Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme
| Autor: | Rick Iedema, Nadine A Mallock, Jeffrey Braithwaite, Mary T. Westbrook, Joanne Travaglia |
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| Rok vydání: | 2006 |
| Předmět: |
Program evaluation
Safety Management Inservice Training Systems Analysis Leadership and Management health care facilities manpower and services Health Personnel education Demographic profile Health administration Patient safety InformationSystems_GENERAL Nursing Medicine Humans General Nursing ComputingMilieux_MISCELLANEOUS health care economics and organizations Medical Errors business.industry Health Policy Public Health Environmental and Occupational Health Questionnaire Outcome and Process Assessment (Health Care) humanities Outcome and Process Assessment Health Care Cohort Commentary Health Policy & Services New South Wales Root cause analysis business Biomedical sciences Program Evaluation |
| Popis: | Background: Research on root cause analysis (RCA), a pivotal component of many patient safety improvement programmes, is limited. Objective: To study a cohort of health professionals who conducted RCAs after completing the NSW Safety Improvement Program (SIP). Hypothesis: Participants in RCAs would: (1) differ in demographic profile from non-participants, (2) encounter problems conducting RCAs as a result of insufficient system support, (3) encounter more problems if they had conducted fewer RCAs and (4) have positive attitudes regarding RCA and safety. Design, setting and participants: Anonymous questionnaire survey of 252 health professionals, drawn from a larger sample, who attended 2-day SIP courses across New South Wales, Australia. Outcome measures: Demographic variables, experiences conducting RCAs, attitudes and safety skills acquired. Results: No demographic variables differentiated RCA participants from non-participants. The difficulties experienced while conducting RCAs were lack of time (75.0%), resources (45.0%) and feedback (38.3%), and difficulties with colleagues (44.5%), RCA teams (34.2%), other professions (26.9%) and management (16.7%). Respondents reported benefits from RCAs, including improved patient safety (87.9%) and communication about patient care (79.8%). SIP courses had given participants skills to conduct RCAs (92.8%) and improve their safety practices (79.6%). Benefits from the SIP were thought to justify the investment by New South Wales Health (74.6%) and committing staff resources (72.6%). Most (84.8%) of the participants wanted additional RCA training. Conclusions: RCA participants reported improved skills and commitment to safety, but greater support from the workplace and health system are necessary to maintain momentum. |
| Databáze: | OpenAIRE |
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