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    Perceived areas for future intervention and research addressing conveyance decisions and potential threats to patient safety: stakeholder workshops

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    Author
    O'Hara, Rachel
    Johnson, Maxine
    Hirst, Enid
    Weyman, Andrew
    Shaw, Deborah
    Mortimer, Peter
    Newman, Chris
    Storey, Matthew
    Turner, Janette
    Mason, Suzanne
    Quinn, Tom
    Shewan, Jane
    Siriwardena, Aloysius cc
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    Keyword
    Emergency Medical Services
    Paramedics
    Patient Safety
    Training and Education
    Research
    Journal title
    Emergency Medicine Journal
    
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    URI
    http://hdl.handle.net/20.500.12417/349
    DOI
    10.1136/emermed-2016-206139.25
    Abstract
    Background As part of a study examining systemic influences on conveyance decisions by paramedics and potential threats to patient safety, stakeholder workshops were conducted with three Ambulance Service Trusts in England. The study identified seven overarching systemic influences: demand; priorities; access to care; risk tolerance; training, communication and resources. The aim of the workshops was to elicit feedback on the findings and identify perceived areas for future intervention and research. Attendees were also asked to rank the seven threats to patient safety in terms of their perceived importance for future attention. Methods A total of 45 individuals attended across all the workshops, 28 ambulance service staff and 17 service user representatives. Discussions were audio-recorded, transcribed and thematically analysed. A paper based paired comparison approach was used to produce an ordinal ranking to illustrate the relative prioritisation of issues. Analysis included testing for internal consistency and between-rater agreement for this relatively small sample. Findings The two highest ranking priorities were training and development, as well as access to care. The areas for intervention identified represent what attendees perceived as feasible to undertake and relate to: care options; cross boundary working; managing demand; staff development; information and feedback; and commissioning decisions. Perceived areas for research specifically address conveyance decisions and potential threats to patient safety. 17 areas for research were proposed that directly relate to six of the systemic threats to patient safety. Conclusions Feedback workshops were effective in the validation of findings as well as providing an opportunity to identify priorities for future interventions and research. They also facilitated discussion between a variety of Ambulance Service staff and service user representatives. Ongoing collaboration between members of the research team has enabled some of the research recommendations to be explored as part of a mutually agreed research agenda. https://emj.bmj.com/content/emermed/33/9/e7.3.full.pdf This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/emermed-2016-206139.25
    ae974a485f413a2113503eed53cd6c53
    10.1136/emermed-2016-206139.25
    Scopus Count
    Collections
    Publications - South East Coast Ambulance Service
    Publications - Yorkshire Ambulance Service
    Publications - East Midlands Ambulance Service

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