Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review

Abstract

Purpose: This narrative review aimed to scope the patient safety literature to identify interprofessional intervention approaches, the sources of evidence and reported outcomes.Data sources: Two major databases (MEDLINE, CINAHL) were searched from 2005 to 2015.Study selection: A total of 1,552 abstracts were initially identified. After screening these abstracts, 129 full papers were obtained. Further screening resulted in a total of 89 papers included in this review. Data extraction:The following information was extracted from each included paper: details on the patient safety intervention, study methods employed and outcomes reported.Results of data synthesis: It was found that the bulk of the included studies were undertaken in a North American acute care context. Most often, studies involved qualified professionals from nursing and medicine collaborating in hospitals and medical centres. Nearly half the studies reported in this review employed educational interventions, such as TeamSTEPPS, aimed at enhancing practitioners' competence of delivering safe patient care. Nearly a third of studies involved practice-based interventions (e.g. checklists) aimed at improving the delivery of safe care. Most of the studies used a quasi-experimental design and typically gathered survey data. The majority reported outcomes related to changes in professionals' attitudes, knowledge and skills. There were, however, fewer studies reporting changes in practitioners' safety behaviours, organisational practices or patient benefit. Conclusion:The use of different interprofessional interventions are key activities involved in promoting safe patient care practices. However, further work is needed to strengthen these interventions and their evaluations.

Factors influencing interprofessional collaboration between community pharmacists and general practitioners—A systematic review

“…Whilst literature to date demonstrates a growing number of interventions that aim to improve collaboration in healthcare, there is still limited evidence regarding the effectiveness. Identified approaches that aimed to enhance collaboration included educational activities (e.g., seminars, workshops, and simulations), practice interventions (e.g., checklists, team briefings, and patient safety rounds), and a few organisation‐based practices (e.g., policies, guidelines, redesign of workspaces) (Reeves, Clark, Lawton, Ream, & Ross, ). While outcomes showed that the interventions improve the attitudes, knowledge, and skills of the professionals, evidence on change in individual behaviours, organisational practices and patient benefit still lacks (Reeves et al., , ).…”

“…Identified approaches that aimed to enhance collaboration included educational activities (e.g., seminars, workshops, and simulations), practice interventions (e.g., checklists, team briefings, and patient safety rounds), and a few organisation‐based practices (e.g., policies, guidelines, redesign of workspaces) (Reeves, Clark, Lawton, Ream, & Ross, ). While outcomes showed that the interventions improve the attitudes, knowledge, and skills of the professionals, evidence on change in individual behaviours, organisational practices and patient benefit still lacks (Reeves et al., , ). Furthermore, studies that were conducted in community settings are limited, with most studies conducted in mental health facilities or hospitals (Reeves et al., ).…”

“…While outcomes showed that the interventions improve the attitudes, knowledge, and skills of the professionals, evidence on change in individual behaviours, organisational practices and patient benefit still lacks (Reeves et al., , ). Furthermore, studies that were conducted in community settings are limited, with most studies conducted in mental health facilities or hospitals (Reeves et al., ). As such, interventions that focused on the facilitating factors that have been identified in this review to enhance collaboration between GPs and CPs in practice are now needed.…”

Gambaran Pengetahuan Inter Professional Collaboration Pada Profesional Pemberi Asuhan Di Rumah Sakit Khusus Propinsi Jambi: Kajian

“…Handayani, 2017), dan memberikan perlindungan terhadap keselamatan pasien. Didunia selama 20 tahun terakhir masalah untuk mengurangi bahaya dan meningkatkan keselamatan pasien menjadi sorotan penting (Reeves et al, 2017). Maka dari itu WHO, (2010) mencanangkan patient safety dengan strategi Inter professional calaboration (IPC) untuk menekan insiden yang merugikan pasien.…”

Organisational paradoxes in speaking up for safety: Implications for the interprofessional field

“…Patient safety continues to be a pressing concern within health service organisations. Links between patient harm and problems in team-based care have served as the rationale for many interprofessional interventions (Reeves, Clark, Lawton, Ream, & Ross, 2017). Of particular salience is the perceived problem of silence, whereby individual practitioners experience themselves as unable to speak about their various safety concerns.…”