Patient safety issues in office-based surgery and anaesthesia in Switzerland: a qualitative study

McLennan, Stuart; Schwappach, David; Harder, Yves; Staender, Sven; Elger, Bernice Simone

doi:10.1016/j.zefq.2017.06.002

Cited by 5 publications

(4 citation statements)

References 33 publications

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“…Both interviewers have long-standing experience with qualitative research in the context of clinical research and evidence-based medicine. 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 The interviewers had already had contact with some of the Swiss stakeholders from previous research studies. Otherwise, no relationship existed between the interviewers and the other participants before the study, and participants received limited information about interviewers.…”

Section: Methodsmentioning

confidence: 99%

“…One interview was conducted by M.B., a male physician and senior scientist in clinical epidemiology. Both interviewers have long-standing experience with qualitative research in the context of clinical research and evidence-based medicine . The interviewers had already had contact with some of the Swiss stakeholders from previous research studies.…”

Section: Methodsmentioning

confidence: 99%

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Barriers and Facilitating Factors for Conducting Systematic Evidence Assessments in Academic Clinical Trials

et al. 2021

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IMPORTANCE A systematic assessment of existing research should justify the conduct and inform the design of new clinical research but is often lacking. There is little research on the barriers to and factors facilitating systematic evidence assessments. OBJECTIVE To examine the practices and attitudes of Swiss stakeholders and international funders regarding conducting systematic evidence assessments in academic clinical trials. DESIGN, SETTING, AND PARTICIPANTS In this qualitative study, individual semistructured qualitative interviews were conducted between February and August 2020 with 48 Swiss stakeholder groups (27 primary investigators, 9 funders and sponsors, 6 clinical trial support organizations, and 6 ethics committee members) and between January and March 2021 with 9international funders of clinical trials from North America and Europe with a reputation for requiring systematic evidence synthesis in applications for academic clinical trials. MAIN OUTCOMES AND MEASURESThe main outcomes were practices and attitudes of Swiss stakeholders and international funders regarding conducting systematic evidence assessments in academic clinical trials. Interviews were analyzed using conventional content analysis. RESULTSOf the 57 participants, 40 (70.2%) were male. Participants universally acknowledged that a comprehensive understanding of the previous evidence is important but reported wide variation regarding how this should be achieved. Participants reported that the conduct of formal systematic reviews was currently not expected before most clinical trials, but most international funders reported expecting a systematic search for the existing evidence. Whereas time and resources were reported by all participants as barriers to conducting systematic reviews, the Swiss research ecosystem was reported not to be as supportive of a systematic approach compared with international settings. CONCLUSIONS AND RELEVANCEIn this qualitative study, Swiss stakeholders and international funders generally agreed that new clinical trials should be justified by a systematic evidence assessment but that barriers on individual, organizational, and political levels kept them from implementing it. More explicit requirements from funders appear to be needed to clarify the required level of comprehensiveness in summarizing existing evidence for different types of clinical trials.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Barriers and Facilitating Factors for Conducting Systematic Evidence Assessments in Academic Clinical Trials

et al. 2021

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“…Both interviewers have longstanding experience with qualitative research. 27 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 The interviewers had already had contact with many of the stakeholders from previous research studies. Otherwise, no relationship was established between the interviewers and the other participants prior to the study, and participants received limited information about interviewers.…”

Section: Methodsmentioning

confidence: 99%

“…One interview was conducted by M.B., a male physician and senior scientist in clinical epidemiology. Both interviewers have longstanding experience with qualitative research . The interviewers had already had contact with many of the stakeholders from previous research studies.…”

Section: Methodsmentioning

confidence: 99%

Practices and Attitudes of Swiss Stakeholders Regarding Investigator-Initiated Clinical Trial Funding Acquisition and Cost Management

2021

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Key Points Question What are the practices and attitudes of Swiss stakeholders regarding funding acquisition and cost management in investigator-initiated clinical trials (IICTs)? Findings In this qualitative study, including interviews of 48 IICT stakeholders, respondents reported that they lacked experience and expertise in the budgeting of IICTs. A lack of responsibility for the quality assurance of this task was also identified. Meaning These findings suggest that there is a need for empirical and transparent data on IICT costs, including budget monitoring and calculation tools, which may help avoid further conflict among stakeholders and promote adequate funding for IICTs.

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The ethical oversight of learning health care activities in Switzerland: a qualitative study

McLennan

2019

International Journal for Quality in Health Care

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Patient safety issues in office-based surgery and anaesthesia in Switzerland: a qualitative study

Abstract: There is a lack of empirical data regarding the quantity and quality office-based surgery and anaesthesia in Switzerland. Further research is needed to address these research gaps and inform health policy in relation to patient safety in office-based surgery and anaesthesia in Switzerland.

Cited by 5 publications

References 33 publications

Barriers and Facilitating Factors for Conducting Systematic Evidence Assessments in Academic Clinical Trials

Barriers and Facilitating Factors for Conducting Systematic Evidence Assessments in Academic Clinical Trials

Practices and Attitudes of Swiss Stakeholders Regarding Investigator-Initiated Clinical Trial Funding Acquisition and Cost Management

The ethical oversight of learning health care activities in Switzerland: a qualitative study

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