Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards.

ABSTRACT:

Objectives

To understand how frontline reports of day-to-day care failings might be better translated into improvement.

Design

Qualitative evaluation of an interdisciplinary team intervention capitalising on the frontline experience of care delivery. Prospective clinical team surveillance (PCTS) involved structured interdisciplinary briefings to capture challenges in care delivery, facilitated organisational escalation of the issues they identified, and feedback. Eighteen months of ethnography and two focus groups were conducted with staff taking part in a trial of PCTS.

Results

PCTS fostered psychological safety-a confidence that the team would not embarrass or punish those who speak up. This was complemented by a hard edge of accountability, whereby team members wou

SUBMITTER: Pannick S 

PROVIDER: S-EPMC5719651 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature