Contextualising Risk, Reducing Harm
Abstract
Background In response to concerns regarding the levels of harm patients face while receiving care in hospitals within the UK, NHS England launched a number of strategies in 2013 to improve the quality and safety of... [ view full abstract ]
Background
In response to concerns regarding the levels of harm patients face while receiving care in hospitals within the UK, NHS England launched a number of strategies in 2013 to improve the quality and safety of healthcare. One such strategy was the development and introduction of quality dashboards into hospital wards and departments
Introduction
A dashboard is a visual display of the most important information needed to achieve one or more objectives, consolidated and arranged so the information can be monitored at a glance. The purpose of this research is to review the evidence for quality dashboards, audit and feedback within healthcare and to explore the intended consequences of dashboard introduction and how they influence care delivery within hospital wards. Exploring these topics will bring new knowledge and understanding which will influence the design, development and deployment of future healthcare dashboards.
Method
As the aim of the research is not to evaluate the effectiveness of dashboards but to understand how and in what circumstances they influence care delivery within a complex social structure such as a ward.
Therefore a realist evaluation approach is being taken to
• Critically review the evidence in regard to quality dashboards, audit and feedback within healthcare.
• Understand why organisations develop and introduce dashboards and identify the intended consequences of their introduction.
• Explore the experiences of ward staff in an attempt to understand how the dashboard influences care delivery.
Why is the research important ?
Dashboards are being designed and deployed within healthcare with the intention that they will make hospital wards safer but how and why do they influence how care is organised. ?
As there are no published studies within the literature which has used a realist evaluation approach to explore the experiences of ward staff and the influence of quality dashboards on care delivery, this research has the potential to add new knowledge to the audit and feedback literature with real world application and recommendations for clinical practice.
Often the success of innovations in quality and safety improvement initiatives is the context in which they are deployed. If we can understand these contextual factors, we may be able to use dashboards to drive the change in culture and behaviour that is needed to reduce harm and make healthcare safer for all patients.
Authors
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sean willis
(university of Leeds)
Topic Areas
Please select one of the following:: Realist evaluation , Please select a maximum of two themes from the following list:: Designing Realist Evaluati
Session
PS-1 » Poster Session and Reception (15:00 - Tuesday, 4th October, Garden Room and Conservatory)
Presentation Files
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