Publications
276 results found
Davis RE, Joshi D, Patel K, et al., 2013, The medical student as a patient: attitudes towards involvement in the quality and safety of health care., J Eval Clin Pract, Vol: 19, Pages: 812-818
BACKGROUND: In recent years, factors that affect patients' willingness and ability to participate in safety-relevant behaviours have been investigated. However, how trained healthcare professionals or medical students would feel participating in safety-relevant behaviours as a patient in hospital remains largely unexplored. OBJECTIVES: To investigate medical students' willingness to participate in behaviours related to the quality and safety of their health care. DESIGN: A cross-sectional exploratory study using a survey that addressed willingness to participate in different behaviours recommended by current patient safety initiatives. Three types of interactional behaviours (asking factual or challenging questions, notifying doctors or nurses of errors/problems) and three non-interactional behaviours (choosing a hospital based on the safety record, bringing medicines and a list of allergies into hospital, and reporting an error to a national reporting system) were assessed. PARTICIPANTS: One hundred and seventy-nine medical students from an inner city London teaching hospital participated in the study. FINDINGS: Students' willingness to participate was affected (P < 0.05) by the action required by the patient and (for interactional behaviours) whether the patient was engaging in the specific action with a doctor or nurse. Students were least willing to ask 'challenging' questions to doctors and nurses and to report errors to a national reporting system. Doctors' and nurses' encouragement appeared to increase self-reported willingness to participate in behaviours where baseline willingness was low. CONCLUSION: Similar to research on lay patient populations; medical students do not view involvement in safety-related behaviours equally. Interventions should be tailored at encouraging students to participate in behaviours they are less inclined to take on an active role in. Future research is required to examine students' motivations for participation in this import
Davis RE, Sevdalis N, Neale G, et al., 2013, Hospital patients' reports of medical errors and undesirable events in their health care, JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Vol: 19, Pages: 875-881, ISSN: 1356-1294
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- Citations: 27
Hull L, Arora S, Symons NRA, et al., 2013, Training Faculty in Nontechnical Skill Assessment <i>National Guidelines on Program Requirements</i>, ANNALS OF SURGERY, Vol: 258, Pages: 370-375, ISSN: 0003-4932
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- Citations: 67
Flowerdew L, Gaunt A, Spedding J, et al., 2013, A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills, EMERGENCY MEDICINE JOURNAL, Vol: 30, Pages: 437-443, ISSN: 1472-0205
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- Citations: 16
Walker ST, Sevdalis N, McKay A, et al., 2013, Unannounced in situ simulations: integrating training and clinical practice, BMJ QUALITY & SAFETY, Vol: 22, Pages: 453-458, ISSN: 2044-5415
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- Citations: 37
Lamb BW, Taylor C, Lamb JN, et al., 2013, Facilitators and Barriers to Teamworking and Patient Centeredness in Multidisciplinary Cancer Teams: Findings of a National Study, ANNALS OF SURGICAL ONCOLOGY, Vol: 20, Pages: 1408-1416, ISSN: 1068-9265
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- Citations: 80
Lamb BW, Sevdalis N, Benn J, et al., 2013, Multidisciplinary Cancer Team Meeting Structure and Treatment Decisions: A Prospective Correlational Study, ANNALS OF SURGICAL ONCOLOGY, Vol: 20, Pages: 715-722, ISSN: 1068-9265
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- Citations: 56
Burnett S, Renz A, Wiig S, et al., 2013, Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries, International Journal for Quality in Health Care, Vol: 25, Pages: 1-7, ISSN: 1464-3677
Purpose. Being able to compare hospitals in terms of quality and safety between countries is important for a number ofreasons. For example, the 2011 European Union directive on patients’ rights to cross-border health care places a requirementon all member states to provide patients with comparable information on health-care quality, so that they can make aninformed choice. Here, we report on the feasibility of using common process and outcome indicators to compare hospitalsfor quality and safety in five countries (England, Portugal, The Netherlands, Sweden and Norway).Main Challenges Identified. The cross-country comparison identified the following seven challenges with respect to comparingthe quality of hospitals across Europe: different indicators are collected in each country; different definitions of the sameindicators are used; different mandatory versus voluntary data collection requirements are in place; different types of organizationsoversee data collection; different levels of aggregation of data exist (country, region and hospital); different levels ofpublic access to data exist; and finally, hospital accreditation and licensing systems differ in each country.Conclusion. Our findings indicate that if patients and policymakers are to compare the quality and safety of hospitals acrossEurope, then further work is urgently needed to agree the way forward. Until then, patients will not be able to makeinformed choices about where they receive their health care in different countries, and some governments will remain in thedark about the quality and safety of care available to their citizens as compared to that available in neighbouring countries.
Pinto A, Vincent C, Darzi A, et al., 2013, A qualitative exploration of patients' attitudes towards the '<i>Participate Inform Notice Know' (PINK)</i> patient safety video, INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol: 25, Pages: 29-34, ISSN: 1353-4505
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- Citations: 19
Symons NRA, Almoudaris AM, Nagpal K, et al., 2013, An Observational Study of the Frequency, Severity, and Etiology of Failures in Postoperative Care After Major Elective General Surgery, ANNALS OF SURGERY, Vol: 257, Pages: 1-5, ISSN: 0003-4932
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- Citations: 35
Russ S, Arora S, Wharton R, et al., 2013, Measuring Safety and Efficiency in the Operating Room: Development and Validation of a Metric for Evaluating Task Execution in the Operating Room, Journal of the American College of Surgeons, Vol: 216, Pages: 472-481, ISSN: 1072-7515
Anderson A, Davis R, Hanna G, et al., 2013, Surgical adverse events: A systematic review, ISQUA
Parand A, Dopson S, Vincent C, 2013, The role of chief executive officers in a quality improvement initiative: a qualitative study, BMJ OPEN, Vol: 3, ISSN: 2044-6055
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- Citations: 15
Flowerdew L, Brown R, Russ S, et al., 2012, Teams under pressure in the emergency department: an interview study, EMERGENCY MEDICINE JOURNAL, Vol: 29, ISSN: 1472-0205
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- Citations: 49
Farhan M, Brown R, Vincent C, et al., 2012, The ABC of handover: impact on shift handover in the emergency department, EMERGENCY MEDICINE JOURNAL, Vol: 29, Pages: 947-953, ISSN: 1472-0205
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- Citations: 11
McKay A, Walker ST, Brett SJ, et al., 2012, Team performance in resuscitation teams: Comparison and critique of two recently developed scoring tools, RESUSCITATION, Vol: 83, Pages: 1478-1483, ISSN: 0300-9572
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- Citations: 39
Pinto A, Faiz O, Vincent C, 2012, Managing the after effects of serious patient safety incidents in the NHS: an online survey study, BMJ QUALITY & SAFETY, Vol: 21, Pages: 1001-1008, ISSN: 2044-5415
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- Citations: 12
Farhan M, Brown R, Woloshynowych M, et al., 2012, The ABC of handover: a qualitative study to develop a new tool for handover in the emergency department, EMERGENCY MEDICINE JOURNAL, Vol: 29, Pages: 941-946, ISSN: 1472-0205
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- Citations: 26
Sellu DH, Davis RE, Vincent CA, 2012, Assessment of blood administration competencies using objective structured clinical examination, TRANSFUSION MEDICINE, Vol: 22, Pages: 409-417, ISSN: 0958-7578
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- Citations: 5
Walker ST, Brett SJ, McKay A, et al., 2012, The "Resus:Station": The use of clinical simulations in a randomised crossover study to evaluate a novel resuscitation trolley, RESUSCITATION, Vol: 83, Pages: 1374-1380, ISSN: 0300-9572
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- Citations: 12
Nagpal K, Arora S, Vats A, et al., 2012, Failures in communication and information transfer across the surgical care pathway: interview study, BMJ QUALITY & SAFETY, Vol: 21, Pages: 843-849, ISSN: 2044-5415
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- Citations: 86
Sevdalis N, Wong HWL, Arora S, et al., 2012, Quantitative analysis of intraoperative communication in open and laparoscopic surgery, SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol: 26, Pages: 2931-2938, ISSN: 0930-2794
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- Citations: 27
Palmer WL, Bottle A, Davie C, et al., 2012, Dying for the Weekend <i>A Retrospective Cohort Study on the Association Between Day of Hospital Presentation and the Quality and Safety of Stroke Care</i>, ARCHIVES OF NEUROLOGY, Vol: 69, Pages: 1296-1302, ISSN: 0003-9942
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- Citations: 83
Hogan H, Healey F, Neale G, et al., 2012, Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study, BMJ QUALITY & SAFETY, Vol: 21, Pages: 737-745, ISSN: 2044-5415
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- Citations: 199
Edwards R, Sevdalis N, Vincent C, et al., 2012, Communication strategies in acute health care: evaluation within the context of infection prevention and control, JOURNAL OF HOSPITAL INFECTION, Vol: 82, Pages: 25-29, ISSN: 0195-6701
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- Citations: 17
Morbi AHM, Hamady MS, Riga CV, et al., 2012, Reducing Error and Improving Efficiency during Vascular Interventional Radiology: Implementation of a Preprocedural Team Rehearsal, RADIOLOGY, Vol: 264, Pages: 473-483, ISSN: 0033-8419
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- Citations: 25
Parand A, Benn J, Burnett S, et al., 2012, Strategies for sustaining a quality improvement collaborative and its patient safety gains, INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, Vol: 24, Pages: 380-390, ISSN: 1353-4505
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- Citations: 40
Davis RE, Pinto A, Sevdalis N, et al., 2012, Patients' and health care professionals' attitudes towards the PINK patient safety video., J Eval Clin Pract, Vol: 18, Pages: 848-853
RATIONALE, AIMS AND OBJECTIVES: Patients can play an important role in reducing health care harm. Finding strategies to encourage patients to take on an active role in issues related to the quality and safety of their care is therefore essential. The aim of this study was to examine patients' and health care professionals' attitudes towards a video aimed at promoting patient involvement in safety-related behaviours. METHOD: A within-subjects design was used where participants were required to complete a questionnaire pre and post screening of a patient safety video. Participants are 201 patients aged 19-103 years (mean 52) and 95 health care professionals aged 23-48 years (mean 32). Main outcome measures include (i) patients' willingness to participate and perceived importance in participating in safety-related behaviours; and (ii) health care professionals' willingness to support patient involvement. RESULTS: After watching the video patients elicited more positive attitudes towards asking doctors and nurses if they had washed their hands and notifying them about issues to do with personal hygiene. No significant effects were observed in relation to patients notifying staff if they have not received their medication or if they were in pain or feeling unwell. In relation to health care professionals, doctors and nurses were more willing to support patient involvement in asking about hand hygiene after they had watched the video. CONCLUSION: Video may be effective at changing patients' and health care professionals' attitudes towards patient involvement in some, but not all safety-related behaviours. Our findings suggest video may be most effective at encouraging involvement in behaviours patients are less inclined to participate in and health care professionals are less willing to support.
Davis R, Murphy MF, Sud A, et al., 2012, Patient involvement in blood transfusion safety: patients' and healthcare professionals' perspective, TRANSFUSION MEDICINE, Vol: 22, Pages: 251-256, ISSN: 0958-7578
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- Citations: 8
Leff DR, Vincent C, Al-Mufti A, et al., 2012, A clinical "near miss" highlights risk management issues surrounding ultrasound-guided and wire-localised breast resections., Patient Safety in Surgery, Vol: 6, ISSN: 1754-9493
Background:The introduction of the National Health Service (NHS) Breast Screening Programme has led to aconsiderable increase in the detection of impalpable breast cancer. Patients with impalpable breast cancer typicallyundergo oncological resection facilitated either by the insertion of guide wires placed stereo-tactically or throughultra-sound guided skin markings to delineate the extent of a lesion. The need for radiological interventions on theday of surgery adds complexity and introduces the risk that a patient may accidentally transferred to the operatingroom directly without the image guidance procedure.Case report:A case is described of a patient who required a pre-operative ultrasound scan in order to localise animpalpable breast cancer but who was accidentally taken directly to the operating theatre (OR) and anaesthetisedwithout pre-operative intervention. The radiologist was called to the OR and an on-table ultrasound was performedwithout further consequence.Conclusion:It is evident that breast cancer patients undergoing image-guided resection are exposed to anadditional layer of clinical risks. These risks are not offset by the World Health Organisation surgical safety checklistin its present guise. Here, we review a number of simple and inexpensive changes to the system that may improvethe safety of the breast cancer patient undergoing surgery.
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