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Running a hospital patient safety campaign: a qualitative study

Running a hospital patient safety campaign: a qualitative study Purpose – Research on patient safety campaigns has mostly concentrated on large‐scale multi‐organisation efforts, yet locally led improvement is increasingly promoted. The purpose of this paper is to characterise the design and implementation of an internal patient safety campaign at a large acute National Health Service hospital trust with a view to understanding how to optimise such campaigns. Design/methodology/approach – The authors conducted a qualitative study of a campaign that sought to achieve 12 patient safety goals. The authors interviewed 19 managers and 45 frontline staff, supplemented by 56 hours of non‐participant observation. Data analysis was based on the constant comparative method. Findings – The campaign was motivated by senior managers’ commitment to patient safety improvement, a series of serious untoward incidents, and a history of campaign‐style initiatives at the trust. While the campaign succeeded in generating enthusiasm and focus among managers and some frontline staff, it encountered three challenges. First, though many staff at the sharp end were aware of the campaign, their knowledge, and acceptance of its content, rationale, and relevance for distinct clinical areas were variable. Second, the mechanisms of change, albeit effective in creating focus, may have been too limited. Third, many saw the tempo of the campaign as too rapid. Overall, the campaign enjoyed some success in raising the profile of patient safety. However, its ability to promote change was mixed, and progress was difficult to evidence because of lack of reliable measurement. Originality/value – The study shows that single‐organisation campaigns may help in raising the profile of patient safety. The authors offer important lessons for the successful running of such campaigns. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Health Organisation and Management Emerald Publishing

Running a hospital patient safety campaign: a qualitative study

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Publisher
Emerald Publishing
Copyright
Copyright © 2014 Emerald Group Publishing Limited. All rights reserved.
ISSN
1477-7266
DOI
10.1108/JHOM-02-2013-0035
Publisher site
See Article on Publisher Site

Abstract

Purpose – Research on patient safety campaigns has mostly concentrated on large‐scale multi‐organisation efforts, yet locally led improvement is increasingly promoted. The purpose of this paper is to characterise the design and implementation of an internal patient safety campaign at a large acute National Health Service hospital trust with a view to understanding how to optimise such campaigns. Design/methodology/approach – The authors conducted a qualitative study of a campaign that sought to achieve 12 patient safety goals. The authors interviewed 19 managers and 45 frontline staff, supplemented by 56 hours of non‐participant observation. Data analysis was based on the constant comparative method. Findings – The campaign was motivated by senior managers’ commitment to patient safety improvement, a series of serious untoward incidents, and a history of campaign‐style initiatives at the trust. While the campaign succeeded in generating enthusiasm and focus among managers and some frontline staff, it encountered three challenges. First, though many staff at the sharp end were aware of the campaign, their knowledge, and acceptance of its content, rationale, and relevance for distinct clinical areas were variable. Second, the mechanisms of change, albeit effective in creating focus, may have been too limited. Third, many saw the tempo of the campaign as too rapid. Overall, the campaign enjoyed some success in raising the profile of patient safety. However, its ability to promote change was mixed, and progress was difficult to evidence because of lack of reliable measurement. Originality/value – The study shows that single‐organisation campaigns may help in raising the profile of patient safety. The authors offer important lessons for the successful running of such campaigns.

Journal

Journal of Health Organisation and Management – Emerald Publishing

Published: Aug 12, 2014

Keywords: Quality; Patient care; Safety; Behaviour; Hospitals; Executives

References

  • Quality improvement through clinical communities: eight lessons for practice
    Aveling, E.L.; Martin, G.P.; Armstrong, N.; Banerjee, J.; Dixon‐Woods, M.
    Bookmark
  • Quality improvement teams that stall due to poor project selection: an exploration of contributing factors
    Bacdayan, P.
  • Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study
    Baines, R.J.; Langelaan, M.; De Bruijne, M.C.; Asscheman, H.; Spreeuwenberg, P.; Van De Steeg, L.; Siemerink, K.M.; Van Rosse, F.; Broekens, M.; Wagner, C.
  • The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada
    Baker, G.R.; Norton, P.G.; Flintoft, V.; Blais, R.; Brown, A.; Cox, J.; Etchells, E.; Ghali, W.A.; Hébert, P.; Majumdar, S.R.
  • The strengths and weaknesses of internal marketing
    Ballantyne, D.
  • Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase
    Benning, A.; Dixon‐Woods, M.; Nwulu, U.; Ghaleb, M.; Dawson, J.; Barber, N.; Franklin, B.D.; Girling, A.; Hemming, K.; Carmalt, M.; Rudge, G.; Naicker, T.; Kotecha, A.; Derrington, M.C.; Lilford, R.
  • Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation
    Benning, A.; Ghaleb, M.; Suokas, A.; Dixon‐Woods, M.; Dawson, J.; Barber, N.; Franklin, B.D.; Girling, A.; Hemming, K.; Carmalt, M.; Rudge, G.; Naicker, T.; Nwulu, U.; Choudhury, S.; Lilford, R.
  • The 100,000 lives campaign: setting a goal and a deadline for improving health care quality
    Berwick, D.M.; Calkins, D.R.; Joseph McCannon, C.; Hackbarth, A.D.
  • Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis
    Charmaz, K.
  • Equity and Excellence: Liberating the NHS
    Department of Health
  • Ten challenges in improving quality in health care: lessons from the health foundation's programme evaluations and relevant literature
    Dixon‐Woods, M.; McNicol, S.; Martin, G.P.
  • Why is UK medicine no longer a self‐regulating profession? The role of scandals involving “bad apple” doctors
    Dixon‐Woods, M.; Yeung, K.; Bosk, C.L.
  • Explaining Michigan: developing an ex post theory of a quality improvement program
    Dixon‐Woods, M.; Bosk, C.L.; Aveling, E.L.; Goeschel, C.A.; Pronovost, P.J.
    Bookmark
  • Explaining Matching Michigan: an ethnographic study of a patient safety program
    Dixon‐Woods, M.; Leslie, M.; Tarrant, C.; Bion, J.
  • Culture and behaviour in the English national health services: overview of lessons from a large multi‐method study
    Dixon‐Woods, M.; Baker, M.; Charles, J.; Dawson, J.; Jerzembek, G.; Martin, G.; McCarthy, I.; McKee, L.; Minion, J.; Ozieranski, P.; Willars, J.; Wilkie, P.; West, M.
  • Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust January 2005‐March 2009
    Francis, R.
  • Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry
    Francis, R.
  • The feedback intervention trial (FIT) – improving hand‐hygiene compliance in uk healthcare workers: a stepped wedge cluster randomised controlled trial
    Fuller, C.; Michie, S.; Savage, J.; McAteer, J.; Besser, S.; Charlett, A.; Hayward, A.; Cookson, B.D.; Cooper, B.S.; Duckworth, G.; Jeanes, A.; Roberts, J.; Teare, L.; Stone, S.
  • Managerial interactions of internal marketing
    Gilmore, A.
  • The Discovery of Grounded Theory
    Glaser, B.; Strauss, A.
  • Investing in people: internal marketing and corporate culture
    Hogg, G.; Carter, S.; Dunne, A.
  • A campaign to improve the timeliness of primary percutaneous coronary intervention: door‐to‐balloon: an alliance for quality
    Krumholz, H.M.; Bradley, E.H.; Nallamothu, B.K.; Ting, H.H.; Batchelor, W.B.; Kline‐Rogers, E.; Stern, A.F.; Byrd, J.R.; Brush, J.E. Jr
  • Outcomes of the surviving sepsis campaign in intensive care units in the USA and Europe: a prospective cohort study
    Levy, M.M.; Artigas, A.; Phillips, G.S.; Rhodes, A.; Beale, R.; Osborn, T.; Vincent, J.; Townsend, S.; Lemeshow, S.; Dellinger, R.P.
  • Advice on communicating during organizational change: the content of popular press books
    Lewis, L.K.; Schmisseur, A.M.; Stephens, K.K.; Weir, K.E.
  • The evolution of agenda‐setting research: twenty‐five years in the marketplace of ideas
    McCombs, M.E.; Shaw, D.L.
    Bookmark
  • McQuail's Mass Communication Theory
    McQuail, D.
  • Imperfect implementation of an early warning scoring system in a Danish teaching hospital: a cross‐sectional study
    Niegsch, M.; Fabritius, M.L.; Anhøj, J.
  • Reducing medical errors and adverse events
    Pham, J.C.; Aswani, M.S.; Rosen, M.; Lee, H.; Huddle, M.; Weeks, K.; Pronovost, P.J.
    Bookmark
  • Framework for patient safety research and improvement
    Pronovost, P.J.; Goeschel, C.A.; Marsteller, J.A.; Sexton, J.B.; Pham, J.C.; Berenholtz, S.M.
  • Three years of national hand hygiene campaign in Germany: what are the key conclusions for clinical practice?
    Reichardt, C.; Königer, D.; Bunte‐Schönberger, K.; van der Linden, P.; Mönch, N.; Schwab, F.; Behnke, M.; Gastmeier, P.
  • Advancing the science of patient safety
    Shekelle, P.G.; Pronovost, P.J.; Wachter, R.M.; Taylor, S.L.; Dy, S.M.; Foy, R.; Hempel, S.; McDonald, K.M.; Ovretveit, J.; Rubenstein, L.V.; Adams, A.S.; Angood, P.B.; Bates, D.W.; Bickman, L.; Carayon, P.; Donaldson, L.; Duan, N.; Farley, D.O.; Greenhalgh, T.; Haughom, J.; Lake, E.T.; Lilford, R.; Lohr, K.N.; Meyer, G.S.; Miller, M.R.; Neuhauser, D.V.; Ryan, G.; Saint, S.; Shojania, K.G.; Shortell, S.M.; Stevens, D.P.; Walshe, K.
  • Evidence‐based quality improvement: the state of the science
    Shojania, K.G.; Grimshaw, J.M.
  • Role of champions in the implementation of patient safety practice change
    Soo, S.; Berta, W.; Baker, G.R.
  • Evaluation of the national cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study
    Stone, S.P.; Fuller, C.; Savage, J.; Cookson, B.; Hayward, A.; Cooper, B.; Duckworth, G.; Michie, S.; Murray, M.; Jeanes, A.; Roberts, J.; Teare, L.; Charlett, A.
  • Incidence and types of adverse events and negligent care in Utah and Colorado
    Thomas, E.J.; Studdert, D.M.; Burstin, H.R.; Orav, E.J.; Zeena, T.; Williams, E.J.; Howard, K.M.; Weiler, P.C.; Brennan, T.A.
  • Patient Safety
    Vincent, C.
  • Adverse events in British hospitals: preliminary retrospective record review
    Vincent, C.; Neale, G.; Woloshynowych, M.
  • Patient safety at ten: unmistakable progress, troubling gaps
    Wachter, R.M.
  • Behind Human Error
    Woods, D.D.; Dekker, S.; Cook, R.; Johannesen, L.; Carter, N.
  • Case Study Research: Design and Methods
    Yin, R.K.

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