PMID: 16514934Mar 7, 2006Paper

Studying patient safety in health care organizations: accentuate the qualitative

Joint Commission Journal on Quality and Patient Safety
Timothy J Hoff, Kathleen M Sutcliffe

Abstract

The study of patient safety can benefit from greater methodological diversity to improve scientific knowledge and to increase the effectiveness and tailoring of strategies aimed at improving it. Additional methods for studying patient safety and errors to reflect the complexity of what goes on within health care organizations should be made routine. Interviews, focus groups, and observation--the predominant methods used in qualitative research--are infrequently used in health services research, generally and specifically in the study of errors and patient safety. However, they offer several advantages over quantitative designs. They often are less expensive and quicker to implement; they may not need a lot of advance work; and they can be used to study retrospectively a particular failure event, outcome, or situation. Organizations can use an action agenda to better implement and promote the use of qualitative methods. Implementing these action steps can help achieve the attributes-trust, honesty, communication, participation, and efficiency-necessary to facilitate the qualitative approach in health care work settings. Qualitative approaches should be used in studying patient safety as a complement to (not a substitute for) qua...Continue Reading

References

Oct 5, 2001·Health Affairs·E C Becher, M R Chassin
Oct 16, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Elise C Becher, Mark R Chassin
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Ross KoppelBrian L Strom

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Citations

Apr 22, 2008·Quality Management in Health Care·Timothy J Hoff
Sep 2, 2017·BMC Health Services Research·Georgia HerbertCharlotte Atkinson
Aug 3, 2010·Medical Care Research and Review : MCRR·Bryan J WeinerTimothy J Hoff
Dec 25, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·W A GrobmanM K Szekendi
May 4, 2018·Research in Nursing & Health·Alana RosenbergBeth L Emerson
May 17, 2011·BMC Health Services Research·Jennifer PlumbJeffrey Braithwaite
Feb 19, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·William A GrobmanRobert Costello

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