Get in touch with safety in health
© Sendlhofer and Kamolz; licensee BioMed Central. 2015
Received: 19 November 2014
Accepted: 19 February 2015
Published: 27 May 2015
KeywordsPatient Safety Quality and Process Management Simulation and Training Health economic aspects
Healthcare systems have always striven to avoid errors and to have safe procedures in place. The European Commission estimated that in member states, between 8% and 12% of patients admitted to hospital suffer from adverse events while receiving care . In 1999, the publication of ‘to err is human’ suggested a comprehensive approach in improving patient safety  and explored the need to enhance knowledge and tools to improve safety. In the meantime, patient safety activities have started around the world . Subsequently, patient safety has received considerable attention and is fast becoming an important research area .
Patient safety is linked to human errors and the risk assessment approach of the aviation industry has provided healthcare with some best practice examples on dealing with this systematically. For example, checklists, team training, and incident reporting have been widely implemented in healthcare systems worldwide. Following the introduction of the WHO-Surgical Safety Checklist by Gawande in 2009 several comprehensive studies have evaluated its use . The findings of these studies indicate that even where there is an evidence-base demonstrating a benefit from the use of such tools, this does not guarantee acceptance and appropriate use by healthcare professionals [6, 7]. The reasons for this can lie in a lack of positive role models, hierarchical barriers, limited methodological knowledge and inappropriate implementation procedures .
WHO - 10 Facts on patient safety
Patient safety is a serious global public health issue
One in 10 patients may be harmed while in hospital
Hospital infections affect 14 out of every 100 patients admitted
Most people lack access to appropriate medical devices
Unsafe injections decreased by 88% from 2000 to 2010
Delivery of safe surgery requires a teamwork approach
About 20% - 40% of all health spending is wasted due to poor-quality care
A poor safety record for health care
Patient and community engagement and empowerment are key
Hospital partnership can play a critical role
clinical risk management strategies,
the implementation of health promotion schemes and
the development of safe and user-friendly systems, processes and tools
for patient safety accompanied by information and communication technologies are needed . All of these measures will help to support comprehensive changes that develop safe procedures in healthcare systems.
Identification of interventions that reduce common types of adverse events,
Dissemination of these effective interventions into routine practice, and
Development of tools to measure improvements in patient safety issues.
For this reason, the journal Safety in Health pays particular attention to global trends in healthcare that affect patient safety. The journal has four dedicated sections. Research in the section Patient Safety mainly focuses on studies of patient safety showing evidence in implementation and effectiveness in primary care, ambulatory care, hospitals, care transitions at hospital discharge and home care. It includes the development of new validated tools and measures which fit with patient safety issue. Critical incidents including possible solutions and explorations of patient involvement in decision-making, self-management, error prevention and evaluating the effect on patient safety are of particular interest .
Within the section Training and Simulation, we especially explore the vast need to contribute essentials in healthcare education; for example, how to train and assess students, and all healthcare professionals, in an era where limited faculty teaching time and technological progress in diagnosis and treatment is apparent. Specializations in skills, and the need for a “super specialists” approach in interdisciplinary teams, require validated methods to ensure the effectiveness of simulation and training to best support healthcare professionals and patients .
The section Quality and Process Management will include scientific articles addressing setting new standards in quality management to discuss new regulations, as well as the implementation, maintenance and validation of quality management systems. In process management, the issue of critical pathways describing the optimal sequencing and timing of interventions is the key as they have great impact on patient safety and quality of care .
Achieving high value for patients must become the overarching goal of healthcare delivery, where value is defined as the health outcomes achieved per expense  and is the focus of the section entitled Health Economic Aspects. It is related to the efficiency, effectiveness, value and behavior of the economics of health and includes topics such as financing of health services and policy interventions, as these topics greatly influence patient safety in healthcare. As described by Porter, if values improve, patients, payers, providers, and suppliers can all benefit while the economic sustainability of healthcare increases .
Taken together, we strongly believe that this new journal will have an impact within the scientific community. It aims to disseminate the latest research on safety in healthcare and to provide an international forum for academics, clinicians, and healthcare managers to discuss needs and trends. Safety in Health will accept outstanding research and welcome editorials, research articles, reviews, case reports, case studies, commentaries, database articles, letters to the editor, methodology articles and short reports on topics relating to quality and safety in healthcare.
The authors wish to express their gratitude to BioMed Central who was greatly attracted by the idea to start a new journal.
- Council Recommendation of 9 June 2009 on patient safety, including the prevention and control of health care associated infections Off J Eur Union 2009, 151: 01. accessed May-13–2015 http://ec.europa.eu/health/patient_safety/docs/council_2009_en.pdf
- Kohn LT, Corrigan J, Donaldson MS: To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.Google Scholar
- Exploring patient participation in reducing health-care-related safety risks. Europe: Word Health Organization; 2013. accessed May-13–2015 http://www.euro.who.int/__data/assets/pdf_file/0010/185779/e96814.pdf
- Sendlhofer G, Brunner G, Tax C, Falzberger G, Smolle J, Leitgeb K, et al.: Systematic implementation of clinical risk management in a large university hospital: the impact of risk managers. Wien Klin Wochenschrift 2015, 127: 1–11. doi:10.1007/s00508–014–0620–7View ArticleGoogle Scholar
- Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat A-HS, Dellinger EP, et al.: A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. N Engl J Med 2009, 360: 491–9. 10.1056/NEJMsa0810119PubMedView ArticleGoogle Scholar
- Berger MS, Wachter RM, Greysen SR, Lau CY: Changing our culture to advance patient safety. J Neurosurgery 2013,119(6):1359–69. 10.3171/2013.10.JNS132034View ArticleGoogle Scholar
- Sendlhofer G, Mosbacher N, Leitgeb K, Kober B, Jantscher L, Berghold A, et al.: Implementation of a surgical safety checklist: interventions to optimize the process and hints to increase compliance. PLoS One 2015.,10(2): e0116926. doi:10.1371/journal.pone.0116926Google Scholar
- Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA: Effective surgical safety checklist implementation. J Am Coll Surg 2011,212(5):873–9. 10.1016/j.jamcollsurg.2011.01.052PubMedView ArticleGoogle Scholar
- Word Health Organization Accessed 13-May-2015 http://www.who.int/features/factfiles/patient_safety/patient_safety_facts/en/
- Federal Ministry for Health: Nationwide Patient Safety Strategy for Austria 2013 – 2016. Vienna: Commissioned by the Federal Ministry of Health; 2013. Accessed 13-May-2015 http://bmg.gv.at/cms/home/attachments/1/4/5/CH1331/CMS1366277814203/patsistr__engl.pdf Google Scholar
- Shojania KG, Thomas EJ: Trends in adverse events over time: why are we not improving? BMJ Qual Safe 2013, 22: 273–7. 10.1136/bmjqs-2013-001935View ArticleGoogle Scholar
- Agency for Healthcare Research and Quality: Making health care safer II: an updated critical analysis of the evidence for patient safety practices. Evidence Report/Technology Assessment Number 211. 2014. accessed Nov-01–2014 http://www.ahrq.gov/research/findings/evidence-based-reports/services/quality/ptsafetyII-full.pdf Google Scholar
- Issenberg SB, Scalese RJ: Simulation in health care education. Perspect in Biol Med 2008,51(1):31–46. doi: 10.1353/pbm.2008.0004View ArticleGoogle Scholar
- Coffey RJ, Richards JS, Remmert CS, LeRoy SS, Schoville RR, Baldwin PJ: Quality management in health care: an introduction to critical paths. Fall 1992, Aspen Publisher, Inc; 1992.Google Scholar
- Porter ME: What is value in health care? N Engl J Med 2010,363(26):2477–81. 10.1056/NEJMp1011024PubMedView ArticleGoogle Scholar
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