Patient involvement in patient safety: Protocol for developing an intervention using patient reports of organisational safety and patient incident reporting

نویسندگان

  • Jane K Ward
  • Rosemary RC McEachan
  • Rebecca Lawton
  • Gerry Armitage
  • Ian Watt
  • John Wright
چکیده

BACKGROUND Patients have the potential to provide a rich source of information on both organisational aspects of safety and patient safety incidents. This project aims to develop two patient safety interventions to promote organisational learning about safety - a patient measure of organisational safety (PMOS), and a patient incident reporting tool (PIRT) - to help the NHS prevent patient safety incidents by learning more about when and why they occur. METHODS To develop the PMOS 1) literature will be reviewed to identify similar measures and key contributory factors to error; 2) four patient focus groups will ascertain practicality and feasibility; 3) 25 patient interviews will elicit approximately 60 items across 10 domains; 4) 10 patient and clinician interviews will test acceptability and understanding. Qualitative data will be analysed using thematic content analysis.To develop the PIRT 1) individual and then combined patient and clinician focus groups will provide guidance for the development of three potential reporting tools; 2) nine wards across three hospital directorates will pilot each of the tools for three months. The best performing tool will be identified from the frequency, volume and quality of reports. The validity of both measures will be tested. 300 patients will be asked to complete the PMOS and PIRT during their stay in hospital. A sub-sample (N = 50) will complete the PMOS again one week later. Health professionals in participating wards will also be asked to complete the AHRQ safety culture questionnaire. Case notes for all patients will be reviewed. The psychometric properties of the PMOS will be assessed and a final valid and reliable version developed. Concurrent validity for the PIRT will be assessed by comparing reported incidents with those identified from case note review and the existing staff reporting scheme. In a subsequent study these tools will be used to provide information to wards/units about their priorities for patient safety. A patient panel will provide steering to the research. DISCUSSION The PMOS and PIRT aim to provide a reliable means of eliciting patient views about patient safety. Both interventions are likely to have relevance and practical utility for all NHS hospital trusts.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Safety-II Perspective on Organisational Learning in Healthcare Organisations; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”

In their recent editorial Mannion and Braithwaite provide an insightful critique of traditional patient safety improvement efforts, and offer a powerful alternative vision based on Safety-II thinking that has the potential to radically transform the way we approach patient safety. In this commentary, I explore how the Safety-II perspective points to new directions for organisational learning in...

متن کامل

Perspective of Nurses toward the Patient Safety Culture in Neonatal Intensive Care Units

Background: Infants hospitalized in neonatal intensive care units (NICUs) are often severely ill, highly prone to various diseases, and exposed to complex and prolonged intensive care interventions. Consequently, they are susceptible to the lapses in teamwork and patient safety. Patient safety culture a fundamental step to improve patient safety. The present study aimed to evaluate the perspect...

متن کامل

سیستم اطلاعات ایمنی بیمار: اهداف، ساختار و وظایف

Patient safety is the key element of quality in healthcare. Ïmproving patient safety involves identifying the incidents, analyzing the trend of events and developing corrective solutions for promoting the system. Health care organizations can not judge the safety of the care without data and information related to patient safety. Therefore, patient safety information system (PSÏS( is used in ...

متن کامل

Survey of Effectiveness, Professional Ethics Training in the Attitude of Clinical Management Nurses to the Patient Safety Culture

Introduction: The patient safety culture is one of the most important aspects of the quality of clinical care. The results of the study showed that patient safety was observed in undesirable treatment centers. Understanding effective methods in promoting this component is an organizational priority. The aim of this study was to Survey of Effectiveness, Professional Ethics Training in the Attitu...

متن کامل

Assessment of Nurses Viewpoints on Patient Safety Culture in Amol Hospitals in Iran, 2012

Background and Objectives: Patient safety is the most vital indicator of hospital management. Ignorance of the patient safety may lead to an increase in hospital mortality rates due to medical errors. Multiple studies have pointed out that there is a positive association between patient safety culture with reduction of medical errors and improvement in healthcare outcomes. This study was conduc...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 11  شماره 

صفحات  -

تاریخ انتشار 2011