Background: Nursing homes constitute the home of frail people of older age, living with multiple chronic diseases and polypharmacy possibly related to medication errors and unsafe medication practices. Evidence on interventions to improve medication safety in nursing homes is scarce and inconclusive but earlier research indicate patient safety culture might hold a key. This study introduces an integrative approach to intervention development, navigating the complex terrain of patient safety through a co-creative process inspired by the Safety II Theory and Integrated Knowledge Translation (IKT).
Objective:The overarching aim of this study was to develop an intervention to improve medication safety in nursing home residents in a co-creative process focused on frontline experiential knowledge on patient safety culture.
Methods:The study employed a multistage co-creative process, incorporating exploratory focus groups and a multidisciplinary workshop. Research validation and contextualization were keys to result generation, to generate experiential knowledge and intervention components. An abductive approach to data analysis was undertaken Safety II Theory informed and IKT principles guided this study.ClinicalTrials.gov (NCT04990986), adhering to highest standards of transparency and accountability.