Exploring the acceptability of an international patient safety learning system: An exploratory sequential mixed methods approach

Qasem, Jaafer 2022. Exploring the acceptability of an international patient safety learning system: An exploratory sequential mixed methods approach. PhD Thesis, Cardiff University. Item availability restricted.

Preview	PDF - Accepted Post-Print Version Download (7MB) | Preview
	PDF (Cardiff University Electronic Publication Form) - Supplemental Material Restricted to Repository staff only Download (134kB)

Abstract

Since the publication of influential documents on the inadvertent effects of healthcare provision on patient safety, there has been a growing interest in strategies to monitor adverse events and analyse these data. While efforts have been made to collate data across healthcare settings, particularly on a local or national level, there remain challenges to effective organisational learning on safety data. Other safety-critical industries, such as aviation and nuclear power, have made advances in establishing international learning systems that collate, analyse and devise preventative measures for implementation. However, this approach is lacking in healthcare, potentially leading to avoidable patient harm and missed opportunities for practice and safety improvement. This thesis draws on existing data from healthcare and safety-critical industries to consider how an international patient safety learning system (PSLS) can be designed and the acceptability of such a system to healthcare professionals. A systematic review of the literature from safety-critical industries is used to guide a theoretical understanding of key gaps and opportunities in healthcare system development. This is followed by a rigorous evaluation of the components, functions and processes within an international PSLS, guided by experts across safety-critical industries. Using the framework of Benn et al. (2009), the findings of a modified online Delphi study are used to inform the development of a framework for an international PSLS. This includes the purposes, functions, features and key learning outcomes of the system. Finally, the developed framework is examined to establish the potential use of the system in practice. Specifically, a national case study is used to develop and test the prospective acceptability of the international PSLS in the Kuwaiti healthcare context. These findings may be expanded and built on to further explore the feasibility and implementation of such a system and its value across international healthcare safety learning.

Item Type:	Thesis (PhD)
Date Type:	Completion
Status:	Unpublished
Schools:	Medicine
Date of First Compliant Deposit:	20 February 2023
Last Modified:	20 Feb 2024 02:30
URI:	https://orca.cardiff.ac.uk/id/eprint/157162

Actions (repository staff only)

Edit Item