The Usability of Kamishibai Card in Patient Safety: A Literature Review

Introduction: Monitoring patients' safety in real time and compliance required valid instrument. Kamishibai Card or K-Card was introduced as an instrument to monitor central line-associated bloodstream infections or CLABSIs associated with nosocomial infection. However, the effectivity of the instrument remains inconsistent. The study aims to review the effectiveness of K-Card.

Methods: This study applied systematic review of published papers retrieved form data-base: Elsevier Science, Web of Science, EBSCO, and Science Direct. Inclusions were made to only full English article published from January 1, 2012 to February 28, 2022. the JBI Critical Appraisal Checklist for systematic reviews and research syntheses were applied for each study. The feasibility study of methodology using CASP tools Meta-analysis was performed to analyze the articles.

Results: A total of four articles was retrieved for analysis and synthesis using. The implementation of K-Card as an audit tool showed positive results. It leads to a quick identification of high-risk patients, increasing patient satisfaction, helping the frontline staff educate patients families, and helping the leaders have better communication with their staff. It's simplifying the audit process for patient safety with real-time data and direct feedback to solve problems.

Conclusions: The use of K-Card allows the leaders and staff to solve their daily problems in real time that relate to patient safety, allows direct feedback and creates a bond between leaders and staff, increases patient trust and satisfaction, and also enables timely root cause analyses to improve patients care.