Using real time patient feedback to introduce safety changes

Larsen, Debra; Peters, Hayley; Keast, John; Devon, Royal

doi:10.7748/nm2011.10.18.6.27.c8718

Cited by 22 publications

(28 citation statements)

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“…UK examples of such interventions include the Real Time Patient Feedback initiative in the Royal Devon and Exeter NHS Foundation Trust40 and the Patient Toolkit and patient incident reporting strategies currently being developed by the Yorkshire Quality and Safety Research Group 41. US examples include The Joint Commission's ‘Speak Up’ campaign, and the ‘Condition H’ help line for patient-activated rapid response calls at the University of Pittsburgh Medical Center.…”

Section: Discussionmentioning

confidence: 99%

Women's safety alerts in maternity care: is speaking up enough?

et al. 2013

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link AbstractPatients' contributions to safety include speaking up about their perceptions of being at risk. Previous studies have found that dismissive responses from staff discouraged patients from speaking up. A Care Quality Commission investigation of a maternity service where serious incidents occurred found evidence that women had routinely been ignored and left alone in labour. Women using antenatal services hesitated to raise concerns that they felt staff might consider irrelevant.The Birthplace in England programme, which investigated the quality and safety of different places of birth for 'low risk' women, included a qualitative organisational case study in four NHS Trusts. The authors collected documentary, observational and interview data from March to December 2010 including interviews with 58 postnatal women. A framework approach was combined with inductive analysis using NVivo8 software.Speaking up, defined as insistent and vehement communication when faced with failure by staff to listen and respond, was an unexpected finding mentioned in half the women's interviews. Fourteen women reported raising alerts about safety issues they felt to be urgent. The presence of a partner or relative, and receiving continuity of care, were facilitating factors for speaking up. Several women described distress and harm that ensued from staff failure to listen.Women are speaking up, but this is not enough: organisation-focused efforts are required to improve staff response. Further research is needed in maternity services as well as acute and general health care on the effectiveness of safety-promoting interventions including real-time patient feedback, patient toolkits and patient-activated rapid response calls.3

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Section: Discussionmentioning

confidence: 99%

Women's safety alerts in maternity care: is speaking up enough?

et al. 2013

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“…There are some exceptions to this -for example Ward and Armitage (2012) explore the extent of safety incident reporting among patients in a hospital setting, Weingart et al (2004) report on lessons learnt from an intervention to prevent adverse drug events, and Larsen et al (2011) describe the use of patient feedback in real time to improve safety. In general, though, the published evidence focuses on attitudes and expectations rather than on the opportunities for patient involvement in patient safety and the results of these.…”

Section: The Literaturementioning

confidence: 96%

“…Another review of the literature on methods of reporting adverse events (King et al 2010) showed that higher numbers of incidents were reported when open-ended questions were used and when patients were asked about their own experiences. One approach to incorporating patient experience into organizational systems has been proffered by Larsen et al (2011), who described a safety briefing process, designed by nursing staff, whereby patients are asked a set of key questions at the beginning of each shift about their care (Larsen et al 2011). This was accompanied by a set of comment cards given to patients by a 'neutral' member of staff for patients to complete, which were then collected and used at debriefing meetings at the end of the shift.…”

Section: Patient Feedback and Error Reportingmentioning

confidence: 99%

Patient Involvement in Patient Safety: Current experiences, insights from the wider literature, promising opportunities?

Sutton

Eborall

Martin

2014

Public Management Review

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Patient involvement in patient safety is emerging as an area of growing policy, practice, and academic interest. In this article, we review the existing literature on patient involvement and patient safety and seek to highlight some of the key areas of challenge in this emergent field by relating it to themes identified in the wider, more mature, literature on patient and public involvement in health care in general. Insights from the wider literature illuminate key issues for involvement in patient safety and suggest promising ways of circumventing these challenges and achieving involvement in patient safety in a way that maximizes impact while avoiding unintended consequences.

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“…By highlighting what needs to be improved and how these improvements can be achieved in a planning process, improvement ideas can be tested and visualized on a small scale through the PDSA cycle: Plan, Do, Study, and Act [14]. Studies show that the PDSA methodology increases adherence to evidence-based practice that improve quality of care and patient safety [2,[17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

“…Hence, health systems must be economically sustainable, in line with good clinical practice, and developed in consultation with the patient [1][2][3]. Evidence-based care is based on three approaches: patient needs and desires, staff skills and experience, and recent evidence in this research field [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Using Numbers Creates Value for Health Professionals: A Quantitative Study of Pain Management in Palliative Care

Unné

Rosengren

2014

Pharmacy

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Improvement methodology is based on processes to achieve quality and safety in health care in order to improve patient care, especially in management. The aim of this study was to identify differences regarding the method of estimating pain within palliative care in north-eastern Sweden. The study comprised three different data collections-questions from 22 staff members who worked in palliative care, data from the Swedish Palliative Registry, and patients' medical records. Data were analyzed using a quantitative approach to measure the proportion of differences and similarities in everyday pain management. The two categories "Documentation of Pain Management" and "Pain Management Activities" were identified and illustrated how repeated pain management measurements contributed to a clearer view of pain management activities. The use of numbers instead of words contributed to a better, clearer, and more unified documentation of pain ratings. Use of validated rating tools regarding patients last week of life increased from 47%-100%. This study may inspire better routines to estimate pain and quantify no pain in palliative care. Evidence-based measurement tools from the patient's perspective, can improve pain management.

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Using real time patient feedback to introduce safety changes

Cited by 22 publications

References 0 publications

Women's safety alerts in maternity care: is speaking up enough?

Women's safety alerts in maternity care: is speaking up enough?

Patient Involvement in Patient Safety: Current experiences, insights from the wider literature, promising opportunities?

Using Numbers Creates Value for Health Professionals: A Quantitative Study of Pain Management in Palliative Care

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