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Factors Impacting Patient Safety in COVID 19


Factors Impacting Patient Safety in COVID 19

The evidence-based studies have shown that COVID-19 is a droplet infection which spread primarily through respiratory contact routes. Due to their close proximity healthcare professionals are at high risk of getting virus transmission, on the other hand as per the Nursing and Midwifery Board, Australia, guidelines nurses are responsible for continued care of patient through compassion and commitment (NMBA,2020). Therefor most the of the healthcare agencies including World Health Organization and The Australian Institute of Health and Welfare (AIHW) are focusing on the extensive utilization of measures such as PPE, to inhibit any chances of contamination and infection to the patients as well as nurses (Australian Government, 2020). It has been documented in the studies that establishment protocols and regulatory approach may help nurses recognize the unprecedented environment and ensure health practitioner and the patient’s safety. 

The major deviations observed in the studies is the donning and doffing which is often not performed as per the standardized procedure resulting in self-contamination (Kwon et al., 2017). National Safety and Quality Health Service (NSQHS) guidelines have indicated on the higher chances of sepsis and impact patient safety due to negligence in proper donning and doffing procedures for PPE kit. Another factor is the restricted presence of skilled professionals in the resuscitation chamber which influence the response to alarming situations of life and death. (Kwon et al., 2017) recent studies have shown that decreased onboard nurses attending to patients needs have resulted in burnouts and limited response to patient deterioration and cod blue against the patient compliance.

The limited availability of safety gear is also a significant factor affecting the patient safety, availability of equipment, material or apparatus required to provide proper assistance and care have limited their use in clinical setting. Due to the complete lockdowns and multiple supply chain hindrances, the supply of essentials like PPE kits, gloves, sanitizers, equipment for ensuring clean sterilization and N95 masks had dropped suddenly due to elevation in demand (Butler et al., 2020) This shortage resulted in disruption of patient safety and sanitation (Çiriş Yildiz et al., 2020).  In such cases, it is essential to isolate the patient for both the care of patient and the individuals around them. A patient recovering from any infectious disease needs to be given proper assistance, medications and care which also involve providing stringent cleanliness and absolutely no chances of contamination. Hence, this has been practiced in the hospital setups. In such conditions, to serve the isolated patient, the staff needs to be properly trained and educated to handle the situation with great importance. Therefore, proper training of the staff holds equal value in ensuring patient safety eventually leading to good health. Patient safety is collectedly produced by the basic life support system available in the hospital setup like proper oxygen masks, ventilators, sterilization units and more with the specialized surgical procedures.


  Australian Government. 2020.

 Butler, C. R., Wong, S. P. Y., Wightman, A. G., & O’Hare, A. M. (2020). US Clinicians’ Experiences and Perspectives on Resource Limitation and Patient Care During the COVID-19 Pandemic. JAMA Network Open, 3(11), e2027315–e2027315.

Çiriş Yildiz, C., Ulaşli Kaban, H., & Tanriverdi, F. Ş. (2020). COVID-19 pandemic and personal protective equipment: Evaluation of equipment comfort and user attitude. Archives of Environmental & Occupational Health, 1, 1–8.

 Kwon, J. H., Burnham, C.-A. D., Reske, K. A., Liang, S. Y., Hink, T., Wallace, M. A., Shupe, A., Seiler, S., Cass, C., Fraser, V. J., & Dubberke, E. R. (2017). Assessment of Healthcare Worker Protocol Deviations and Self-Contamination During Personal Protective Equipment Donning and Doffing. Infection Control & Hospital Epidemiology, 38(9), 1077–1083.

NMBA. (2020)

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