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Resilient healthcare theory as a lens to research emergency department operations : a protocol for a scoping review
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Chessum, Peter Thomas, Sujan, Mark-Alexander, Xyrichis, Andreas and Anderson, Janet E. (2022) Resilient healthcare theory as a lens to research emergency department operations : a protocol for a scoping review. BMJ Open, 11 (12). e053701. doi:10.1136/bmjopen-2021-053701 ISSN 2044-6055.
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WRAP-Resilient-healthcare-theory-lens-research-emergency-department-protocol-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (335Kb) | Preview |
Official URL: https://doi.org/10.1136/bmjopen-2021-053701
Abstract
Introduction
Emergency departments (EDs) are complex systems that have constant fluctuations in demand, creating mismatches with planned capacity. Despite the complexity of ED operations, quality and safety improvement are often approached in a reactive, linear and reductionist manner. There is increasing interest in adopting Resilient Healthcare (RHC) techniques based on complex systems thinking as a method for quality improvement and research in EDs. However, the evidence for this approach is still developing and it is not clear what techniques have been used so far and which are most effective. This scoping review will be conducted between March 2022 until May 2022. It seeks to examine the international literature for available reports that have adopted RHC theory to study ED operations and identify approaches used and proposed benefits.
Methods and analysis
The methodology for scoping reviews outlined by Arksey and O’Malley (2005) will be followed, acknowledging refinements made to the scoping review process by Levac et al (2010). The methodology consists of five steps: (1) identifying the research question; (2) identifying the relevant literature; (3) study selection; (4) charting the data; and (5) collating, summarising and reporting the results. A two-stage approach will be undertaken to synthesise and report results: (1) numerical analysis of the nature and distribution of studies (the overall number of studies, country of origin, the most studied core function of ED, type of research design); and (2) a thematic mapping of the literature.
Ethics and dissemination
Scoping review methodology synthesises published data and, therefore, does not require ethical approval. An article formatted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews reporting guidance will be submitted for publication to a scientific journal. Findings will also be presented at relevant advanced practice conferences and disseminated within clinical and academic groups.
Item Type: | Journal Article | ||||||||
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Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
SWORD Depositor: | Library Publications Router | ||||||||
Library of Congress Subject Headings (LCSH): | Hospitals -- Emergency services -- Quality control, Medical care -- Quality control, Accidents -- Prevention, Organizational resilience | ||||||||
Journal or Publication Title: | BMJ Open | ||||||||
Publisher: | BMJ Publishing Group | ||||||||
ISSN: | 2044-6055 | ||||||||
Official Date: | 30 December 2022 | ||||||||
Dates: |
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Volume: | 11 | ||||||||
Number: | 12 | ||||||||
Article Number: | e053701 | ||||||||
DOI: | 10.1136/bmjopen-2021-053701 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Re-use Statement: | ** Embargo end date: 25-12-2021 ** From BMJ via Jisc Publications Router ** History: received 20-05-2021; ppub 12-2021; accepted 08-12-2021; epub 25-12-2021. ** Licence for this article starting on 25-12-2021: http://creativecommons.org/licenses/by-nc/4.0/ | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 14 March 2022 | ||||||||
Date of first compliant Open Access: | 14 March 2022 | ||||||||
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