subject:(patient safety)

University of Toronto

1. Andreoli, Angelina. Balancing Risk-taking and Safety Among Patients, Families, and Clinicians During Transitions in Care from Brain Injury Rehabilitation.

Degree: 2010, University of Toronto

URL: http://hdl.handle.net/1807/24528

►

This study examines the factors that influence how patients, families, and clinicians make decisions about risk-taking and safety in brain injury rehabilitation. Despite the importance… (more)

Subjects/Keywords: Patient safety; Patient autonomy; 0382

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APA (6^th Edition):

Andreoli, A. (2010). Balancing Risk-taking and Safety Among Patients, Families, and Clinicians During Transitions in Care from Brain Injury Rehabilitation. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/24528

Chicago Manual of Style (16^th Edition):

Andreoli, Angelina. “Balancing Risk-taking and Safety Among Patients, Families, and Clinicians During Transitions in Care from Brain Injury Rehabilitation.” 2010. Masters Thesis, University of Toronto. Accessed April 22, 2021. http://hdl.handle.net/1807/24528.

MLA Handbook (7^th Edition):

Andreoli, Angelina. “Balancing Risk-taking and Safety Among Patients, Families, and Clinicians During Transitions in Care from Brain Injury Rehabilitation.” 2010. Web. 22 Apr 2021.

Vancouver:

Andreoli A. Balancing Risk-taking and Safety Among Patients, Families, and Clinicians During Transitions in Care from Brain Injury Rehabilitation. [Internet] [Masters thesis]. University of Toronto; 2010. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/1807/24528.

Council of Science Editors:

Andreoli A. Balancing Risk-taking and Safety Among Patients, Families, and Clinicians During Transitions in Care from Brain Injury Rehabilitation. [Masters Thesis]. University of Toronto; 2010. Available from: http://hdl.handle.net/1807/24528

Loughborough University

2. Mayomi, Bukky. Unravelling the relationship between national culture and patient safety culture.

Degree: PhD, 2018, Loughborough University

URL: https://doi.org/10.26174/thesis.lboro.12355529.v1 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.808012

► The perceptions, attitudes and behaviour of healthcare personnel play a significant role in determining patient safety culture (PSC). Although organisations encourage good patient safety culture,… (more)

Subjects/Keywords: National Culture; Patient Safety Culture; Patient Safety

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APA (6^th Edition):

Mayomi, B. (2018). Unravelling the relationship between national culture and patient safety culture. (Doctoral Dissertation). Loughborough University. Retrieved from https://doi.org/10.26174/thesis.lboro.12355529.v1 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.808012

Chicago Manual of Style (16^th Edition):

Mayomi, Bukky. “Unravelling the relationship between national culture and patient safety culture.” 2018. Doctoral Dissertation, Loughborough University. Accessed April 22, 2021. https://doi.org/10.26174/thesis.lboro.12355529.v1 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.808012.

MLA Handbook (7^th Edition):

Mayomi, Bukky. “Unravelling the relationship between national culture and patient safety culture.” 2018. Web. 22 Apr 2021.

Vancouver:

Mayomi B. Unravelling the relationship between national culture and patient safety culture. [Internet] [Doctoral dissertation]. Loughborough University; 2018. [cited 2021 Apr 22]. Available from: https://doi.org/10.26174/thesis.lboro.12355529.v1 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.808012.

Council of Science Editors:

Mayomi B. Unravelling the relationship between national culture and patient safety culture. [Doctoral Dissertation]. Loughborough University; 2018. Available from: https://doi.org/10.26174/thesis.lboro.12355529.v1 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.808012

University of Tasmania

3. Bingham, SM. Reshaping practice to get the job done : a constructivist grounded theory study of the ways of working in perioperative nursing.

Degree: 2017, University of Tasmania

URL: https://eprints.utas.edu.au/23762/1/Bingham_whole_thesis.pdf

► `Background:` Adverse events associated with surgical procedures can result in patient disability, death, or increased length of stay and reducing or eliminating adverse events is… (more)

▼ `Background:` Adverse events associated with surgical procedures can result in patient disability, death, or increased length of stay and reducing or eliminating adverse events is a top priority for patient safety. A major part of the perioperative nursing role is securing patient safety, yet adverse events continue to occur and patients continue to suffer harm. In the messy reality of the practice setting, perioperative nurses at times work in ways other than following the rules and standards that have been developed to support safe practice. This may have potential unintended consequences for patient safety. The way that perioperative nurses work and respond and adapt to the challenges in the workplace and the competing goals to ‘get the job done’, is the focus of this study. `Purpose:` The purpose of this study was to develop a substantive theory to explain the ways that perioperative nurses work to get the job done and the factors that influence their decisions to deviate from standards and rules. `Methods:` Between 2015 and 2016, a constructivist grounded theory study was conducted that included 56 hours of observation of practice and 10 hours of indepth semi-structured interviews. Five RNs and one EN working in operating theatres at a public and private hospital in Tasmania participated in the study. (Findings:) Emerging from my research was the substantive theory that perioperative nurses ‘reshape their practice in response to being pressured and feeling pressured to get the job done’. Whilst the participants mostly complied with standards and rules and expressed a genuine desire to follow them, there were circumstances where they made a conscious decision to work in other ways. Factors within the context in which perioperative nurse’s practice can both constrain and enable practicing in accordance with the rules and these constraining factors can lead to being pressured and feeling pressured which in turn constrains practicing in accordance with the rules. `Discussion:` Decision-making underpins practice and perioperative nurses employ experience and clinical judgment in making decisions about the way they work. Whilst working in ways other than following the rules is intentional it is not done with the intention to break the rules, rather it is for another purpose; that is to improve patient outcomes and team and organisational performance. The emergent theory adds to our understanding of the role that organisational, team, individual characteristics and the ambiguity/clarity of rules, tasks and responsibilities play in generating pressure and creating an environment more vulnerable to working in ways other than following the rules. `Implications:` Despite potential benefits to the patient, the team and organisation, decisions to deviate from standards and rules may result in unsafe practice and the potential for patient harm. Lack of documentation of the deviations and continuing absence of professional conversations around this issue inhibits our capacity to learn from work as done. Opportunities to…

Subjects/Keywords: perioperative; rule breaking; patient safety

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APA (6^th Edition):

Bingham, S. (2017). Reshaping practice to get the job done : a constructivist grounded theory study of the ways of working in perioperative nursing. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/23762/1/Bingham_whole_thesis.pdf

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Bingham, SM. “Reshaping practice to get the job done : a constructivist grounded theory study of the ways of working in perioperative nursing.” 2017. Thesis, University of Tasmania. Accessed April 22, 2021. https://eprints.utas.edu.au/23762/1/Bingham_whole_thesis.pdf.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Bingham, SM. “Reshaping practice to get the job done : a constructivist grounded theory study of the ways of working in perioperative nursing.” 2017. Web. 22 Apr 2021.

Vancouver:

Bingham S. Reshaping practice to get the job done : a constructivist grounded theory study of the ways of working in perioperative nursing. [Internet] [Thesis]. University of Tasmania; 2017. [cited 2021 Apr 22]. Available from: https://eprints.utas.edu.au/23762/1/Bingham_whole_thesis.pdf.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Bingham S. Reshaping practice to get the job done : a constructivist grounded theory study of the ways of working in perioperative nursing. [Thesis]. University of Tasmania; 2017. Available from: https://eprints.utas.edu.au/23762/1/Bingham_whole_thesis.pdf

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

4. Thomas, Christian Emily Louise. Understanding procedural violations and their implications for patient safety in community pharmacies.

Degree: 2017, University of Manchester

URL: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:309822

► Background: Violations occur when individuals choose to bypass or deviate from procedures. Although violations are often not intended to cause harm, they are nevertheless breaches… (more)

▼ Background: Violations occur when individuals choose to bypass or deviate from procedures. Although violations are often not intended to cause harm, they are nevertheless breaches of the preferred way of working. Violations have been suggested to introduce risk into the environment by eroding the margin of safety. Therefore, violations are of potential concern to healthcare professionals that are responsible for patient safety. This thesis examines how and why violations occur in community pharmacies. Method: The research adopted a mixed methods approach to explore violations in community pharmacies and three studies were undertaken. The first study was a qualitative study that explored the views of management and frontline staff with regards to the prevailing safety culture in community pharmacies. The aim was to understand the context in which violations occur and to explore the goals that staff manage in practice. The second interview study explored how procedures are perceived in practice and the types of violations that occur in this setting. The third study utilised a survey based on the COM-B model that further explored the influence of capability, opportunity and motivation on violating behaviours. Results: Overall, findings demonstrated that numerous types of violations occur in community pharmacies. Mainly they occur either to ensure that timely patient care is provided or to ensure that productivity is maintained in practice. The safety culture study suggested that frontline staff and management have a different safety culture, with frontline staff reacting to risk in the moment and head office staff managing risk through the provision of multiple detailed procedures. The interviews suggested that procedures are useful for outlining what is expected of staff in practice; however they are not always possible to follow to the letter due to the complex working environment. The social norm within each pharmacy was suggested to influence violating behaviours, as was the professional judgement of the pharmacist. Violations were shown to be necessary for maintaining care at times, especially in exceptional circumstances. However, at times violations to maintain productivity did result in an increased risk to patient safety. The questionnaire study highlighted motivation, opportunity, length of experience, staff role and gender as influences on certain types of violations. Conclusions: The mixed methods utilised as part of this thesis revealed the types of violations that occur in community pharmacies and the reasons why pharmacists and support staff choose to violate. The findings led to recommendations for policymakers to evaluate how procedures are implemented in practice, to provide additional support for staff in practice through improved workflow, to provide patient safety specific training in pharmacies, to improve communication between frontline and head office staff and to educate pharmacy students regarding the possibility that they will need to violate procedures at times to manage the complex reality… Advisors/Committee Members: PHIPPS, DENHAM DL, Ashcroft, Darren, Phipps, Denham.

Subjects/Keywords: Pharmacy; Patient safety; Violations; Psychology

8 more images…

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APA (6^th Edition):

Thomas, C. E. L. (2017). Understanding procedural violations and their implications for patient safety in community pharmacies. (Doctoral Dissertation). University of Manchester. Retrieved from http://www.manchester.ac.uk/escholar/uk-ac-man-scw:309822

Chicago Manual of Style (16^th Edition):

Thomas, Christian Emily Louise. “Understanding procedural violations and their implications for patient safety in community pharmacies.” 2017. Doctoral Dissertation, University of Manchester. Accessed April 22, 2021. http://www.manchester.ac.uk/escholar/uk-ac-man-scw:309822.

MLA Handbook (7^th Edition):

Thomas, Christian Emily Louise. “Understanding procedural violations and their implications for patient safety in community pharmacies.” 2017. Web. 22 Apr 2021.

Vancouver:

Thomas CEL. Understanding procedural violations and their implications for patient safety in community pharmacies. [Internet] [Doctoral dissertation]. University of Manchester; 2017. [cited 2021 Apr 22]. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:309822.

Council of Science Editors:

Thomas CEL. Understanding procedural violations and their implications for patient safety in community pharmacies. [Doctoral Dissertation]. University of Manchester; 2017. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:309822

University of Georgia

5. Ogundimu, Abimbola. Employees' perception of the culture of patient safety and patient satisfaction surveys at 3 selected private hospitals in Lagos, Nigeria, West Africa.

Degree: 2015, University of Georgia

URL: http://hdl.handle.net/10724/33598

► Statement of the problem: Patient safety is a very critical component in improving and sustaining optimal health care quality in healthcare organizations. There is a… (more)

▼ Statement of the problem: Patient safety is a very critical component in improving and sustaining optimal health care quality in healthcare organizations. There is a growing concern about medical errors, which have been identified as one of the five most common causes of death. The burden of medical errors on patients’ lives can be devastating. Although there are very limited studies on patient safety and/or patient satisfaction from Africa and none from Nigeria, the few study findings suggest that extrapolating figures yields a calculation that suggests that more than 10,000 patients (i.e. 1 patient every day) die from preventable adverse events at hospitals in Africa. As health care organizations endeavor to improve their health care quality, there is a growing recognition of the need for establishing a culture of patient safety in Africa. Goal: To conduct a pilot assessment of the patient safety culture in 3 different hospitals in Lagos, Nigeria and compare results with the Association for Healthcare Research and Quality, an international organization, that utilizes the same tool. Purpose: To study the assess employees’ perception of the culture of patient safety and patient satisfaction at 3 private hospitals within Lagos and compare this data to the Agency for Healthcare Research and Quality (AHRQ) benchmarks from Critical Care Access hospitals from 2012; to determine if there are any correlations between HSOPSC, and Patient Satisfaction variables within each hospital setting. Methods: This is an analysis of secondary data collected in a cross-sectional study that adopted a customized version of the Hospital Survey of Patient Safety Culture (HSOPSC) and convenient sampling of clinical and non-clinical employees at 3 hospitals in Lagos, Nigeria. It also includes analysis of secondary data collected in another cross-sectional study of Patient Satisfaction in the Outpatient Clinics at these 3 hospitals. Results: This analysis of secondary data was done on responses from 156 employees and 225 patients. Areas of strength for the HSOPSC were Teamwork, Organizational Learning and Continuous Improvement within the units whereas areas requiring improvement were Hospital Non-Punitive Response to Error, Staffing and Communication Openness with the surveys. Conclusion: The culture of patient safety is an imperative for improving patient outcomes (as indicated in events reporting) and patient satisfaction in the 3 hospitals. This is a pilot study that suggests the need for more studies in Nigeria, considering the factors that are outlined in this study as being correlated. The major drawback with correlation is that it does not predict causal relationships.

Subjects/Keywords: patient safety; safety culture; culture of patient safety; patient safety culture; satisfaction; survey; quality; patient satisfaction; employee satisfaction

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APA (6^th Edition):

Ogundimu, A. (2015). Employees' perception of the culture of patient safety and patient satisfaction surveys at 3 selected private hospitals in Lagos, Nigeria, West Africa. (Thesis). University of Georgia. Retrieved from http://hdl.handle.net/10724/33598

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Ogundimu, Abimbola. “Employees' perception of the culture of patient safety and patient satisfaction surveys at 3 selected private hospitals in Lagos, Nigeria, West Africa.” 2015. Thesis, University of Georgia. Accessed April 22, 2021. http://hdl.handle.net/10724/33598.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Ogundimu, Abimbola. “Employees' perception of the culture of patient safety and patient satisfaction surveys at 3 selected private hospitals in Lagos, Nigeria, West Africa.” 2015. Web. 22 Apr 2021.

Vancouver:

Ogundimu A. Employees' perception of the culture of patient safety and patient satisfaction surveys at 3 selected private hospitals in Lagos, Nigeria, West Africa. [Internet] [Thesis]. University of Georgia; 2015. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10724/33598.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Ogundimu A. Employees' perception of the culture of patient safety and patient satisfaction surveys at 3 selected private hospitals in Lagos, Nigeria, West Africa. [Thesis]. University of Georgia; 2015. Available from: http://hdl.handle.net/10724/33598

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Connecticut

6. Peterson, Jeffrey Thomas. An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies.

Degree: MS, Biomedical Engineering, 2013, University of Connecticut

URL: https://opencommons.uconn.edu/gs_theses/432

► Modern hospitals are plagued by excessive alarms generated by patient monitoring technologies with very high sensitivity and low selectivity leading to high rates of… (more)

Subjects/Keywords: Alarm Fatigue Patient Safety Lean

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APA (6^th Edition):

Peterson, J. T. (2013). An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies. (Masters Thesis). University of Connecticut. Retrieved from https://opencommons.uconn.edu/gs_theses/432

Chicago Manual of Style (16^th Edition):

Peterson, Jeffrey Thomas. “An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies.” 2013. Masters Thesis, University of Connecticut. Accessed April 22, 2021. https://opencommons.uconn.edu/gs_theses/432.

MLA Handbook (7^th Edition):

Peterson, Jeffrey Thomas. “An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies.” 2013. Web. 22 Apr 2021.

Vancouver:

Peterson JT. An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies. [Internet] [Masters thesis]. University of Connecticut; 2013. [cited 2021 Apr 22]. Available from: https://opencommons.uconn.edu/gs_theses/432.

Council of Science Editors:

Peterson JT. An Investigation into the Efficacy of Alarm Fatigue Reduction Strategies. [Masters Thesis]. University of Connecticut; 2013. Available from: https://opencommons.uconn.edu/gs_theses/432

University of Ottawa

7. Hewitt, Tanya. Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety: A Qualitative Comparative Study of Two Divisions .

Degree: 2015, University of Ottawa

URL: http://hdl.handle.net/10393/33179

► Patient safety has been on the research agenda since 2000, when unnecessary harm to patients in providers’ care came to light. In 2005, the improvements… (more)

▼ Patient safety has been on the research agenda since 2000, when unnecessary harm to patients in providers’ care came to light. In 2005, the improvements in patient safety fell short of expectations, and the patient safety research community recognized that the issues are more difficult to resolve than first thought. One of the tools to address this vexing problem has been voluntary incident reporting systems, although the literature has given incident reporting systems mixed reviews. This qualitative comparative case study comprises 85 semi-structured interviews in two separate divisions of a tertiary care hospital, General Internal Medicine (GIM) and Obstetrics and Neonatology (OBS/NEO). The main line of questioning concerned incident reporting; general views of patient safety were also sought. This is a thesis by publication. The thesis consists of a general introduction to patient safety, a literature review, a description of the methods and cases, followed by the manuscripts. The thesis concludes with a summarization of the findings, and implications of the study. Manuscript one focuses on the reporter end of incident reporting systems. It asks what frames underlie GIM nurse and physician self reporting and peer reporting practices. The findings showed that frames that inhibit reporting are shared by physicians and nurses, such as the fear of blame frame regarding self reporting, and the tattletale frame regarding peer reporting. These frames are underpinned by a focus on the individual, despite the organisational message of reporting for learning. A learning frame is an enabler to incident reporting. Viewing the objective of voluntary incident reporting as learning allows practitioners to depersonalize incident reporting. The focus becomes preventing recurrence and not the individual reporting or reported on. Manuscript two again focuses on the reporter end, and on one type of reportable incident – a problem that healthcare practitioners can fix themselves. The study asks: when faced with such a problem, do practitioners fix it in the moment and forget about it, or do they fix it in the moment and report it? We found that “fixing and forgetting” was the main choice that most GIM practitioners made in situations where they faced problems that they themselves could resolve. These situations included a) handling near misses, which were seen as unworthy of reporting since they did not result in actual harm to the patient, b) prioritizing solving individual patients’ safety problems, which were viewed as unique or one-time events, and c) encountering re-occurring safety problems, which were framed as inevitable, routine events. The paper argues that fixing and forgetting patient safety problems encountered may not serve patient safety as well as fixing and reporting. The latter approach aligns with a preventive view of patient safety. Manuscript three focuses on the practice of double checking, drawing from interviews conducted in both GIM and OBS/NEO. It asks what weaknesses are in the double…

Subjects/Keywords: patient safety; incident reporting

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APA (6^th Edition):

Hewitt, T. (2015). Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety: A Qualitative Comparative Study of Two Divisions . (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/33179

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hewitt, Tanya. “Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety: A Qualitative Comparative Study of Two Divisions .” 2015. Thesis, University of Ottawa. Accessed April 22, 2021. http://hdl.handle.net/10393/33179.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hewitt, Tanya. “Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety: A Qualitative Comparative Study of Two Divisions .” 2015. Web. 22 Apr 2021.

Vancouver:

Hewitt T. Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety: A Qualitative Comparative Study of Two Divisions . [Internet] [Thesis]. University of Ottawa; 2015. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10393/33179.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hewitt T. Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety: A Qualitative Comparative Study of Two Divisions . [Thesis]. University of Ottawa; 2015. Available from: http://hdl.handle.net/10393/33179

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Technology, Sydney

8. McCall, Elaine Agnes. Mayhem to mindful : improving medication administration safety through action research.

Degree: 2017, University of Technology, Sydney

URL: http://hdl.handle.net/10453/123093

► Keeping patients safe is a fundamental component of quality nursing care. Nevertheless medication delivery within a busy clinical environment continues to challenge patient safety and… (more)

▼ Keeping patients safe is a fundamental component of quality nursing care. Nevertheless medication delivery within a busy clinical environment continues to challenge patient safety and wellbeing. Nurses’ central role in medication administration to inpatients puts them in the ideal position to safeguard patients from prescribing, dispensing and administration errors (Vaismoradi et al. 2016). However, the ward context can inadvertently support work practices that compromise patient safety (Balka, Kahnamoui & Nutland 2007), while the seemingly routine nature of medication administration can decrease nurses’ attentiveness to the medication administration process (Dickinson et al. 2010). An action research study, informed by theoretical constructs from critical social theory (Fay 1987; Habermas 1972; 1984), emancipatory practice development (Manley, McCormack & Wilson 2008) and the transtheoretical model of change (Prochaska, Prochaska & Levesque 2001), enabled frontline nurses to work together to understand and improve the safety of medication administration within one ward in a tertiary children’s hospital in New Zealand. Data were collected from participants and the researcher throughout the research journey using multiple methods including; questionnaire, interview, observation, review of reported medication incident data, meeting notes and reflective notes. Qualitative data were subjected to iterative thematic analysis and quantitative data were analysed according to the data instrument instructions. An exploration of the clinical context and practice demonstrated that nurses’ medication administration was mayhem; a habitual, distracted and inconsistent process undertaken in a chaotic and disruptive environment. For nurses, there was a tension between striving to adhere to best practice in the face of many contextual barriers resulting in inconsistency in the safety of medication administration practice. Mindfulness allowed nurses to make sense of the mayhem of practice. It enabled them to see the mayhem, question practice, and develop safer ways of working to move beyond the MAYHEM to ensure MINDFUL medication administration. The Model for Improving the Safety of Medication Administration (MISMA) was developed to illustrate how becoming mindful can be used as a strategy to improve the safety of medication administration. The model can be used to guide nurses to critically analyse their own and team practice and develop, implement and evaluate evidence based improvements in practice.

Subjects/Keywords: Patient safety; Medication errors

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APA (6^th Edition):

McCall, E. A. (2017). Mayhem to mindful : improving medication administration safety through action research. (Thesis). University of Technology, Sydney. Retrieved from http://hdl.handle.net/10453/123093

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

McCall, Elaine Agnes. “Mayhem to mindful : improving medication administration safety through action research.” 2017. Thesis, University of Technology, Sydney. Accessed April 22, 2021. http://hdl.handle.net/10453/123093.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

McCall, Elaine Agnes. “Mayhem to mindful : improving medication administration safety through action research.” 2017. Web. 22 Apr 2021.

Vancouver:

McCall EA. Mayhem to mindful : improving medication administration safety through action research. [Internet] [Thesis]. University of Technology, Sydney; 2017. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10453/123093.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

McCall EA. Mayhem to mindful : improving medication administration safety through action research. [Thesis]. University of Technology, Sydney; 2017. Available from: http://hdl.handle.net/10453/123093

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Victoria University of Wellington

9. Hawes, Philip Charles. What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety?.

Degree: 2016, Victoria University of Wellington

URL: http://hdl.handle.net/10063/6197

► This research was undertaken to investigate how newly graduated nurses recognise and develop skills relating to clinical risk and patient safety. I set out to… (more)

▼ This research was undertaken to investigate how newly graduated nurses recognise and develop skills relating to clinical risk and patient safety. I set out to understand how and where new graduates learn those skills and what would help future undergraduate nurses better prepare for the complexities of the clinical setting. A qualitative research study using Appreciative Inquiry (AI) was the chosen methodology. This was selected for its aspirational outlook, which allows positive conclusions to be drawn from the study’s findings. Nine nurses in their first year of clinical practice participated in the study and they were interviewed on a one-to-one basis. The key findings demonstrated that the approaches to teaching clinical risk and safe patient care and experiences of these in the undergraduate setting were variable, with many participants describing that they were ill prepared for the rigours of the clinical environment. They identified workplace culture, clinical role models, exposure to the clinical environment; experiential learning, narrative story sharing, debriefing and simulation as contributing factors to their ability to learn and understand clinical risk and safe patient care. Despite their initial uncertainty, the participants were able to describe safe patient care and clinical risk. They identified cultures of safe patient care, safe teaching and safe learning. The participants further identified their preferred learning styles and recommended strategies that educationalists and clinical stakeholders employ to facilitate their professional development and understanding of clinical risk and patient safety. The participants identified a more thoughtful, structured and overt approach to teaching the subject of clinical risk and patient safety to prepare for the clinical environment. They desired more experiential exposure, either clinical or simulated. They highlighted the need for effective preceptors and role models, alongside opportunities for sharing their clinical experiences and debriefing critical incidents. Furthermore, they recognised aspects of workplace cultures that facilitated or hindered effective clinical practice and safe patient care. Advisors/Committee Members: Robinson, Brian, Walton, Jo.

Subjects/Keywords: Clinical; Risk; Patient; Safety

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APA (6^th Edition):

Hawes, P. C. (2016). What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety?. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/6197

Chicago Manual of Style (16^th Edition):

Hawes, Philip Charles. “What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety?.” 2016. Masters Thesis, Victoria University of Wellington. Accessed April 22, 2021. http://hdl.handle.net/10063/6197.

MLA Handbook (7^th Edition):

Hawes, Philip Charles. “What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety?.” 2016. Web. 22 Apr 2021.

Vancouver:

Hawes PC. What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety?. [Internet] [Masters thesis]. Victoria University of Wellington; 2016. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10063/6197.

Council of Science Editors:

Hawes PC. What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety?. [Masters Thesis]. Victoria University of Wellington; 2016. Available from: http://hdl.handle.net/10063/6197

Victoria University of Wellington

10. Wailling, Joanna. How healthcare professionals in acute care environments describe patient safety: A case study.

Degree: 2016, Victoria University of Wellington

URL: http://hdl.handle.net/10063/6242

► Patient safety has become an international healthcare priority over the past two decades. The prevailing approach to prevent harm in healthcare environments is the implementation… (more)

Subjects/Keywords: Patient safety; Acute care; Risk

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Wailling, J. (2016). How healthcare professionals in acute care environments describe patient safety: A case study. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/6242

Chicago Manual of Style (16^th Edition):

Wailling, Joanna. “How healthcare professionals in acute care environments describe patient safety: A case study.” 2016. Masters Thesis, Victoria University of Wellington. Accessed April 22, 2021. http://hdl.handle.net/10063/6242.

MLA Handbook (7^th Edition):

Wailling, Joanna. “How healthcare professionals in acute care environments describe patient safety: A case study.” 2016. Web. 22 Apr 2021.

Vancouver:

Wailling J. How healthcare professionals in acute care environments describe patient safety: A case study. [Internet] [Masters thesis]. Victoria University of Wellington; 2016. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10063/6242.

Council of Science Editors:

Wailling J. How healthcare professionals in acute care environments describe patient safety: A case study. [Masters Thesis]. Victoria University of Wellington; 2016. Available from: http://hdl.handle.net/10063/6242

University of Cape Town

11. Cohen, Kirsten Lesley. Patient waiting times within public Emergency Centres in the Western Cape: describing key performance indicators with respect to waiting times within Western Cape Emergency Centres in 2013-2014.

Degree: Image, Division of Emergency Medicine, 2017, University of Cape Town

URL: http://hdl.handle.net/11427/27366

► Background: Much emphasis has been placed on Quality Measurements or Key Performance Indicators in Emergency Medicine. Internationally, KPI's are used to measure and improve quality… (more)

▼ Background: Much emphasis has been placed on Quality Measurements or Key Performance Indicators in Emergency Medicine. Internationally, KPI's are used to measure and improve quality of care, with a major emphasis on waiting times, measured as time-based KPI's. These times are related to the various stages of a patient journey through the Emergency Center. In South Africa this has not been routinely done. The Western Cape has conducted audits in recent years to measure these. This study aims to provide a snapshot of waiting times (specifically time to triage, time to doctor, time to disposition decision and time to departure from the EC) within Cape Town public sector Emergency Centres. Methods: This is a retrospective descriptive study of waiting times for all patients presenting to Emergency Centres in the Western Cape in 2013-2014, as per six monthly waiting times audits conducted by the Western Cape Department of Health. A wide variety of emergency centers were audited, from 24 hour clinics to larger acute hospital based ECs. Results: The proportional acuity difference between hospitals and CHC for the first random 100 folders were statistically no different. Arrival to triage times were universally longer than internationally accepted as safe. The mean time for all-comers across all facilities was just under an hour, the higher acuity patients were triaged significantly faster (half an hour) than the lower acuity patients (hour or more). This difference was significant for hospitals, with a non-significant trend for CHCs. At hospital ECs, green patients were triaged significantly faster than yellow patients; this was not the case at CHCs. The mean time from triage to clinician consultation for all-comers across all facilities (over two hours) was significantly longer at hospitals as compared to clinics. Time from triage to clinician consultation, per triage category, were longer than the SATS guide times, although higher acuity cases were seen faster than lower acuity cases in a stepwise fashion. Red patients waited nearly an hour on average, with no significant difference between hospitals and CHCs. Orange patients had to wait one to two hours; this was significantly longer at hospitals. The mean time from assessment and management to a disposal decision for all-comers was significantly longer at hospitals as compared to CHCs across all priorities. Green patients took a lot longer at hospital compared to CHCs. A similar pattern was seen for the disposition decision to leaving time. The mean total time was significantly longer at hospitals as compared to clinics. Orange and yellow cases stayed significantly longer at hospitals as compared to CHCs; red and green cases also stayed longer at hospitals as compared to CHCs, though this was not significant. Red cases appeared to stay the longest at CHCs. Conclusions: Patients attending CHCs and hospitals are of similar illness acuity, despite policies dictating that sicker patients should be seen at hospitals not CHC level. CHCs have limited packages of care (decision… Advisors/Committee Members: Bruijns, Stevan Raynier (advisor).

Subjects/Keywords: Emergency Medicine; Patient Safety

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APA (6^th Edition):

Cohen, K. L. (2017). Patient waiting times within public Emergency Centres in the Western Cape: describing key performance indicators with respect to waiting times within Western Cape Emergency Centres in 2013-2014. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/27366

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Cohen, Kirsten Lesley. “Patient waiting times within public Emergency Centres in the Western Cape: describing key performance indicators with respect to waiting times within Western Cape Emergency Centres in 2013-2014.” 2017. Thesis, University of Cape Town. Accessed April 22, 2021. http://hdl.handle.net/11427/27366.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Cohen, Kirsten Lesley. “Patient waiting times within public Emergency Centres in the Western Cape: describing key performance indicators with respect to waiting times within Western Cape Emergency Centres in 2013-2014.” 2017. Web. 22 Apr 2021.

Vancouver:

Cohen KL. Patient waiting times within public Emergency Centres in the Western Cape: describing key performance indicators with respect to waiting times within Western Cape Emergency Centres in 2013-2014. [Internet] [Thesis]. University of Cape Town; 2017. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/11427/27366.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Cohen KL. Patient waiting times within public Emergency Centres in the Western Cape: describing key performance indicators with respect to waiting times within Western Cape Emergency Centres in 2013-2014. [Thesis]. University of Cape Town; 2017. Available from: http://hdl.handle.net/11427/27366

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of New South Wales

12. Plumb, Jennifer. Taming uncertainty? Performance, personalisation and practices of patient safety in an Australian mental health service.

Degree: Australian Institute of Health Innovation, 2013, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/52751 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11424/SOURCE01?view=true

► The patients implied by the term patient safety are most commonly lying on anoperating table or in a hospital bed. They are cast as potential… (more)

▼ The patients implied by the term patient safety are most commonly lying on anoperating table or in a hospital bed. They are cast as potential victims of harm resultingfrom their encounters with a health service, harm which is often attributed tomalfunctioning systems or toxic cultures of care. Mental health patients andprofessionals, and the particularities of the illnesses and interventions which structuretheir encounters, have often been ignored in this discourse. This study is about whatpatient safety means from the perspective of professionals in a mental health context,where: risk type and severity are contested and unpredictable; patients are often viewedas a threat to their own safety; and the professional role in keeping patients safe extendsto interest in their social and economic circumstances. Emphasis in patient safetyresearch is often given to the causes and consequences of error and harm, but thisresearch brings the day-to-day unfolding of professional work to the fore. This shift inperspective allows for a detailed examination of the strategies staff members use to enactsafety, and a concomitant exploration of the degree to which policies and rules penetratepractice. This has been accomplished through the ethnographically-informed design ofan inquiry into understandings and enactments of safe care among a multidisciplinaryrange of staff in a community mental health team and an acute inpatient psychiatric unitin New South Wales, Australia. In the course of daily work, these professionals are foundto negotiate a tension between two versions of patient safety. In the fluidity of everydaypractice, the safe patient is only ever a transient, fragile phenomenon anchored to aparticular time, place, and relationship between clinician and patient. However, theexpectation of policymakers, Coroners, and members of the public is that the mentalhealth service should act as guarantor of safety. Theoretical frameworks of socio-materialontology are used to tease out the implications of these sometimes contradictorydemands, and to explore the possibility of a patient safety which prioritises therapeuticimpact on the patient rather than only the management of their risk. Advisors/Committee Members: Braithwaite, Jeffrey, Australian Institute of Health Innovation, Faculty of Medicine, UNSW, Travaglia, Joanne, Australian Institute of Health Innovation, Faculty of Medicine, UNSW.

Subjects/Keywords: Patient safety; Mental health; Ethnography

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APA (6^th Edition):

Plumb, J. (2013). Taming uncertainty? Performance, personalisation and practices of patient safety in an Australian mental health service. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52751 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11424/SOURCE01?view=true

Chicago Manual of Style (16^th Edition):

Plumb, Jennifer. “Taming uncertainty? Performance, personalisation and practices of patient safety in an Australian mental health service.” 2013. Doctoral Dissertation, University of New South Wales. Accessed April 22, 2021. http://handle.unsw.edu.au/1959.4/52751 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11424/SOURCE01?view=true.

MLA Handbook (7^th Edition):

Plumb, Jennifer. “Taming uncertainty? Performance, personalisation and practices of patient safety in an Australian mental health service.” 2013. Web. 22 Apr 2021.

Vancouver:

Plumb J. Taming uncertainty? Performance, personalisation and practices of patient safety in an Australian mental health service. [Internet] [Doctoral dissertation]. University of New South Wales; 2013. [cited 2021 Apr 22]. Available from: http://handle.unsw.edu.au/1959.4/52751 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11424/SOURCE01?view=true.

Council of Science Editors:

Plumb J. Taming uncertainty? Performance, personalisation and practices of patient safety in an Australian mental health service. [Doctoral Dissertation]. University of New South Wales; 2013. Available from: http://handle.unsw.edu.au/1959.4/52751 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11424/SOURCE01?view=true

University of New South Wales

13. Azim, Syed. Establishing the most appropriate statistical analysis for patient safety data.

Degree: Community Medicine, 2016, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true

► BackgroundHealthcare associated infections (HAIs) are common adverse events that are often preventable and life threatening occurring in up to 10 out of 100 hospitalised patients… (more)

▼ BackgroundHealthcare associated infections (HAIs) are common adverse events that are often preventable and life threatening occurring in up to 10 out of 100 hospitalised patients in Australia. Therefore, hand hygiene (HH) in healthcare workers is aimed at reducing HAI, specifically methicillin resistant Staphylococcus aureus (MRSA) infections. Antibiotic resistance is a predictor of HAIs and improvement in hand hygiene compliance aims to reduce HAIs. Australia lacks a robust system for testing the reliability of the validity of the level of antibiotic resistance and the reliability of hand hygiene compliance rates. This thesis tests both and examines the hand hygiene compliance data for reliability. Methods This research is a collection of published and submitted, but yet un-published, peer-reviewed journal articles. Collectively, the work describes whether: (1) the current sampling method, usually over 1 month, used by the Australian Group on Antimicrobial Resistance (AGAR) to establish antimicrobial resistance patterns provides reliable estimates of resistance for five commonly used antibiotics (2) hand hygiene rates reported by Hand Hygiene Australia (HHA) for medical and nursing staff are reliable and the association between HH rates and Staphylcoccus aureus bloodstream infection (SABSI) are valid (3) the burden of HH for nurses and medical staffs impacts on HH compliance and (4) an automated HH monitoring system is a valid measure of compliance. FindingsThe current MRSA sampling methodology underestimated antibiotic resistance in outpatients with 45% of resistance due to under sampling of highly resistant phenotypes. Nurses’ HH is performed above the national threshold regardless of hospital size and artificially inflates the average compliance of a hospital and its medical staff. HH is still not performed at a sufficiently high level to impact the rate of SABSI. The burden of HH for nurses was three times higher than medical staff and their average weekly compliance was 1.5 times higher than medical staff. The automated system that measures HH compliance is an improved alternative to human auditing which has poor reliability and validityConclusionThe minimum sampling of MRSA should continue for at least 6 months to accommodate the impact that infrequent MRSA phenotypes have on resistance patterns. The number of HH opportunities required of medical staff is not burdensome. Automated auditing provides rapid daily feedback for medical staff that may positively impact on MRSA and HH compliance. Advisors/Committee Members: McLaws , Mary-Louise, Community Medicine, Faculty of Medicine, UNSW, Rahman, Bayzidur, Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Hand Hygiene; Patient Safety

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APA (6^th Edition):

Azim, S. (2016). Establishing the most appropriate statistical analysis for patient safety data. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Azim, Syed. “Establishing the most appropriate statistical analysis for patient safety data.” 2016. Doctoral Dissertation, University of New South Wales. Accessed April 22, 2021. http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Azim, Syed. “Establishing the most appropriate statistical analysis for patient safety data.” 2016. Web. 22 Apr 2021.

Vancouver:

Azim S. Establishing the most appropriate statistical analysis for patient safety data. [Internet] [Doctoral dissertation]. University of New South Wales; 2016. [cited 2021 Apr 22]. Available from: http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true.

Council of Science Editors:

Azim S. Establishing the most appropriate statistical analysis for patient safety data. [Doctoral Dissertation]. University of New South Wales; 2016. Available from: http://handle.unsw.edu.au/1959.4/56073 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:39949/SOURCE02?view=true

14. Watt, Dominique. Improving Patient Safety Through Accurate Medication Reconciliation.

Degree: MSN, 2015, University of San Francisco

URL: https://repository.usfca.edu/capstone/206

► Medication errors due to incorrect medication reconciliation are a very present and serious problem in our microsystem. As an preop/postop outpatient unit, we see… (more)

Subjects/Keywords: medication reconciliation; patient safety; Nursing

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APA (6^th Edition):

Watt, D. (2015). Improving Patient Safety Through Accurate Medication Reconciliation. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/206

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Watt, Dominique. “Improving Patient Safety Through Accurate Medication Reconciliation.” 2015. Thesis, University of San Francisco. Accessed April 22, 2021. https://repository.usfca.edu/capstone/206.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Watt, Dominique. “Improving Patient Safety Through Accurate Medication Reconciliation.” 2015. Web. 22 Apr 2021.

Vancouver:

Watt D. Improving Patient Safety Through Accurate Medication Reconciliation. [Internet] [Thesis]. University of San Francisco; 2015. [cited 2021 Apr 22]. Available from: https://repository.usfca.edu/capstone/206.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Watt D. Improving Patient Safety Through Accurate Medication Reconciliation. [Thesis]. University of San Francisco; 2015. Available from: https://repository.usfca.edu/capstone/206

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Rochester

15. Laam, Leslie A. Patient Safety in United States Hospitals: A Culture-based Explanation of Variation in Outcomes.

Degree: PhD, 2020, University of Rochester

URL: http://hdl.handle.net/1802/35819

► Preventable medical error remains the third leading cause of death in the United states despite concerted efforts to improve safety. Organizational culture in hospitals is… (more)

▼ Preventable medical error remains the third leading cause of death in the United states despite concerted efforts to improve safety. Organizational culture in hospitals is an attribute that impacts quality and safety outcomes. Foundational to improvement efforts is the recommendation to create a culture of safety in healthcare organizations. In 2006, the Agency for Healthcare Research and Quality (AHRQ) developed a survey to measure patient safety culture (PSC). The survey identifies 12 values of PSC, which are presumed to be positive attributes of hospitals and groups within hospitals. Although the survey has been utilized by hundreds of U.S. hospitals to help them understand their PSC, there is a lack of knowledge regarding the pervasiveness of PSC values within and between hospitals, as well as limited knowledge about the relationship between PSC values and outcomes. The goal of this study is to understand variation in patient safety culture values and safety outcomes among groups in United States hospitals from applied and theoretical perspectives. Three aims address this goal: 1) Describe the prevalence and variation of PSC values across hospitals; 2) Examine the relationships of PSC values and outcomes; and 3) Develop a dynamic systems model of PSC values and safety outcomes.This study explored PSC across 672 hospitals in the U.S. as well as one health system in depth. Various methods were used to address each aim including: Descriptive statistical procedures, OLS regression modeling, negative binomial regression modeling, mixed-level random effects modeling of variance, and system dynamics modeling. This study found that PSC values are present in varying degrees across hospitals and groups within hospitals. This is important because this study also found that PSC values are associated with safety outcomes, i.e. the presence of PSC values are associated with better patient outcomes. Understanding how patient safety cultures compare within and between hospitals can be used to inform decision-making at various levels of hospital leadership. Finally, this study provided evidence that organizational leadership plays an important role in how a group may develop cultural values. A group's opportunity for learning may be impeded by inconsistent messages from external forces such as leadership.

Subjects/Keywords: Hospital culture; Culture; Patient safety; Hospital safety

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APA (6^th Edition):

Laam, L. A. (2020). Patient Safety in United States Hospitals: A Culture-based Explanation of Variation in Outcomes. (Doctoral Dissertation). University of Rochester. Retrieved from http://hdl.handle.net/1802/35819

Chicago Manual of Style (16^th Edition):

Laam, Leslie A. “Patient Safety in United States Hospitals: A Culture-based Explanation of Variation in Outcomes.” 2020. Doctoral Dissertation, University of Rochester. Accessed April 22, 2021. http://hdl.handle.net/1802/35819.

MLA Handbook (7^th Edition):

Laam, Leslie A. “Patient Safety in United States Hospitals: A Culture-based Explanation of Variation in Outcomes.” 2020. Web. 22 Apr 2021.

Vancouver:

Laam LA. Patient Safety in United States Hospitals: A Culture-based Explanation of Variation in Outcomes. [Internet] [Doctoral dissertation]. University of Rochester; 2020. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/1802/35819.

Council of Science Editors:

Laam LA. Patient Safety in United States Hospitals: A Culture-based Explanation of Variation in Outcomes. [Doctoral Dissertation]. University of Rochester; 2020. Available from: http://hdl.handle.net/1802/35819

Yale University

16. Rapp, Kami. Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "leading A Culture Of Safety: A Blueprint For Success".

Degree: DNP, Yale University School of Nursing, 2018, Yale University

URL: https://elischolar.library.yale.edu/ysndt/1074

► During the first generation of patient safety, healthcare leaders began to learn about, assess, and try to improve their organization’s safety culture. However, they… (more)

Subjects/Keywords: leadership; management; patient safety; safety culture

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APA (6^th Edition):

Rapp, K. (2018). Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "leading A Culture Of Safety: A Blueprint For Success". (Thesis). Yale University. Retrieved from https://elischolar.library.yale.edu/ysndt/1074

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Rapp, Kami. “Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "leading A Culture Of Safety: A Blueprint For Success".” 2018. Thesis, Yale University. Accessed April 22, 2021. https://elischolar.library.yale.edu/ysndt/1074.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Rapp, Kami. “Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "leading A Culture Of Safety: A Blueprint For Success".” 2018. Web. 22 Apr 2021.

Vancouver:

Rapp K. Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "leading A Culture Of Safety: A Blueprint For Success". [Internet] [Thesis]. Yale University; 2018. [cited 2021 Apr 22]. Available from: https://elischolar.library.yale.edu/ysndt/1074.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Rapp K. Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "leading A Culture Of Safety: A Blueprint For Success". [Thesis]. Yale University; 2018. Available from: https://elischolar.library.yale.edu/ysndt/1074

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Dalhousie University

17. McDonald, Fiona. Patient Safety Law: Regulatory Change in Britain and Canada.

Degree: Doctor in the Science of Law, Faculty of Law, 2010, Dalhousie University

URL: http://hdl.handle.net/10222/13051

► Did governments in different countries regulate common concerns about patient safety differently? If so how and why did they do this? This thesis undertakes a… (more)

▼ Did governments in different countries regulate common concerns about patient safety differently? If so how and why did they do this? This thesis undertakes a historical comparison of the regulation of patient safety in Britain and Canada between 1980 and 2005. These jurisdictions began the period with very similar regulatory frameworks, but by 2005 there were distinct differences in each jurisdiction‘s regulatory response to patient safety. Britain was very actively regulating all aspects of service provision within its health system in the name of patient safety, whereas Canada‘s regulatory direction showed adherence to the 1980s model with only scattered incremental developments. This thesis assesses the broader sociopolitical context and the structure of the health systems in each jurisdiction and concludes there are differences in the logics of these systems that established a foundation for future regulatory divergence. It is argued that between 1980 and 2005 there were two factors that influenced regulatory directionality in each jurisdiction: changing political norms associated with the development of neoliberalism and the New Public Management; and events or scandals associated with the provision of health services. The differing levels of penetration of both the changing political norms into governance cultures and of scandals into the public and political consciousness are critical to explaining regulatory differences between jurisdictions. The thesis concludes that what and how governments chose to regulate is a function of the perceived need for action and the dominant social and political norms within that society. Context is everything in the formulation of regulatory approaches to address pressing social problems. Advisors/Committee Members: Professor L Sossin (external-examiner), Professor R Devlin (graduate-coordinator), Assistant Professor W Lahey (thesis-reader), Associate Professor K Murray (thesis-reader), Professor Jocelyn Downie (thesis-supervisor), Not Applicable (ethics-approval), Not Applicable (manuscripts), Not Applicable (copyright-release).

Subjects/Keywords: Patient safety; Health system law; adverse events; patient safety law

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APA (6^th Edition):

McDonald, F. (2010). Patient Safety Law: Regulatory Change in Britain and Canada. (Doctoral Dissertation). Dalhousie University. Retrieved from http://hdl.handle.net/10222/13051

Chicago Manual of Style (16^th Edition):

McDonald, Fiona. “Patient Safety Law: Regulatory Change in Britain and Canada.” 2010. Doctoral Dissertation, Dalhousie University. Accessed April 22, 2021. http://hdl.handle.net/10222/13051.

MLA Handbook (7^th Edition):

McDonald, Fiona. “Patient Safety Law: Regulatory Change in Britain and Canada.” 2010. Web. 22 Apr 2021.

Vancouver:

McDonald F. Patient Safety Law: Regulatory Change in Britain and Canada. [Internet] [Doctoral dissertation]. Dalhousie University; 2010. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10222/13051.

Council of Science Editors:

McDonald F. Patient Safety Law: Regulatory Change in Britain and Canada. [Doctoral Dissertation]. Dalhousie University; 2010. Available from: http://hdl.handle.net/10222/13051

University of Toronto

18. McCartney, Jill Susanne. Disclosure of Safety Incidents Involving Pediatric Patients: A Review of Federal, Provincial, and Territorial Legislation and Related Policies of Health Care Organizations Providing Care to Pediatric Patients.

Degree: 2013, University of Toronto

URL: http://hdl.handle.net/1807/35651

►

Law and health policy converge with pediatric patient safety incident (PPSI) disclosure. Disclosure is vital for patient safety efforts, while respecting the decision-making autonomy of… (more)

Subjects/Keywords: Pediatric; Patient Safety; Disclosure; Patient Safety Incidents; Law; Legislation; 0769; 0398

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APA (6^th Edition):

McCartney, J. S. (2013). Disclosure of Safety Incidents Involving Pediatric Patients: A Review of Federal, Provincial, and Territorial Legislation and Related Policies of Health Care Organizations Providing Care to Pediatric Patients. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/35651

Chicago Manual of Style (16^th Edition):

McCartney, Jill Susanne. “Disclosure of Safety Incidents Involving Pediatric Patients: A Review of Federal, Provincial, and Territorial Legislation and Related Policies of Health Care Organizations Providing Care to Pediatric Patients.” 2013. Masters Thesis, University of Toronto. Accessed April 22, 2021. http://hdl.handle.net/1807/35651.

MLA Handbook (7^th Edition):

McCartney, Jill Susanne. “Disclosure of Safety Incidents Involving Pediatric Patients: A Review of Federal, Provincial, and Territorial Legislation and Related Policies of Health Care Organizations Providing Care to Pediatric Patients.” 2013. Web. 22 Apr 2021.

Vancouver:

McCartney JS. Disclosure of Safety Incidents Involving Pediatric Patients: A Review of Federal, Provincial, and Territorial Legislation and Related Policies of Health Care Organizations Providing Care to Pediatric Patients. [Internet] [Masters thesis]. University of Toronto; 2013. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/1807/35651.

Council of Science Editors:

McCartney JS. Disclosure of Safety Incidents Involving Pediatric Patients: A Review of Federal, Provincial, and Territorial Legislation and Related Policies of Health Care Organizations Providing Care to Pediatric Patients. [Masters Thesis]. University of Toronto; 2013. Available from: http://hdl.handle.net/1807/35651

University of Toronto

19. Stanhope, Alexandra Maryrose. Parents' Experiences with Learning to Manage Medications in Pediatric Rehabilitation.

Degree: 2017, University of Toronto

URL: http://hdl.handle.net/1807/77900

►

Introduction: There is a significant amount of risk associated with the transition from hospital to home due to the fact that care can become fragmented… (more)

Subjects/Keywords: Care Transitions; Medication; Patient Education; Patient Experience; Patient Safety; Pharmacy; 0769

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APA (6^th Edition):

Stanhope, A. M. (2017). Parents' Experiences with Learning to Manage Medications in Pediatric Rehabilitation. (Masters Thesis). University of Toronto. Retrieved from http://hdl.handle.net/1807/77900

Chicago Manual of Style (16^th Edition):

Stanhope, Alexandra Maryrose. “Parents' Experiences with Learning to Manage Medications in Pediatric Rehabilitation.” 2017. Masters Thesis, University of Toronto. Accessed April 22, 2021. http://hdl.handle.net/1807/77900.

MLA Handbook (7^th Edition):

Stanhope, Alexandra Maryrose. “Parents' Experiences with Learning to Manage Medications in Pediatric Rehabilitation.” 2017. Web. 22 Apr 2021.

Vancouver:

Stanhope AM. Parents' Experiences with Learning to Manage Medications in Pediatric Rehabilitation. [Internet] [Masters thesis]. University of Toronto; 2017. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/1807/77900.

Council of Science Editors:

Stanhope AM. Parents' Experiences with Learning to Manage Medications in Pediatric Rehabilitation. [Masters Thesis]. University of Toronto; 2017. Available from: http://hdl.handle.net/1807/77900

Uppsala University

20. Westerberg, Albin. Vårdskadeärenden till patientnämnden.

Degree: Public Health and Caring Sciences, 2017, Uppsala University

URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311840

►

SAMMANFATTNING BAKGRUND: För att hälso- och sjukvården ska kunna hålla en hög kvalitet och fortsätta att utvecklas är det viktigt att uppmärksamma när patienter anser… (more)

▼

SAMMANFATTNING BAKGRUND: För att hälso- och sjukvården ska kunna hålla en hög kvalitet och fortsätta att utvecklas är det viktigt att uppmärksamma när patienter anser sig felbehandlade av vården. Vårdgivaren är skyldig att granska och utreda händelser och klagomål rörande vårdskador (SFS 2010:659), och patientnämnden har som samhällsinstans en central roll att på landstingsnivå granska patientärenden och utgöra en opartisk bro mellan patient och hälso- och sjukvård. Det är viktigt att belysa förekomsten och typen av anmälningsärenden för att kunna bedriva kontinuerligt förbättringsarbete. SYFTE: Syftet med denna studie är att kvantitativt beskriva de anmälningar rörande vårdskador som inkommit till patientnämnden i ett landsting i Mellansverige under 2015. METOD: Denna studie är en empirisk retrospektiv studie med kvantitativ ansats. Ärendena inhämtades från patientnämnden. Totalt 893 ärenden inkom till patientnämnden år 2015 och samtliga ärenden granskades. Därefter inkluderades 229 ärenden som kategoriserades med hjälp av en modifierad granskningsmall. RESULTAT: De vanligaste förekommande anledningarna till anmälan om vårdskada är misstanke eller upplevelse av felbehandling respektive feldiagnos (54 %). Kirurgi- och onkologidivsionen är den division varifrån flest ärenden kommer (41 %). Majoriteten (74 %) av ärendena anmäls av patienten själv. Kvinnor står för fler anmälningar till patientnämnden än män (65 % vs 35 %). I 41 % av de granskade fallen har berörd divison fastställt att vårdskada inträffat. SLUTSATS: Totalt 229 ärenden bedömdes som vårdskador. Det behövs vidare forskning för att bekräfta studiens resultat. Nyckelord: patientsäkerhet, vårdskador, patienträttigheter

ABSTRACT BACKGROUND: It´s important to acknowledge when patients consider themselves mistreated, in order to strive for better and safer health care. The caregiver is obliged to investigate events and complaints resulting in patient injuries (SFS 2010:659). Patientnämnden is an organizational unit within the county and it has a central role in reviewing patient complaint cases, being an impartial bridge between the patient and the health care. OBJECTIVE: The aim of this study is to describe the complaints regarding patient injuries from a county in mid Sweden 2015. METHODS: An empirical retrospective study with a quantative approach was conducted. The data was collected from patientnämnden. A total of 893 complaints were received by patientnämnden during the year 2015. All of the complaints were reviewed. Two hundred twenty-nine complaints were included and categorized with a modified examination instrument. RESULTS: The most common reason for complaints regarding patient injuries are mistreatment and misdiagnosis (54 %). Most of the complaints come from the surgery and oncology division (41 %). The majority (74 %) of…

Subjects/Keywords: patient safety; patient harm; patient rights; patientsäkerhet; vårdskador; patienträttigheter; Nursing; Omvårdnad

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APA (6^th Edition):

Westerberg, A. (2017). Vårdskadeärenden till patientnämnden. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311840

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Westerberg, Albin. “Vårdskadeärenden till patientnämnden.” 2017. Thesis, Uppsala University. Accessed April 22, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311840.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Westerberg, Albin. “Vårdskadeärenden till patientnämnden.” 2017. Web. 22 Apr 2021.

Vancouver:

Westerberg A. Vårdskadeärenden till patientnämnden. [Internet] [Thesis]. Uppsala University; 2017. [cited 2021 Apr 22]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311840.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Westerberg A. Vårdskadeärenden till patientnämnden. [Thesis]. Uppsala University; 2017. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311840

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

East Carolina University

21. Anderson, Teresa Bowman. Patient Safety Culture: Nurse Manager Safety Rounding and Influencing Characteristics.

Degree: PhD, PHD-Nursing, 2017, East Carolina University

URL: http://hdl.handle.net/10342/6205

► In response to the growing awareness of multifaceted influences on patient safety culture, hospitals have employed a litany of tactics to reduce harmful events. The… (more)

Subjects/Keywords: Nurse Manager Rounding; Hospital Survey on Patient Safety Culture; Patient Safety; Nurse Administrators; Safety Management

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APA (6^th Edition):

Anderson, T. B. (2017). Patient Safety Culture: Nurse Manager Safety Rounding and Influencing Characteristics. (Doctoral Dissertation). East Carolina University. Retrieved from http://hdl.handle.net/10342/6205

Chicago Manual of Style (16^th Edition):

Anderson, Teresa Bowman. “Patient Safety Culture: Nurse Manager Safety Rounding and Influencing Characteristics.” 2017. Doctoral Dissertation, East Carolina University. Accessed April 22, 2021. http://hdl.handle.net/10342/6205.

MLA Handbook (7^th Edition):

Anderson, Teresa Bowman. “Patient Safety Culture: Nurse Manager Safety Rounding and Influencing Characteristics.” 2017. Web. 22 Apr 2021.

Vancouver:

Anderson TB. Patient Safety Culture: Nurse Manager Safety Rounding and Influencing Characteristics. [Internet] [Doctoral dissertation]. East Carolina University; 2017. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10342/6205.

Council of Science Editors:

Anderson TB. Patient Safety Culture: Nurse Manager Safety Rounding and Influencing Characteristics. [Doctoral Dissertation]. East Carolina University; 2017. Available from: http://hdl.handle.net/10342/6205

Columbia University

22. Prey, Jennifer Elizabeth. Patient Engagement to Improve Medication Safety in the Hospital.

Degree: 2016, Columbia University

URL: https://doi.org/10.7916/D8F18ZX4

► Purpose: There is a pressing need to enhance patient safety in the hospital environment. While there are many initiatives that focus on improving patient safety,… (more)

▼ Purpose: There is a pressing need to enhance patient safety in the hospital environment. While there are many initiatives that focus on improving patient safety, few have studied engaging patients themselves to participate in patient safety efforts. This work was motived by the belief that patients can contribute valuable information to their care and when equipped with the right tools, can play a role in improving medication safety in the hospital. Methods: This research had three aims and used a mixed-methods approach to better understand the concept of engaging patients to improve medication safety. In order to gain insight into whether patients could beneficially contribute to the safety of their hospital care, my first aim was to understand current perspectives on the sharing of clinical information with patients while they were in the hospital. To accomplish this aim, I conducted surveys with clinicians and enrolled patients in a short field study in which they received full access to their clinical chart. In Aim 2, I conducted a study to establish that the Patient Activation Measure (PAM), a common measure of patient engagement in the outpatient setting, showed reliability and validity in the inpatient setting. Building on the knowledge from Aim 1 and using the PAM instrument from Aim 2, my third aim evaluated the impact of providing patients with access to a medication review tool while they were preparing to be admitted to the hospital. Aim 3 was achieved through a randomized controlled trial (RCT) involving 65 patients I recruited from the emergency department at Columbia University Medical Center. I also conducted a survey of admitting clinicians who had patients participate in the trial to identify the impact on clinician practices and to elicit feedback on their perceptions of the intervention. Results: My research findings suggest that increased patient information sharing in the inpatient setting is beneficial and desirable to patients, and generally acceptable to clinicians. The clinician survey from Aim 1 showed that most respondents were comfortable with the idea of providing patients with their clinical information. Some expressed reservations that patients might misunderstand information and become unnecessarily alarmed or offended. In the patient field study from Aim 1, patients reported perceiving the information they received as highly useful, even if they did not fully understand complex medical terms. My primary contribution in Aim 2 was to provide sound evidence that the Patient Activation Measure is a valid and reliable tool for use in the inpatient setting. Establishing the validity and reliability of the PAM instrument in inpatient setting was essential for conducting the RCT in Aim 3, and it will provide a foundation for future clinicians and research investigators to measure and understand hospital patients’ levels of engagement. The results from the RCT in Aim 3 did not support my primary hypothesis that clinicians who had patients participate in their medication…

Subjects/Keywords: Bioinformatics; Patient safety; Medicine – Safety measures; Patients – Safety measures

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APA (6^th Edition):

Prey, J. E. (2016). Patient Engagement to Improve Medication Safety in the Hospital. (Doctoral Dissertation). Columbia University. Retrieved from https://doi.org/10.7916/D8F18ZX4

Chicago Manual of Style (16^th Edition):

Prey, Jennifer Elizabeth. “Patient Engagement to Improve Medication Safety in the Hospital.” 2016. Doctoral Dissertation, Columbia University. Accessed April 22, 2021. https://doi.org/10.7916/D8F18ZX4.

MLA Handbook (7^th Edition):

Prey, Jennifer Elizabeth. “Patient Engagement to Improve Medication Safety in the Hospital.” 2016. Web. 22 Apr 2021.

Vancouver:

Prey JE. Patient Engagement to Improve Medication Safety in the Hospital. [Internet] [Doctoral dissertation]. Columbia University; 2016. [cited 2021 Apr 22]. Available from: https://doi.org/10.7916/D8F18ZX4.

Council of Science Editors:

Prey JE. Patient Engagement to Improve Medication Safety in the Hospital. [Doctoral Dissertation]. Columbia University; 2016. Available from: https://doi.org/10.7916/D8F18ZX4

Tampere University

23. Männikkö, Pia. Potilasturvallisuuskulttuuri sairaalassa : osastonhoitajien ja apulaisosastonhoitajien arvioimana .

Degree: 2018, Tampere University

URL: https://trepo.tuni.fi/handle/10024/104474

► Tutkimuksen tarkoituksena oli kuvata potilasturvallisuuskulttuuria sairaalan osastonhoitajien ja apulaisosastonhoitajien arvioimana. Aineisto kerättiin huhtikuussa 2018 sähköisellä kyselylomakkeella, joka muodostui TUKU-turvallisuuskulttuurimittarista ja taustakysymyksistä. Tutkimuksen kohderyhmänä oli koko… (more)

▼ Tutkimuksen tarkoituksena oli kuvata potilasturvallisuuskulttuuria sairaalan osastonhoitajien ja apulaisosastonhoitajien arvioimana. Aineisto kerättiin huhtikuussa 2018 sähköisellä kyselylomakkeella, joka muodostui TUKU-turvallisuuskulttuurimittarista ja taustakysymyksistä. Tutkimuksen kohderyhmänä oli koko perusjoukko, yhden sairaanhoitopiirin sairaaloissa työskentelevät osastonhoitajat ja apulaisosastonhoitajat (N=800), vastausprosentti oli 38 (n=307). Aineisto analysoitiin tilastollisin menetelmin SPSS 24 for Windows -ohjelmalla. Osastonhoitajat ja apulaisosastonhoitajat arvioivat kaikkien potilasturvallisuuskulttuurin osa-alueiden olevan vahvoja tai kohtalaisia. Organisaatiossa esimiestuki turvalliselle toiminnalle ja muutosten hallinta arvioitiin kohtalaiseksi. Vastaajien oma turvallisuusmotivaatio oli vahvaa. Hallinnan tunne omassa työssä arvioitiin kohtalaiseksi. Osastonhoitajat, ≥56-vuotiaat, yli 30 vuotta terveydenhuollossa työskennelleet ja ≥15 vuotta esimiehenä toimineet arvioivat useita potilasturvallisuuskulttuurin organisatorisia ulottuvuuksia positiivisemmin kuin muut vastaajat, ryhmien välillä oli tilastollisesti merkitseviä sekä erittäin merkitseviä eroja. Potilasvaaratapahtumassa mukana oleminen oli yhteydessä kriittisempään organisatoristen ulottuvuuksien arviointiin. Organisaation ilmapiiri oli yhteydessä useisiin organisatorisiin ulottuvuuksiin. Eri vastaajaryhmien arvioissa potilasturvallisuuskulttuurista oli eroja. Esimiesten tukeen turvalliselle toiminnalle luottavat ja vahvan turvallisuusmotivaation omaavat osastonhoitajat ja apulaisosastonhoitajat tarjoavat hyvän lähtökohdan potilasturvallisuuskulttuurin kehittämistyölle. Jatkotutkimushaasteena on selvittää, mitkä ovat eri työntekijäryhmien näkökulmasta työyksiköissä ajankohtaiset ja konkreettiset kehittämiskohteet potilasturvallisuuden edistämiseksi ja potilasturvallisuuskulttuurin kehittämiseksi. ABSTRACT Patient safety culture in a hospital – evaluated by nurse managers and assistant nurse managers The aim of this study was to describe patient safety culture assessed by a hospital’s nurse managers and assistant nurse managers. Data consisted of both TUKU Patient Safety Measure and respondents´ background information and it was collected electronically in April 2018. The target group for this study were all nurse managers and assistant nurse managers working in hospitals in one Finnish hospital district (N=800). The response rate for this study was 38% (n=307). The data was analysed statistically using SPSS 24 for Windows. The nurse managers and the assistant nurse managers evaluated all dimensions of the patient safety culture to be strong or moderate. Supervisory support for safety and change management were rated as moderate. The respondents reported their safety motivation to be strong. Sense of personal responsibility in their own job was assessed as moderate. The nurse managers who were ≥56 years of age, had worked in a healthcare over 30 years or worked ≥15 years as managers evaluated several organisatory…

Subjects/Keywords: potilasturvallisuuskulttuuri; potilasturvallisuus; TUKU-turvallisuuskulttuuri-mittari; osastonhoitajat; apulaisosastonhoitajat; patient safety culture; patient safety; TUKU Patient Safety Measure; nurse managers; assistant nurse managers

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Männikkö, P. (2018). Potilasturvallisuuskulttuuri sairaalassa : osastonhoitajien ja apulaisosastonhoitajien arvioimana . (Masters Thesis). Tampere University. Retrieved from https://trepo.tuni.fi/handle/10024/104474

Chicago Manual of Style (16^th Edition):

Männikkö, Pia. “Potilasturvallisuuskulttuuri sairaalassa : osastonhoitajien ja apulaisosastonhoitajien arvioimana .” 2018. Masters Thesis, Tampere University. Accessed April 22, 2021. https://trepo.tuni.fi/handle/10024/104474.

MLA Handbook (7^th Edition):

Männikkö, Pia. “Potilasturvallisuuskulttuuri sairaalassa : osastonhoitajien ja apulaisosastonhoitajien arvioimana .” 2018. Web. 22 Apr 2021.

Vancouver:

Männikkö P. Potilasturvallisuuskulttuuri sairaalassa : osastonhoitajien ja apulaisosastonhoitajien arvioimana . [Internet] [Masters thesis]. Tampere University; 2018. [cited 2021 Apr 22]. Available from: https://trepo.tuni.fi/handle/10024/104474.

Council of Science Editors:

Männikkö P. Potilasturvallisuuskulttuuri sairaalassa : osastonhoitajien ja apulaisosastonhoitajien arvioimana . [Masters Thesis]. Tampere University; 2018. Available from: https://trepo.tuni.fi/handle/10024/104474

University of North Texas Health Science Center

24. Sammer, Christine. Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes.

Degree: Doctor of Public Health, School of Public Health, 2009, University of North Texas Health Science Center

URL: http://digitalcommons.hsc.unt.edu/theses/37

► Sammer, Christine E., Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes. Doctor of Public Health (Health… (more)

▼ Sammer, Christine E., Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes. Doctor of Public Health (Health Management and Policy), December 2009, 101 pp., 10 tables, 1 figure, references, 115 titles. This research is a three-part study of the culture of patient safety, evidence-based practice, and patient safety outcomes within the U.S. health care environment. Chapter 2 is a comprehensive review of the safety culture literature using qualitative meta-analysis methods from which a conceptual culture of safety framework and model, including subcultures and properties, was generated. The seven subcultures identified were: leadership, teamwork, evidence-based practice, communication, learning culture, just culture, and patient-centered culture. Chapter 3 further explores evidence-based practice and practice guidelines as components of safety culture. Physician and practice characteristics were examined to identify the effect practice guidelines have on physician practice. The data source was from the third round of the Community Tracking Study, Physician Survey, 2000-2001. An ordinal logistic regression model was estimated to capture the full range of responses. Recent medical school graduates (p<.01), women (p<.01), minorities (p<.001), ob-gyn specialists (p<.01), physicians who use computers for information in their practices (p<.001), and physicians in non-solo practice types (p<.01) were significantly more likely to state practice guidelines had an effect on their practice. Chapter 4 evaluates the effect of teamwork and safety culture on the patient outcome of falls and falls with injury in 17 hospitals within a large healthcare system. A descriptive, correlational study was conducted with the unit of analysis the individual hospital. Multiple regression models were estimated to determine the role of teamwork and safety culture on falls and falls with injury, and year, facility, and licensed beds fixed-effects were used to control for temporality and unmeasured differences between hospitals. Teamwork climate in hospitals was a strong predictor for decreased falls (p<.001) and falls with injury (p<.05). Care providers knowing the proper channels to direct questions regarding patient safety indicated significant negative associations for falls (p<.01) and falls with injury (p<.001). Advisors/Committee Members: Dr. Kristine Lykens.

Subjects/Keywords: Safety Culture; Evidence-Based Practice; Patient Outcomes

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APA (6^th Edition):

Sammer, C. (2009). Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes. (Thesis). University of North Texas Health Science Center. Retrieved from http://digitalcommons.hsc.unt.edu/theses/37

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Sammer, Christine. “Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes.” 2009. Thesis, University of North Texas Health Science Center. Accessed April 22, 2021. http://digitalcommons.hsc.unt.edu/theses/37.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Sammer, Christine. “Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes.” 2009. Web. 22 Apr 2021.

Vancouver:

Sammer C. Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes. [Internet] [Thesis]. University of North Texas Health Science Center; 2009. [cited 2021 Apr 22]. Available from: http://digitalcommons.hsc.unt.edu/theses/37.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Sammer C. Culture of Safety in Hospitals: A Three-Part Analysis of Safety Culture, Evidence-Based Practice Guidelines, and Patient Outcomes. [Thesis]. University of North Texas Health Science Center; 2009. Available from: http://digitalcommons.hsc.unt.edu/theses/37

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Manchester

25. Banakhar, Maram Ahmed a. Factors Contributing to Errors in Nursing Practice: A Case Study.

Degree: 2015, University of Manchester

URL: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:263462

► Factors contributing to errors in nursing practice: A case studyBACKGROUND: Globally there has been growing concern regarding medically oriented errors arising in clinical practice; however,… (more)

▼ Factors contributing to errors in nursing practice: A case studyBACKGROUND: Globally there has been growing concern regarding medically oriented errors arising in clinical practice; however, little is known about nursing errors, particularly within Saudi Arabia. Nursing errors are usually associated with medication errors with other types of error in nursing practice being poorly defined. This leaves a gap in the literature for further exploration to establish if a discrete category of error associated solely with nurses and nursing can be distinguished. There is evidence to suggest that nurses who are involved in clinically oriented errors are “named, blamed and shamed” despite international calls for non-punitive approaches to error management being advocated in healthcare settings. Aim and Objectives: This study aimed to investigate how and why nursing errors occurred in one healthcare organisation in Saudi Arabia. The study objectives included the need to identify the type of errors that occurred and how incidents were defined as errors, to examine the context and consequence of nursing errors and how these were managed in the organisation, and to explore how nurses perceived their role and that of the organisation in managing nursing errors.METHODS: A qualitative case study was carried out in one hospital in Saudi Arabia. Following a retrospective review of the preceding six-months incident report documentation, four groups of participants were purposively sampled from clinical wards within the hospital experiencing both high and low rates of error. Individual and focus group interviews were undertaken with nurses, doctors, nurse managers and quality department staff to generate a multi-perspectival review of the case. All the conducted interviews were transcribed verbatim, coded and analysed. The Swiss cheese model was used as an analytical tool to provide an explanation of the case by identifying the latent and active failures arising within the organisation.CONCLUSIONS: Analysis of the data revealed a level of ambiguity when defining what constituted ‘nursing error’. Yet defining and distinguishing nursing errors was crucial to help develop nursing as a profession. Furthermore, nurses, doctors, nurse managers and quality staff all perceived diverse latent failures contributed to nursing errors, notably the existence of different policies/protocols across hospital wards/units, different work systems and processes between hospital wards, the role of diversity related to the healthcare professionals’ cultural background, increased patient acuity and the presence of a blame culture. In essence therefore each of the above was seen to be key organisational factors leading to the manifestation of errors in clinical practice. Finally use of the Swiss Cheese Model helped identify that organisational as opposed to purely human influences were the main factors contributing to errors, by creating necessary the preconditions for unsafe acts to arise within the targeted organisation. Advisors/Committee Members: BROWN WILSON, CHRISTINE CR, Brown Wilson, Christine, Wakefield, Ann.

Subjects/Keywords: nursing errors; human factors, patient safety

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APA (6^th Edition):

Banakhar, M. A. a. (2015). Factors Contributing to Errors in Nursing Practice: A Case Study. (Doctoral Dissertation). University of Manchester. Retrieved from http://www.manchester.ac.uk/escholar/uk-ac-man-scw:263462

Chicago Manual of Style (16^th Edition):

Banakhar, Maram Ahmed a. “Factors Contributing to Errors in Nursing Practice: A Case Study.” 2015. Doctoral Dissertation, University of Manchester. Accessed April 22, 2021. http://www.manchester.ac.uk/escholar/uk-ac-man-scw:263462.

MLA Handbook (7^th Edition):

Banakhar, Maram Ahmed a. “Factors Contributing to Errors in Nursing Practice: A Case Study.” 2015. Web. 22 Apr 2021.

Vancouver:

Banakhar MAa. Factors Contributing to Errors in Nursing Practice: A Case Study. [Internet] [Doctoral dissertation]. University of Manchester; 2015. [cited 2021 Apr 22]. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:263462.

Council of Science Editors:

Banakhar MAa. Factors Contributing to Errors in Nursing Practice: A Case Study. [Doctoral Dissertation]. University of Manchester; 2015. Available from: http://www.manchester.ac.uk/escholar/uk-ac-man-scw:263462

Queens University

26. Raymond, June. Nursing Students and Patient Safety: Errors, Curriculum, and Perspectives .

Degree: Nursing, 2016, Queens University

URL: http://hdl.handle.net/1974/14154

► Healthcare is a high reliability industry designed to improve, preserve, and protect the health of citizens (Institute of Medicine [IOM], 2000). Events that affect patient… (more)

▼ Healthcare is a high reliability industry designed to improve, preserve, and protect the health of citizens (Institute of Medicine [IOM], 2000). Events that affect patient safety have been reported with increasing regularity since the emphasis on patient safety in the early 2000’s (IOM). Nursing care significantly affects patient outcomes. The IOM mandated transformation of health education to incorporate patient safety concepts in the United States and this has gradually influenced health education globally (2003). Nursing education programs are designed to increase students’ knowledge, skills, and attitudes (KSAs) and students’ confidence levels are indicators of their KSAs. Gaining insight into what errors students are making will reveal where KSAs are weak and where educational transformation may be required. Although teaching patient safety concepts is important, studies exploring this are limited. Research exploring patient safety content in nursing curricula in Ontario could not be found in the existing literature. This study found that the greatest number of nursing student errors reported in the literature are linked to medication administration followed by errors related to the environment, equipment, and devices (Raymond, Godfrey, & Medves, 2016a). Despite medication administration errors occurring the most often, students expressed the greatest confidence in this area and it seemed to be the most abundantly integrated in the written curriculum. After reviewing three nursing curricula, it was noted that patient safety content was incorporated within each of the reviewed programs to a different degree (Raymond et al., 2016b). Students are more confident on patient safety topics in the classroom than in the clinical settings and there were no educationally significant differences noted between baccalaureate and practical nursing students’ confidence levels. Although both baccalaureate and practical nursing students fear repercussions when making an error, a greater percentage of practical nursing students expressed this concern (Raymond et al., 2016c; 2016d). Higher percentages of practical than baccalaureate nursing students felt errors were addressed as individual mistakes instead of system issues (Raymond et al., 2016c, 2016d). This research suggests that further initiatives aimed at reducing students’ fears while focusing on errors as system issues within both classroom and clinical settings are needed.

Subjects/Keywords: nursing education, nursing students ; patient safety

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APA (6^th Edition):

Raymond, J. (2016). Nursing Students and Patient Safety: Errors, Curriculum, and Perspectives . (Thesis). Queens University. Retrieved from http://hdl.handle.net/1974/14154

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Raymond, June. “Nursing Students and Patient Safety: Errors, Curriculum, and Perspectives .” 2016. Thesis, Queens University. Accessed April 22, 2021. http://hdl.handle.net/1974/14154.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Raymond, June. “Nursing Students and Patient Safety: Errors, Curriculum, and Perspectives .” 2016. Web. 22 Apr 2021.

Vancouver:

Raymond J. Nursing Students and Patient Safety: Errors, Curriculum, and Perspectives . [Internet] [Thesis]. Queens University; 2016. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/1974/14154.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Raymond J. Nursing Students and Patient Safety: Errors, Curriculum, and Perspectives . [Thesis]. Queens University; 2016. Available from: http://hdl.handle.net/1974/14154

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Ottawa

27. Leeder, Ciera. Epidemiology of Patient Safety Events in an Academic Teaching Hospital .

Degree: 2016, University of Ottawa

URL: http://hdl.handle.net/10393/34294

► Background: Adverse events are poor health outcomes caused by medical care rather than the underlying disease process. Voluntary reporting is a key component to adverse… (more)

▼ Background: Adverse events are poor health outcomes caused by medical care rather than the underlying disease process. Voluntary reporting is a key component to adverse event reduction; however, incident reporting systems contain many limitations. The Patient Safety Learning System (PSLS) is an electronic incident reporting system with several unique features that were designed to address the weaknesses of previous systems, including a process for physician assessment of reported events to determine their significance. The primary objectives for this study were to determine the positive predictive value of the PSLS for identifying adverse events. Secondary objectives were to identify event, patient, and system-level factors associated with true events, and to assess event rates over time. Methods: I performed a retrospective cohort study using electronic health care data collected data from the Ottawa Hospital, between April 1 2010 and September 30, 2011. We Included all reported patient safety events if they occurred in adults aged 18 and older, admitted to an inpatient ward at the Civic, General, or Heart Institute campus. Events that occurred on Psychiatry, Rehabilitation services, were excluded due to data restrictions. A Clinical Reviewer manually reviewed each event to distinguish true events from non-events. For each hospital program, we used a generalized linear mixed model (GLIMMIX) to predict true events, using the role of the reporter as a random effect. Results: Over the study period, there were 2,569 events reported by hospital staff and physicians. Of these, 660 were rated as adverse events and 1,909 were rated as near misses. This yielded an overall positive predictive value of the PSLS system of 63% (95% CI 62-65%). The variance between reporters was not significant for Critical Care, Heart Institute, Nephrology, Obstetrics and Gynecology, Surgery and Periops, therefore I used a traditional logistic regression model with a common intercept. Number of months the PSLS was available was the only significant covariate found in all programs; the direction of the relationship was the same across all programs, and showed a decrease in true events reported over time. Other common covariates included: time from admission to event, severity of illness, and admission type. All models achieved a good calibration, yet discrimination was poor (c <0.70) in all models except Heart Institute. Discrimination ranged from 65% in Critical Care to 77% in the Heart Institute. Overall, the rate of patient safety events reported for inpatients was 6.39 per 1000 patient days. After an initial learning period, from April 2010-January 2011, in which rates were low, reporting rates increased and stabilized; remaining constant from month to month. The rate of true patient safety event reporting fluctuated greatly from April 2010-January 2011, after which they began to steadily decline. Trends in reporting were similar across hospital campus, reporter, and program. The majority of patient safety events…

Subjects/Keywords: Patient Safety; Adverse Events; Incident Reporting

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Leeder, C. (2016). Epidemiology of Patient Safety Events in an Academic Teaching Hospital . (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/34294

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Leeder, Ciera. “Epidemiology of Patient Safety Events in an Academic Teaching Hospital .” 2016. Thesis, University of Ottawa. Accessed April 22, 2021. http://hdl.handle.net/10393/34294.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Leeder, Ciera. “Epidemiology of Patient Safety Events in an Academic Teaching Hospital .” 2016. Web. 22 Apr 2021.

Vancouver:

Leeder C. Epidemiology of Patient Safety Events in an Academic Teaching Hospital . [Internet] [Thesis]. University of Ottawa; 2016. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10393/34294.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Leeder C. Epidemiology of Patient Safety Events in an Academic Teaching Hospital . [Thesis]. University of Ottawa; 2016. Available from: http://hdl.handle.net/10393/34294

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

AUT University

28. Jackson, Rosalind Clare. Interprofessional collaboration and patient safety: an integrative review .

Degree: 2012, AUT University

URL: http://hdl.handle.net/10292/3474

► Interprofessional collaboration is a model of care that can improve patient safety. However, the evolution of knowledge about these two interrelated topics has largely occurred… (more)

▼ Interprofessional collaboration is a model of care that can improve patient safety. However, the evolution of knowledge about these two interrelated topics has largely occurred in isolation of each another. Consequently, it is argued that a lack of integration between interprofessional collaboration and patient safety has generated a barrier to a specific way forward to guide how collaborative practice can positively influence safe patient care. To examine this further, the research questions for this review explores the relationships between these topics and asks how interprofessional collaboration can support patient safety now and in the future. The research design is an integrative literature review. Literature was reviewed initially using a Critical Appraisal Skills Programme evaluation tool. Parallel to this the literature was analysed thematically and several themes identified. Firstly, it is evident that the relationships between interprofessional collaboration and patient safety are broad and discussions of the topics are generalised. Secondly, current models of interprofessional collaboration do not support patient safety because patients appear to be passive within the collaborative relationship. Thirdly, if interprofessional collaboration and patient safety are to be progressed in practice, a theoretically informed model is needed to assist health professionals and organisations to develop a culture change. Recommendations of this report have focused on how the relationships between interprofessional collaboration and patient can be progressed. This can be achieved by choosing explicit patient safety outcome measures, in an interprofessional collaborative context, that encompasses the broad spectrum of patient safety. To achieve this aim, a more flexible theoretical and methodological approach can be applied to a research question. Furthermore, to reverse the moderate quality of research articles available to date, use of an evaluation framework will support disciplined reporting of research outcomes. Finally, further development of an interprofessional collaborative and patient safety evaluation model is a recommendation for future development. This early model development integrates components of organisational preparedness and interprofessional competencies to enable organisations to assess the degree that collaborative practice exists within them. Patient safety forms the central core of this model and is reinforced as the primary focus and central point for all health professionals. Advisors/Committee Members: McCallin, Antoinette (advisor).

Subjects/Keywords: Interprofessional collaboration; Patient safety; Integrative review

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Jackson, R. C. (2012). Interprofessional collaboration and patient safety: an integrative review . (Thesis). AUT University. Retrieved from http://hdl.handle.net/10292/3474

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Jackson, Rosalind Clare. “Interprofessional collaboration and patient safety: an integrative review .” 2012. Thesis, AUT University. Accessed April 22, 2021. http://hdl.handle.net/10292/3474.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Jackson, Rosalind Clare. “Interprofessional collaboration and patient safety: an integrative review .” 2012. Web. 22 Apr 2021.

Vancouver:

Jackson RC. Interprofessional collaboration and patient safety: an integrative review . [Internet] [Thesis]. AUT University; 2012. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/10292/3474.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Jackson RC. Interprofessional collaboration and patient safety: an integrative review . [Thesis]. AUT University; 2012. Available from: http://hdl.handle.net/10292/3474

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Cambridge

29. Kaya, Gulsum Kubra. Good risk assessment practice in hospitals.

Degree: PhD, 2018, University of Cambridge

URL: https://doi.org/10.17863/CAM.20813 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.744580

► Risk assessment is essential to ensure safety in hospitals. However, hospitals have paid little attention to risk assessment. Several problems have already been identified in… (more)

▼ Risk assessment is essential to ensure safety in hospitals. However, hospitals have paid little attention to risk assessment. Several problems have already been identified in the literature about current risk assessment practice, such as inadequate risk assessment guidance and bias in risk scoring. This research aimed to improve current risk assessment practice in hospitals in the National Health Service (NHS) in England. To address this aim, the research investigated current risk assessment practice and designed a new risk assessment approach by the use of mixed methods. One hundred hospitals’ risk assessment documents were reviewed to examine the current recommended risk assessment practice. Seventeen interviews and sixty-one questionnaires were conducted, a risk management system from a single hospital was reviewed, and strategic risks from thirty-four hospitals were reviewed, in order to examine how risks are assessed in actual practice. Following that, the proposed approach was designed by conducting requirements analysis and then evaluated by interviews and questionnaires with ten healthcare staff. The findings of this research reveal that hospitals conduct risk assessments in different ways (i.e. with a focus on individual patient-based, operational and strategic risks). There are also many problems involved in current risk assessment practice regarding both the foundations and use of risk assessment. For example, organisation-wide risk assessments predominantly rely on risk matrices which might lead to wrong risk prioritisation and resource allocation; and risks tend to reflect existing or past problems rather than being proactive. All these reveal a need to improve current risk assessment practice. This research makes an important contribution to the current understanding of risk assessment practice in hospitals by providing extensive evidence on both recommended and actual practice, and proposes a new risk assessment framework. The framework guides healthcare staff on how to conduct risk assessment in a more comprehensive way by encouraging its potential users to consider good risk assessment practice.

Subjects/Keywords: 362.110680942; risk assessment; patient safety; hospital

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Kaya, G. K. (2018). Good risk assessment practice in hospitals. (Doctoral Dissertation). University of Cambridge. Retrieved from https://doi.org/10.17863/CAM.20813 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.744580

Chicago Manual of Style (16^th Edition):

Kaya, Gulsum Kubra. “Good risk assessment practice in hospitals.” 2018. Doctoral Dissertation, University of Cambridge. Accessed April 22, 2021. https://doi.org/10.17863/CAM.20813 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.744580.

MLA Handbook (7^th Edition):

Kaya, Gulsum Kubra. “Good risk assessment practice in hospitals.” 2018. Web. 22 Apr 2021.

Vancouver:

Kaya GK. Good risk assessment practice in hospitals. [Internet] [Doctoral dissertation]. University of Cambridge; 2018. [cited 2021 Apr 22]. Available from: https://doi.org/10.17863/CAM.20813 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.744580.

Council of Science Editors:

Kaya GK. Good risk assessment practice in hospitals. [Doctoral Dissertation]. University of Cambridge; 2018. Available from: https://doi.org/10.17863/CAM.20813 ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.744580

30. Jones, Christian. Understanding procedural violations and their implications for patient safety in community pharmacies.

Degree: PhD, 2017, University of Manchester

URL: https://www.research.manchester.ac.uk/portal/en/theses/understanding-procedural-violations-and-their-implications-for-patient-safety-in-community-pharmacies(a61be045-6aea-4b24-9535-f7c77e270c53).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.748020

► Background: Violations occur when individuals choose to bypass or deviate from procedures. Although violations are often not intended to cause harm, they are nevertheless breaches… (more)

▼ Background: Violations occur when individuals choose to bypass or deviate from procedures. Although violations are often not intended to cause harm, they are nevertheless breaches of the preferred way of working. Violations have been suggested to introduce risk into the environment by eroding the margin of safety. Therefore, violations are of potential concern to healthcare professionals that are responsible for patient safety. This thesis examines how and why violations occur in community pharmacies. Method: The research adopted a mixed methods approach to explore violations in community pharmacies and three studies were undertaken. The first study was a qualitative study that explored the views of management and frontline staff with regards to the prevailing safety culture in community pharmacies. The aim was to understand the context in which violations occur and to explore the goals that staff manage in practice. The second interview study explored how procedures are perceived in practice and the types of violations that occur in this setting. The third study utilised a survey based on the COM-B model that further explored the influence of capability, opportunity and motivation on violating behaviours. Results: Overall, findings demonstrated that numerous types of violations occur in community pharmacies. Mainly they occur either to ensure that timely patient care is provided or to ensure that productivity is maintained in practice. The safety culture study suggested that frontline staff and management have a different safety culture, with frontline staff reacting to risk in the moment and head office staff managing risk through the provision of multiple detailed procedures. The interviews suggested that procedures are useful for outlining what is expected of staff in practice; however they are not always possible to follow to the letter due to the complex working environment. The social norm within each pharmacy was suggested to influence violating behaviours, as was the professional judgement of the pharmacist. Violations were shown to be necessary for maintaining care at times, especially in exceptional circumstances. However, at times violations to maintain productivity did result in an increased risk to patient safety. The questionnaire study highlighted motivation, opportunity, length of experience, staff role and gender as influences on certain types of violations. Conclusions: The mixed methods utilised as part of this thesis revealed the types of violations that occur in community pharmacies and the reasons why pharmacists and support staff choose to violate. The findings led to recommendations for policymakers to evaluate how procedures are implemented in practice, to provide additional support for staff in practice through improved workflow, to provide patient safety specific training in pharmacies, to improve communication between frontline and head office staff and to educate pharmacy students regarding the possibility that they will need to violate procedures at times to manage the complex reality…

Subjects/Keywords: 610; Pharmacy; Patient safety; Violations; Psychology

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Jones, C. (2017). Understanding procedural violations and their implications for patient safety in community pharmacies. (Doctoral Dissertation). University of Manchester. Retrieved from https://www.research.manchester.ac.uk/portal/en/theses/understanding-procedural-violations-and-their-implications-for-patient-safety-in-community-pharmacies(a61be045-6aea-4b24-9535-f7c77e270c53).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.748020

Chicago Manual of Style (16^th Edition):

Jones, Christian. “Understanding procedural violations and their implications for patient safety in community pharmacies.” 2017. Doctoral Dissertation, University of Manchester. Accessed April 22, 2021. https://www.research.manchester.ac.uk/portal/en/theses/understanding-procedural-violations-and-their-implications-for-patient-safety-in-community-pharmacies(a61be045-6aea-4b24-9535-f7c77e270c53).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.748020.

MLA Handbook (7^th Edition):

Jones, Christian. “Understanding procedural violations and their implications for patient safety in community pharmacies.” 2017. Web. 22 Apr 2021.

Vancouver:

Jones C. Understanding procedural violations and their implications for patient safety in community pharmacies. [Internet] [Doctoral dissertation]. University of Manchester; 2017. [cited 2021 Apr 22]. Available from: https://www.research.manchester.ac.uk/portal/en/theses/understanding-procedural-violations-and-their-implications-for-patient-safety-in-community-pharmacies(a61be045-6aea-4b24-9535-f7c77e270c53).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.748020.

Council of Science Editors:

Jones C. Understanding procedural violations and their implications for patient safety in community pharmacies. [Doctoral Dissertation]. University of Manchester; 2017. Available from: https://www.research.manchester.ac.uk/portal/en/theses/understanding-procedural-violations-and-their-implications-for-patient-safety-in-community-pharmacies(a61be045-6aea-4b24-9535-f7c77e270c53).html ; https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.748020

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Open Access Theses and Dissertations