Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards
Samuel Pannick, Stephanie Archer, Maximillian J Johnston, Iain Beveridge, Susannah Jane Long, Thanos Athanasiou, Nick Sevdalis
BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2017
OBJECTIVES: To understand how frontline reports of day-to-day care failings might be better translated into improvement. DESIGN: Qualitative evaluation of an interdisciplinary team intervention capitalising on the frontline experience of care delivery. Prospective clinical team surveillance (PCTS) involved structured interdisciplinary briefings to capture challenges in care delivery, facilitated organisational escalation of the issues they identified, and feedback. Eighteen months of ethnography and two focus groups were conducted with staff taking part in a trial of PCTS. RESULTS: PCTS fostered psychological safety-a confidence that the team would not embarrass or punish those who speak up...View full abstract
Awarded by Imperial College Healthcare Charity
This paper represents independent research supported by the National Institute for Health Research (NIHR) Imperial Patient Safety Translational Research Centre, Imperial College Healthcare Charity (Grant GG14\1022), and West Middlesex University Hospital NHS Trust. The research by NS is supported by the NIHR Collaboration for Leadership in Applied Health Research and Care South London at King's College Hospital NHS Foundation Trust. NS is a member of King's Improvement Science, which is part of the NIHR CLAHRC South London and comprises a specialist team of improvement scientists and senior researchers based at King's College London. Its work is funded by King's Health Partners (Guy's and St Thomas' NHS Foundation Trust, King's College Hospital NHS Foundation Trust, King's College London and South London and Maudsley NHS Foundation Trust), Guy's and St Thomas' Charity, the Maudsley Charity and the Health Foundation. NS is the director of London Training & Safety Solutions, which delivers team assessment and training to hospitals on a consultancy basis. No funding source had any role in the design and conduct of the study; collection, management, analysis or interpretation of the data or preparation, review or approval of the manuscript. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the Department of Health.