Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults' hospital-to-home-health care transitions.
| Autor: | Arbaje, Alicia I, Greyson, Sylvan, Keita Fakeye, Maningbe, Hohl, Dawn, Carl, Kimberly, Hsu, Yea-Jen, Leff, Bruce |
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| Předmět: |
MEETINGS
MEDICAL information storage & retrieval systems CAREGIVERS TRANSITIONAL care STAKEHOLDER analysis HOME care services HEALTH outcome assessment ACQUISITION of data FAMILIES HUMAN services programs CONCEPTUAL structures ERGONOMICS QUALITATIVE research DATABASE management CLINICAL medicine ACCESS to information CRITICAL care medicine RESEARCH funding INTEGRATED health care delivery DATA analysis PATIENT safety SYSTEM integration MEDICAL record access control LEGAL status of patients |
| Zdroj: | Journal of Patient Safety & Risk Management; Oct2023, Vol. 28 Issue 5, p201-207, 7p |
| Abstrakt: | Background: The hospital-to-home transition remains a high-risk care interval for older adults. Skilled home health (HH) agencies are uniquely positioned to address care-transitions-associated patient safety threats. We previously developed the Hospital-to-Home-Health Transition Quality (H3TQ) Index to identify safety issues after hospital discharge. Our objective is to evaluate a participatory ergonomics process engaging stakeholders to develop strategies to implement the H3TQ into HH agency workflow to improve transition-associated safety issues in real-time. Methods: Stakeholders participated in three, two-hour Intervention Refinement Team (IRT) meetings with a focus on: (1) identifying facilitators and barriers to collect H3TQ data in real-time, (2) integration of H3TQ into workflows, and (3) sharing H3TQ safety threat information to improve care transition safety outcomes. We used the human factors engineering-informed Systems Ambiguity Framework to guide the structure of IRT meetings and qualitative data analysis to evaluate the IRT process itself. Results: Stakeholders (N = 9) represented patients, family caregivers, and HH staff. Stakeholders identified three key strategies for H3TQ implementation: (1) mechanism and timing of H3TQ data collection using multiple platforms; (2) data sharing conditions for safety reporting across the health system; and (3) identification of targeted care transitions outcomes for improvement. Participants highly rated IRT meetings regarding meeting usefulness, comfort, and degree of input into the discussion. Conclusions: The IRT participatory ergonomics process was successful. Stakeholders identified strategies to facilitate implementation of the H3TQ implementation to improve the hospital-to-HH. IRTs have potential application to other health system issues related to the care of people with complex needs. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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