System governance towards improved patient safety

Auraaen, Ane; Saar, Kristin; Klazinga, Niek

doi:10.1787/2abdd834-en

Cited by 3 publications

(2 citation statements)

References 55 publications

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“…Underlying this curriculum is the basic expectation of safe and evidence-based patient care activity (Witman, 2014; World Medical Association, 1948), supported by non-clinical workers in the organisation (Donnelly, 2012; Hutchinson and Purcell, 2010; Maria Céu, Coelho, Gomes and Sousa, 2019). In clinical culture, competency thus denotes safety, a standard from which healthcare managers are not exempt (Auraaen et al. , 2020; Kotzé and Steyn, 2013; Martin et al.…”

Section: Theorymentioning

confidence: 99%

A qualitative study of hospital clinical staff perceptions of their interactions with healthcare middle managers

Kendrick

Taylor

et al. 2021

JHOM

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PurposeThe authors explored clinical staff perceptions of their interactions with middle management and their experiences of the uncongeniality of their working environment.Design/methodology/approachSemi-structured interviews of clinical staff from an Australian public health service's Emergency, Surgery and Psychiatry departments. Volunteer interview transcripts were inductively coded using a reflexive thematic content analysis.FindingsOf 73 interviews, 66 participants discussed their interactions with management. Most clinicians considered their interactions with middle management to be negative based on a violation of their expectations of support in the workplace. Collectively, these interactions formed the basis of clinical staff perceptions of management's lack of capacity and fit for the needs of staff to perform their roles.Practical implicationsStrategies to improve management's fit with clinicians' needs may be beneficial for reducing uncongenial workplaces for healthcare staff and enhanced patient care.Originality/valueThis article is among the few papers that discuss interactions with management from the perspective of clinical staff in healthcare. How these perspectives inform the perception of workplace uncongeniality for clinicians contributes greater understanding of the factors contributing to adversarial relationships between clinicians and managers.

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Section: Theorymentioning

confidence: 99%

A qualitative study of hospital clinical staff perceptions of their interactions with healthcare middle managers

Kendrick

Taylor

et al. 2021

JHOM

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“…Some LTC facilities in several countries have been involved in the coronavirus spread slowing strategy by being converted into "recovery centres." This way, patients who left the hospital but might still be contagious are managed in specific settings with medical supervision, freeing up hospital beds and relieving pressure on acute care facilities (Associated Press, 2020 [201]) (Song et al, 2020 [202]).…”

Section: Long-term Care Workers Have Been Pivotal During Covid-19mentioning

confidence: 99%

The economics of patient safety Part IV: Safety in the workplace

Bienassis

Slawomirski

Klazinga

2021

OECD Health Working Papers

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systems/health-working-papers.htm OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s).Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works. Comments on Working Papers are welcomed, and may be sent to health.contact@oecd.org. This series is designed to make available to a wider readership selected health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language -English or Frenchwith a summary in the other. This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.

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Safety first? Sicherheitsrelevante Ereignisse aus Patientenperspektive

Brust,

Koch,

Weigl

2024

Präv Gesundheitsf

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Zusammenfassung Hintergrund Die WHO fordert die Einbeziehung von Patient:innen zur Förderung der Patientensicherheit. Ein unterschiedliches Verständnis von Patientensicherheit zwischen Patient:innen und Expert:innen kann die effektive Implementierung solcher Maßnahmen erschweren. In Deutschland fehlte bislang eine explorative, also erste und vorläufige qualitative Evidenz des Verständnisses von Patientensicherheit aus der Perspektive der Patient:innen. Zielstellung Ziel war die Exploration des Verständnisses sowie der Erfahrungen von Patient:innen zu patientensicherheitsrelevanten Ereignissen. Zudem war von Interesse, wie Gesundheitsexpert:innen diese Perspektive von Patient:innen einschätzen. Methode Es wurden semistrukturierte Einzelinterviews mit Patient:innen, ihren Vertreter:innen und Gesundheitsexpert:innen (u. a. Ärzt:innen, Qualitätsmanagement und Krankenkassen) durchgeführt. Mithilfe einer qualitativen Inhaltsanalyse erfolgte eine explorative Analyse, Interpretation und Klassifikation der Aussagen. Ergebnisse Es wurden 34 Teilnehmende (22 Patient:innen, 12 Expert:innen) rekrutiert. Das Verständnis von Patientensicherheit aus der Perspektive von Patient:innen und die diesbezügliche Einschätzungen von Expert:innen wurden in 3 Handlungsbereiche klassifiziert: (1) medizinische Aspekte, (2) Patientenorientierung und soziale Interaktion, (3) Versorgungsmanagement und Servicequalität. Handlungsbereich (1) umfasst u. a. die Diagnostik, Behandlung, Hygiene, Kompetenzen sowie Folgen sicherheitsrelevanter Ereignisse. Die Bereiche (2) und (3) thematisieren Kommunikation, Respekt und Patientenbeteiligung sowie Koordination und Zugang zur Versorgung, systembedingte Faktoren, Wartezeiten, Personalmangel und Service. Schlussfolgerung Kollaborative Anstrengungen und Maßnahmen zur Patientensicherheit können nur gelingen, wenn ein gemeinsames Verständnis von Patientensicherheit besteht. Unsere explorativen Ergebnisse zeigen die Vielfalt von Erfahrungen zur Patientensicherheit aus Patientenperspektive und die unterschiedlichen auslösenden Bedingungen für das Verständnis von Patientensicherheit. Die Ergebnisse können für die Planung und Implementation von Maßnahmen zur Patientensicherheit und -einbeziehung herangezogen werden.

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System governance towards improved patient safety

Cited by 3 publications

References 55 publications

A qualitative study of hospital clinical staff perceptions of their interactions with healthcare middle managers

A qualitative study of hospital clinical staff perceptions of their interactions with healthcare middle managers

The economics of patient safety Part IV: Safety in the workplace

Safety first? Sicherheitsrelevante Ereignisse aus Patientenperspektive

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