Summary
This report, published by the Agency for Healthcare Research and Quality (AHRQ) in the United States, presents findings from a review of 5,500 patient safety records in which the Covid-19 public health emergency was included as part of the description of the event or unsafe condition. It forms part of a series of Network of Patient Safety Databases Data Spotlight reports.
Content
Key findings from this report:
- Among a sample of records analysed, the most common description of the patient safety concern, in 26.6% of records, was that a patient had either tested positive for Covid-19 or was a person under investigation.
- Procedural issues with Covid-19 testing represented 13% of records analysed. The results indicate a need to close the loop on critical processes, such as testing, during a public health emergency.
- The exposure of patients and staff to individuals with positive Covid-19 test results was identified in 18.2% of records analysed. Results indicate opportunities to improve communication for patient transfers, and to ensure proper isolation and use of personal protective equipment.
- Patient safety concerns such as falls, pressure injuries and adverse medication events were reported less often in relation to Covid-19 than policy- and procedure related concerns.
- Some descriptions point to interactions between staff workloads, policies and procedures, and treatment methods that may have contributed to specific pressure injury incidents.
Patient safety and Covid-19: A qualitative analysis of concerns during the public health emergency (November 2021)
https://www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
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