Residents transitioning between hospital and care homes: protocol for codesigning a systems-level response to safety issues (SafeST study)

Scott, Jason, Brittain, Katie, Byrnes, Kate, Dawson, Pamela, Mulrine, Stephanie, Spencer, Michele, Waring, Justin and Young-Murphy, Lesley (2022) Residents transitioning between hospital and care homes: protocol for codesigning a systems-level response to safety issues (SafeST study). BMJ Open, 12 (1). ISSN 2044-6055

Preview

Text
Residents transitioning between hospital and care homes protocol for codesigning a systems- level response to safety issues SafeST study.pdf - Published Version
Available under License Creative Commons Attribution.
Download (464kB) | Preview

Official URL: https://doi.org/10.1136/bmjopen-2021-050665

Abstract

Introduction: The aim of this study is to develop a better understanding of incident reporting in relation to transitions in care between hospital and care home, and to codesign a systems- level response to safety issues for patients transitioning between hospital and care home. Methods and analysis: Two workstreams (W) will run in parallel. W1 will aim to develop a taxonomy of incident reporting in care homes, underpinned by structured interviews (N=150) with care home representatives, scoping review of care home incident reporting systems, and a review of incident reporting policy related to care homes. The taxonomy will be developed using a standardised approach to taxonomy development. W2 will be structured in three phases (P). P1a will consist of ≤40 interviews with care home staff to develop a better understanding of their specific internal systems for reporting incidents, and P1b will include ≤30 interviews with others involved in transitions between hospital and care home. P1a and P1b will also examine the impact of the SARS- CoV- 2 pandemic on safe transitions. P2 will consist of a retrospective documentary analysis of care home data relating to resident transitions, with data size and sampling determined based on data sources identified in P1a. A validated data extraction form will be adapted before use. P3 will consist of four validation and codesign workshops to develop a service specification using National Health Service Improvement’s service specification framework, which will then be mapped against existing systems and recommendations produced. Framework analysis informed by the heuristic of systemic risk factors will be the primary mode of analysis, with content analysis used for analysing incident reports. Ethics and dissemination: The study has received university ethical approval and Health Research Authority approval. Findings will be disseminated to commissioners, providers and regulators who will be able to use the codesigned service specification to improve integrated care.

Item Type:	Article
Additional Information:	This article was published Open Access.
Depositing User:	Ms Raisa Burton
Date Deposited:	07 Jan 2022 10:58
Last Modified:	07 Jan 2022 10:58
URI:	https://marjon.repository.guildhe.ac.uk/id/eprint/17676
Related URLs:	https://bmjopen ... /1/e050665.info (Publisher URL)

Actions (login required)

Edit Item