The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study

Article English OPEN
O’Hara, Jane K. ; Lawton, Rebecca J. ; Armitage, Gerry ; Sheard, Laura ; Marsh, Claire ; Cocks, Kim ; McEachan, Rosie R. C. ; Reynolds, Caroline ; Watt, Ian ; Wright, John (2016)

Background There is growing interest in the role of patients in improving patient safety. One such role is providing feedback on the safety of their care. Here we describe the development and feasibility testing of an intervention that collects patient feedback on patient safety, brings together staff to consider this feedback and to plan improvement strategies. We address two research questions: i) to explore the feasibility of the process of systematically collecting feedback from patients about the safety of care as part of the PRASE intervention; and, ii) to explore the feasibility and acceptability of the PRASE intervention for staff, and to understand more about how staff use the patient feedback for service improvement. Method We conducted a feasibility study using a wait-list controlled design across six wards within an acute teaching hospital. Intervention wards were asked to participate in two cycles of the PRASE (Patient Reporting & Action for a Safe Environment) intervention across a six-month period. Participants were patients on participating wards. To explore the acceptability of the intervention for staff, observations of action planning meetings, interviews with a lead person for the intervention on each ward and recorded researcher reflections were analysed thematically and synthesised. Results Recruitment of patients using computer tablets at their bedside was straightforward, with the majority of patients willing and able to provide feedback. Randomisation of the intervention was acceptable to staff, with no evidence of differential response rates between intervention and control groups. In general, ward staff were positive about the use of patient feedback for service improvement and were able to use the feedback as a basis for action planning, although engagement with the process was variable. Gathering a multidisciplinary team together for action planning was found to be challenging, and implementing action plans was sometimes hindered by the need to co-ordinate action across multiple services. Discussion The PRASE intervention was found to be acceptable to staff and patients. However, before proceeding to a full cluster randomised controlled trial, the intervention requires adaptation to account for the difficulties in implementing action plans within three months, the need for a facilitator to support the action planning meetings, and the provision of training and senior management support for participating ward teams. Conclusions The PRASE intervention represents a promising method for the systematic collection of patient feedback about the safety of hospital care. Electronic supplementary material The online version of this article (doi:10.1186/s12913-016-1919-z) contains supplementary material, which is available to authorized users.
  • References (23)
    23 references, page 1 of 3

    1. Francis QC. R. Report of the Mid-Staffordshire NHS Foundation Trust Public Inquiry: Analysis of evidence and lessons learned (part 1). 2013.

    2. National Advisory Group on the Safety of Patients in England. A Promise to Learn - A Commitment to Act. In: Improving the Safety of Patients in England. London: Department of Health; 2013.

    3. Keogh B. (Professor, Sir). Review into the quality of care and treatment provided by 14 hospital trusts in England: overview report. England: NHS; 2013.

    4. https://www.safetyandquality.gov.au/publications/safety-and-qualityimprovement-guide-standard-2-partneringwith-consumers-october-2012/ [Accessed 15 Nov 2016].

    5. http://www.ipfcc.org/advance/topics/better-together.html. [Accessed 15 Nov 2016].

    6. Giles SJ, Lawton RJ, Din I, McEachan RR. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62.

    7. McEachan RR, Lawton RJ, O'Hara JK, Armitage G, Giles S, Parveen S, et al. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):565-73.

    8. O'Hara JK, Isden R. Identifying risks and monitoring safety: the role of patients and citizens. London: The Health Foundation; 2013.

    9. Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80.

    10. Ward JK, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21(8):685-99.

  • Related Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark