Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges.
Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges.
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DOI：
10.1177/1355819618788586
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发表时间：
2018-10
影响因子：
2.4
通讯作者：
Bal R
中科院分区：
文献类型：
--
作者：
Kok J;Leistikow I;Bal R
卫生保健提供者和政策制定者越来越认识到，当出现问题时，应该听取患者或其家属的意见，并参与事件调查过程。本文探讨了荷兰医院如何组织患者或家属参与事件调查，绘制了事件调查员让患者或其家属参与事件调查的经验，并确定了遇到的挑战。对13家荷兰医院的管理人员和事件调查员进行了半结构化访谈。研究参与者（n = 18）被问及事件调查程序以及他们涉及受影响患者或家庭成员的经历。访谈笔录采用主题内容分析进行编码和分析。我们的研究结果表明，患者或家属参与事件调查通常组织为一次性访谈事件。与患者或其家属的访谈本身就被认为是有价值和重要的，并被视为公正对待患者或其家属个人需求的一种方式。然而，患者或家属观点对事件调查的有用性和有效性往往被认为是有限的，专业观点给予更多的权重。当患者或其家属无法提供正在调查的事件的可核实细节时，情况尤其如此。研究参与者描述了涉及患者或家庭成员时的挑战，包括与事件调查的可用时间框架、法律问题、管理信任和处理强烈情绪有关的挑战。我们建议，通过将患者和家属的重要标准置于事件调查的中心（即“emic”研究方法），医院可能能够扩大他们的学习潜力，并在事件发生后提高以患者为中心的意识。
There is growing recognition among health care providers and policy makers that when things go wrong, the patient or their families should be heard and participate in the incident investigation process. This paper explores how Dutch hospitals organize patient or family engagement in incident investigations, maps out incident investigators’ experiences of involving patients or their families in incident investigations and identifies the challenges encountered. Semi-structured interviews were conducted with managers and incident investigators in 13 Dutch hospitals. Study participants (n = 18) were asked about the incident investigation routines and their experiences of involving affected patients or family members. Interview transcripts were coded and analysed using thematic content analysis. Our findings reveal that patient or family involvement in incident investigations is typically organized as a one-time interview event. Interviews with patients or their families were considered to be valuable and important in their own right and seen as a way to do justice to the individual needs of the patient or their family. Yet, the usefulness and validity of the patient or family perspective for incident investigations was often seen to be limited, with the professional perspective afforded more weight. This was particularly the case when the patient or their family were unable to provide verifiable details of the incident under investigation. Study participants described challenges when involving patients or family members, including in relation to the available timeframe for incident investigations, legal issues, managing trust and working with intense emotions. We propose that by placing patient and family criteria of significance at the centre of incident investigations (i.e. an ‘emic’ research approach), hospitals may be able to expand their learning potential and improve patient-centeredness following an incident.
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影响因子：
9.7
作者：
Etchegaray, Jason M.;Ottosen, Madelene J.;Thomas, Eric J.
通讯作者：
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DOI：
10.1002/jhrm.5600270206
发表时间：
2007-01-01
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影响因子：
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作者：
Etchegaray, Jason M.;Ottosen, Madelene J.;Thomas, Eric J.
通讯作者：
Thomas, Eric J.
DOI：
10.1136/bmj.d4423
发表时间：
2011-07-25
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Iedema R;Allen S;Britton K;Piper D;Baker A;Grbich C;Allan A;Jones L;Tuckett A;Williams A;Manias E;Gallagher TH
通讯作者：
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