Healthcare

Learning from Patient Safety Incidents: Creating Participative Risk Regulation in Healthcare

Published on by Jared Padgett

This article’s authors discuss the concept of participatory regulation, where the employees of a firm help regulate safety beyond the level of outside or governmental agencies. A comparison is made between aviation regulation and medical regulation, and the authors discuss how the two industries can share insight. This is a component of HRO theory, which emerged in part from the field of aviation. It directly ties HRO to patient safety in a healthcare organization.

Macrae, C. (2008). Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health, Risk & Society, 10(1), 53–67. doi:10.1080/13698570701782452

Identifying Key Nursing and Team Behaviours to Achieve High Reliability

Published on by Jared Padgett

The goal of this study was to measure behavioral markers among nurses during critical events in order to assess the extent of high reliability. The research method involved a simulation in order to observe communication between nurses. The authors cite previous studies that indicate that teams are more reliable than individuals. Improving channels of communication can contribute to increased patient safety. The article uses High Reliability Organization theory to improve patient safety.

Miller, K., Riley, W., & Davis, S. (2009). Identifying key nursing and team behaviours to achieve high reliability. Journal of Nursing Management, 17(2), 247–255. doi:10.1111/j.1365-2834.2009.00978.x

Patient Involvement in Patient Safety: Protocol for Developing an Intervention Using Patient Reports of Organisational Safety and Patient Incident Reporting

Published on by Jared Padgett

This article was designed to develop a plan for testing the validity and reliability of a new Patient Measure of Organisational Safety (PMOS) and the Patient Incident Reporting Tool (PIRT) in an effort to improve organizational safety in hospitals in the United Kingdom. The authors outlined an intensive, multi-year study in order to validate each instrument, and to determine how each instrument could support the other.

The instrument for including patients in the determination of the safety culture could be useful for a hospital-based study. The study can be used to determine employee attitudes on safety and to educate the staff on the importance of reliable case notes to prevent repeated unsafe incidents.

Ward, J. K., McEachan, R. C., Lawton, R., Armitage, G., Watt, I., & Wright, J. (2011). Patient involvement in patient safety: Protocol for developing an intervention using patient reports of organisational safety and patient incident reporting. BMC Health Services Research, 11(1), 130-139. doi:10.1186/1472-6963-11-130

Workforce Perceptions of Hospital Safety Culture: Development and Validation of the Patient Safety Climate in Healthcare Organizations Survey

Published on by Jared Padgett

This article discussed the development and testing of the Patient Safety Climate in Healthcare Organizations (PSCHO) survey, which has been used to determine the safety culture in hospitals both in the United States and abroad.

The study utilized HRO concepts and applied them specifically to healthcare, and this instrument will be a valuable tool for researcher’s interested in improving patient safety. The multivariate analysis in the study outlined specific results based on the participants’ organizational role, and this will transfer well to other healthcare organizations.

Singer, S., Meterko, M., Baker, L., Gaba, D., Falwell, A., & Rosen, A. (2007). Workforce perceptions of hospital safety culture: Development and validation of the patient safety climate in healthcare organizations survey. Health Services Research, 42(5), 1999-2021. doi:10.1111/j.1475-6773.2007.00706.x

Factors to Drive Clinical Practice Improvement in a Malaysian Intensive Care Unit: Assessment of Organisational Readiness Using a Mixed Method Approach

Published on by Jared Padgett

This article addresses patient complications that are encountered by the staff in an intensive care unit in Malaysia. It addresses the need for an enhanced safety culture to address these often-preventable complications. The authors noted that there is an international drive to enhance patient safety, effectively linking this research to research already done at a number of facilities in the United States. Finding commonalities with international peers can be useful in enhancing patient safety.

Soh, K., Davidson, P., Leslie, G., DiGiacomo, M., Rolley, J., Soh, K., & Rahman, A., (2011). Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach. International Journal of Multiple Research Approaches, 5(1), 104-121. doi:10.5172/mra.2011.5.1.104