Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes.

The purpose of this study was to examine the effect of application of team strategies and tools to enhance performance and patient safety at primary healthcare units on patients' safety and outcomes. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS) are specially intended to enhance patient safety through effective communication and teamwork skills. To examine, a quasi-experimental (pre-posttest) design was utilized. Six primary healthcare centers in Egypt were selected. The subjects included composed of two groups: (1) All-available healthcare providers (114) and (2) convenience sample of 108 clients. Four questionnaires were used, namely; the Hospital Survey on Patient Safety Culture (HSPSC), Perception of Teamwork Questionnaire, the Short Assessment of Patient Satisfaction Scale, and Patient's Adverse Events Questionnaire. Results showed that there was a highly significant decrease in the level of weakness and the need for potential improvement of all 11 domains of the HSPSC survey except the staffing domain (p < 0.001). The teamwork perceptions scores showed significant improvement post intervention (p < 0.001). In addition, a highly significant decrease in the frequency of patient-reported adverse events compared to a significant increase in patient satisfaction level was proved (p < 0.001). It may, hence, be concluded that Team STEPPS implementation had improved patient safety culture among healthcare providers and significantly improved patient outcomes.

Oxford Textbook of Palliative Nursing. 5th revised edition.

[No Abstract Available].

A report of treatment of a fused permanent central incisor and supplemental lateral incisor.

UNLABELLED: A 9-year-old boy presented with a fused maxillary right permanent central incisor and displacement of the right permanent lateral incisor palatally. An unerupted supplemental maxillary left permanent lateral incisor was noted radiographically. The maxillary fused right permanent central incisor was sectioned under general anaesthesia. The distal portion was extracted as planned; a vital partial pulpotomy was carried out on the distal aspect of the retained portion. Fixed orthodontic treatment commenced after 28 months to align the maxillary anterior segment. After completion, the maxillary right permanent central incisor was built up with composite to resemble the adjacent incisor. CLINICAL RELEVANCE: This case highlights the treatment options of a fused tooth and the need for multidisciplinary planning and treatment.

A report of 2 cases of green pigmentation in the primary dentition associated with cholestasis caused by sepsis.

Green pigmentation of teeth is uncommon but, when it occurs it is a cause of anxiety to the child and family. It also causes the child to lose self-esteem and increases social issues for the family. The purpose of this paper was to present the management of 2 unrelated patients who presented with green primary teeth following sepsis-induced liver dysfunction and hyperbilirubinemia in infancy.