How To Do It: Use facilitated case discussions for significant event auditing

Robinson, Louise; Stacy, Rosie; Spencer, John; Bhopal, Raj

doi:10.1136/bmj.311.7000.315

Cited by 29 publications

(26 citation statements)

References 12 publications

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“…It is recognised that external facilitators could be threatening and could affect existing team dynamics. 6 The impotence of primary care to influence suicide seems surprising given the fact that a substantial proportion of patients who committed suicide had clinical risk factors such as a previous episode of deliberate self harm or a current psychiatric problem including schizophrenia. The difficulty in identifying patients at high risk as opposed to having clinical risk factors was highlighted.…”

Section: Discussionmentioning

confidence: 99%

Use of the critical incident technique in primary care in the audit of deaths by suicide.

Redpath

Stacey

Pugh

et al. 1997

Quality and Safety in Health Care

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Section: Discussionmentioning

confidence: 99%

Use of the critical incident technique in primary care in the audit of deaths by suicide.

Redpath

Stacey

Pugh

et al. 1997

Quality and Safety in Health Care

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“…We already had access to a comprehensive, step-by-step protocol 129 and amended this to incorporate some of the RCA tools, such as cause and effect charts, to produce a draft version of the guide. Similarly, commentaries on the use of group rather than individual interviewing approaches link to experience of other researchers in developing significant event auditing 32,99,[122][123][124] and particular adaptations of RCA, 78,[126][127][128] Finally, the use of action plans and implementation cycles is, of course, well established among those using audit and peer review approaches [131][132][133] and the development of taxonomies for classifying incidents is possibly greatest amongst researchers who have developed AIMS and related approaches. [115][116][117][118] For the three specialities acute care, mental health and primary care, a research group was set up to test and pilot the guide.…”

Section: Developing a Methods For Research And For Use In Major Incidentsmentioning

confidence: 99%

“…122 The account of what happened is presented with assistance from clinical notes if relevant. Frameworks have been suggested to help guide the analysis of the case and leading to action points.…”

Section: Essential Featuresmentioning

confidence: 99%

The investigation and analysis of critical incidents and adverse events in healthcare

Woloshynowych

Rogers²,

Taylor‐Adams³

et al. 2005

Health Technol Assess

118

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTAThe investigation and analysis of critical incidents and adverse events in healthcare NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, consumer groups and professional bodies such as Royal Colleges and NHS Trusts.Research suggestions are carefully considered by panels of independent experts (including consumers) whose advice results in a ranked list of recommended research priorit...

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“…1 The technique of SEA has been well described. [1][2][3] However, while a small number of research-based explorations of SEA in primary care have been undertaken, 4,5 and there is evidence of the technique producing follow through into needs assessment and commissioning, 6 the actual group process and the individual experience remain poorly described. Whilst there is some empirical evidence to support the particular model of SEA that has been advocated and widely adopted, few efforts have been made to ascertain or evaluate:…”

Section: Introductionmentioning

confidence: 99%

Significant event audit in practice: a preliminary study

Westcott¹,

Sweeney²,

Stead³

2000

Family Practice

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Westcott R, Sweeney G and Stead J. Significant event audit in practice: a preliminary study. Family Practice 2000; 17: 173-179. Background. While well described and promoted as a useful activity, there remains a paucity of evidence on the process and experience of significant event audit (SEA) in primary care. To date, the most comprehensive evaluation of the process has been produced by comparing SEA with conventional audit. The current study intends to contribute to the debate by examining the attitudes and perceptions of a range of primary care staff who have been involved in the process.Objectives. The aim of this study was to identify participants' perceptions of the benefits and problems associated with SEA in the context of primary care, and to derive suggestions which might improve the process of SEA.Methods. Semi-structured interviews of 12 participants from a variety of primary care disciplines were conducted, using grounded theory to analyse the results. Results.A set of six perceptions and seven recommendations for the facilitation of SEA were produced.Conclusions. SEA constitutes a powerful tool, which can contribute to team building, enhanced communication and improved patient care, and represents a vital contributor to the development of clinical governance in primary care. However, its implementation and sustenance require sensitive handling for optimal benefit and to minimize difficulties. Our research has enabled us to propose suggestions to facilitate these processes.

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How To Do It: Use facilitated case discussions for significant event auditing

Cited by 29 publications

References 12 publications

Use of the critical incident technique in primary care in the audit of deaths by suicide.

Use of the critical incident technique in primary care in the audit of deaths by suicide.

The investigation and analysis of critical incidents and adverse events in healthcare

Significant event audit in practice: a preliminary study

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