Transcript Presentation to inform the staff who will be involved in the study ppt, 835kb

User instructions
 It is the principal investigator’s responsibility to prepare these slides (delete
slides/sections on methods that will not be used, adapt slides to local
requirements, etc.)
 The slides can either be used to animate a face-to-face meeting (projected
with a beamer or used as talking points), serve as talking points for a
telephone conversation or, less ideally, be sent by email or distributed in hardcopy
 The principal investigator then either hands a copy to the facility’s key
stakeholders (e.g. managers or the matron who introduces investigators to
observed staff) so that they can inform participating staff, or uses this
presentation to inform participating staff him/herself (e.g. interview
respondents, observed injection providers or staff helping to access medical
records)
 The principal investigator/facility stakeholders are encouraged to provide more
information to participating staff than is provided in this presentation if
necessary
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How to assist us with studying and improving
patient safety at your health facility
<insert your name, title and affiliation here>
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The need to tackle patient harm
 Every year tens of millions of patients throughout the world suffer disabling
injuries or death due to unsafe medical care
 The consequences are millions of devastated lives and billions of dollars
unnecessarily spent on prolonged hospitalization, loss of income, disability
and litigation
 I am certain that you do all you can to ensure patient safety, but there is
always room for improvement
 We therefore wish to assist you in improving patient safety in your facility
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Objective and approach of the study
 The objective of the study is to [delete
objectives that do not apply]: count patient
harm, and/or identify causes of patient harm,
and/or develop an action plan, and/or monitor
& improve patient safety achievements
 To that end, the following method will be
employed [delete non-applicable method]:
record review of current in-patients and/or
retrospective record review, and/or staff
interviews on current in-patients, and/or
nominal group meetings, and/or direct
observation
 I will now give you a short overview of the
recommended method and the modalities of
participation, as well as your roles and
responsibilities [delete non-applicable slides]
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Method overview:
record review of current in-patients
Method process
 review of the medical
records of all patients who
are hospitalized on the
data collection day, from
all types of wards and inpatient settings
Roles & responsibilities
 staff from selected
wards/records dept help
with accessing available
records
 ward administrator/nurse
helps to clarify questions
not answered by records
 doctor in charge: as ward
administrator/nurse and –
for monitoring and
improvement – helps with
comparing the results to
those of previous studies
Results
 prevalence of harmful
incidents calculated
 contributing factors
identified
 preventability determined,
among other results
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Method overview:
retrospective record review
Method process
 reviewing the facility’s
in-patient medical
records from the last
year, including all types
of wards and in-patient
settings
Roles & responsibilities
 staff from selected
wards or from records
department: help to
select an appropriate
sample of medical
records and gather
these in the meeting
room
Results
 incidence of harmful
incidents calculated
 contributing factors
identified
 preventability
determined, among
other results
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Method overview:
staff interview on current in-patients
Method process
 interview with ward
nurse/nurse supervisor
 interview with
physician/doctor in charge
of in-patients on day of
data collection (a given
day)
Roles & responsibilities
 staff from selected
wards/records dept help
with accessing available
records
 ward administrator/nurse
is interviewed to help
determining presence of
harmful incidents(~ ½
day)
 doctor in charge: as ward
administrator/nurse and –
for monitoring and
improvement – helps to
compare the results to
those of previous studies
Results
 prevalence of harmful
incidents calculated
 contributing factors
identified
 preventability determined,
among other results
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Method overview:
direct observation and related interviews
Method process
 observation of facilities
and injection supply
stock, as well as
injection practices, and
interviews with injection
providers and their
department supervisors
Roles & responsibilities
 all staff allow the
observation of facilities
and stock
 injection givers allow
the observation of
injection practices and
make themselves
available for interviews
 supervisors of
departments where
observation takes place
make themselves
available for interviews
Results
 causes of harmful
incidents occurring
during specific
procedures, and
problems relating to
injection facilities/supply
stock identified
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Method overview:
nominal group meeting
Method process
 one or several
brainstorming sessions
with staff representing
all hospital activities,
with five to twelve staff
from the facility
participating at each
Roles & responsibilities
 staff to be available for
approximately two
hours and willing to
openly discuss local
safety issues and how
to tackle these
Results
 causes of harmful
incidents are identified
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Be reassured that...
 participating in the study does note expose you to any
risks
 you have the right to refuse participation
 if you do participate in the study but later change your
mind, you can terminate the study at any time
 no staff names will be recorded (only the names of the
health facility, departments and units/wards)
 patient data or other sensitive information (availability of
equipment, quality of practices, medical records, etc.) will
be kept strictly confidential
 you can inform the investigators at any time should you
feel uncomfortable
 you are encouraged to share any relevant experiences or
data with the investigators
 no disciplinary measures will be taken if the study reveals
shortcomings
 investigators will answer any questions you might have
 you will be informed of the results of the study
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Questions? Comments?
Thank you for participating!
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