Patients as active partners in safety

  • Research type

    Research Study

  • Full title

    Patients as active partners in safety? An exploration of the issues from the perspective of patients and their carers.

  • IRAS ID

    131289

  • Contact name

    Carole Doherty

  • Contact email

    c.doherty@surrey.ac.uk

  • Sponsor organisation

    The Health Foundation

  • Research summary

    Our research will explore patients’ and their relatives'/friends’ understandings of safety and harm. We will also examine how their understandings are similar/different to clinicians’ perceptions and the consequent implications for defining, measuring and improving patient safety. Our aim is to deepen knowledge and inform thinking about the practical implications, arising from policy recommendations, that patients should be active partners with clinicians in managing the safety of their care.

    We will adopt a single case study design embedded at three levels: interpersonal, three groups of people, patients, carers and clinicians; organisational, a single hospital trust; and institutional, the NHS at a particular point in time. Our study will take place in The Christie NHS Foundation Trust (TCFT), the largest cancer centre in Europe with an international reputation, whose practices influence cancer patients’ care worldwide. Mixed methods longitudinal data collection will be employed merging face-to-face patient and carer narrative interviews and ethnographic observation to capture the patients’ journey close to where and when care is delivered. In addition, we will employ a relatively new approach to understand incident reporting issues by asking in-patients to complete incident reporting forms which will then be compared to those completed by clinicians to identify similarities and/or differences.

    By focussing on patient-clinician relationships, and by gaining patients’/relatives’ perspectives, we aim to provide new insights into the safety culture in healthcare, and to provide practical recommendations for involving patients as partners in managing the safety of their care.

  • REC name

    London - Surrey Borders Research Ethics Committee

  • REC reference

    13/LO/1106

  • Date of REC Opinion

    19 Jul 2013

  • REC opinion

    Favourable Opinion