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Data for Enablers and barriers to achieving a Just Culture in an NHS environment: a qualitative study on creating a patient safety-oriented environment
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Tasker, Adam, Jones, Julia and Brake, Simon (2022) Data for Enablers and barriers to achieving a Just Culture in an NHS environment: a qualitative study on creating a patient safety-oriented environment. [Dataset]
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Abstract
Objectives
Just Culture aims to improve patient safety by examining the organisational and individual factors that contribute to adverse events, enabling corrective action so that errors are not repeated. This qualitative study aims to identify barriers and enablers to an organisation adopting a Just Culture.
Methodology
This qualitative study utilised interviews and observation of Trust meetings to elicit the attitudes and behaviours of staff. Semi-structured interviews were conducted with 13 doctors of all grades, five medical students and two managers. Five meetings that reviewed clinical incidents and mortality were observed. This was done in a single Trust in the Midlands, England. Data was thematically analysed using directed and inductive approaches.
Results
There is evidence of a fair incident management process within the Trust, however there was no agreed vision of a Just Culture and the majority of the staff were unfamiliar with the term. Negative perspectives relating to clinical incidents and their management persist amongst staff with many having insecurities regarding being the subject of an investigation and doubts about whether they drive improvement.
Conclusion
This paper examines the significance of these findings and provides recommendations which may have application within other healthcare organisations. Major recommendations include:
1. Define an agreed vision of what Just Culture means to the Trust.
2. Introduce incident management familiarisation training.
3. Consider establishing an incident investigation team.
4. Increase face-to-face communication of outcomes of investigations and incident review.
5. Establishing a Patient Safety Committee could help address these recommendations.
| Item Type: | Dataset | ||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
| Type of Data: | Pseudonymised interview transcripts and pseudonymised field notes | ||||||
| Library of Congress Subject Headings (LCSH): | Great Britain. National Health Service -- Evaluation, Patients -- Safety measures, Medical care -- Quality control -- Great Britain | ||||||
| Publisher: | University of Warwick, Warwick Medical School | ||||||
| Official Date: | 14 July 2022 | ||||||
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| Status: | Not Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Media of Output (format): | .docx | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Copyright Holders: | University of Warwick | ||||||
| Description: | Interview transcripts and field notes are in word documents In order to protect participant confidentiality, supporting data cannot be made openly available. Further information about the data and conditions for access, please contact: s.brake@warwick.ac.uk |
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