Developing a patient measure of safety (PMOS)

Giles, Stephen; Lawton, Rebecca; Din, Ikhlaq; McEachan, Rosemary

doi:10.1136/bmjqs-2012-000843

Cited by 72 publications

(142 citation statements)

References 25 publications

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“…Do ponto de vista organizacional, o desenvolvimento e implementação de protocolos são medidas efetivas na redução dos gastos excessivos porque favorecem também rotinas em setores de infraestrutura e de apoio à assistência como compras, almoxarifado, distribuição entre outros melhorando a eficiência institucional como um todo (7)(8)(9)(10)(11)(12)(13) . Em algumas instituições hospitalares do estudo, há problemas estruturais como escassez de profissionais para compor as comissões, falta de equipamentos como computador e até inexistência de laboratório de microbiologia para realização de testes necessários para a qualidade e segurança da assistência ao paciente, reforçando a lógica de que muitos dos incentivos para a segurança do paciente dependem da tomada de decisão institucional.…”

Section: Discussionunclassified

“…No entanto é frequente haver problemas para sua implantação ou implementação nas instituições hospitalares, e, para que estratégias de segurança do paciente sejam efetivas, o conhecimento pelos profissionais e a adoção dos protocolos e diretrizes clínicas são condições básicas quanto à disponibilidade de materiais e equipamentos para o seu cumprimento (1) . O alto custo dos eventos adversos, a diversidade e complexidade de procedimentos realizados, o acompanhamento por parte dos pacientes e familiares e as exigências legais fazem com que os gestores adotem, cada vez mais, práticas sistematizadas de avaliação nos serviços, com o uso de ferramentas capazes de identificar e localizar fatores que interferem nos resultados esperados (7,8) .…”

Section: Introductionunclassified

“…2016 v. 21 n. esp: [1][2][3][4][5][6][7][8][9] Foi desenvolvido um estudo transversal nos seis hospitais de referência de Mato Grosso do Sul das quatro regiões de saúde existentes no estado assim distribuídos: três hospitais na região de Campo Grande, na qual se localiza a capital do estado, um hospital na região de Corumbá, um na região de Dourados e um na região de Três Lagoas. Dos 84 hospitais cadastrados em Mato Grosso do Sul, foram selecionados para a pesquisa os seis hospitais de referência no estado e responsáveis pelos serviços hospitalares mais complexos.…”

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Situação Dos Hospitais De Referência Para Implantação/Funcionamento Do Núcleo De Segurança Do Paciente

2016

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RESUMO: Este estudo objetivou conhecer a situação dos hospitais de referência quanto ao uso de normas e protocolos sobre segurança do paciente diante da implantação da respectiva política nacional. Foi realizado um estudo descritivo de abordagem quantitativa nos seis hospitais de referência de Mato Grosso do Sul em 2014, com o uso de um roteiro desenvolvido a partir do arcabouço normativo da Política Nacional RESUMEN: Estudio con el objetivo de conocer la situación de hospitales de referencia respecto de uso de normas y protocolos sobre seguridad del paciente ante implantación de la respectiva política nacional. Realizado estudio descriptivo de abordaje cuantitativo en seis hospitales de referencia de Mato Grosso do Sul en 2014, utilizando rutina desarrollada basada en estructuración normativa de la Política Nacional de Seguridad del Pacientes, resoluciones de Vigilancia Sanitaria y recomendaciones de Organización Mundial de la Salud. Los hallazgos evidenciaron que inclusive con el Núcleo de Seguridad del Paciente implantado, protocolos como el de profilaxis quirúrgica, de chequeo de verificación de cirugías, notificaciones de eventos adversos, son incumplidos. Existe carencia estructuran en algunas instituciones hospitalarias que perjudican el desarrollo pleno de protocolos, como falta de profesionales, de equipo y materiales. Los resultados expresan que la existencia de normas y resoluciones es insuficiente para garantizar la seguridad del paciente.

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Section: Discussionunclassified

Section: Introductionunclassified

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Situação Dos Hospitais De Referência Para Implantação/Funcionamento Do Núcleo De Segurança Do Paciente

2016

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“…This paper provides an account of a qualitative process evaluation of a randomised controlled trial (RCT) where PRASE was tested. PRASE was designed,5 6 tested for feasibility7 and trialled8 9 between 2010 and 2015. This period has been charted as an era of paradigm shift for patient safety research when the dominant ‘measure and manage’ orthodoxy has been enriched by approaches sensitive to setting and sociocultural/political influences 10.…”

Section: Introductionmentioning

confidence: 99%

Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation

et al. 2017

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ObjectivesA patient safety intervention was tested in a 33-ward randomised controlled trial. No statistically significant difference between intervention and control wards was found. We conducted a process evaluation of the trial and our aim in this paper is to understand staff engagement across the 17 intervention wards.DesignLarge qualitative process evaluation of the implementation of a patient safety intervention.Setting and participantsNational Health Service staff based on 17 acute hospital wards located at five hospital sites in the North of England.DataWe concentrate on three sources here: (1) analysis of taped discussion between ward staff during action planning meetings; (2) facilitators’ field notes and (3) follow-up telephone interviews with staff focusing on whether action plans had been achieved. The analysis involved the use of pen portraits and adaptive theory.FindingsFirst, there were palpable differences in the ways that the 17 ward teams engaged with the key components of the intervention. Five main engagement typologies were evident across the life course of the study: consistent, partial, increasing, decreasing and disengaged. Second, the intensity of support for the intervention at the level of the organisation does not predict the strength of engagement at the level of the individual ward team. Third, the standardisation of facilitative processes provided by the research team does not ensure that implementation standardisation of the intervention occurs by ward staff.ConclusionsA dilution of the intervention occurred during the trial because wards engaged with Patient Reporting and Action for a Safe Environment (PRASE) in divergent ways, despite the standardisation of key components. Facilitative processes were not sufficiently adequate to enable intervention wards to successfully engage with PRASE components.

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“…A common method for answering calls for patient involvement is to collect patient feedback on their experiences of care through surveys and interviews, whether retrospective (Sutton, Eborall, & Martin, 2015;The Health Foundation, 2013) or current (Giles, Lawton, Din, & McEachan, 2013;Lawton et al, 2015). However, we also find methodologies that use face-to-face dialogue as a springboard for collaborative service design, notably "experience-based codesign" (EBCD; e.g., Larkin, Boden, & Newton, 2015).…”

Section: Prioritizing Complexity and Affect In Patient Involvement Rementioning

confidence: 99%

Patient Involvement Can Affect Clinicians’ Perspectives and Practices of Infection Prevention and Control

Wyer

Iedema

Hor

et al. 2017

International Journal of Qualitative Methods

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This study, set in a mixed, adult surgical ward of a metropolitan teaching hospital in Sydney, Australia, used a novel application of video-reflexive ethnography (VRE) to engage patients and clinicians in an exploration of the practical and relational complexities of patient involvement in infection prevention and control (IPC). This study included individual reflexive sessions with eight patients and six group reflexive sessions with 35 nurses. VRE usually involves participants reflecting on video footage of their own (and colleagues') practices in group reflexive sessions. We extended the method here by presenting, to nurses, video clips of their clinical interactions with patients, in conjunction with footage of the patients themselves analyzing the videos of their own care, for infection risks. We found that this novel approach affected the nurses' capacities to recognize, support, and enable patient involvement in IPC and to reflect on their own, sometimes inconsistent, IPC practices from patients' perspectives. As a "post-qualitative" approach, VRE prioritizes participants' roles, contributions, and learning. Invoking affect as an explanatory lens, we theorize that a "safe space" was created for participants in our study to reflect on and reshape their assumptions, positionings, and practices.

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Developing a patient measure of safety (PMOS)

Abstract: Background: Tools that proactively identify factors that contribute to accidents have been

Cited by 72 publications

References 25 publications

Situação Dos Hospitais De Referência Para Implantação/Funcionamento Do Núcleo De Segurança Do Paciente

Situação Dos Hospitais De Referência Para Implantação/Funcionamento Do Núcleo De Segurança Do Paciente

Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation

Patient Involvement Can Affect Clinicians’ Perspectives and Practices of Infection Prevention and Control

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