scholarly journals Qualitative exploration of the Medical Examiner role in identifying problems with the quality of patient care

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e048007
Author(s):  
Rachel O’Hara ◽  
Joanne Coster ◽  
Steve Goodacre
Keyword(s):  
Patient Care ◽  
Medical Examiner ◽  
Structured Interviews ◽  
Medical Background ◽  
Quality Of Patient Care ◽  
Acute Hospitals ◽  
Core Components ◽  
Role Based ◽  
The Impact

ObjectiveA national system of Medical Examiners (MEs) implemented in England and Wales from April 2019 was intended to ensure that every death receives scrutiny from an independent, senior doctor, resulting in early detection of problems in care. The aim of this study was to increase understanding of how the ME role operates to identify problems related to quality of patient care and to explore the potential for development to maximise learning opportunities.DesignA qualitative approach involved the use of semi-structured interviews. Data analysis employed a framework approach.SettingStudy participants were recruited from 11 acute hospitals in England, known to be operating an ME service.ParticipantsA purposive sample of 20 MEs and one ME officer.ResultsMEs brought different perspectives to the role based on their medical background. The process for identifying and acting on quality of care concerns was broadly consistent, with a notable consensus regarding the value of speaking to bereaved relatives. Variation was identified within and between services in relation to how core components are carried out and the perceived salience of information, which appeared to reflect individual and service preferences as well as different organisational pathways. ME services required flexibility to accommodate fluctuating demand, but funding arrangements imposed restrictions. The majority of MEs highlighted limited opportunity for formal team contact and a lack of meaningful feedback as limiting scope for development.ConclusionCore components of the ME role were being conducted, although individual and systemic variations in practice were identified. The discussion with bereaved relatives is a unique feature of the ME role and was considered highly valuable, both for the organisation and relatives. Further development could consider the impact of the variation identified and address mechanisms for feedback and shared learning.

scholarly journals Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

2020 ◽  
Vol 93 (6) ◽  
pp. 343-350
Author(s):  
Molly O. Regelmann ◽  
Rushika Conroy ◽  
Evgenia Gourgari ◽  
Anshu Gupta ◽  
Ines Guttmann-Bauman ◽  
...  
Keyword(s):  
Patient Care ◽  
Care Patient ◽  
The Novel ◽  
Patient Privacy ◽  
Pediatric Endocrinology ◽  
Quality Of Patient Care ◽  
Care Outcomes ◽  
Novel Coronavirus ◽  
The Impact

<b><i>Background:</i></b> Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. <b><i>Summary:</i></b> The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. <b><i>Key Messages:</i></b> With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

scholarly journals Sports Rehabilitation and Interprofessional Collaboration

10.3823/2613 ◽  
2019 ◽  
Vol 12 ◽  
Author(s):  
Nicholas B Washmuth ◽  
James M Sepich ◽  
Abby D McAfee
Keyword(s):  
Patient Care ◽  
Physical Therapist ◽  
Interprofessional Collaboration ◽  
Healthcare Setting ◽  
High Productivity ◽  
Quality Of Patient Care ◽  
The Impact ◽  
Collaborative Efforts ◽  
Successful Collaboration

Background: The demand for interprofessional collaboration continues to grow due to changing priorities of the health care system.  The benefits of interprofessional collaboration are well documented; however, the methods of collaboration are often unclear and often difficult to put into practice.  While there is a growing number of studies on the impact of interprofessional collaboration in settings such as inpatient, intensive care units, and acute care, there are limited documented cases regarding the interprofessional management of a physical therapy patient in the outpatient orthopedic private practice setting.   Purpose: The purpose of this paper is to describe the reflections of a physical therapist and an athletic trainer in their experience with interprofessional collaboration, describe the barriers they have experienced that make interprofessional collaboration challenging, and to offer solutions to these barriers.  The barriers discussed in the paper include limited knowledge of and respect for other professionals’ skill set, high-productivity work environments, medical hierarchy, overlapping bodies of knowledge, discrepancy between professional reasoning, territorial behavior, and ineffective communication.  Discussion: It appears that contextual factors, such as community in which the professionals practice, the healthcare setting, and the practice environment, have a far less important impact to successful collaboration than the professionals’ attitudes and investment in the collaborative efforts.  Conclusion: Collaboration between a PT and an AT can lead to power struggles and suboptimal patient care if these barriers are not overcome and collaboration may be necessary to provide the highest quality of patient care.

scholarly journals A Systematic Review of the Impact of Physicians’ Occupational Well-Being on the Quality of Patient Care

2015 ◽  
Vol 22 (6) ◽  
pp. 683-698 ◽  
Author(s):  
Renée A. Scheepers ◽  
Benjamin C. M. Boerebach ◽  
Onyebuchi A. Arah ◽  
Maas Jan Heineman ◽  
Kiki M. J. M. H. Lombarts
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Well Being ◽  
Quality Of Patient Care ◽  
The Impact

scholarly journals The impact of clinicians' personality and their interpersonal behaviors on the quality of patient care: a systematic review

2014 ◽  
Vol 26 (4) ◽  
pp. 426-481 ◽  
Author(s):  
Benjamin C.M. Boerebach ◽  
Renée A. Scheepers ◽  
Renée M. van der Leeuw ◽  
Maas Jan Heineman ◽  
Onyebuchi A. Arah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Interpersonal Behaviors ◽  
Quality Of Patient Care ◽  
The Impact

scholarly journals Hospital accreditation processes in Saudi Arabia: a thematic analysis of hospital staff experiences

2022 ◽  
Vol 11 (1) ◽  
pp. e001652
Author(s):  
Ali Al Mansour ◽  
Alan F Merry ◽  
Tanisha Jowsey ◽  
Jennifer M Weller
Keyword(s):  
Saudi Arabia ◽  
Patient Care ◽  
Thematic Analysis ◽  
Accreditation Process ◽  
Public Hospitals ◽  
Structured Interviews ◽  
Hospital Accreditation ◽  
Planning Stage ◽  
Quality Of Patient Care

BackgroundHospital accreditation by an international organisation can play an important role in health quality and safety. However, little is known about how managers and front-line employees experience and perceive the effects of accreditation. Their views could inform quality improvement processes and procedures.ObjectiveTo explore perceptions of employees at the managerial level on the Joint Commission International (JCI) accreditation process and its impact on quality of patient care in Saudi Arabian JCI-accredited hospitals.MethodsWe undertook a qualitative study using semi-structured interviews to explore the perspectives of senior staff from three accredited public hospitals in Saudi Arabia. Interviews were transcribed prior to thematic analysis.ResultsTwenty managers participated in the interviews. The following inter-related themes emerged concerning the JCI accreditation process and its impact on quality of patient care: drivers for the change; the plan for the change; the process of the change; maintaining changes post-accreditation and patients’ issues. Participants were positive in their accounts of: drivers for the change; planning for the change needed to achieve accreditation and managing patients’ issues. However, participants reported less favourably on: the process of the change; and maintaining changes post-accreditation.ConclusionThe planning stage was perceived as the easiest component of JCI accreditation. Implementing and maintaining changes post-accreditation that demonstrably promote patient safety and quality of care was perceived as more difficult. When planning for accreditation, institutions need to incorporate strategies to ensure that improvements to care continue beyond the accreditation period.

scholarly journals Impact of a pilot NHS-funded sore throat test and treat service in community pharmacies on provision and quality of patient care

2020 ◽  
Vol 9 (1) ◽  
pp. e000833 ◽  
Author(s):  
Efi Mantzourani ◽  
Andrew Evans ◽  
Rebecca Cannings-John ◽  
Haroon Ahmed ◽  
Kerenza Hood ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Care ◽  
Sore Throat ◽  
Community Pharmacies ◽  
Antibiotic Prescribing ◽  
Local Health ◽  
Test And Treat ◽  
Quality Of Patient Care ◽  
The Impact

ObjectiveA National Health Service (NHS)-funded sore throat test and treat (STTT) service was introduced in selected pharmacies in two local health boards in Wales, as an extension to the national pharmacy common ailment scheme. The aim of this study was to evaluate the impact of STTT on provision and quality of patient care, namely antibiotic use, patient safety and general practitioner (GP) consultation rates.MethodsSecondary analyses of STTT consultation data to describe service outcomes, and routine data to explore changes in antibiotic prescribing and the prevalence of complications. Data were also collected from one GP practice to explore the feasibility of measuring changes in sore throat consultation rates in general practice.ResultsLess than 20% of 1725 consultations resulted in antibiotic supply. The availability of STTT was associated with greater reductions in prescriptions for phenoxymethylpenicillin than in areas where STTT was not available (−3.8% and −3.4%, difference 0.4%). When pharmacy supplies were included, the reductions in the supply of the antibiotic were similar. No increase in the monthly number of incidents of quinsy was detected, and patients were appropriately referred to other healthcare professionals during pharmacy consultations. GP consultation rates since introduction of STTT were found to be lower than the equivalent monthly average since 2014.ConclusionsData from the first 5 months of the STTT service suggest that it may have a role in safely rebalancing uncomplicated sore throat management from general practice to community pharmacies while continuing to promote antibiotic stewardship.

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