The use of graphic displays and their influence on awareness and understanding of patient safety incidents: An exploratory study

Lisen Schortz, Liz Mossop, Annika Bergström, C. Oxtoby
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Abstract

Medical incidents cause harm in both human and veterinary care. Repercussions are similar and reach far beyond the patient, negatively impacting the people close to the patient, healthcare professionals, and the healthcare organization. Whilst good practice is to capture events in incident reporting systems to facilitate learning, critics argue that there is too much focus on this process and too little focus on harnessing the benefits from the data. This exploratory study aimed to investigate how graphic display of data could influence awareness and understanding of patient safety risks. A dashboard graphically displaying incident data was created and a mixed methods approach was utilized to investigate how the dashboard influenced participants awareness and understanding of incidents. Quantitative pre-intervention and post-intervention survey data was integrated with semi-structured interview data through a pillar integration process. The survey response rates were 48% ( n = 77) and 46% ( n = 74), and 12 interviews were conducted. The four pillars: Emerging enlightenment, tools, behaviours and habits, language and education were identified. There was a difference in understanding of incident data between clinically and non-clinically trained participants. This novel study suggests that graphic displays of data may bring increased understanding of safety risks, trigger activity, and bridge conversations between clinically and non-clinically trained stakeholders.
图形显示的使用及其对患者安全事件的认识和理解的影响:探索性研究
医疗事故在人类和兽医护理中都会造成伤害。造成的影响是相似的,而且远远超出了患者的范围,对患者的亲友、医疗保健专业人员和医疗保健机构都产生了负面影响。虽然良好的做法是在事故报告系统中记录事件以促进学习,但批评者认为,人们过于关注这一过程,而很少关注如何从数据中获益。这项探索性研究旨在调查数据的图形显示如何影响对患者安全风险的认识和理解。研究人员创建了一个以图形方式显示事故数据的仪表盘,并采用混合方法调查仪表盘如何影响参与者对事故的认识和理解。通过支柱整合流程,将干预前和干预后的定量调查数据与半结构式访谈数据进行了整合。调查回复率分别为 48% (n = 77)和 46% (n = 74),共进行了 12 次访谈。四大支柱确定了四大支柱:新启蒙、工具、行为和习惯、语言和教育。受过临床培训和未受过临床培训的参与者对事件数据的理解存在差异。这项新颖的研究表明,图形化的数据显示可以加深对安全风险的理解,引发活动,并在临床和非临床培训的利益相关者之间架起对话的桥梁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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