8^th World Congress on Patient Safety & Quality Healthcare October 23-24, 2023 Rome, Italy

Biography:

Alexander Hodkinson is a senior research fellow in primary care and applied health services research at the University of Manchester. Since January 2020, he has been working as a National Institute of Health Research (NIHR) Senior Fellow based in the NIHR Greater Manchester Patient Safety Translational Research Centre (GM PSTRC). His long-term vision is to implement research which can improve the wellbeing, recruitment, and retention of the workforce in primary care, and to help develop research that is translatable into better healthcare polices for promoting high quality, safe primary care and interfaces.

Abstract:

Burnout is increasing among physicians and better understanding of the affects career engagement and quality of patient care has could help to mitigate physician burnout. A systematic review and meta-analysis assessed the association of physician burnout (including emotional exhaustion, depersonalization, and personal accomplishment) with career engagement and quality of patient care. Searches for observational studies up until May 2021. Random-effect models pooled the odds ratio. Career engagement outcomes include career choice regret, career development, job satisfaction, and productivity loss and turnover intention. Qualities of patient care outcomes include low professionalism, patient safety incidents, and patient satisfaction. 170 studies including 239,246 physicians included in the meta-analysis. Overall burnout in physicians was associated with almost four-fold decreases in job satisfaction (odds ratio 3.79, 95%CI 3.24-4.43, k=73 studies, n=146,980 physicians), over three-fold increases in career choice regret (3.49, 2.43-5.00, k=16, n=33,871), and three-fold increases in turnover intention (3.10, 2.30-4.17, k=25, n=32,271). Overall physician burnout was also associated with a two-fold increases in patient safety incidents (2.04, 1.69-2.45, k=35, n=41,059), a two-fold decreases in professionalism (2.33, 1.96-2.70, k=40, n=32,321) and a two-fold decrease in patient satisfaction (2.22, 1.38-3.57, k=8, n=1,002). Heterogeneity was above 75%. The link between burnout and poorer job satisfaction was greatest in hospital settings, and in elderly physicians working in emergency medicine. The link between burnout and patient care outcomes was greatest in younger physicians working in emergency medicine. Our meta-analysis provides compelling evidence that physician burnout is associated with poor function and sustainability of healthcare organizations primarily by contributing to the career disengagement and turnover of physicians and secondarily by reducing the quality of patient care. Healthcare organizations should invest more time and effort in implementing evidence-based strategies to mitigate physician burnout across specialties, and particularly in emergency medicine and for physicians in training or residency.

Biography:

Mary Anbarasi Johnson working as a professor and Head in pediatric nursing department, CMC Vellore. She worked as Clinical Nurse Specialist in PICU for a year and as Assit Professor in USA for two years. She also worked in administration (Assistant Director of Nursing) in nursing, in Saudi Arabia Defence Sector. She is very much interested in reviewing articles. She have published in 70 national, international journals and presented in around 30 national and international conferences.

Abstract:

Safety is a paramount concern in pediatric care, as children are more vulnerable to medical errors and complications due to their unique physiology, developmental needs, and communication challenges. Here are some of the key safety concerns in pediatric care: The well-being of pediatric patients is of utmost importance in any healthcare setting. In this presentation, we will discuss various safety concerns specific to children in hospitals. Children are vulnerable patients who require specialized care and attention. Safety measures are crucial to preventing accidents, injuries, and adverse events. Ensuring a safe environment promotes better outcomes and enhances the patient experience. Medication errors can have severe consequences for pediatric patients. Implement strict medication management protocols and double-check procedures.

Use age-appropriate medication dosages and delivery methods. Medication Errors: Administering medications to children requires precise dosing based on weight, age, and medical condition. Errors in calculation or dispensing can lead to adverse drug reactions, toxicity, or inadequate treatment. Infection control is another important area nurses need to be concerned about. Hand hygiene, use of personal protective equipment (e.g., gloves, masks, eyewear), respiratory hygiene and cough etiquette, sharps safety (engineering and work practice controls), safe injection practices (i.e., aseptic technique for parenteral medications), sterile instruments and devices, Clean and disinfected environmental surfaces are the various areas of concern to be looked in to in keeping patient safety as a prime concern. There are other areas of safety such as radiation safety, internet safety, chemotherapeutic drug safety, prevention of pressure sores and falls in the wards and outpatient setting, etc., as well as prevention of centennial events, adverse events, etc. that need to be paid attention to when we are concerned about pediatric patient safety. This session will high light on the need for patient safety in pediatric set up and the empowerment of pediatric nurses.

Biography:

Sharmeen Ziarukh has completed her MCPS and MRCGP (INT) post-graduate exams in Family Medicine. She is working as Specialist in the Family Medicine department at Manawan hospital part of the Indus Hospital and Health Network, Lahore since the past six years. She has additional responsibilities of Patient safety coordinator at Manawan hospital. She is assisting her patient safety team to achieve level 3 accreditation for WHO. She is also Chair of Clinical Ethics committee and CME Coordinator and is currently working on researches related to safe patient care.

Abstract:

Statement of the Problem: Burnout refers to the effects of emotional exhaustion, depersonalization and feelings of decreased personal accomplishment. In healthcare workers, studies have shown that burnout eventually leads to deficient patient care. Patient safety is simply to ensure no harm comes to patient while in the healthcare setup. The purpose of this study is to identify employee burn-out at any level and to assess if there is any impact on the patient safety culture.

Methodology & Theoretical Orientation: This cross-sectional study was carried out amongst healthcare staff of Tehsil Head Quarter Manawan hospital that have been working for at least two years and directly involved in patient care. Two questionnaires were used. Maslach burnout inventory (MBI), to assess the level of burnout and AHRQ patient safety culture survey. After informed consent, 58 participants were enrolled in this study.

Findings: High degree of occupational exhaustion (OE i.e. 42.9% was seen amongst doctors and 57.1% had low degree of personal accomplishment (PA). Significant association was observed between two sub-scales of MBI (p<0.05). No significant association was observed between working hours, designated positions and burnout (p>0.05). Statistically weak correlation exists between burnout and patient safety culture (r=0.075, p=0.580). Amongst our study participants 43.3% were aware of incident reporting and 31% have reported at least one event in the last 12 months. Overall, 76% employees consider their work unit reliable for providing safe patient care.

Conclusion & Significance: High degree of burnout was observed in employees specifically attending physicians. Good team work, high level of personal accomplishment, incident reporting culture all indicate towards an overall safe work area, which creates an environment/culture of patient safety in the organization.

Recommendations: Conducting a similar study with a greater sample size and longer duration to identify if burnout affects patient safety practices

Biography:

Mary Anbarasi Johnson working as a professor and Head in pediatric nursing department, CMC Vellore. She worked as Clinical Nurse Specialist in PICU for a year and as Assistant Professor in USA for two years. She also worked in administration (Assistant Director of Nursing) in nursing, in Saudi Arabia Defence Sector. She is very much interested in reviewing articles. She have published in 70 national, international journals and presented in around 30 national and international conferences.

Abstract:

India faces a significant urban-rural divide in terms of child welfare and nutrition. This disparity is influenced by various factors, including socioeconomic conditions, access to healthcare and education, infrastructure, and cultural norms. Here's an overview of the urban-rural divide in child welfare and nutrition in India.

Socioeconomic Disparities: Urban areas generally have higher average incomes and better job opportunities compared to rural areas. This difference in economic prosperity translates into varying levels of access to nutritious food, healthcare, education, and other essential services.

Healthcare Access: Urban areas typically have better healthcare facilities, including hospitals, clinics, and specialized medical services. Rural areas, on the other hand, often face a shortage of healthcare infrastructure and healthcare professionals, leading to inadequate healthcare services for children.

Nutrition and Food Security: Urban areas generally have more diverse and accessible food options, which may result in better nutrition for children. In contrast, rural areas may have limited access to nutritious food due to factors such as transportation issues, limited availability of fresh produce, and lack of awareness about proper nutrition.

Malnutrition: Malnutrition remains a significant issue in both urban and rural areas, but the nature of the problem can differ. Urban areas may face problems related to overweight and obesity due to unhealthy diets and sedentary lifestyles, while rural areas often experience under nutrition and stunting due to poverty and lack of access to proper nutrition.

Education: Urban areas typically have better educational facilities, including schools with trained teachers, libraries, and better learning resources. In contrast, rural areas often have inadequate educational infrastructure, including a lack of trained teachers, leading to lower enrollment rates and lesser emphasis on child welfare through education.

Public Services and Infrastructure: Urban areas tend to have better infrastructure, including sanitation facilities, clean drinking water, and electricity, which indirectly contribute to child welfare. In contrast, rural areas may face challenges related to inadequate infrastructure and basic amenities, impacting the overall well-being of children.

Government Initiatives: The Indian government has implemented various schemes and programs to address the urban-rural divide in child welfare and nutrition, such as the Integrated Child Development Services (ICDS) and the National Health Mission. However, the effectiveness and reach of these programs can vary across urban and rural areas. Closing the urban-rural divide in child welfare and nutrition requires concerted efforts from the government, NGOs, communities, and various stakeholders. It involves improving healthcare infrastructure, ensuring access to quality education, promoting awareness about nutrition, and implementing policies that bridge the socioeconomic gap between urban and rural areas.

Biography:

Shaghayegh Rahmani as an emergency medicine specialist working in the field of patient safety, focus on ensuring the well-being and optimal care of patients in emergency situations. With a deep understanding of the challenges and complexities involved in emergency medicine, she is dedicated to leveraging advancements in technology, particularly AI, to enhance patient care and improve outcomes.

She is the Supervisor of student’s research center and university AI group, in Mashhad Islamic Azad University of medicine. She worked as member of patient safety research center for 8 years and English editor of patient safety journal of Mashhad University of medical sciences.

Abstract:

Artificial Intelligence (AI) might play a key role in future which science and revolutionize medicine, offering unprecedented opportunities for diagnosis, treatment, and healthcare management. However, as AI becomes more prevalent in healthcare systems, it brings forth a host of legal issues that need careful consideration. AI in emergency medicine has the potential to greatly enhance patient care and improve outcomes. AI algorithms can help in triaging patients, predicting disease progression, and assisting in decision-making during critical situations. However, the legal considerations surrounding the use of AI in emergency medicine are particularly complex. This article aims to shed light on some of the key legal challenges associated with the use of AI in emergency medicine.

One of the primary concerns surrounding AI in medicine is determining liability when errors occur. With AI systems making critical decisions, such as diagnosing diseases or prescribing treatments, it becomes crucial to establish accountability. Currently, the legal framework is not well-equipped to address this issue. Should the responsibility lie with the healthcare provider, the AI manufacturer, or both? Clarifying liability and establishing guidelines for accountability is essential to ensure patient safety and trust.

AI algorithms rely heavily on vast amounts of patient data for training and decision-making. This raises concerns about patient privacy and data security. Healthcare providers must navigate complex regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), to ensure proper handling and protection of patient data. Additionally, AI systems should be designed with robust security measures to prevent unauthorized access or breaches that could compromise patient confidentiality.

AI algorithms are considering as unbiased tools. If the training data is biased or incomplete, AI systems may perpetuate discrimination or disparities in healthcare outcomes. Addressing algorithmic bias and ensuring fairness in AI systems is a crucial legal challenge that requires ongoing monitoring and regulation.

In emergency department, decisions often need to be made quickly to save lives. When AI systems are involved in these time-sensitive decisions, questions arise regarding liability if errors occur. Determining who is responsible for the decisions made by AI algorithms during emergencies is a significant legal challenge. Clear guidelines and protocols need to be established to ensure accountability and patient safety.

The integration of AI into medicine holds immense promise for improving patient care and healthcare outcomes. However, the legal challenges associated with AI in medicine cannot be overlooked. Addressing issues of liability, data privacy, bias, regulatory compliance, and informed consent is crucial to ensure the responsible and ethical deployment of AI systems. Collaborative efforts between healthcare professionals, policymakers, and legal experts are necessary to develop comprehensive legal frameworks that protect patient rights while fostering innovation in this transformative field.