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Biomedical subjects

Gina Pugliese

Publications and source records attributed to Gina Pugliese.

7 recordsLinked to original sources
PubMed2004

Home study program. Can we build a safer OR?

PEOPLE WHO WORK in health care are among the brightest and most dedicated workers in the United States, but they are human, and humans make mistakes. HEALTH CARE FACILITIES are moving away from a culture of perfection and exploring how human factors predispose people to make certain types of errors. THIS ARTICLE discusses the types of errors being made and the organizations that are working to redesign the health care system to make it easier to do the job more safely and more difficult to make a mistake.

Fires↗
PubMed2003

What is working in patient safety?

The authors discuss the purpose and themes of Partnership Symposium 2002: Smart Designs for Patient Safety, which was held in Washington, DC, October 14-16, 2002.

Humans↗
PubMed2002

Organizational and environmental factors that affect worker health and safety and patient outcomes.

This article reviews organizational factors that influence the satisfaction, health, safety, and well-being of health care workers and ultimately, the satisfaction, safety, and quality of care for patients. The impact of the work environment on working conditions and the effects on health care workers and patients are also addressed. Studies focusing on worker health and safety concerns affected by the organization and the physical work environment provide evidence of direct positive and/or adverse effects on performance and suggest indirect effects on the quality of patient care. The strongest links between worker and patient outcomes are demonstrated in literature on nosocomial transmission of infections. Transmission of infections from worker to patient and from patient to patient via health care worker has been well documented in clinical studies. Literature on outbreaks of infectious diseases in health care settings has linked the physical environment with adverse patient and worker outcomes. An increasing number of studies are looking at the relationship between improvement in organizational factors and measurable and positive change in patient outcomes. Characteristics of selected magnet hospitals are reviewed as one model for improving patient and worker outcomes.

Allied Health Personnel↗
PubMedDate not supplied

In search of safety: an interview with Gina Pugliese. Interview by Alison P. Smith.

Gina Pugliese, MS, RN, is currently a vice-president for Premier, Inc. In addition to faculty and editorial positions, she directs international training courses in hospital epidemiology. She has made innumerable contributions to the field of safety over the past 25 years through her work with regulatory and federal agencies. Changing organizational culture from a "blame culture" to a "safety culture" is one notable challenge facing organizations. The airline industry has achieved significant changes in its safety culture by virtually eliminating a power hierarchy in the cockpit, a worthy example for operating rooms. Redesigning care delivery processes will minimize the opportunity for error if efforts are made to avoid reliance on memory, automate repetitive functions, reduce the number of steps involved, or use protocols when appropriate. The sophistication of consumers and the emergence of organizations like the Leap Frog Group will continue to challenge health care providers and potentially accelerate safety improvements.

Delivery of Health Care↗