scholarly journals A thematic analysis of the prevention of future deaths reports in healthcare from HM coroners in England and Wales 2016–2019

2021 ◽  
Vol 26 (1) ◽  
pp. 14-21
Author(s):  
Alison Leary ◽  
David Bushe ◽  
Crystal Oldman ◽  
Jessica Lawler ◽  
Geoffrey Punshon
Keyword(s):  
Patient Safety ◽  
Data Quality ◽  
Workforce Development ◽  
Thematic Analysis ◽  
Descriptive Statistics ◽  
Valuable Insight ◽  
Cultural Issues ◽  
England And Wales ◽  
Statutory Duty ◽  
Informed Patient

Background The Coroners and Justice Act allows coroners in England or Wales to issue reports after inquest, if they believe that action should be taken to prevent a future death. Coroners are under a statutory duty to issue a Prevention of Future Death (PFD) report to persons or organisations that they believe have the power to act. Cumulatively, these reports may contain useful intelligence for patient safety. The aim of this study was to examine the feasibility of extracting data from these reports and to evaluate if learning was possible from any common themes. Methods Reports were extracted from 2016 to 2019 for deaths in hospitals, care homes and the community in England and Wales. These were subjected to descriptive statistics and thematic analysis of coroner’s concerns. Application of data mining techniques was not possible due to data quality. Results 710 reports were examined, with 3469 concerns being raised (mean 4.88, range 1–33). 36 reports expressed concern about having to issue repeat PFDs to the same organisation for the same or similar concerns. Thematic analysis reliability was high ( κ 0.89 unweighted) with five emerging primary themes: deficit in skill or knowledge, missed, delayed or uncoordinated care, communication and cultural issues, systems issues and lack of resources. A codebook of 53 subthemes were identified. Conclusions PFD reports offer valuable insight. Aggregation and continued analysis of these reports could offer more informed patient safety, workforce development and organisational policy. Improved data quality would allow for possible automation of analysis and faster feedback into practice.

scholarly journals Literasi Kesehatan Mental: Pengetahuan dan Persepsi Publik mengenai Gangguan Mental

ANALITIKA ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 68
Author(s):  
Anita Novianty
Keyword(s):  
Mental Illness ◽  
Thematic Analysis ◽  
Help Seeking ◽  
Online Survey ◽  
Mental Health Literacy ◽  
Descriptive Statistics ◽  
The Other ◽  
Professional Treatment ◽  
Schizophrenia Case ◽  
Analyze Data

<p><em>The prevalence of mental illness was increasing every year, yet many cases were not treated by professional treatment. Mental health literacy is one of factors in which influence people’s intention to seek professional treatment. This study aimed to find out the knowledge and public’s perception about mental illness (depression &amp; schizophrenia case). The participants of this study was 89 people (N=89; Men: 32, Women: 57), aged 15-38 years old. The method of this study was online survey that consisted of two vignettes about depression and schizophrenia case that were adapated from Angermeyer et al. (2005). Participant’s responses on vignette described public’s knowledge and perception, help-seeking references, and stigma. Descriptive statistics and thematic analysis were used to analyze data. The result showed only 21% of participants recognized vignette as depression, eventhough 81% of them ever met family/friends with similar symptoms on vignette. On the other hand, Only </em><em>12%</em><em> of participants recognized vignette as schizophrenia, eventhough 45% of them ever met family/friend with similar symptoms on vignette. Only </em><em>25</em><em>% of participants referred family/friend with schizophrenia symptoms to profesional treatment, the rest was reffered to informal treatment such as local healer. The theme of perception, help-seeking reference and stigma that were analyzed by thematic analysis will be disscussed later.</em></p>

A study to evaluate the provision of psychosocial supervision within an Early Intervention team

2010 ◽  
Vol 3 (2) ◽  
pp. 58-70 ◽  
Author(s):  
Sandra T. Neil ◽  
Sarah Nothard ◽  
David Glentworth ◽  
Elaine Stewart
Keyword(s):  
Early Intervention ◽  
Thematic Analysis ◽  
Psychosocial Interventions ◽  
Descriptive Statistics ◽  
Early Interventions ◽  
Structured Interviews ◽  
Team Members ◽  
Different Types ◽  
Intervention Team ◽  
The Uk

AbstractPsychosocial Interventions (PSIs) and PSI supervision underpin the delivery of early interventions for people experiencing psychosis. Early Intervention (EI) teams are relatively new in the NHS and there is currently a lack of empirical research into PSI supervision in this area. This study aimed to elicit staff views of PSI supervision and to identify any unmet supervision needs within a newly developed EI team in the UK. Semi-structured interviews were conducted with 16 multidisciplinary team members. Descriptive statistics and a thematic analysis were used to analyse the responses. The different types of supervision available to team members, gaps in the provision of PSI supervision and aspects that supervisees found helpful and unhelpful about PSI supervision are discussed as are ideas for improving the provision of PSI supervision in EI teams. The limitations of the study and ideas for further research are also outlined.

scholarly journals Adesão à identificação correta do paciente pelo uso da pulseira

2018 ◽  
Vol 12 (10) ◽  
pp. 2621
Author(s):  
Tamyris Garcia De Assis ◽  
Luana Ferreira De Almeida ◽  
Luciana Guimarães Assad ◽  
Ronilson Gonçalves Rocha ◽  
Cíntia Silva Fassarella ◽  
...  
Keyword(s):  
Patient Safety ◽  
Descriptive Statistics ◽  
University Hospital ◽  
Patient Identification ◽  
Hospital Data ◽  
Health Team ◽  
Systems Quality ◽  
Quantitative Descriptive ◽  
And Training

RESUMO Objetivo: analisar a adesão à identificação do paciente por pulseira pela equipe de saúde e pelos pacientes. Método: trata-se de estudo quantitativo, descritivo e documental. Constituiu-se a amostra por 137 pacientes internados em uma unidade cardiointensiva de um hospital universitário. Coletaram-se os dados, mediante o preenchimento de um formulário estruturado, em seguida, organizados e analisados utilizando-se a estatística descritiva simples. Resultados: observou-se a presença da pulseira de identificação em 100% dos pacientes. Destes, 26% apresentavam não conformidades. Ansalisou-se, a partir dos relatos dos pacientes, que 61% dos profissionais não utilizaram a pulseira para identificá-los no momento dos procedimentos e 90% dos pacientes não foram orientados quanto ao motivo e importância da utilização da pulseira. Conclusão: observou-se de forma unânime a identificação dos pacientes, no entanto, necessita-se, na prática, de maior sensibilização e treinamento da equipe multiprofissional para a adequação conforme se preconiza na Meta 1 de Segurança do Paciente. Descritores: Segurança do Paciente; Sistemas de Identificação de Pacientes; Qualidade da Assistência à Saúde; Gestão de Risco; Hospitalização; Hospitais Universitários.ABSTRACT Objective: to analyze the adherence to the identification of the patient by hospital wristband by the health team and by the patients. Method: this is a quantitative, descriptive and documentary study. The sample consisted of 137 patients hospitalized in a cardio-intensive unit of a university hospital. Data was collected by completing a structured form, then organized and analyzed using simple descriptive statistics. Results: the presence of the identification wristband was observed in 100% of the patients. Of these, 26% had nonconformities. From the patients' reports, 61% of the professionals did not use the wristband to identify them at the time of the procedures and 90% of the patients were not guided as to the reason and importance of the use of the wristband. Conclusion: the identification of patients was unanimously observed, however, it is necessary, in practice, to increase awareness and training of the multi-professional team for the adequacy as recommended in Goal 1 of Patient Safety. Descriptors: Patient Safety; Patient Identification Systems; Quality of Health Care; Risk Management; Hospitalization; Hospitals, University.RESUMENObjetivo: analizar la adhesión a la identificación del paciente por pulsera por el equipo de salud y por los pacientes. Método: se trata de un estudio cuantitativo, descriptivo y documental. Se constituyó la muestra por 137 pacientes internados en una unidad cardiointensiva de un hospital universitario. Se recogen los datos, mediante el llenado de un formulario estructurado, a continuación, organizado y analizado utilizando la estadística descriptiva simple. Resultados: se observó la presencia de la pulsera de identificación en el 100% de los pacientes. De ellos, el 26% presentaba no conformidades. Se analizó, a partir de los relatos de los pacientes, que el 61% de los profesionales no utilizaron la pulsera para identificarlos en el momento de los procedimientos y el 90% de los pacientes no fueron orientados en cuanto al motivo e importancia del uso de la pulsera. Conclusión: se observó de forma unánime la identificación de los pacientes, sin embargo, se necesita, en la práctica, de mayor sensibilización y entrenamiento del equipo multiprofesional para la adecuación conforme se preconiza en la Meta 1 de Seguridad del Paciente. Descriptores: Seguridad del Paciente; Sistemas de Identificación de Pacientes; Calidad de la Atención de Salud; Gestión de Riesgos; Hospitalización; Hospitales Universitarios.

Abstract WP389: Understanding the Clinicians’ Experiences in Collecting Stroke Rehabilitation Intensity Data Within Ontario

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Elizabeth Linkewich ◽  
Janine Theben ◽  
Amy Maebrae-Waller ◽  
Shelley Huffman ◽  
Jenn Fearn ◽  
...  
Keyword(s):  
Data Collection ◽  
Data Quality ◽  
Thematic Analysis ◽  
Best Practice ◽  
Practice Change ◽  
Quality Data ◽  
Electronic Survey ◽  
Workload Measurement ◽  
Survey Results ◽  
Patients Experience

Background and Issues: The collection and reporting of Rehabilitation Intensity (RI) in a national rehabilitation database was mandated on April 1, 2015 for all stroke patients within Ontario, to support evaluation of stroke best practice implementation. RI includes minutes of direct task-specific therapy patients experience per day. This requires a shift in thinking from capturing the clinician’s time spent in therapy to the patient perspective. To ensure that high quality data is collected, it was important to understand clinicians’ experiences in collecting RI data. Purpose: To identify enablers and barriers to RI data collection in order to inform the development of resources to support clinicians. Methods: A 12-item electronic survey was developed by an Ontario Stroke Network (OSN) task group to evaluate the clinician experience of RI data collection (including: demographics, barriers, enablers, education, resources, and practice change). The survey was distributed via SurveyMonkey® and sent to clinicians from 48 hospitals, 3 weeks post implementation of RI data collection. Analyses involved descriptive statistics and thematic analysis. Results: Three hundred and twenty-one clinicians from 47 hospitals responded to the survey. Survey results suggest RI data collection is feasible; seventy-one percent of clinicians report it takes 10 minutes or less to enter RI data. Thematic analysis identified: 5 common challenges with most frequently reported relating to data quality, 30% (N=358) and 6 common enablers with most frequently reported relating to ease of collecting RI data through workload measurement systems, 50% (N=46). Suggestions for educational resources included tools for identifying what is included in RI and the provision of education (e.g. webinars). Conclusions: RI data collection is feasible for clinicians. Education and resources developed should support key challenges and enablers identified by clinicians - to enhance data quality and the consistency of RI collection. As RI data fields are available through a national rehabilitation database, this work sets the foundation for other provinces interested in the systematic collection and reporting of RI data.

scholarly journals A patient and public involvement investigation into healthy eating and weight management advice during pregnancy

2020 ◽  
Vol 32 (1) ◽  
pp. 28-34 ◽  
Author(s):  
J C Abayomi ◽  
M S Charnley ◽  
L Cassidy ◽  
M T Mccann ◽  
J Jones ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Weight Management ◽  
Healthy Eating ◽  
Thematic Analysis ◽  
Public Involvement ◽  
Patient And Public Involvement ◽  
Valuable Insight ◽  
Positive Health ◽  
Knowledge Support ◽  
Management Advice

Abstract Objective To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. Design PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. Setting Community venues in Liverpool and Ulster (UK). Participants Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. Intervention Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). Main Outcome Measures Transcript data were collated and thematic analysis was applied in analysis. Results Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. Conclusions PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.

An Investigation of Social Networking Sites for Language Learning and the User Experience

2020 ◽  
pp. 72-98
Author(s):  
Miguel Saona-Vallejos ◽  
Michael Thomas
Keyword(s):  
Social Networking ◽  
Language Learning ◽  
User Experience ◽  
Thematic Analysis ◽  
Social Constructionism ◽  
Social Networking Sites ◽  
Descriptive Statistics ◽  
Individual Interviews ◽  
Learning Platform ◽  
Experience Questionnaire

This chapter investigates the user experience of the language learning platform Busuu as a tool for learning Spanish as a Foreign Language (SFL). Social constructionism has been highlighted by previous research as the theory on which Busuu is based, however, Álvarez concluded that Busuu constitutes an ecological system of nested semiotic spaces where pedagogical elements and principles from different theories of language learning interweave in complementary ways. Following a review of existing research, the chapter analyses data arising from a study involving a mixed group of university students who used the premium version of Busuu for four weeks. Data were collected via pre- and post-tests, a user experience questionnaire, and individual interviews, and were analysed using descriptive statistics and thematic analysis. Findings suggest that Busuu did not fully satisfy the requirements of a social network in terms of ease of participation, communication, and collaboration. Further research is required to explore the implications of usability testing for the design of effective SNSLL.

Comparing the coding of complications in Queensland and Victorian admitted patient data

2011 ◽  
Vol 35 (3) ◽  
pp. 245 ◽  
Author(s):  
Jude L. Michel ◽  
Diana Cheng ◽  
Terri J. Jackson
Keyword(s):  
Patient Safety ◽  
Data Quality ◽  
Secondary Analysis ◽  
Routine Data ◽  
Complication Rates ◽  
Hospital Data ◽  
Patient Safety Indicators ◽  
Hospital Acquired Conditions ◽  
Hospital Acquired

Objective. To examine differences between Queensland and Victorian coding of hospital-acquired conditions and suggest ways to improve the usefulness of these data in the monitoring of patient safety events. Design. Secondary analysis of admitted patient episode data collected in Queensland and Victoria. Methods. Comparison of depth of coding, and patterns in the coding of ten commonly coded complications of five elective procedures. Results. Comparison of the mean complication codes assigned per episode revealed Victoria assigns more valid codes than Queensland for all procedures, with the difference between the states being significantly different in all cases. The proportion of the codes flagged as complications was consistently lower for Queensland when comparing 10 common complications for each of the five selected elective procedures. The estimated complication rates for the five procedures showed Victoria to have an apparently higher complication rate than Queensland for 35 of the 50 complications examined. Conclusion. Our findings demonstrate that the coding of complications is more comprehensive in Victoria than in Queensland. It is known that inconsistencies exist between states in routine hospital data quality. Comparative use of patient safety indicators should be viewed with caution until standards are improved across Australia. More exploration of data quality issues is needed to identify areas for improvement. What is known about the topic? Routine data are low cost, accessible and timely but the quality is often questioned. This deters researchers and clinicians from using the data to monitor aspects of quality improvement. Previous studies have reported on the quality of diagnosis coding in Australia but not specifically on the quality of use of the condition-onset flag denoting hospital-acquired conditions. What does this paper add? Few studies have tested the consistency of the data between Australian states. No previous studies have evaluated the comprehensiveness of the coding of hospital-acquired conditions using routine data. This paper compares two states to highlight the differences in the coding of complications, with the aim of improving routine data to support patient safety. What are the implications for practitioners? The results imply more work needs to be done to improve the coding and flagging of complications so the data are valid and comprehensive. Further research should identify problem areas responsible for differences in the data so that training and audit strategies can be developed to improve the collection of this information. Practitioners may then be more confident in using routine coded inpatient data as part of the process of monitoring patient safety.

The Cognitive Component of Elite High Jumpers’ Preperformance Routines

2020 ◽  
Vol 34 (2) ◽  
pp. 99-110
Author(s):  
Thomas Gretton ◽  
Lindsey Blom ◽  
Dorice Hankemeier ◽  
Lawrence Judge
Keyword(s):  
Thematic Analysis ◽  
Critical Role ◽  
Valuable Insight ◽  
Psychological Skills ◽  
Cognitive Content ◽  
Successful Performance ◽  
Cognitive Component ◽  
Inductive Thematic Analysis ◽  
Insight Into

Preperformance routines are microlevel performance processes utilized by athletes to facilitate the attainment of an optimal state and enhance the chance for successful performance. Despite continued examination of these routines, only a small proportion of research has been directed toward the cognitive component of these routines. This study explored the cognitive component of elite high jumpers’ preperformance routines, and specifically the consistency of the cognitive content (i.e., psychological skills and strategies). Data were acquired over an 8-week high-jump season and subjected to inductive thematic analysis. Results revealed the consistent implementation of the cognitive content (e.g., visualization) but an inconsistent design of this content (i.e., the content of the visualization). Furthermore, results underline the critical role of high-jump coaches and an athlete’s need to be adaptable and competent in utilizing various types of preperformance routine. This study offers valuable insight into the complexities and inconsistencies of the cognitive component of high jumpers’ preperformance routines.

Circumnavigating the world of quality and patient safety: a compendium of highlights and perspectives

2020 ◽  
Vol 65 (1) ◽  
pp. 3-11
Author(s):  
Nancy El-Farargy
Keyword(s):  
Patient Safety ◽  
Workforce Development ◽  
Design Thinking ◽  
Hospital Admissions ◽  
Health Spending ◽  
Healthcare Improvement ◽  
Health And Social Care ◽  
Major Reform ◽  
Quality And Patient Safety ◽  
The Uk

Background In the UK, estimates suggest that approximately 10% of hospital admissions and 1–2% of primary care consultations result in some sort of adverse event. Globally, medication errors cost approximately US$42 billion annually, and 15% of total health spending in Organisation for Economic Cooperation and Development countries is used to deal with adverse events. Method Stemming from the Glasgow 2019 British Medical Journal and Institute for Healthcare Improvement International Forum on Quality and Safety in Healthcare (‘People Make Change’), a review of workforce characteristics, the psychology of change and design thinking in healthcare is presented. The concept of personalised care is also discussed. Conclusion In the last decade, the National Health Service in Scotland has undergone major reform around the integration of health and social care. In tandem with this, there have been a range of national initiatives to support patient safety and quality improvement. Moving forward, there is an increasing realisation of how service design, digital technologies and a national digitised infrastructure can improve services. Implications highlight the role of workforce development and in embedding design thinking in service organisation. This review article therefore presents an anthology of highlights and perspectives in improving healthcare quality and patient safety.

scholarly journals COMMUNICATION IN NURSING SHIFT HANDOVER: PEDIATRIC PATIENT SAFETY

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Michelini Fátima da Silva ◽  
Jane Cristina Anders ◽  
Patrícia Kuerten Rocha ◽  
Ana Izabel Jatobá de Souza ◽  
Verônica Berumén Burciaga
Keyword(s):  
Patient Safety ◽  
Pediatric Patient ◽  
Thematic Analysis ◽  
Descriptive Study ◽  
Structured Interview ◽  
University Hospital ◽  
Pediatric Inpatient ◽  
South Of Brazil ◽  
Nursing Professionals ◽  
Safe Care

ABSTRACT Qualitative, exploratory-descriptive study. The aim of this study was to discover how nursing professionals perceive the communication during shift handover and its repercussion in pediatric patient safety. This study was performed at a Pediatric Inpatient Unit of a University Hospital in the South of Brazil. Data was collected by a semi-structured interview, involving 32 nursing professionals. To analyze the data, thematic analysis was used. Data was grouped in categories: shift handover and its interface with communication. The results evidenced the importance of shift handover, in which effective communication is essential for safe care. However, greater objectivity is needed in the information transmission, the time used needs to be reduced and the shift handover records need to be systemized.

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