Abstract
Abstract
Background
Patients’ involvement in patient safety has increased in healthcare. Use of checklists may improve patient outcome in surgery, though few have attempted to engage patients’ use of surgical checklist. To identify risk elements of complications based on patients’ and healthcare workers’ experiences is warranted. This study aims to identify what the patients and healthcare workers find to be the risk elements that should be included in a patient-driven surgical patient safety checklist.
Method
A qualitative study design where post-operative patients, surgeons, ward physicians, ward nurses, and secretaries from five surgical specialties took part in focus group interviews. Eleven focus groups were conducted including 25 post-operative patients and 27 healthcare workers at one tertiary teaching hospital and one community hospital in Norway. Based on their experiences, participants were asked to identify perceived risks before and after surgery. The interviews were analysed using content analysis.
Results
Safety risk factors were categorised as pre-operative information: pre-operative preparations, post-operative information, post-operative plans and follow-up. The subcategories under pre-operative information and preparations were: contact information, medication safety, health status, optimising health, dental status, read information, preparation two weeks before surgery, inform your surgical ward, planning your own discharge, preparation on admission and just before surgery. The subcategories under post-operative information, further plans and follow-up were: prevention and complications, restriction and activity, medication safety, pain relief, stomach functions, further care and appointments. Both healthcare workers and patients express the need for a surgical patient safety checklist.
Conclusion
A broad spectre of risk elements for a patient safety checklist were identified. Developing a surgical safety checklist based on these risk elements might reduce complications and unwanted errors.
Trail registration
The study is registered as part of a clinical trial in ClinicalTrials.gov: NCT03105713.
Publisher
Springer Science and Business Media LLC
Reference38 articles.
1. WHO. Exploring patient participation in reducing health-care-related safety risks 2013. http://www.euro.who.int/__data/assets/pdf_file/0010/185779/e96814.pdf. Accessed 25 July 2017.
2. Forum EP. Briefing paper on patient safety with a focus on the role of patients and families. 2016.http://www.eu-patient.eu/globalassets/policy/patientssafety/patient-safety-briefing-paper.pdf. Accessed 6 Sept 2019.
3. Trier H, Valderas JM, Wensing M, Martin HM, Egebart J. Involving patients in patient safety programmes: A scoping review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care. Eur J Gen Pract. 2015;21(Suppl):56–61.
4. Ringdal M, Chaboyer W, Ulin K, Bucknall T, Oxelmark L. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16(1):69. https://doi.org/10.1186/s12912-017-0266-7.
5. Sahlström M, Partanen P, Azimirad M, Selander T, Turunen H. Patient participation in patient safety—an exploration of promoting factors. J Nurs Manag. 2019;27(1):84–92. https://doi.org/10.1111/jonm.12651.
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