Factors contributing to successful incident reporting in anaesthesia

Bolsin, Stephen; Colson, Mark; Patrick, Andrew; Freestone, Liadaine; Creati, Bernie; Bent, Paul D

doi:10.1093/bja/aer243

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Nurses could be trained to use personal digital assistants or smart phone applications to record their own time use patterns. This may result in more valid data on the time use of nurses [ 50 ] but at the loss of reflections-in-action, which the field researchers then used to refine the focus of their interview schedule. Alternatively, the field researchers could continue to record the data using tablet computers.…”

Section: Discussionmentioning

confidence: 99%

Using qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity

Phillips

Dwan

Hepworth

et al. 2014

BMC Health Serv Res

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BackgroundThe primary health care sector delivers the majority of health care in western countries through small, community-based organizations. However, research into these healthcare organizations is limited by the time constraints and pressure facing them, and the concern by staff that research is peripheral to their work. We developed Q-RARA—Qualitative Rapid Appraisal, Rigorous Analysis—to study small, primary health care organizations in a way that is efficient, acceptable to participants and methodologically rigorous.MethodsQ-RARA comprises a site visit, semi-structured interviews, structured and unstructured observations, photographs, floor plans, and social scanning data. Data were collected over the course of one day per site and the qualitative analysis was integrated and iterative.ResultsWe found Q-RARA to be acceptable to participants and effective in collecting data on organizational function in multiple sites without disrupting the practice, while maintaining a balance between speed and trustworthiness.ConclusionsThe Q-RARA approach is capable of providing a richly textured, rigorous understanding of the processes of the primary care practice while also allowing researchers to develop an organizational perspective. For these reasons the approach is recommended for use in small-scale organizations both within and outside the primary health care sector.

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Section: Discussionmentioning

confidence: 99%

Using qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity

Phillips

Dwan

Hepworth

et al. 2014

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The introduction of an incident reporting scheme could in itself help to change the culture for the better as, if it is run properly with appropriate engagement and support from senior hospital management, it demonstrates that the 'no blame' approach is real and not an impossible fantasy. Some have suggested that couching the requirement to report incidents in terms of a professional ethical responsibility is effective 32 and indeed, a continual striving for improvement is one of the hallmarks of excellence in anaesthesia. 33 -35 The right culture can also be promoted through practical measures, such as the de-identification of reporters, protecting reporters and 'whistle-blowers' from unwarranted reprisals, and providing meaningful feedback.…”

Section: Discussionmentioning

confidence: 99%