Factors Affecting Patient Safety in Inpatient Rehabilitation Hospital: A Multidisciplinary Perspective

References

• Baker, G. R., J. L. Denis, M. P. Pomey, and A. MacIntosh-Murray. 2010. Designing effective governance for quality and safety in Canadian healthcare. Healthcare Quarterly (Toronto, Ont.) 13 (1):38–45. doi: 10.12927/hcq.2013.21244.
   PubMedGoogle Scholar
• Black, A. A., S. G. Brauer, R. A. Bell, A. J. Economidis, and T. P. Haines. 2011. Insights into the climate of safety towards the prevention of falls among hospital staff. Journal of Clinical Nursing 20 (19-20):2924–30. doi: 10.1111/j.1365-2702.2010.03535.x.
   PubMed Web of Science ®Google Scholar
• Carvalho, P. R., E. S. D. Ferraz, C. C. Teixeira, V. B. Machado, A. L. Q. Bezerra, and T. T. d B. Paranaguá. 2021. Patient participation in care safety: Primary Health Care professionals’ perception. Revista Brasileira de Enfermagem 74 (2): e20200773. doi: 10.1590/0034-7167-2020-0773.
   PubMed Web of Science ®Google Scholar
• Clemson, L., S. Stark, A. C. Pighills, D. J. Torgerson, C. Sherrington, and S. E. Lamb. 2019. Environmental interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews 2019 (2): CD013258. doi: 10.1002/14651858.CD013258.
   Google Scholar
• Cournan, M., Fusco Gessick, B, and Wright, L. 2018. Improving patient safety through video monitoring. Rehabilitation Nursing 43 (2):111–5. doi: 10.1002/rnj.308.
   PubMed Web of Science ®Google Scholar
• Davis, R. E., R. Jacklin, N. Sevdalis, and C. A. Vincent. 2007. Patient involvement in patient safety: What factors influence patient participation and engagement? Health Expectations: An International Journal of Public Participation in Health Care and Health Policy 10 (3):259–67. doi: 10.1111/j.1369-7625.2007.00450.x.
   PubMed Web of Science ®Google Scholar
• Dehghan-Nayeri, N., M. Shali, N. Navabi, and F. Ghaffari. 2018. Perspectives of oncology unit nurse managers on missed nursing care: A qualitative study. Asia-Pacific Journal of Oncology Nursing 5 (3):327–36. doi: 10.4103/apjon.apjon_6_18.
   PubMed Web of Science ®Google Scholar
• Deka, K., and P. Gogoi. 2019. Patient safety issues in rehabilitation for person with locomotor disabilities: A review. International Journal of Research in Medical Sciences 7 (4):1388. doi: 10.18203/2320-6012.ijrms20191360.
   Google Scholar
• Donald, I., K. Pitt, E. Armstrong, and H. Shuttleworth. 2000. Preventing falls on an elderly care rehabilitation ward. Clinical Rehabilitation 14 (2):178–85. doi: 10.1191/026921500677888641.
   PubMed Web of Science ®Google Scholar
• Fancott, C., K. Velji, E. Aimone, and L. Sinclair. 2006. Exploration of patient safety phenomena in rehabilitation and complex continuing care. Healthcare Quarterly (Toronto, Ont.) 9 Spec No:135–40. doi: 10.12927/hcq.18472.
   PubMedGoogle Scholar
• Franz, S., J. Muser, U. Thielhorn, C. W. Wallesch, and J. Behrens. 2020. Inter-professional communication and interaction in the neurological rehabilitation team: A ­literature review. Disability and Rehabilitation 42 (11):1607–15. doi: 10.1080/09638288.2018.1528634.
   PubMed Web of Science ®Google Scholar
• Ganz, D., C. Huang, D. Saliba, I. Miake-Lye, S. Hempel, D. Ganz, and K. Ensrud. 2013. Preventing falls in hospitals: A toolkit for improving quality of care. Annals of Internal Medicine 158 (5 Pt 2):390–6. doi: 10.7326/0003-4819-158-5-201303051-00005.
   PubMedGoogle Scholar
• Guo, M., R. Mandurah, A. Tam, M. Bayley, and A. Kam. 2022. The incidence and nature of adverse events in rehabilitation inpatients with acquired brain injuries. PM&R 14 (7):764–8. doi: 10.1002/pmrj.12650.
   Web of Science ®Google Scholar
• Guo, M., G. Tardif, and M. Bayley. 2018. Medical safety huddles in rehabilitation: A novel patient safety strategy. Archives of Physical Medicine and Rehabilitation 99 (6):1217–9. doi: 10.1016/j.apmr.2017.09.113.
   PubMed Web of Science ®Google Scholar
• Hagley, G. W., P. D. Mills, B. Shiner, and R. R. Hemphill. 2018. An analysis of adverse events in the rehabilitation department: Using the Veterans Affairs root cause analysis system. Physical Therapy 98 (4):223–30. doi: 10.1093/ptj/pzy003.
   PubMed Web of Science ®Google Scholar
• Hanger, H. C. 2017. Low-impact flooring: Does it reduce fall-related injuries? Journal of the American Medical Directors Association 18 (7):588–91. doi: 10.1016/j.jamda.2017.01.012.
   PubMed Web of Science ®Google Scholar
• Hemmat, F., F. Atashzadeh-Shoorideh, T. Mehrabi, and F. Zayeri. 2015. A survey of nurses’ awareness of patient safety culture in neonatal intensive care units. Iranian Journal of Nursing and Midwifery Research 20 (4):490–5. doi: 10.4103/1735-9066.161003.
   PubMedGoogle Scholar
• Henriksen, K., S. Isaacson, B. L. Sadler, and C. M. Zimring. 2007. The role of the physical environment in crossing the quality chasm. Joint Commission Journal on Quality and Patient Safety 33 (11 Suppl):68–80. doi: 10.1016/s1553-7250(07)33114-0.
   PubMedGoogle Scholar
• Hoeman, S. P. 2008. Rehabilitation nursing: Prevention, intervention, and outcomes: Elsevier Health Sciences St Louis, United States.
   Google Scholar
• Jafree, S. R., R. Zakar, M. Z. Zakar, and F. Fischer. 2017. Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan. Safety in Health 3 (1):1–8. doi: 10.1186/s40886-017-0061-x.
   Google Scholar
• Kaplan, S. E., M. Cournan, J. Gates, M. Thorne, A. Jones, T. Ponce, and E. R. Rosario. 2020. Validation of the Casa Colina fall risk assessment scale in predicting falls in inpatient rehabilitation facilities. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses 45 (4):234–7. doi: 10.1097/rnj.0000000000000180.
   PubMed Web of Science ®Google Scholar
• Kaya, B. B. 2019. Pressure ulcer rates of stroke patients in a public rehabilitation hospital and training rates of nurses for pressure ulcer. Journal of Surgery and Medicine 3 (7):512–4.
   Google Scholar
• Khammar, A., M. Poursadeghiyan, H. Marioryad, R. Nabi Amjad, M. Alimohammadi, and M. Khandan. 2019. Patient safety climate and its affecting factors among rehabilitation health care staff of hospitals and rehabilitation centers in Iran-Tehran. Iranian Rehabilitation Journal 17 (1):39–48. doi: 10.32598/irj.17.1.39.
   Google Scholar
• Kwan, F., S. Kaplan, M. Hudson-McKinney, D. Redman-Bentley, and E. R. Rosario. 2012. Comparison of fallers and nonfallers at an inpatient rehabilitation facility: A retrospective review. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses 37 (1):30–6. doi: 10.1002/RNJ.00004.
   PubMed Web of Science ®Google Scholar
• Lee, J. E., and D. S. Stokic. 2008. Risk factors for falls during inpatient rehabilitation. American Journal of Physical Medicine & Rehabilitation 87 (5):341–50; quiz 351, 422. doi: 10.1097/PHM.0b013e31816ddc01.
   PubMed Web of Science ®Google Scholar
• Mahmoudi, M., T. Dehdari, D. Shojaeezadeh, L. Abbasian, and S. S. Mortazavi. 2014. Coping with stress strategies among HIV positive patients: A qualitative content analysis. Preventive Care in Nursing & Midwifery Journal 3 (2):33–46.
   Google Scholar
• Medina-Mirapeix, F., D. Bano-Aledo, M. E. Oliveira-Sousa, S. L. Escolar-Reina, P, and Collins, S. M. 2013. How the rehabilitation environment influences patient perception of service quality: A qualitative study. Archives of Physical Medicine and Rehabilitation 94 (6):1112–7. doi: 10.1016/j.apmr.2012.11.007.
   PubMed Web of Science ®Google Scholar
• Pai, A. B., Y. Zadov, and A. Hickman. 2012. Patient safety in rehabilitation medicine: Traumatic brain injury. Physical Medicine and Rehabilitation Clinics of North America 23 (2):349–70. doi: 10.1016/j.pmr.2012.02.009.
   PubMed Web of Science ®Google Scholar
• Panagioti, M., K. Khan, R. N. Keers, A. Abuzour, D. Phipps, E. Kontopantelis, P. Bower, S. Campbell, R. Haneef, A. J. Avery, et al. 2019. Prevalence, severity, and nature of preventable patient harm across medical care settings: Systematic review and meta-analysis. BMJ (Clinical Research ed.) 366: L 4185. doi: 10.1136/bmj.l4185.
   Google Scholar
• Parand, A., S. Dopson, A. Renz, and C. Vincent. 2014. The role of hospital managers in quality and patient safety: A systematic review. BMJ Open 4 (9):e005055. doi: 10.1136/bmjopen-2014-005055.
   PubMed Web of Science ®Google Scholar
• Pazokian, M., and F. Borhani. 2017. Nurses’ perspectives on factors affecting patient safety: A qualitative study. Evidence Based Care 7 (3):76–81.
   Google Scholar
• Poorolajal, J., S. Rezaie, and N. Aghighi. 2015. Barriers to medical error reporting. International Journal of Preventive Medicine 6 (1):97. doi: 10.4103/2008-7802.166680.
   PubMedGoogle Scholar
• Raesi, F., N. Arsalani, A. Dalvandi, and S. Hosseinzadeh. 2020. The effect of inter-professional communication skills training on patient safety culture among emergency department staff.
   Google Scholar
• Rafiee Vardanjani, L, . 2019. The relationship between professional commitment and patient safety culture in educational hospitals of Shahrekord University of medical sciences. Journal of Health and Care 21 (4):344–52. doi: 10.29252/jhc.21.4.344.
   Google Scholar
• Ree, E., and S. Wiig. 2020. Linking transformational leadership, patient safety culture and work engagement in home care services. Nursing Open 7 (1):256–64. doi: 10.1002/nop2.386.
   PubMed Web of Science ®Google Scholar
• Rosario, E. R., S. E. Kaplan, S. Khonsari, and D. Patterson. 2014. Predicting and assessing fall risk in an acute inpatient rehabilitation facility. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses 39 (2):86–93. doi: 10.1002/rnj.114.
   PubMed Web of Science ®Google Scholar
• Sahlström, M., P. Partanen, M. Azimirad, T. Selander, and H. Turunen. 2019. Patient participation in patient safety—An exploration of promoting factors. Journal of Nursing Management 27 (1):84–92. doi: 10.1111/jonm.12651.
   PubMed Web of Science ®Google Scholar
• Schmerzler, A. J., L. Martin, B. Oliver, and L. A. London. 2012. Safety in the rehabilitation setting: A nursing perspective. Physical Medicine and Rehabilitation Clinics of North America 23 (2):259–70. doi: 10.1016/j.pmr.2012.02.004.
   PubMed Web of Science ®Google Scholar
• Seljemo, C., P. Viksveen, and E. Ree. 2020. The role of transformational leadership, job demands and job resources for patient safety culture in Norwegian nursing homes: A cross-sectional study. BMC Health Services Research 20 (1):1–8. doi: 10.1186/s12913-020-05671-y.
   Web of Science ®Google Scholar
• Sherrington, C., S. R. Lord, J. C. T. Close, E. Barraclough, M. Taylor, S. Oâ Rourke, S. Kurrle, A. Tiedemann, R. G. Cumming, and R. D. Herbert. 2010. Development of a tool for prediction of falls in rehabilitation settings (Predict_FIRST): A prospective cohort study. Journal of Rehabilitation Medicine 42 (5):482–8. doi: 10.2340/16501977-0550.
   PubMed Web of Science ®Google Scholar
• Singh, H. 2020. Understanding the complexity of falls and fall prevention for wheelchair users with spinal cord injury across the continuum of care. Canada: University of Toronto.
   Google Scholar
• Singh, H., B. C. Craven, H. M. Flett, C. Kerry, S. B. Jaglal, M. P. Silver, and K. E. Musselman. 2019. Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals. BMC Health Services Research 19 (1):391. doi: 10.1186/s12913-019-4233-8.
   PubMedGoogle Scholar
• Singh, H., A. S. Rosen, G. Bostick, A. Kaiser, and K. E. Musselman. 2020. Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: A mixed-methods study. BMJ Open 10 (8):e039763. doi: 10.1136/bmjopen-2020-039763.
   PubMed Web of Science ®Google Scholar
• Srinivasan, R. 2012. Patient safety in the rehabilitation of children with traumatic brain injury and cerebral palsy. Physical Medicine and Rehabilitation Clinics of North America 23 (2):393–400. doi: 10.1016/j.pmr.2012.02.012.
   PubMed Web of Science ®Google Scholar
• Staggs, V. S., and N. Dunton. 2014. Associations between rates of unassisted inpatient falls and levels of registered and non-registered nurse staffing. International Journal for Quality in Health Care : journal of the International Society for Quality in Health Care 26 (1):87–92. doi: 10.1093/intqhc/mzt080.
   PubMed Web of Science ®Google Scholar
• Tsur, A. Y. O. 2019. Inpatient falls in a hospital rehabilitation department. JSM Physical Medicine and Rehabilitation 3 (1):1012.
   Google Scholar
• WHO. 2018. Patient safety in the Eastern Mediterranean REGION [Online].
   Google Scholar
• WHO. 2021. Draft global patient safety action plan 2021–2030 Towards eliminating avoidable harm in health care. [Online].
   Google Scholar
• WHO. 2020, July 12. Patient safety.
   Google Scholar