Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.

Abstract:

BACKGROUND:We sought to investigate the formal and informal ways preregistration students from medicine, nursing, pharmacy and the allied healthcare professions learn about patient safety. METHODS:We drew on Eraut's framework on formal and informal acquisition of professional knowledge to undertake a series of phased theoretically informed, in-depth comparative qualitative case studies of eight university courses. We collected policy and course documentation; interviews and focus groups with educators, students, health service staff, patients and policy makers; and course and work placement observations. Data were analysed thematically extracting emerging themes from different phases of data collection within cases, and then comparing these across cases. RESULTS:We conducted 38 focus groups with a total of 162 participants, undertook 82 observations of practice placements/learning activities and 33 semistructured interviews, and analysed 44 key documents. Patient safety tended to be either implicit in curricula or explicitly identified in a limited number of discrete topic areas. Students were predominantly taught about safety-related issues in isolation, with the consequence of only limited opportunities for interprofessional learning and bridging the gaps between educational, practice and policy contexts. Although patient safety role models were key to student learning in helping to develop and maintain a consistent safety ethos, their numbers were limited. CONCLUSIONS:Consideration needs to be given to the appointment of curriculum leads for patient safety who should be encouraged to work strategically across disciplines and topic areas; development of stronger links with organisational systems to promote student engagement with organisation-based patient safety practice; and role models should help students to make connections between theoretical considerations and routine clinical care.

journal_name

BMJ Qual Saf

journal_title

BMJ quality & safety

authors

Cresswell K,Howe A,Steven A,Smith P,Ashcroft D,Fairhurst K,Bradley F,Magnusson C,McArthur M,Pearson P,Sheikh A,Patient Safety Education Research Group.

doi

10.1136/bmjqs-2013-001905

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

843-54

issue

10

eissn

2044-5415

issn

2044-5423

pii

bmjqs-2013-001905

journal_volume

22

pub_type

杂志文章
  • A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

    abstract:BACKGROUND:Outcome benefits of using the WHO Surgical Safety Checklist rely on compliance with checklist administration. OBJECTIVE:To evaluate engagement of operating room (OR) subteams (anaesthesia, surgery and nursing), and compliance with administering checklist domains (Sign In, Time Out and Sign Out) and checklis...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2015-004545

    authors: Ong AP,Devcich DA,Hannam J,Lee T,Merry AF,Mitchell SJ

    更新日期:2016-12-01 00:00:00

  • Evaluation of hospital factors associated with hospital postoperative venous thromboembolism imaging utilisation practices.

    abstract:BACKGROUND:Recent research suggests that hospital rates of postoperative venous thromboembolism (VTE) are subject to surveillance bias: the more hospitals 'look for' VTE, the more VTE they find. However, little is known about what drives variation in hospital VTE imaging rates. We conducted an observational study to ex...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-003150

    authors: Chung JW,Ju MH,Kinnier CV,Haut ER,Baker DW,Bilimoria KY

    更新日期:2014-11-01 00:00:00

  • Successfully reducing newborn asphyxia in the labour unit in a large academic medical centre: a quality improvement project using statistical process control.

    abstract:BACKGROUND:A safe delivery is part of a good start in life, and a continuous focus on preventing harm during delivery is crucial, even in settings with a good safety record. In January 2013, the labour unit at Copenhagen University Hospital, Hvidovre, undertook a quality improvement (QI) project to prevent asphyxia and...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2017-006599

    authors: Hollesen RVB,Johansen RLR,Rørbye C,Munk L,Barker P,Kjaerbye-Thygesen A

    更新日期:2018-08-01 00:00:00

  • Removal of doctors from practice for professional misconduct in Australia and New Zealand.

    abstract:OBJECTIVE:To examine how disciplinary tribunals assess different forms of misconduct in deciding whether to remove doctors from practice for professional misconduct. DESIGN AND SETTING:Multivariable regression analysis of 485 cases in which tribunals found doctors guilty of professional misconduct. The cases came from...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2012-000941

    authors: Elkin K,Spittal MJ,Elkin D,Studdert DM

    更新日期:2012-12-01 00:00:00

  • Reliable adherence to a COPD care bundle mitigates system-level failures and reduces COPD readmissions: a system redesign using improvement science.

    abstract:BACKGROUND:Readmissions of chronic obstructive pulmonary disease (COPD) have devastating effects on patient quality-of-life, disease progression and healthcare cost. Effective interventions to reduce COPD readmissions are needed. OBJECTIVES:Reduce 30-day all-cause readmissions by (1) creating a COPD care bundle that a...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2017-006529

    authors: Zafar MA,Panos RJ,Ko J,Otten LC,Gentene A,Guido M,Clark K,Lee C,Robertson J,Alessandrini EA

    更新日期:2017-11-01 00:00:00

  • Quality of in-hospital cardiac arrest calls: a prospective observational study.

    abstract:OBJECTIVE:To determine the quality and diagnostic accuracy of in-hospital adult clinical emergency calls. DESIGN:Prospective observational study. SETTING:Three National Health Service acute hospitals in England. PARTICIPANTS:Adult patients sustaining an in-hospital cardiac arrest (CA) or medical emergency (ME) which...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000319

    authors: Akhtar N,Field RA,Greenwood L,Davies RP,Woolley S,Cooke MW,Perkins GD

    更新日期:2012-03-01 00:00:00

  • Effective prevention of thromboembolic complications in emergency surgery patients using a quality improvement approach.

    abstract:OBJECTIVE:To assess the effectiveness of a multifaceted intervention based on industrial process improvement to identify and sustainably correct deficiencies in thromboprophylaxis delivery. SUMMARY BACKGROUND DATA:Deep vein thrombosis and pulmonary embolism are major causes of morbidity and mortality in surgical patie...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2013-001855

    authors: Kreckler S,Morgan RD,Catchpole K,New S,Handa A,Collins G,McCulloch P

    更新日期:2013-11-01 00:00:00

  • An ethicist's journey as a patient: are we sliding down the slippery slope to sloppy healthcare?

    abstract::People who are sick are often the most vulnerable in society. They frequently rely on caring and competent healthcare professionals and should and do have expectations of a safe and caring environment. In a recent unexpected adventure through the healthcare system, the organisation, professionalism, caring and compass...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000235

    authors: McCullough M

    更新日期:2011-11-01 00:00:00

  • Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis.

    abstract:OBJECTIVE:Hospital-acquired pressure injuries are localised skin injuries that cause significant mortality and are costly. Nursing best practices prevent pressure injuries, including time-consuming, complex tasks that lack payment incentives. The Braden Scale is an evidence-based stratification tool nurses use daily to...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2017-007505

    authors: Padula WV,Pronovost PJ,Makic MBF,Wald HL,Moran D,Mishra MK,Meltzer DO

    更新日期:2019-02-01 00:00:00

  • An institution-wide handoff task force to standardise and improve physician handoffs.

    abstract:BACKGROUND:Transfers of care have become increasingly frequent and complex with shorter inpatient stays and changes in work hour regulations. Potential hazards exist with transfers. There are few reports of institution-wide efforts to improve handoffs. METHODS:An institution-wide physician handoff task force was devel...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000658

    authors: Horwitz LI,Schuster KM,Thung SF,Hersh DC,Fisher RL,Shah N,Cushing W,Nunes J,Silverman DG,Jenq GY

    更新日期:2012-10-01 00:00:00

  • Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.

    abstract:INTRODUCTION:Trauma resuscitation is a complex and time-sensitive endeavour with significant risk for error. These errors can manifest from sequential system, team and knowledge-based failures, defined as latent safety threats (LSTs). In situ simulation (ISS) provides a novel prospective approach to recreate clinical s...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2020-011363

    authors: Petrosoniak A,Fan M,Hicks CM,White K,McGowan M,Campbell D,Trbovich P

    更新日期:2020-10-23 00:00:00

  • Novel tools for a learning health system: a combined difference-in-difference/regression discontinuity approach to evaluate effectiveness of a readmission reduction initiative.

    abstract::Current methods used to evaluate the effects of healthcare improvement efforts have limitations. Designs with strong causal inference-such as individual patient or cluster randomisation-can be inappropriate and infeasible to use in single-centre settings. Simpler designs-such as prepost studies-are unable to infer cau...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2019-009734

    authors: Walkey AJ,Bor J,Cordella NJ

    更新日期:2020-02-01 00:00:00

  • How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.

    abstract:INTRODUCTION:Emergent evidence suggests that patients can identify and report safety issues while in hospital. However, little is known about the best method for collecting information from patients about safety concerns. This study presents an exploratory pilot of three mechanisms for collecting data on safety concern...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2015-004260

    authors: O'Hara JK,Armitage G,Reynolds C,Coulson C,Thorp L,Din I,Watt I,Wright J

    更新日期:2017-01-01 00:00:00

  • Comparing standard office-based follow-up with text-based remote monitoring in the management of postpartum hypertension: a randomised clinical trial.

    abstract:BACKGROUND:Monitoring blood pressure at 72 hours and 7-10 days post partum in women with hypertensive disorders is recommended to decrease morbidity. However, there are no recommendations as to how to achieve this. OBJECTIVE:To compare the effectiveness of text-based blood pressure monitoring to in-person visits for w...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmjqs-2018-007837

    authors: Hirshberg A,Downes K,Srinivas S

    更新日期:2018-11-01 00:00:00

  • Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

    abstract:OBJECTIVE:To determine the association between daily levels of registered nurse (RN) and nursing assistant staffing and hospital mortality. DESIGN:This is a retrospective longitudinal observational study using routinely collected data. We used multilevel/hierarchical mixed-effects regression models to explore the asso...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2018-008043

    authors: Griffiths P,Maruotti A,Recio Saucedo A,Redfern OC,Ball JE,Briggs J,Dall'Ora C,Schmidt PE,Smith GB,Missed Care Study Group.

    更新日期:2019-08-01 00:00:00

  • What's in a name generator? Choosing the right name generators for social network surveys in healthcare quality and safety research.

    abstract:BACKGROUND:Interest in the use of social network analysis (SNA) in healthcare research has increased, but there has been little methodological research on how to choose the name generators that are often used to collect primary data on the social connection between individuals for SNA. OBJECTIVE:We sought to determine...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000521

    authors: Burt RS,Meltzer DO,Seid M,Borgert A,Chung JW,Colletti RB,Dellal G,Kahn SA,Kaplan HC,Peterson LE,Margolis P

    更新日期:2012-12-01 00:00:00

  • The association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study.

    abstract:OBJECTIVE:Hospital care comprises nearly a third of US healthcare expenditures. Fifteen to 20 per cent of this spending is considered to be potentially preventable. Risk prediction models have suboptimal accuracy and typically exclude patient experience data. No studies have explored patient perceptions of the likeliho...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2017-007184

    authors: Carter J,Ward C,Wexler D,Donelan K

    更新日期:2018-09-01 00:00:00

  • Utilising improvement science methods to optimise medication reconciliation.

    abstract:BACKGROUND:In 2005, The Joint Commission included medication reconciliation as a National Patient Safety Goal to reduce medication errors related to omissions, duplications and interactions. Hospitals continue to struggle to implement successful programmes that meet these objectives. METHODS:The authors used improveme...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs.2010.047845

    authors: White CM,Schoettker PJ,Conway PH,Geiser M,Olivea J,Pruett R,Kotagal UR

    更新日期:2011-04-01 00:00:00

  • How can the criminal law support the provision of quality in healthcare?

    abstract:BACKGROUND:The egregious failings in patient safety at Mid Staffordshire NHS Foundation Trust between 2005 and 2009 identified by Sir Robert Francis QC in his public inquiry prompted him to recommend the introduction of a new criminal offence into English law in circumstances where a patient dies or is seriously harmed...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,评审

    doi:10.1136/bmjqs-2013-002688

    authors: Yeung K,Horder J

    更新日期:2014-06-01 00:00:00

  • 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds.

    abstract:OBJECTIVE:This article is an exploration of views and experiences of Patient Safety Walkrounds, a widely recommended strategy for identifying patient safety problems and improving safety culture. DESIGN AND SETTING:Qualitative analysis of semistructured, in-depth interviews with 11 senior leaders and 33 front-line sta...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2012-001706

    authors: Rotteau L,Shojania KG,Webster F

    更新日期:2014-10-01 00:00:00

  • Development of the Quality Improvement Minimum Quality Criteria Set (QI-MQCS): a tool for critical appraisal of quality improvement intervention publications.

    abstract:OBJECTIVE:Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies. QI approaches are diverse and differ from clinical interventions. Widely used critical appraisal instruments do not take unique QI features into account and e...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-003151

    authors: Hempel S,Shekelle PG,Liu JL,Sherwood Danz M,Foy R,Lim YW,Motala A,Rubenstein LV

    更新日期:2015-12-01 00:00:00

  • Qualitative complaints and their relation to overall hospital rating using an H-CAHPS-derived instrument.

    abstract:BACKGROUND AND OBJECTIVES:Due to the multitude of questions in the Hospital-Consumer Assessment of Healthcare Providers and Systems (H-CAHPS) survey, it may be difficult to decide where quality improvement efforts should be focused. Our organisation has supplemented the survey with a 'patient complaints' section. The s...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2015-004371

    authors: Kemp K,Warren S,Chan N,McCormack B,Santana M,Quan H

    更新日期:2016-10-01 00:00:00

  • The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.

    abstract:OBJECTIVE:To examine the association of mortality by day of the week for emergency and elective patients. DESIGN:Retrospective observational study using the international dataset from the Global Comparators (GC) project consisting of hospital administrative data. SETTING:28 hospitals from England, Australia, USA and ...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-003467

    authors: Ruiz M,Bottle A,Aylin PP

    更新日期:2015-08-01 00:00:00

  • Patient and family engagement: a survey of US hospital practices.

    abstract:BACKGROUND:Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known. OBJECTIVE:We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014. RESULTS:The resp...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2015-004006

    authors: Herrin J,Harris KG,Kenward K,Hines S,Joshi MS,Frosch DL

    更新日期:2016-03-01 00:00:00

  • Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.

    abstract:BACKGROUND:Few studies have investigated whether clinicians can use checklists to verify their diagnostic decisions. Checklists may improve accuracy by prompting clinicians to reconsider or recollect information but might impair decision making by adding to clinicians' cognitive load. This study assessed whether checkl...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2012-001537

    authors: Sibbald M,de Bruin AB,Cavalcanti RB,van Merrienboer JJ

    更新日期:2013-04-01 00:00:00

  • Quality of care in large Chinese hospitals: an observational study.

    abstract:OBJECTIVE:To empirically assess the quality of hospital care in China and trends over a 5-year period during which the government significantly increased its investment in healthcare. DESIGN:Retrospective, observational study comparing hospital quality between two periods: October 2012-March 2013 and October 2017-Marc...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2018-008938

    authors: Jian W,Figueroa J,Woskie L,Yao X,Zhou Y,Li Z,Li C,Yao L,Yip WC

    更新日期:2019-12-01 00:00:00

  • The roles of practice systems and individual effort in quality performance.

    abstract:INTRODUCTION:Individual effort and practice systems contribute to quality performance, but the nature of their contributions remains unclear. METHODS:This study assessed the roles of individual attributes and behaviours versus practice attributes in quality performance by assessing general internists' perceptions of f...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs.2010.048991

    authors: Pham HH,Bernabeo EC,Chesluk BJ,Holmboe ES

    更新日期:2011-08-01 00:00:00

  • Missed nursing care in newborn units: a cross-sectional direct observational study.

    abstract:BACKGROUND:Improved hospital care is needed to reduce newborn mortality in low/middle-income countries (LMIC). Nurses are essential to the delivery of safe and effective care, but nurse shortages and high patient workloads may result in missed care. We aimed to examine nursing care delivered to sick newborns and identi...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2019-009363

    authors: Gathara D,Serem G,Murphy GAV,Obengo A,Tallam E,Jackson D,Brownie S,English M

    更新日期:2020-01-01 00:00:00

  • Cluster randomised controlled trial evaluating the clinical and humanistic impact of a pharmacist-led minor ailment service.

    abstract:BACKGROUND:Community pharmacists are well positioned to support patients' minor ailments. The objective was to evaluate the clinical and humanistic impact of a minor ailment service (MAS) in community pharmacy compared with usual pharmacist care (UC). METHODS:A cluster randomised controlled trial was conducted. Interv...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2019-010608

    authors: Dineen-Griffin S,Benrimoj SI,Rogers K,Williams KA,Garcia-Cardenas V

    更新日期:2020-11-01 00:00:00

  • Building a culture of safety through team training and engagement.

    abstract::Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healt...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2012-001011

    authors: Thomas L,Galla C

    更新日期:2013-05-01 00:00:00