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Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study

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Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study. / Harris, Kristin; Søfteland, Eirik; Moi, Asgjerd Litleré; Harthug, Stig; Storesund, Anette; Jesuthasan, Sebastius; Sevdalis, Nick; Haugen, Arvid Steinar.

In: BMC Health Services Research, Vol. 20, No. 1, 16.01.2020.

Research output: Contribution to journalArticle

Harvard

Harris, K, Søfteland, E, Moi, AL, Harthug, S, Storesund, A, Jesuthasan, S, Sevdalis, N & Haugen, AS 2020, 'Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study', BMC Health Services Research, vol. 20, no. 1. https://doi.org/10.1186/s12913-020-4888-1

APA

Harris, K., Søfteland, E., Moi, A. L., Harthug, S., Storesund, A., Jesuthasan, S., ... Haugen, A. S. (2020). Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4888-1

Vancouver

Harris K, Søfteland E, Moi AL, Harthug S, Storesund A, Jesuthasan S et al. Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study. BMC Health Services Research. 2020 Jan 16;20(1). https://doi.org/10.1186/s12913-020-4888-1

Author

Harris, Kristin ; Søfteland, Eirik ; Moi, Asgjerd Litleré ; Harthug, Stig ; Storesund, Anette ; Jesuthasan, Sebastius ; Sevdalis, Nick ; Haugen, Arvid Steinar. / Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study. In: BMC Health Services Research. 2020 ; Vol. 20, No. 1.

Bibtex Download

@article{e939e2796c5f463eafc2f25b9999b50d,
title = "Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study",
abstract = "BACKGROUND: Patients' involvement in patient safety has increased in healthcare. Use of checklists may improve patient outcome in surgery, though few have attempted to engage patients' use of surgical checklist. To identify risk elements of complications based on patients' and healthcare workers' experiences is warranted. This study aims to identify what the patients and healthcare workers find to be the risk elements that should be included in a patient-driven surgical patient safety checklist. METHOD: A qualitative study design where post-operative patients, surgeons, ward physicians, ward nurses, and secretaries from five surgical specialties took part in focus group interviews. Eleven focus groups were conducted including 25 post-operative patients and 27 healthcare workers at one tertiary teaching hospital and one community hospital in Norway. Based on their experiences, participants were asked to identify perceived risks before and after surgery. The interviews were analysed using content analysis. RESULTS: Safety risk factors were categorised as pre-operative information: pre-operative preparations, post-operative information, post-operative plans and follow-up. The subcategories under pre-operative information and preparations were: contact information, medication safety, health status, optimising health, dental status, read information, preparation two weeks before surgery, inform your surgical ward, planning your own discharge, preparation on admission and just before surgery. The subcategories under post-operative information, further plans and follow-up were: prevention and complications, restriction and activity, medication safety, pain relief, stomach functions, further care and appointments. Both healthcare workers and patients express the need for a surgical patient safety checklist. CONCLUSION: A broad spectre of risk elements for a patient safety checklist were identified. Developing a surgical safety checklist based on these risk elements might reduce complications and unwanted errors. TRAIL REGISTRATION: The study is registered as part of a clinical trial in ClinicalTrials.gov: NCT03105713.",
keywords = "Patient involvement, Patient surgical information, Patient surgical safety, Patient’s surgical safety checklist",
author = "Kristin Harris and Eirik S{\o}fteland and Moi, {Asgjerd Litler{\'e}} and Stig Harthug and Anette Storesund and Sebastius Jesuthasan and Nick Sevdalis and Haugen, {Arvid Steinar}",
year = "2020",
month = "1",
day = "16",
doi = "10.1186/s12913-020-4888-1",
language = "English",
volume = "20",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BMC Health Services Research",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study

AU - Harris, Kristin

AU - Søfteland, Eirik

AU - Moi, Asgjerd Litleré

AU - Harthug, Stig

AU - Storesund, Anette

AU - Jesuthasan, Sebastius

AU - Sevdalis, Nick

AU - Haugen, Arvid Steinar

PY - 2020/1/16

Y1 - 2020/1/16

N2 - BACKGROUND: Patients' involvement in patient safety has increased in healthcare. Use of checklists may improve patient outcome in surgery, though few have attempted to engage patients' use of surgical checklist. To identify risk elements of complications based on patients' and healthcare workers' experiences is warranted. This study aims to identify what the patients and healthcare workers find to be the risk elements that should be included in a patient-driven surgical patient safety checklist. METHOD: A qualitative study design where post-operative patients, surgeons, ward physicians, ward nurses, and secretaries from five surgical specialties took part in focus group interviews. Eleven focus groups were conducted including 25 post-operative patients and 27 healthcare workers at one tertiary teaching hospital and one community hospital in Norway. Based on their experiences, participants were asked to identify perceived risks before and after surgery. The interviews were analysed using content analysis. RESULTS: Safety risk factors were categorised as pre-operative information: pre-operative preparations, post-operative information, post-operative plans and follow-up. The subcategories under pre-operative information and preparations were: contact information, medication safety, health status, optimising health, dental status, read information, preparation two weeks before surgery, inform your surgical ward, planning your own discharge, preparation on admission and just before surgery. The subcategories under post-operative information, further plans and follow-up were: prevention and complications, restriction and activity, medication safety, pain relief, stomach functions, further care and appointments. Both healthcare workers and patients express the need for a surgical patient safety checklist. CONCLUSION: A broad spectre of risk elements for a patient safety checklist were identified. Developing a surgical safety checklist based on these risk elements might reduce complications and unwanted errors. TRAIL REGISTRATION: The study is registered as part of a clinical trial in ClinicalTrials.gov: NCT03105713.

AB - BACKGROUND: Patients' involvement in patient safety has increased in healthcare. Use of checklists may improve patient outcome in surgery, though few have attempted to engage patients' use of surgical checklist. To identify risk elements of complications based on patients' and healthcare workers' experiences is warranted. This study aims to identify what the patients and healthcare workers find to be the risk elements that should be included in a patient-driven surgical patient safety checklist. METHOD: A qualitative study design where post-operative patients, surgeons, ward physicians, ward nurses, and secretaries from five surgical specialties took part in focus group interviews. Eleven focus groups were conducted including 25 post-operative patients and 27 healthcare workers at one tertiary teaching hospital and one community hospital in Norway. Based on their experiences, participants were asked to identify perceived risks before and after surgery. The interviews were analysed using content analysis. RESULTS: Safety risk factors were categorised as pre-operative information: pre-operative preparations, post-operative information, post-operative plans and follow-up. The subcategories under pre-operative information and preparations were: contact information, medication safety, health status, optimising health, dental status, read information, preparation two weeks before surgery, inform your surgical ward, planning your own discharge, preparation on admission and just before surgery. The subcategories under post-operative information, further plans and follow-up were: prevention and complications, restriction and activity, medication safety, pain relief, stomach functions, further care and appointments. Both healthcare workers and patients express the need for a surgical patient safety checklist. CONCLUSION: A broad spectre of risk elements for a patient safety checklist were identified. Developing a surgical safety checklist based on these risk elements might reduce complications and unwanted errors. TRAIL REGISTRATION: The study is registered as part of a clinical trial in ClinicalTrials.gov: NCT03105713.

KW - Patient involvement

KW - Patient surgical information

KW - Patient surgical safety

KW - Patient’s surgical safety checklist

UR - http://www.scopus.com/inward/record.url?scp=85078033194&partnerID=8YFLogxK

U2 - 10.1186/s12913-020-4888-1

DO - 10.1186/s12913-020-4888-1

M3 - Article

C2 - 31948462

VL - 20

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

ER -

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