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Family role in paediatric safety incidents: a retrospective study protocol

Rees, Philippa, Purchase, Thomas ORCID:, Ball, Emily, Beggs, Jillian, Gabriel, Francesca, Gwyn, Sioned, Hellard, Stuart, Jones, Elena, McFadzean, Isobel Joy, Paccagnella, Davide, Robb, Philippa, Walsh, Kathleen and Carson-Stevens, Andrew ORCID: 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13 (7) , e075058. 10.1136/bmjopen-2023-075058

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Introduction Healthcare-associated harm is an international public health issue. Children are particularly vulnerable to this with 15%–35% of hospitalised children experiencing harm during medical care. While many factors increase the risk of adverse events, such as children’s dependency on others to recognise illness, children have a unique protective factor in the form of their family, who are often well placed to detect and prevent unsafe care. However, families can also play a key role in the aetiology of unsafe care. We aim to explore the role of families, guardians and parents in paediatric safety incidents, and how this may have changed during the pandemic, to learn how to deliver safer care and codevelop harm prevention strategies across healthcare settings. Methods and analysis This will be a retrospective study inclusive of an exploratory data analysis and thematic analysis of incident report data from the Learning from Patient Safety Events service (formerly National Reporting and Learning System), using the established PatIent SAfety classification system. Reports will be identified by using specific search terms, such as *parent* and *mother*, to capture narratives with explicit mention of parental involvement, inclusive of family members with parental and informal caregiver responsibilities. Paediatricians and general practitioners will characterise the reports and inter-rater reliability will be assessed. Exploratory descriptive analysis will allow the identification of types of incidents involving parents, contributing factors, harm outcomes and the specific role of the parents including inadvertent contribution to or mitigation of harm.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: BMJ Publishing Group
ISSN: 2044-6055
Funders: Scientific Foundation Board of the Royal College of General Practitioners, Health and Care Research Wales
Date of First Compliant Deposit: 28 July 2023
Date of Acceptance: 3 July 2023
Last Modified: 05 Jan 2024 03:50

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