Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation
| Autor: | Bryony Dean Franklin, Amirta Benning, Karla Hemming, Gavin Rudge, Sopna Choudhury, Richard J. Lilford, Mary Dixon-Woods, Thirumalai Naicker, Alan Girling, Anu K. Suokas, Jeremy Dawson, Martin Carmalt, Ugochi Nwulu, Maisoon Ghaleb, Nick Barber |
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| Rok vydání: | 2011 |
| Předmět: |
Safety Management
medicine.medical_specialty Patients Attitude of Health Personnel Hospitals Rural Vital signs Job Satisfaction State Medicine RT Patient safety Pneumonia (Respiratory Medicine) Hospitals Urban Patient satisfaction RA0421 Medical Error/ Patient Safety Outcome Assessment Health Care Health care Medical Staff Hospital medicine Humans Medical history Hospital Mortality Formulary Medical prescription Medical History Taking Medicines Regulation Quality of Health Care General Environmental Science Medical Errors Hospitals Public business.industry Research General Engineering General Medicine Odds ratio United Kingdom Epidemiologic Studies Patient Satisfaction Emergency medicine General Earth and Planetary Sciences Clinical Competence business |
| Zdroj: | The BMJ |
| ISSN: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.d195 |
| Popis: | Objectives To conduct an independent evaluation of the first phase of the Health Foundation’s Safer Patients Initiative (SPI), and to identify the net additional effect of SPI and any differences in changes in participating and non-participating NHS hospitals.\ud \ud Design Mixed method evaluation involving five substudies, before and after design.\ud \ud Setting NHS hospitals in the United Kingdom.\ud \ud Participants Four hospitals (one in each country in the UK) participating in the first phase of the SPI (SPI1); 18 control hospitals.\ud \ud Intervention The SPI1 was a compound (multi-component) organisational intervention delivered over 18 months that focused on improving the reliability of specific frontline care processes in designated clinical specialties and promoting organisational and cultural change.\ud \ud Results Senior staff members were knowledgeable and enthusiastic about SPI1. There was a small (0.08 points on a 5 point scale) but significant (P |
| Databáze: | OpenAIRE |
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