Implementing Patient Safety

Woodward, Suzette

doi:10.4324/9781351235389

Cited by 8 publications

(8 citation statements)

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“…It is time to get beneath the surface of our current superficial approach to safety and create a truly balanced and significantly more nuanced approach to safety. 7…”

Section: Resultsmentioning

confidence: 99%

Moving towards a safety II approach

Woodward

2019

Journal of Patient Safety and Risk Management

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“…It is time to get beneath the surface of our current superficial approach to safety and create a truly balanced and significantly more nuanced approach to safety. 7…”

Section: Resultsmentioning

confidence: 99%

Moving towards a safety II approach

Woodward

2019

Journal of Patient Safety and Risk Management

Self Cite

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“…This type of ‘bottom-up’ approach to improvement, where practitioners themselves can comment on practices and solutions derived from existing clinical practice 10 is likely to result in a more realistic informed assessment of safety than, for example, a ‘top-down’ approach where safety measures are assessed by clinical outsiders who will likely be less aware of practical implications. It allowed expert input from anaesthetists from a range of different settings in multiple countries and thus helped make the most of existing safety knowledge and practice, even before further innovations are considered 13 …”

Section: Discussionmentioning

confidence: 99%

“…It allowed expert input from anaesthetists from a range of different settings in multiple countries and thus helped make the most of existing safety knowledge and practice, even before further innovations are considered. 13…”

Section: Strengthsmentioning

confidence: 99%

“…It can be summarised as a ‘way to think new things about the familiar’. In terms of safety science, exnovation is cited as a methodology to enable compliance with ‘Safety-II’ and for studying ‘work as done’ in real-life contexts 13 …”

Section: Introductionmentioning

confidence: 99%

“…In terms of safety science, exnovation is cited as a methodology to enable compliance with 'Safety-II' and for studying 'work as done' in real-life contexts. 13…”

Section: Introductionmentioning

confidence: 99%

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Patient safety practices in European anaesthesiology

McCreedy

Wacker

Ffrench-O'Carroll

et al. 2022

European Journal of Anaesthesiology

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BACKGROUNDPatient safety is a key concern of anaesthesiology practice. However, good practices are often not widely shared between departments and hospitals, whether within or between countries.OBJECTIVEWe aimed to collect and analyse safety practices and tips from anaesthesiology departments around Europe in order to facilitate successful transfer of safety knowledge.DESIGNReview of previously collected safety practices; allocation of numerical scores in order to rank them on 0–5 scales in terms of anticipated impact, and speed, cost, and ease of implementation; free text comment on any possible difficulties or unintended harms which might arise from adopting any of the collected practices.SETTINGCollaborative remote working of expert group.PARTICIPANTSNineteen experts in patient safety in anaesthesiology from nine European countries.MAIN OUTCOME MEASURESRankings of safety practices for anticipated practice impact, cost, speed, and ease of implementation.RESULTSWe collected 117 practices. The highest-ranked items for potential beneficial impact were: standardising the layout of drug trolleys (4.82); involving all staff in new safety initiatives in the operating theatre (4.73); ensuring patients’ medical records are available at the time of surgery (4.71); running regular simulation training sessions in departments of anaesthesia (4.67); and creating a difficult airway management trolley (4.65). A major theme to emerge from the qualitative analysis of the experts’ free text comments was the risk that practices aimed at enhancing patient safety might not achieve the effect intended, as introducing new safety activities can cause more mistakes during the implementation phase.CONCLUSIONMany useful practices to promote patient safety were identified, but as some practices appear to be context-dependent, we recommend that a proper, prospective risk assessment is carried out before they are introduced in a new setting. The full list of items is available online as Supplementary Digital Content, http://links.lww.com/EJA/A785.TRIAL REGISTRATIONNot applicable.

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Development of an International Tool for Students to Record and Reflect on Patient Safety Learning Experiences

et al. 2021

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Background: Underpinning all nursing education is the development of safe practitioners who provide quality care. Learning in practice settings is important, but student experiences vary. Purpose: This study aimed to systematically develop a robust multilingual, multiprofessional data collection tool, which prompts students to describe and reflect on patient safety experiences. Approach: Core to a 3-year, 5-country, European project was development of the SLIPPS (Sharing Learning from Practice for Patient Safety) Learning Event Recording Tool (SLERT). Tool construction drew on literature, theory, multinational and multidisciplinary experience, and involved pretesting and translation. Piloting included assessing usability and an initial exploration of impact via student interviews. Outcomes: The final SLERT (provided for readers) is freely available in 5 languages and has face validity for nursing across 5 countries. Student reports (n = 368) were collected using the tool. Conclusions: The tool functions well in assisting student learning and for collecting data. Interviews indicated the tool promoted individual learning and has potential for wider clinical teams.

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Implementing Patient Safety

Cited by 8 publications

References 0 publications

Moving towards a safety II approach

Moving towards a safety II approach

Patient safety practices in European anaesthesiology

Development of an International Tool for Students to Record and Reflect on Patient Safety Learning Experiences

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