Related Experiment Video
Updated: Nov 4, 2025
10:42
Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
Published on: June 17, 2022
3.1K
Implementation challenges to patient safety in Guatemala: a mixed methods evaluation.
Bria J Hall1, Melany Puente1, Angie Aguilar2
1Department of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
BMJ Quality & Safety
|May 27, 2021
Summary
Patient safety programs in low-resource settings face challenges like limited training and incentives. Recognizing staff receptivity and patient-centeredness can improve implementation success.
Area of Science:
- Healthcare Management
- Patient Safety
- Implementation Science
Background:
- Limited understanding of patient safety program implementation in low and middle-income countries.
- Need to evaluate patient safety initiatives in resource-constrained environments.
Purpose of the Study:
- To evaluate the implementation of a patient safety program in paediatric care in Guatemala.
- Identify facilitators and barriers to program success.
Main Methods:
- Mixed methods design across 11 paediatric units.
- Utilized surveys, interviews, and focus groups with 82 key informants.
- Employed thematic analysis and the Consolidated Framework for Implementation Research.
Main Results:
- Facilitators included staff receptivity, patient-centeredness, and desire for protocols.
- Barriers comprised competing demands, lack of knowledge, limited governance, and poor incentives.
- Modifications involved staff recognition, integrated education, and trained champions.
Conclusions:
- Successful implementation in low-resource settings requires addressing facilitators and barriers.
- Ongoing analysis during deployment enables program modification for enhanced success.
More Related Videos
Related Concept Videos
01:26Methods Of Healthcare Delivery System
3.7K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.7K
01:15Methods of Documentation VI: Case Management Model
682
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
682
01:22Healthcare Associated Infections II: Preventive Measures
3.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.3K
01:15Nursing Implementation
5.6K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.6K
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
2.2K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
2.2K
01:15Nursing Evaluation
3.8K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.8K