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In 2013, Pronovost co-founded Doctella, a startup that provides surgical checklists for patients to improve patient engagement, patient safety, and lead to better health outcomes. [16] Also in 2013, Pronovost advocated for a system of alcohol and drug testing for doctors in a Journal of the American Medical Association article. [17] [18]
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
As a result, patient safety has emerged as a distinct healthcare discipline, supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety, [3] with mobile health apps becoming an increasingly important area of study. [4]
Goal 1: Identify patients correctly. Goal 2: Improve effective communication. Goal 3: Improve the safety of high-alert medications. Goal 4: Ensure safe surgery. Goal 5: Reduce the risk of health care-associated infections. Goal 6: Reduce the risk of patient harm resulting from falls. [2] [4]
Septic shock is a result of a systemic response to infection or multiple infectious causes. The precipitating infections that may lead to septic shock if severe enough include but are not limited to appendicitis, pneumonia, bacteremia, diverticulitis, pyelonephritis, meningitis, pancreatitis, necrotizing fasciitis, MRSA and mesenteric ischemia.
The best way for workers to overcome this problem is conducting correct hand-hygiene procedures; this is why the WHO launched in 2005 the GLOBAL Patient Safety Challenge. [ 33 ] Two categories of micro-organisms can be present on health care workers' hands: transient flora and resident flora.
An example is the WHO Surgical Safety Checklist developed for the World Health Organization and found to have a large effect on improving patient safety. [11] According to a meta-analysis after introduction of the checklist mortality dropped by 23% and all complications by 40%, but higher-quality studies are required to make the meta-analysis ...
The SOFA scoring system is useful in predicting the clinical outcomes of critically ill patients. [8] According to an observational study at an Intensive Care Unit (ICU) in Belgium, the mortality rate is at least 50% when the score is increased, regardless of initial score, in the first 96 hours of admission, 27% to 35% if the score remains unchanged, and less than 27% if the score is reduced. [9]