evaluate a case-mix adjustment model for the Japanese version of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) using nationwide benchmark survey data. MethodsWe conducted a multicenter cross-sec...