11 results found
Flott K, Darzi A, Gancarczyk S, et al., 2018, Improving the Usefulness and Use of Patient Survey Programs: National Health Service Interview Study, JOURNAL OF MEDICAL INTERNET RESEARCH, Vol: 20, ISSN: 1438-8871
Flott K, Darzi A, Mayer E, 2018, Care pathway and organisational features driving patient experience: statistical analysis of large NHS datasets., BMJ Open, Vol: 8
OBJECTIVE: The aim of this study was to identify the care pathway and organisational factors that predict patient experience. DESIGN: Statistical analysis of large National Health Service (NHS) datasets. SETTING ANDPARTICIPANTS: England; acute NHS organisational-level data. PRIMARY AND SECONDARY OUTCOME MEASURES: The relationship of care pathway and organisational variables to organisation-level patient experience. RESULTS: A framework of 18 care pathway and organisational variables were created based on the existing literature. 11 of these correlated to patient experience in univariate analyses. Multicollinearity tests resulted in 1 of the 11 variables holding a correlation to another variable larger than r=0.70. A significant multilinear regression equation, including the final 10 variables, was found (F(10,108)=6.214, p<0.00), with an [Formula: see text] of 0.365. Two variables were significant in predicting better in patient experience: Amount of support to clinical staff (beta=0.2, p=0.02) and the proportion of staff who would recommend the trust as a place to work or receive treatment (beta=0.26, p=0.01). Two variables were significant in predicting a negative impact on the patient's rating of their experience: Number of patients spending over 4 hours from decision to admit to admission (beta=-1.99, p=0.03) and the percentage of estates and hotel services contracted out (beta=-0.23, p=0.01). CONCLUSIONS: These results indicate that augmenting clinical support and investing in the mechanisms that facilitate positive staff experience is essential to delivering appropriate, informative and patient-centric care. Reducing wait times and the extent of external contracting within hospitals is also likely to improve patient ratings of experience. Understanding the relationship between patient experience and objective, measurable organisational features promote a more patient-centric interpretation of quality and compel a better use of patient experience feedback to
Flott K, Durkin M, Darzi A, 2018, The Tokyo Declaration on patient safety, BMJ-BRITISH MEDICAL JOURNAL, Vol: 362, ISSN: 1756-1833
Flott K, Fontana G, Dhingra-Kumar N, et al., 2017, Health care must mean safe care: enshrining patient safety in global health, LANCET, Vol: 389, Pages: 1279-1281, ISSN: 0140-6736
Flott K, Hounsome L, Vuik S, et al., 2017, A patient-centric approach to improving experience in urological cancer care, JOURNAL OF CLINICAL UROLOGY, Vol: 10, Pages: 39-46, ISSN: 2051-4158
Flott KM, Graham C, Darzi A, et al., 2017, Can we use patient-reported feedback to drive change? The challenges of using patient-reported feedback and how they might be addressed, BMJ QUALITY & SAFETY, Vol: 26, Pages: 502-507, ISSN: 2044-5415
Flott K, Callahan R, Darzi A, et al., 2016, A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review, JOURNAL OF MEDICAL INTERNET RESEARCH, Vol: 18, Pages: 153-162, ISSN: 1438-8871
Flott K, Callahan R, Darzi A, et al., 2016, A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review, JOURNAL OF MEDICAL INTERNET RESEARCH, Vol: 18, ISSN: 1438-8871
Flott K, Darzi A, Mayer E, 2016, EVALUATION FRAMEWORK FOR PATIENT SAFETY INCIDENT REPORTING SYSTEMS, INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol: 28, Pages: 8-9, ISSN: 1353-4505
Mayer E, Flott K, Callahan RP, et al., 2016, National Reporting and Learning System Research and Development
This report presents the findings of the NRLS Researchand Development Programme conducted by thePatient Safety Translational Research Centre (PSTRC)and the Centre for Health Policy (CHP) at ImperialCollege London.It sets out the current state of affairs regardingpatient safety incident reporting in the NHS, andspecifies where the most pressing areas of concerns are,including thorough descriptions of the various incidentreporting systems used in the NHS today. Furthermore itidentifies areas for improvement in the overall landscapeof incident reporting, and suggests how systems like theNRLS can capitalise on developments in technology.The main body of the report is then devoted toexplaining the findings from the research programme. Theresearch was divided into four domains, and the reportdetails the new findings discovered about each of them:1. Purpose of incident reporting in healthcare2. User experience with reporting systems3. Data quality and analysis4. Effective feedback for learningBuilding on these findings, the report moves on to describehow they can be applied to the next generation ofincident reporting. Specifically, it focuses on a prototypefor a new incident reporting system that incorporates theimprovement ideas generated by the research.Finally, the report concludes with a description ofan evidence-based framework for evaluating incidentreporting systems and an ‘Achievement Toolkit’ often recommendations for improvements to incidentreporting systems.
Graham C, Flott K, King J, et al., 2015, Strategies and challenges for monitoring patient experience at the local level, International Journal of Healthcare Management, Vol: 8, Pages: 1-3, ISSN: 2047-9700
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