Guiding organisations to involve patients and families meaningfully in serious incident investigations, to support learning or reduce the likelihood of litigation. Other
Conditions
Interventions
The overall research project contains 5 stages, this registration will focus on stage 4. Details on all stages are included for background and context.
In Stage 1 (0-6 months) a documentary analysis o
HSIB), mental health and acute care.
In Stage 4 (22-34 months) we will implement the prototype guidance and resources in 25 investigations across 5 organisations, conducting an ethnography to assess t
Sponsors
Bradford Teaching Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patient and family: 1. Experienced a ‘serious’ incident as defined by the Trust 2. The serious incident is new (occurring in the last few days) 3. There is no police involvement 4. They are >16 years of age 5. They have capacity to consent to the interview Investigators: 1. Experience of conducting serious incident investigations Staff: 1. Directly involved in the serious incident
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Understanding how the new intervention is enacted and experienced in different socio-cultural and organisational contexts -using ‘in situ’ interviews, electronic summary records and documents related to the investigation, actions and outcomes 2. Understanding how patients and families are engaged and involved in investigations, including how procedures are explained, the opportunities for communication and shared decision-making, the influence of status and power differences, and the unwritten rules that seem to shape social order - using non-participant observations of investigation processes 3. Interpretive thematic analysis will preliminarily include open and thematic coding to develop descriptive accounts of the common and distinct processes of investigation, the expectations and experiences of participants of these processes, and the types of learning and recommendations developed. Over a 3-6 month period, analysis will be discussed by the core qualitative team through weekly and monthly meetings (face-to-face and remote), before being presented to the wider research team for further development and then the final stakeholder event | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
England, United Kingdom
Outcome results
None listed