- Patient Safety and Medication Errors
- Healthcare Decision-Making and Restraints
- Emergency and Acute Care Studies
- Medical Malpractice and Liability Issues
- Psychiatric care and mental health services
- Healthcare professionals’ stress and burnout
- Nursing education and management
- Mental Health and Patient Involvement
- Workplace Health and Well-being
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Down syndrome and intellectual disability research
- Electronic Health Records Systems
- Clinical practice guidelines implementation
- Healthcare innovation and challenges
- Chronic Disease Management Strategies
- Patient Dignity and Privacy
- Primary Care and Health Outcomes
- Disaster Response and Management
- Empathy and Medical Education
- Ethics in Clinical Research
- Geriatric Care and Nursing Homes
- Patient Satisfaction in Healthcare
- Disaster Management and Resilience
- Job Satisfaction and Organizational Behavior
University of Leeds
2012-2025
University of Bradford
2019-2024
Bradford Teaching Hospitals NHS Foundation Trust
2013-2022
Bradford Royal Infirmary
2015-2021
There is a growing international policy focus on involving those affected by healthcare safety incidents, in subsequent investigations. Nonetheless, there remains little UK-based evidence exploring how this relates to the experiences of over time, including factors influencing decisions litigate. We aimed explore patients, families, staff and legal representatives incidents Participants were purposively recruited via (i) communication from four NHS hospital Trusts or an independent national...
There are recognised gaps between evidence and practice in general practice, a setting posing particular implementation challenges. We earlier screened clinical guideline recommendations to derive set of 'high-impact' indicators based upon criteria including potential for significant patient benefit, scope improved amenability measurement using routinely collected data. Here, we explore health professionals' perceived determinants adherence these indicators, examining the degree which were...
The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions patient safety. A mediation model proposed whereby association symptoms depression safety mediated by burnout.There is growing interest in healthcare staff care. Depressive are higher than general population overlap conceptually with burnout. However, minimal research has investigated these variables nurses. Given conceptual burnout, there also a need for an explanatory outlining...
Background Whilst patients and families can do support patient safety in several ways, empirical evidence for the specific impact of involvement incident investigations their outcomes, has been limited, with little information about how to undertake meaningfully. Aim We aimed (i) develop a set common principles guide investigations; (ii) working programme theory these might be enacted; (iii) co-design guidance meaningful investigations. Methods synthesised three existing data sets (a...
Interventions that make extensive use of theory tend to have larger effects on behaviour. The Intervention Mapping (IM) framework incorporates into intervention design, implementation and evaluation, was applied the development a community-based childhood obesity prevention for multi-ethnic population.IM as follows: 1) Needs assessment community culture; consideration evidence-base, policy practice; 2) Identification desired outcomes change objectives following identification barriers...
Abstract Background Failures in care for people with learning disabilities have been repeatedly highlighted and remain an international issue, exemplified by a disparity premature death due to poor quality unsafe care. This needs urgent attention. Therefore, the aim of study was understand experiences disabilities, explore potential patient safety issues they, their carers families raised. Methods Two data sources exploring lived experience were synthesised using integrative approach,...
The considered shift from individual blame and sanctions towards a commitment to system-wide learning incidents in healthcare has led increased understanding of both the moral epistemic importance involving those affected. It is important understand whether how local policy describes prompts involvement with view landscape for serious incident investigations healthcare. This study aimed explore way which affected by represented investigation documents across acute mental health services...
This exploratory randomised controlled trial examined the effectiveness of a novel short messaging service intervention underpinned by theory planned behaviour (TPB) in improving insulin administration young adults with type 1 diabetes and role moderating variables. Those condition (N = 8) received one daily text message TPB constructs: Attitudes, subjective norms, perceived behavioural control intention. 10) weekly general health messages. Self-reported was main outcome measure;...
Bullying and discrimination may be indirectly associated with patient safety via their contribution to burnout, but research has yet establish this.The aims of this study were investigate the relationships between workplace bullying, perceived discrimination, levels burnout perceptions in nurses midwives assess whether bullying more frequently experienced by Black, Asian minority ethnic than White midwives.In total, 528 recruited from four hospitals United Kingdom complete a cross-sectional...
Abstract Background Service user and carer perspectives on safety issues in mental health services are not well known may be important preventing reducing harm. The development of the Yorkshire Contributory Factors Framework—Mental Health (YCFF‐MH) provides a broad structure within which to explore these perspectives. Objective To what service users their carers consider issues. Design, setting participants Qualitative interviews with 13 7 UK. Participants were asked about experiences...
Patients have expressed a growing interest in having easy access to their personal health information, and internationally there has been increasing policy focus on patient care records being more accessible. Limited research from the UK qualitatively explored this topic primary staff perspective. This study aimed understand what think about patients accessing electronic records, highlighting errors providing feedback via online portals.
Previous research into improving patient safety has emphasised the importance of responding to and learning from concerns raised by service users carers. Expertise gained experiences their carers also been seen as a potential resource improve safety. We know little about ease raising within mental health services, benefits involving in interventions. This study aimed explore user carer perceptions concerns, user, professional views on for involvement interventions.UK users, professionals (...
Values are of high importance to the nursing profession. Value congruence is extent which an individual's values align with their organisation. has important implications for job satisfaction.This study explored nurse values, value and potential individual nurses organisations in terms wellbeing patient care safety.Fifteen who worked acute hospital settings within UK participated semi-structured telephone interviews. Thematic analysis was utilised analyse data.Four themes were identified:...
Abstract Background Evidence suggests that patients can meaningfully feed back to healthcare providers about the safety of their care. The PRASE (Patient Reporting and Action for a Safe Environment) intervention provides way systematically collect feedback from support service improvement. is being implemented in acute care settings with patient collected by hospital volunteers first time. Objective To undertake formative evaluation which explores feasibility acceptability delivered...
Mental health wards can feel unsafe. We know that patients and staff have different ideas about what makes a hospital ward safe or Patients are often the first to when atmosphere on becomes tense, but often, no one asks them for their views. experts should be included in discussions how make safer.
Background Acute mental health services report high levels of safety incidents that involve both patients and staff. The potential for to be involved in interventions improve within a setting is acknowledged, there need proactively seek the patient perspective safety. Digital technologies may offer opportunities address this need. Objective This research sought design develop digital real-time monitoring tool (WardSonar) collect collate daily information from acute wards about their...
Abstract Background The PRASE (Patient Reporting and Action for a Safe Environment) intervention provides way to systematically collect patient feedback support service improvement. To provide sustainable mechanism the intervention, 2‐year improvement project explored potential hospital volunteers facilitate collection of feedback. Objective explore implementation delivered in collaboration with from perspectives key stakeholders. Design A qualitative case study design was utilized across...
Background Dissemination of clinical guidelines is necessary but seldom sufficient by itself to ensure the reliable uptake evidence-based practice. There are further challenges in implementing multiple and practice recommendations pressurised environment general Objectives We aimed develop evaluate an implementation package that could be adapted support a range guideline sustainably integrated within systems resources. Over five linked work packages, we developed ‘high-impact’ quality...
Objectives There is growing evidence that patients can provide feedback on the safety of their care. The 44-item Patient Measure Safety (PMOS) was developed for this purpose. While valid and reliable, length questionnaire makes it potentially challenging routine use. Our study aimed to produce revised, shortened versions PMOS (PMOS-30 PMOS-10), which retained psychometric properties longer version. Participants To a diagnostic measure, we analysed data from 2002 who completed PMOS-44,...
Abstract The study aimed to explore mental health professionals’ perceptions of patient safety issues across community and inpatient services. Fourteen professionals settings participated in qualitative interviews. Framework analysis, guided by the Yorkshire Contributory Factors – Mental Health, was used analyse data. Safety identified mapped on 19 21 factors Health. most frequently mentioned participants were ‘safety culture’ which focused raising concerns, learning from incidents influence...
Safety netting in primary care may help diagnose cancer earlier, but it is unclear what the format and content of an acceptable safety-netting intervention would be. This project aimed to co-design a with for patients staff.This work sought address how be implemented practice; and, if all stakeholders.Patient representatives, GPs, nurse practitioners were invited series workshops. Patients who had not received diagnosis practices took part separate focus groups.Three workshops using creative...
Background Acute inpatient mental health services report high levels of safety incidents. The application patient theory has been sparse, particularly concerning interventions that proactively seek perspectives. Objective(s) Develop and evaluate a theoretically based, digital monitoring tool to collect real-time information from patients on acute adult wards about their perceptions ward safety. Design Theory-informed mixed-methods study. A prototype was developed co-design approach,...