Management and reporting of safety incidents by residential care facilities in Ireland: A thematic analysis of statutory notifications

McGrane, Niall; O'Regan, Stephaine; Dunbar, Paul; Dunnion, Mary; Leistikow, Ian; O’Connor, Laura

doi:10.1111/hsc.13905

Cited by 2 publications

(1 citation statement)

References 33 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The first pertained to the development of the Database of Statutory Notifications from Social Care in Ireland [ 13 ]. The second pertained to research being carried out by the researchers using this same database, in general and specifically on practice surrounding adverse events in RCFS in Ireland [ 16 ]. No demographic data, other than sex, were collected as we felt it was unnecessarily intrusive in a study of this nature as demographic data would not impact on the results of the study.…”

Section: Methodsmentioning

confidence: 99%

To summarise the approach to and findings of the PPIE undertaken as part of a programme of secondary research with a vulnerable, hard to reach population during the COVID-19 pandemic

2023

Self Cite

View full text Add to dashboard Cite

Background Public and patient involvement and engagement (PPIE) is an important part of research. The inclusion of PPIE in research is becoming more widespread, however, there are some areas where it is still uncommon. For example, undertaking PPIE in secondary analysis projects is uncommon and PPIE with difficult to reach populations and vulnerable groups can be seen as being too difficult to facilitate. The aim was to summarise the approach to and findings of the PPIE undertaken as part of a programme of secondary analysis with a vulnerable, hard to reach population; residents of residential care facilities (RCFs), during the COVID-19 pandemic. Methods As part of a project to develop a publically available database of statutory notifications of adverse events from RCFs in Ireland, residents (n = 9) from RCFs for older people and people with disability were telephone interviewed. Residents were engaged through gatekeepers and posted participant information and consent forms. Themes were identified using content analyses of interview notes. Results Three parent themes were identified, each with two subthemes: privacy concerns, enthusiasm and dissemination of research findings. Residents highlighted the importance that no personal information be shared in the database. Once data were anonymized, residents thought that the database should be published and shared. Residents reported being happy about research being undertaken using the data and thought that publishing the database would help inform the public about RCFs. Completing a PPIE project with a vulnerable group during the global COVID-19 pandemic required planning and resources. Resources included finances, time and expertise. Conclusions The involvement of residents informed the data inclusion in the published database and the approach taken in the protection of personal data. Enthusiasm for publication and research using the database by residents encouraged the developers as it was considered something that was wanted by residents. The benefits of PPIE can be achieved with vulnerable groups during unprecedented times with the appropriate planning. It requires dedication of time, finances and expertise. Overcoming the obstacles was achievable and worthwhile. The approach outlined can be used as an example to support PPIE in secondary analysis projects and or with vulnerable groups.

show abstract

Section: Methodsmentioning

confidence: 99%

To summarise the approach to and findings of the PPIE undertaken as part of a programme of secondary research with a vulnerable, hard to reach population during the COVID-19 pandemic

2023

Self Cite

View full text Add to dashboard Cite

show abstract

Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes

Scott,

Sykes,

Waring

et al. 2024

Journal of Advanced Nursing

View full text Add to dashboard Cite

AimsTo identify the safety incident reporting systems and processes used within care homes to capture staff reports of safety incidents, and the types and characteristics of safety incidents captured by safety incident reporting systems.DesignSystematic review following PRISMA reporting guidelines.MethodsDatabases were searched January 2023 for studies published after year 2000, written in English, focus on care homes and incident reporting systems. Data were extracted using a bespoke data extraction tool, and quality was assessed. Data were analysed descriptively and using narrative synthesis, with types and characteristics of incidents analysed using the International Classification for Patient Safety.Data SourcesDatabases were CINAHL, MEDLINE, PsycINFO, EMBASE, HMIC, ASSISA, Nursing and Allied Health Database, MedNar and OpenGrey.ResultsWe identified 8150 papers with 106 studies eligible for inclusion, all conducted in high‐income countries. Numerous incident reporting processes and systems were identified. Using modalities, typical incident reporting systems captured all types of incidents via electronic computerized reporting, with reports made by nursing staff and captured information about patient demographics, the incident and post‐incident actions, whilst some reporting systems included medication‐ and falls‐specific information. Reports were most often used to summarize data and identify trends. Incidents categories most often were patient behaviour, clinical process/procedure, documentation, medication/intravenous fluids and falls. Various contributing and mitigating factors and actions to reduce risk were identified. The most reported action to reduce risk was to improve safety culture. Individual outcomes were often reported, but social/economic impact of incidents and organizational outcomes were rarely reported.ConclusionsThis review has demonstrated a complex picture of incident reporting in care homes with evidence limited to high‐income countries, highlighting a significant knowledge gap. The findings emphasize the central role of nursing staff in reporting safety incidents and the lack of standardized reporting systems and processes.Implications for the Profession and/or Patient CareThe findings from this study can inform the development or adaptation of safety incident reporting systems in care home settings, which is of relevance for nurses, care home managers, commissioners and regulators. This can help to improve patient care by identifying common safety issues across various types of care home and inform learning responses, which require further research.ImpactThis study addresses a gap in the literature on the systems and processes used to report safety incidents in care homes across many countries, and provides a comprehensive overview of safety issues identified via incident reporting.Reporting MethodPRISMA.Patient or Public ContributionA member of the research team is a patient and public representative, involved from study conception.

show abstract

Management and reporting of safety incidents by residential care facilities in Ireland: A thematic analysis of statutory notifications

Cited by 2 publications

References 33 publications

To summarise the approach to and findings of the PPIE undertaken as part of a programme of secondary research with a vulnerable, hard to reach population during the COVID-19 pandemic

To summarise the approach to and findings of the PPIE undertaken as part of a programme of secondary research with a vulnerable, hard to reach population during the COVID-19 pandemic

Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes

Contact Info

Product

Resources

About