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Showing results for tags 'Qualitative'.
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Content Article
CARS estimates the risk of death following emergency admission to medical wards using routinely collected vital signs and blood test data. The aim of the study was to elicit the views of: Healthcare practitioners (staff) and service users and carers on the potential value, unintended consequences and concerns associated with CARS. Practitioner views on the issues to consider before embedding CARS into routine practice. -
Content Article
Nine key reasons why there should be more investment in analytical capability: Clinicians can use the insights generated by skilled analysts to improve diagnosis and disease management. National and local NHS leaders can evaluate innovations and new models of care to find out if expected changes and benefits were realised. Board members of local NHS organisations and systems can use analysis to inform changes to service delivery in complex organisations and care systems. Local NHS leaders can improve the way they manage, monitor and improve care quality day-to-day. Senior NHS decision makers can better measure and evaluate improvements and respond effectively to national incentives and regulation. Managers can make complex decisions about allocating limited resources and setting priorities for care. Local NHS leaders will gain a better understanding of how patients flow through the system. New digital tools can be developed and new data interpreted so clinicians and managers can better collaborate and use their insights to improve care. Patients and the public will be able to better use and understand health care data. Action and investment is needed across the system so the NHS has the right people with the right tools to interpret and create value from its data. This could result in an NHS that can make faster progress on improving outcomes for patients.- Posted
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- Qualitative
- Quantative
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Content Article
Patient Safety Journal
Claire Cox posted an article in Suggest a useful website
Patient Safety - December 2022 Patient Safety - September 2022 Patient Safety - June 2022 Patient Safety - March 2022 Patient Safety - January 2022 Special Issue: Pharmacy Education and Practice Patient Safety - December 2021 Patient Safety - September 2021 Patient Safety - June 2021 Patient Safety - March 2021 Patient Safety-December 2020 Patient Safety - September 2020 Patient Safety Journal - June 2020 Patient Safety March 2020 Patient Safety - December 2019 Patient Safety - September 2019- Posted
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- protocols and procedures
- Process redesign
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- Organisational Performance
- Team culture
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Content Article
Resources: driver diagrams (tree diagrams) the health and wellbeing framework and diagnostic tool workforce stress and the supportive organisation — a framework for improvement.- Posted
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- Fatigue / exhaustion
- Health hazards
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Content Article
Key messages Most opportunities to raise safety concerns may arise in routine clinical work. Informal strategies for raising concerns are multiple and often effective. Use of strategies varies within and between professional groups and hierarchies. Increased focus on effective use of informal strategies of social control is needed.- Posted
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- HDU / ICU
- Anaesthetist
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Content Article
West of England AHSN: PReCePT resources
Claire Cox posted an article in AHSNs
This QI toolkit contains all the documents you will need to understand, plan and implement PReCePT in your maternity unit. Based on the success of the initial PReCePT project, some of the documents are categorised as ‘essential’ for successful implementation, others are ‘strongly recommended’ and some are ‘optional’. The toolkit includes: PReCePT QI Toolkit PDF PReCePT Programme Implementation Guide PReCePT Clinical Guideline Flow Chart PReCePT Magnesium Sulphate Quick Reference Poster PReCePT Management of Preterm Labour Proforma PReCePT Magnet Instructions PReCePT Infographic Poster PReCePT Think Magnesium Too Poster Magnesium Sulphate Parent Leaflet Quality Improvement Learning Log (PDF) Midwife Lead Role Obstetrician Lead Role- Posted
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- Safety process
- Team leadership
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Content Article
Barriers to the Use of Assistive Devices in Patient Handling
Claire Cox posted an article in Assistive equipment
This study confirmed that the most influential factors in the decision to use assistive devices for patient transfers are time constraints and difficult patient-handling situations. These factors lead to infrequent use of assistive devices, especially mechanical devices that are difficult to retrieve or not readily available.- Posted
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- Care home
- Care home staff
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Content Article
Darzi Alumni, Claire Cox , who was hosted by the Kent Sussex and Surrey Academic Health Science Network, summarises the barriers and assumptions held with in the system of learning from deaths and serious incidents. 1 deaths and serious incidents.pdf- Posted
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- Qualitative
- Decision making
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Content Article
Here, Dr Sara Ryan questions whether inquiries or investigations are an effective way of holding stakeholders to account and discusses the need for more qualitative research to better understand bereaved family experiences of inquiries and investigations. Political Quarterly (1).pdf- Posted
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- Qualitative
- Investigation
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Content Article
Twelve women were interviewed from the UK (6), USA (4), Canada (1) and Australia (1) who had breast cancer, diagnosed between 2004 and 2019, and who were aware of the possibility of overdiagnosis. Participants were recruited via online blogs and professional clinical networks. The study found that most women (10/12) became aware of overdiagnosis after their own diagnosis. All were concerned about the possibility of overdiagnosis or overtreatment or both. Finding out about overdiagnosis/overtreatment had negative psychosocial impacts on women’s sense of self, quality of interactions with medical professionals, and for some, had triggered deep remorse about past decisions and actions. Many were uncomfortable with being treated as a cancer patient when they did not feel ‘diseased’. For most, the recommended treatments seemed excessive compared with the diagnosis given. Most found that their initial clinical teams were not forthcoming about the possibility of overdiagnosis and overtreatment, and many found it difficult to deal with their set management protocols. The experiences of this small and unusual group of women provide rare insight into the profound negative impact of finding out about overdiagnosis after breast cancer diagnosis. Previous studies have found that women valued information about overdiagnosis before screening and this knowledge did not reduce subsequent screening uptake. Policymakers and clinicians should recognise the diversity of women’s perspectives and ensure that women are adequately informed of the possibility of overdiagnosis before screening.- Posted
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- Cancer
- Medicine - Oncology
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Content Article
The authors found four key themes were derived from these interviews: trauma, communication, learning and litigation. They concluded that there are many advantages of actively involving patients and their families in adverse event reviews. An open, collaborative, person-centred approach which listens to, and involves, patients and their families is perceived to lead to improved outcomes. For the patient and their family, it can help with reconciliation following a traumatic event and help restore their faith in the healthcare system. For the health service, listening and involving people will likely enhance learning with subsequent improvements in healthcare provision with reduction in risk of similar events occurring for other patients. This study suggests eight recommendations for involving patients and families in adverse event reviews using the APICCTHS model which includes an apology, person-centred inclusive communication, closing the loop, timeliness, putting patients and families at the heart of the review with appropriate support for staff involved. Communicating in a compassionate manner could also decrease litigation claims following an adverse event.- Posted
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- Patient engagement
- Patient / family involvement
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Content Article
This study from Manbinder Sidhu and Jack Pollard investigated: what specifically has led to hospitals and GP practices being run by the same organisation; how it is done; the expectations of the GPs and NHS managers who made it happen; whether those expectations are being fulfilled; and whether there are any other consequences. To do this, they have interviewed GPs, NHS managers and other staff, 52 people in all, at two locations in England and one in Wales. They have also observed management meetings and reviewed documents referred to by interviewees. They found that the dominant reason for hospitals to run GP practices was to enable some practices that would otherwise have closed to keep going. This has so far been successful. These practices are also increasingly able to offer patients the opportunity to consult a range of health care professionals at the local practice, not just GPs, but also staff with special training to provide specific types of health care, for example, for diabetes or for problems with joint pain. Various legal arrangements were developed in different places to enable hospitals to run GP practices, including setting up an NHS-owned company and making the practices part of an existing NHS organisation.- Posted
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- GP practice
- Organisation / service factors
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Content Article
The dataset included interviews and focus groups with 121 participants from primary care (33 patients, 55 GPs, 11 other clinicians, nine managers, four support staff, four national policymakers, five technology industry). The results found, with few exceptions, video consultations were either never adopted or soon abandoned in general practice despite a strong policy push, short-term removal of regulatory and financial barriers, and advances in functionality, dependability, and usability of video technologies (though some products remained ‘fiddly’ and unreliable). The relative advantage of video was perceived as minimal for most of the caseload of general practice, since many presenting problems could be sorted adequately and safely by telephone and in-person assessment was considered necessary for the remainder. Some patients found video appointments convenient, appropriate, and reassuring but others found a therapeutic presence was only achieved in person. Video sometimes added value for out-of-hours and nursing home consultations and statutory functions (for example, death certification). The authors of the study concluded that efforts to introduce video consultations in general practice should focus on situations where this modality has a clear relative advantage (for example, strong patient or clinician preference, remote localities, out-of-hours services, nursing homes).- Posted
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- Telehealth
- Consultation
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Content Article
In this article, Wu et al. argue that the enduring sociological concepts of the informal organisation and formal organisation offer analytical purchase in understanding the causes of such problems and how they can be addressed. Their analysis emphasises the interdependence of the formal and informal organisation. The formal organisation describes codified and formalised elements of structures, procedures and processes for the exercise of voice, but participants often found it frustrating, ambiguous, and poorly designed. The informal organisation—the informal practices, social connections, and methods for making decisions that are key to coordinating organisational activity—could facilitate voice through its capacity to help people to understand complex processes, make sense of their concerns, and frame them in ways likely to prompt an appropriate organisational response. Sometimes the informal organisation compensated for gaps, ambiguities and inconsistencies in formal policies and systems. At the same time, the informal organisation had a dark side, potentially subduing voice by creating informal hierarchies, prioritising social cohesion, and providing opportunities for retaliation. The formal and the informal organisation are not exclusive or independent: they interact with and mutually reinforce each other. The findings have implications for efforts to improve culture and processes in relation to voice in healthcare organisations, pointing to the need to address deficits in the formal organisation, and to the potential of building on strengths in the informal organisation that are crucial in supporting voice.- Posted
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- Whistleblowing
- Speaking up
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Content Article
The research team interviewed 40 mental health clinicians and managers from a variety of healthcare systems who were participating in a burnout intervention. The team determined results of those interviews could be broken down into three themes around how organisations might reduce burnout. A work culture that prioritizes person-centered care over productivity and other performance metrics. Management skills and practices to overcome bureaucracy. Opportunities for employee professional development and self care. "Clinicians told us that they chose this line of work because they wanted to help people. When policies get in the way of providing good care, it undermines morale and engagement," said Dr. Rollins. "This particular study focused on mental health providers, but this is likely applicable to all healthcare professions. This isn't an issue that can be solved at the individual or supervisor levels. The health system is out of balance, and that needs to be addressed. This research can be used to inform the development of health system, organizational and program-level initiatives."- Posted
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- Fatigue / exhaustion
- Staff safety
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