scholarly journals Evaluating users’ experiences of electronic prescribing systems in relation to patient safety: a mixed methods study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lisa Aufegger ◽  
Naresh Serou ◽  
Shiping Chen ◽  
Bryony Dean Franklin
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Electronic Prescribing

scholarly journals Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed methods study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Shahram Zaheer ◽  
Liane Ginsburg ◽  
Hannah J. Wong ◽  
Kelly Thomson ◽  
Lorna Bain ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Turnover Intention ◽  
Interactive Effect ◽  
Mixed Methods Study ◽  
Senior Leadership ◽  
Healthcare Organizations ◽  
Staff Perceptions ◽  
Leadership Support ◽  
The Impact

Abstract Background This study contributes to a small but growing body of literature on how context influences perceptions of patient safety in healthcare settings. We examine the impact of senior leadership support for safety, supervisory leadership support for safety, teamwork, and turnover intention on overall patient safety grade. Interaction effects of predictors on perceptions of patient safety are also examined. Methods In this mixed methods study, cross-sectional survey data (N = 185) were collected from nurses and non-physician healthcare professionals. Semi-structured interview data (N = 15) were collected from nurses. The study participants worked in intensive care, general medicine, mental health, or the emergency department of a large community hospital in Southern Ontario. Results Hierarchical regression analyses showed that staff perceptions of senior leadership (p < 0.001), teamwork (p < 0.01), and turnover intention (p < 0.01) were significantly associated with overall patient safety grade. The interactive effect of teamwork and turnover intention on overall patient safety grade was also found to be significant (p < 0.05). The qualitative findings corroborated the survey results but also helped expand the characteristics of the study’s key concepts (e.g., teamwork within and across professional boundaries) and why certain statistical relationships were found to be non-significant (e.g., nurse interviewees perceived the safety specific responsibilities of frontline supervisors much more broadly compared to the narrower conceptualization of the construct in the survey). Conclusions The results of the current study suggest that senior leadership, teamwork, and turnover intention significantly impact nursing staff perceptions of patient safety. Leadership is a modifiable contextual factor and resources should be dedicated to strengthen relational competencies of healthcare leaders. Healthcare organizations must also proactively foster inter and intra-professional collaboration by providing teamwork educational workshops or other on-site learning opportunities (e.g., simulation training). Healthcare organizations would benefit by considering the interactive effect of contextual factors as another lever for patient safety improvement, e.g., lowering staff turnover intentions would maximize the positive impact of teamwork improvement initiatives on patient safety.

Barriers to Self-Reporting Patient Safety Incidents by Paramedics: A Mixed Methods Study

2018 ◽  
Vol 22 (6) ◽  
pp. 762-772
Author(s):  
Julie E. Sinclair ◽  
Michael A. Austin ◽  
Christopher Bourque ◽  
Jennifer Kortko ◽  
Justin Maloney ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Patient Safety Incidents

Healthcare professionals’ attitudes of implementing a chemotherapy electronic prescribing system: A mixed methods study

2019 ◽  
Vol 26 (5) ◽  
pp. 1164-1171
Author(s):  
Annette (Netty) V Cracknell
Keyword(s):  
Mixed Methods ◽  
Healthcare Professionals ◽  
Anticancer Therapy ◽  
Healthcare Systems ◽  
Mixed Methods Study ◽  
Electronic Prescribing ◽  
Second Phase ◽  
System A ◽  
Qualitative Exploration ◽  
Published Research

Purpose Recent research has investigated the attitudes of healthcare professionals when implementing electronic healthcare systems such as electronic medical records or electronic prescribing in primary care. There is limited research on implementation of electronic prescribing in secondary care and no published research exploring implementation of systemic-anticancer therapy (includes chemotherapy, TKIs, monoclonal antibodies, etc) electronic prescribing. By considering what attitudes healthcare professionals had towards the implementation of systemic-anticancer therapy (SACT) electronic prescribing systems, recommendations could be developed and used to aid successful future implementations. Methods This mixed methods study was in three phases. The first phase was a qualitative exploration of attitudes of healthcare professionals towards the implementation of a systemic-anticancer therapy electronic prescribing system, with the development of a questionnaire based on these findings. This was followed by a quantitative second phase where the results from the questionnaire were used to assess if the qualitative results could be generalised to a larger population. Further progression in phase three looked at developing recommendations based on the factors found in order to aid future implementations for hospitals. Results Thirteen factors were found relating to attitudes of healthcare staff when implementing systemic-anticancer therapy electronic prescribing. Nine of these factors were cited by other researchers when implementing other electronic healthcare systems. Four factors appeared to be specific to systemic-anticancer therapy electronic prescribing implementations. Nineteen recommendations were proposed when implementing a systemic-anticancer therapy electronic prescribing system. Conclusion This is the first study, to our knowledge, to examine the attitudes of healthcare professionals when implementing a systemic-anticancer therapy electronic prescribing system and the first to define important factors and list recommendations to manage these.

scholarly journals A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice

BMJ Open ◽  
2015 ◽  
Vol 5 (12) ◽  
pp. e009079 ◽  
Author(s):  
Andrew Carson-Stevens ◽  
Peter Hibbert ◽  
Anthony Avery ◽  
Amy Butlin ◽  
Ben Carter ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Mixed Methods ◽  
Study Protocol ◽  
Mixed Methods Study ◽  
Cross Sectional ◽  
Patient Safety Incidents

scholarly journals Parents’ Active Role and ENgagement in The review of their Stillbirth/perinatal death 2 (PARENTS 2) study: a mixed-methods study of implementation

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044563
Author(s):  
Christy Burden ◽  
Danya Bakhbakhi ◽  
Alexander Edward Heazell ◽  
Mary Lynch ◽  
Laura Timlin ◽  
...  
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Review Process ◽  
Parent Engagement ◽  
Improve Patient Safety ◽  
Parental Engagement ◽  
Mixed Methods Study ◽  
Bereaved Parents ◽  
The Uk ◽  
Improve Patient

ObjectiveWhen a formal review of care takes places after the death of a baby, parents are largely unaware it takes place and are often not meaningfully involved in the review process. Parent engagement in the process is likely to be essential for a successful review and to improve patient safety. This study aimed to evaluate an intervention process of parental engagement in perinatal mortality review (PNMR) and to identify barriers and facilitators to its implementation.DesignMixed-methods study of parents’ engagement in PNMR.SettingSingle tertiary maternity unit in the UK.ParticipantsBereaved parents and healthcare professionals (HCPs).InterventionsParent engagement in the PNMR (intervention) was based on principles derived through national consensus and qualitative research with parents, HCPs and stakeholders in the UK.OutcomesRecruitment rates, bereaved parents and HCPs’ perceptions.ResultsEighty-one per cent of bereaved parents approached (13/16) agreed to participate in the study. Two focus groups with bereaved parents (n=11) and HCP (n=7) were carried out postimplementation to investigate their perceptions of the process.Overarching findings were improved dialogue and continuity of care with parents, and improvements in the PNMR process and patient safety. Bereaved parents agreed that engagement in the PNMR process was invaluable and helped them in their grieving. HCP perceived that parent involvement improved the review process and lessons learnt from the deaths; information to understand the impact of aspects of care on the baby’s death were often only found in the parents’ recollections.ConclusionsParental engagement in the PNMR process is achievable and useful for parents and HCP alike, and critically can improve patient safety and future care for mothers and babies. To learn and prevent perinatal deaths effectively, all hospitals should give parents the option to engage with the review of their baby’s death.

scholarly journals Language barriers and patient safety risks in hospital care. A mixed methods study

2016 ◽  
Vol 54 ◽  
pp. 45-53 ◽  
Author(s):  
Floor van Rosse ◽  
Martine de Bruijne ◽  
Jeanine Suurmond ◽  
Marie-Louise Essink-Bot ◽  
Cordula Wagner
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Hospital Care ◽  
Language Barriers ◽  
Mixed Methods Study ◽  
Safety Risks

scholarly journals Good practice statements on safe laboratory testing: A mixed methods study by the LINNEAUS collaboration on patient safety in primary care

2015 ◽  
Vol 21 (sup1) ◽  
pp. 19-25 ◽  
Author(s):  
Paul Bowie ◽  
Eleanor Forrest ◽  
Julie Price ◽  
Wim Verstappen ◽  
David Cunningham ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Mixed Methods ◽  
Laboratory Testing ◽  
Good Practice ◽  
Mixed Methods Study

scholarly journals Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study

2022 ◽  
Vol 19 (2) ◽  
pp. 939
Author(s):  
Nina Granel-Giménez ◽  
Patrick Albert Palmieri ◽  
Carolina E. Watson-Badia ◽  
Rebeca Gómez-Ibáñez ◽  
Juan Manuel Leyva-Moral ◽  
...  
Keyword(s):  
European Union ◽  
Patient Safety ◽  
Mixed Methods ◽  
Survey Data ◽  
Safety Culture ◽  
Qualitative Data ◽  
Patient Safety Culture ◽  
Public Hospitals ◽  
Mixed Methods Study ◽  
Clinical Practices

Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the relationship between clinician perceptions about patient safety and their actual clinical practices has received little attention. Despite the need for mixed methods studies to achieve a deeper understanding of safety culture, there are few studies providing comparisons of hospitals in different countries. Purpose: This study compared the safety culture of hospitals from the perspective of nurses in four European countries, including Croatia, Hungary, Spain, and Sweden. Design: A comparative mixed methods study with a convergent parallel design. Methods: Data collection included a survey, participant interviews, and workplace observations. The sample was nurses working in the internal medicine, surgical, and emergency departments of two public hospitals from each country. Survey data (n = 538) was collected with the Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative date was collected through 24 in-depth interviews and 147 h of non-participant observation. Survey data was analyzed descriptively and inferentially, and content analysis was used to analyze the qualitative data. Results: The overall perception of safety culture for most dimensions was ‘adequate’ in Sweden and ‘adequate’ to ‘poor’ in the other countries with inconsistencies identified between survey and qualitative data. Although teamwork within units was the most positive dimension across countries, the qualitative data did not consistently demonstrate support, respect, and teamwork as normative attributes in Croatia and Hungary. Staffing and workload were identified as major areas for improvement across countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain, Hungary, and Croatia. Conclusions: Despite all countries being part of the European Union, most safety culture dimensions require improvement, with few measured as good, and most deemed to be adequate to poor. Dimension level perceptions were at times incongruent across countries, as observed patient safety practices or interview perspectives were inconsistent with a positive safety culture. Differences between countries may be related to national culture or variability in health system structures permitted by the prevailing European Union health policy.

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