期刊
BMJ QUALITY & SAFETY
卷 31, 期 10, 页码 744-753出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bmjqs-2021-014171
关键词
surgery; patient safety; interruptions; qualitative research; human factors
资金
- Agency for Healthcare Research and Quality (AHRQ), US Department of Health and Human Services (HHS) [HS026491-01]
Direct observation is valuable for identifying latent threats and system complexity in clinical environments. Effective and comprehensive observer training is critical for ensuring reliability and reproducibility of data collection. However, ensuring methodological rigour remains a challenge in direct observation research in healthcare.
Direct observation is valuable for identifying latent threats and elucidating system complexity in clinical environments. This approach facilitates prospective risk assessment and reveals workarounds, near-misses and recurrent safety problems difficult to diagnose retrospectively or via outcome data alone. As observers are an instrument of data collection, developing effective and comprehensive observer training is critical to ensuring the reliability of the data collection and reproducibility of the research. However, methodological rigour for ensuring these data collection properties remains a key challenge in direct observation research in healthcare. Although prior literature has offered key considerations for observational research in healthcare, operationalising these recommendations may pose a challenge and unless guidance is also provided on observer training. In this article, we offer guidelines for training non-clinical observers to conduct direct observations including conducting a training needs analysis, incorporating practice observations and evaluating observers and inter-rater reliability. The operationalisation of these guidelines is described in the context of a 5-year multisite observational study investigating technology integration in the operating room. We also discuss novel tools developed during the course our project to support data collection and examine inter-rater reliability among observers in direct observation studies.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据