Medication Safety, Patient Safety
Conditions
Brief summary
The study aims to develop and evaluate a new, multifaceted (complex) intervention in a mixed methods study-design to increase medication safety in nursing homes. The SAME-study will be locally anchored, including investigation of patient safety culture, in a mixed methods design, including both in depth qualitative and organizational-focused quantitative methods.
Detailed description
In the SAME-study, we aim to develop and evaluate a new, multifaceted (complex) intervention in a mixed methods study-design to increase medication safety in nursing homes. The SAME-study will be locally anchored, including investigation of patient safety culture, in a mixed methods design, including both in depth qualitative and organizational-focused quantitative methods. This study will be guided by the following main research questions and hypothesis: 1. Can we elucidate new areas susceptible for intervention to increase medication safety in nursing homes through qualitative in-depth investigation of patient safety culture in nursing homes guided by safety theory with participatory approach? 2. Is it possible to develop a multifaceted intervention fit to context within actual resource-frame to increase medication safety in nursing homes based on patient safety culture, guided by safety theory with participatory approach? 3. A complex intervention developed within a participatory framework will lead to positive change of care-staff self-reported perceptions of patient safety climate culture in nursing homes in the intervention group compared with the control group of this study? Study design This study applies mixed-methods pragmatic paradigm led by Safety 1 and 2 theory, with participatory approach to an exploratory sequential three-phased study-design, embedding a randomized controlled trial (cRCT). Overall study-settings will be nursing homes within the municipality of Aalborg, North Denmark Region, Denmark.
Interventions
OTHERComplex intervention
Will be co-developed during the study.
Sponsors
Aalborg University
Aalborg Municipality
University College of Northern Denmark
Anne Estrup Olesen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
This study applies mixed-methods pragmatic paradigm led by Safety 1 and 2 theory, with participatory approach to an exploratory sequential three-phased study-design, embedding a randomized controlled trial (cRCT).
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* involved directly or indirectly in the medication process * employment of at least two months in a nursing-home within the municipality of Aalborg, sufficient spoken and written Danish language
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Care staff's perceptions of patient safety culture | One year | Safety Attitudes Questionnaire (SAQ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perceptions of patient safety culture of relatives of residents and nursing home doctors. | One year | Qualitative data will be collected through individual interviews with relatives and GPs |
Other
| Measure | Time frame | Description |
|---|---|---|
| Safety assessments | One year | data from medical records and national registers will be used for safety assessments. |
Countries
Denmark
Outcome results
None listed