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Improving health system responses when patients are harmed: a protocol for a multistage mixed-methods study.
Hibbert, Peter D; Raggett, Louise; Molloy, Charlotte J; Westbrook, Johanna; Magrabi, Farah; Mumford, Virginia; Clay-Williams, Robyn; Lingam, Raghu; Salmon, Paul M; Middleton, Sandy; Roberts, Mike; Bradd, Patricia; Bowden, Steven; Ryan, Kathleen; Zacka, Mark; Sketcher-Baker, Kirstine; Phillips, Andy; Birks, Lanii; Arya, Dinesh K; Trevorrow, Catherine; Handa, Suchit; Swaminathan, Girish; Carson-Stevens, Andrew; Wiig, Siri; de Wet, Carl; Austin, Elizabeth E; Nic Giolla Easpaig, Brona; Wang, Ying; Arnolda, Gaston; Peterson, Gregory M; Braithwaite, Jeffrey.
Afiliación
  • Hibbert PD; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia peter.hibbert@mq.edu.au.
  • Raggett L; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
  • Molloy CJ; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Westbrook J; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Magrabi F; IIMPACT in Health, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
  • Mumford V; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Clay-Williams R; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Lingam R; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Salmon PM; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Middleton S; School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
  • Roberts M; Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
  • Bradd P; Nursing Research Institute, St Vincent's Health Network Sydney and Australian Catholic University, St Vincent's Hospital Melbourne Pty Ltd, Fitzroy, Victoria, Australia.
  • Bowden S; School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.
  • Ryan K; Safer Care Victoria, Melbourne, Victoria, Australia.
  • Zacka M; Clinical Excellence Commission, St Leonards, New South Wales, Australia.
  • Sketcher-Baker K; Clinical Excellence Commission, St Leonards, New South Wales, Australia.
  • Phillips A; Mid North Coast Local Health District, Port Macquarie, New South Wales, Australia.
  • Birks L; Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
  • Arya DK; Clinical Excellence Queensland, Health Innovation and Research Branch, Queensland Health, Brisbane, Queensland, Australia.
  • Trevorrow C; Safer Care Victoria, Melbourne, Victoria, Australia.
  • Handa S; Safer Care Victoria, Melbourne, Victoria, Australia.
  • Swaminathan G; ACT Health, Canberra, Australian Capital Territory, Australia.
  • Carson-Stevens A; ACT Health, Canberra, Australian Capital Territory, Australia.
  • Wiig S; Australian Commission on Safety and Quality in Healthcare, Sydney, New South Wales, Australia.
  • de Wet C; Australian Commission on Safety and Quality in Healthcare, Sydney, New South Wales, Australia.
  • Austin EE; PRIME Centre Wales & Division of Population Medicine, Cardiff University, Cardiff, UK.
  • Nic Giolla Easpaig B; Centre for Resilience in Healthcare (SHARE), Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
  • Wang Y; South West Hospital and Health Service, Roma, Queensland, Australia.
  • Arnolda G; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Peterson GM; Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
  • Braithwaite J; School of Nursing, Charles Darwin University, Darwin, Northern Territory, Australia.
BMJ Open ; 14(7): e085854, 2024 Jul 05.
Article en En | MEDLINE | ID: mdl-38969384
ABSTRACT

INTRODUCTION:

At least 10% of hospital admissions in high-income countries, including Australia, are associated with patient safety incidents, which contribute to patient harm ('adverse events'). When a patient is seriously harmed, an investigation or review is undertaken to reduce the risk of further incidents occurring. Despite 20 years of investigations into adverse events in healthcare, few evaluations provide evidence of their quality and effectiveness in reducing preventable harm.This study aims to develop consistent, informed and robust best practice guidance, at state and national levels, that will improve the response, learning and health system improvements arising from adverse events. METHODS AND

ANALYSIS:

The setting will be healthcare organisations in Australian public health systems in the states of New South Wales, Queensland, Victoria and the Australian Capital Territory. We will apply a multistage mixed-methods research design with evaluation and in-situ feasibility testing. This will include literature reviews (stage 1), an assessment of the quality of 300 adverse event investigation reports from participating hospitals (stage 2), and a policy/procedure document review from participating hospitals (stage 3) as well as focus groups and interviews on perspectives and experiences of investigations with healthcare staff and consumers (stage 4). After triangulating results from stages 1-4, we will then codesign tools and guidance for the conduct of investigations with staff and consumers (stage 5) and conduct feasibility testing on the guidance (stage 6). Participants will include healthcare safety systems policymakers and staff (n=120-255) who commission, undertake or review investigations and consumers (n=20-32) who have been impacted by adverse events. ETHICS AND DISSEMINATION Ethics approval has been granted by the Northern Sydney Local Health District Human Research Ethics Committee (2023/ETH02007 and 2023/ETH02341).The research findings will be incorporated into best practice guidance, published in international and national journals and disseminated through conferences.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proyectos de Investigación / Seguridad del Paciente Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proyectos de Investigación / Seguridad del Paciente Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido