Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/26587
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dc.contributor.authorBowie, Paulen_UK
dc.contributor.authorMcNaughton, Elaineen_UK
dc.contributor.authorBruce, Daviden_UK
dc.contributor.authorHolly, Deirdreen_UK
dc.contributor.authorForrest, Eleanoren_UK
dc.contributor.authorMacleod, Marionen_UK
dc.contributor.authorKennedy, Susanen_UK
dc.contributor.authorPower, Ailsaen_UK
dc.contributor.authorToppin, Denisen_UK
dc.contributor.authorBlack, Ireneen_UK
dc.contributor.authorPooley, Janeten_UK
dc.contributor.authorTaylor, Audreyen_UK
dc.contributor.authorSwanson, Vivienen_UK
dc.contributor.authorKelly, Moyaen_UK
dc.contributor.authorFerguson, Julieen_UK
dc.date.accessioned2018-01-25T23:15:49Z-
dc.date.available2018-01-25T23:15:49Z-
dc.date.issued2016-07en_UK
dc.identifier.urihttp://hdl.handle.net/1893/26587-
dc.description.abstractIntroduction:  Significant event analysis (SEA) is well established in many primary care settings but can be poorly implemented. Reasons include the emotional impact on clinicians and limited knowledge of systems thinking in establishing why events happen and formulating improvements. To enhance SEA effectiveness, we developed and tested “guiding tools” based on human factors principles.  Methods:  Mixed-methods development of guiding tools (Personal Booklet—to help with emotional demands and apply a human factors analysis at the individual level; Desk Pad—to guide a team-based systems analysis; and a written Report Format) by a multiprofessional “expert” group and testing with Scottish primary care practitioners who submitted completed enhanced SEA reports. Evaluation data were collected through questionnaire, telephone interviews, and thematic analysis of SEA reports.  Results:  Overall, 149/240 care practitioners tested the guiding tools and submitted completed SEA reports (62.1%). Reported understanding of how to undertake SEA improved postintervention (P< .001), while most agreed that the Personal Booklet was practical (88/123, 71.5%) and relevant to dealing with related emotions (93/123, 75.6%). The Desk Pad tool helped focus the SEA on systems issues (85/123, 69.1%), while most found the Report Format clear (94/123, 76.4%) and would recommend it (88/123, 71.5%). Most SEA reports adopted a systems approach to analyses (125/149, 83.9%), care improvement (74/149, 49.7), or planned actions (42/149, 28.2%).  Discussion:  Applying human factors principles to SEA potentially enables care teams to gain a systems-based understanding of why things go wrong, which may help with related emotional demands and with more effective learning and improvement.en_UK
dc.language.isoenen_UK
dc.publisherLippincott, Williams & Wilkinsen_UK
dc.relationBowie P, McNaughton E, Bruce D, Holly D, Forrest E, Macleod M, Kennedy S, Power A, Toppin D, Black I, Pooley J, Taylor A, Swanson V, Kelly M & Ferguson J (2016) Enhancing the Effectiveness of Significant Event Analysis: Exploring Personal Impact and Applying Systems Thinking in Primary Care. Journal of Continuing Education in the Health Professions, 36 (3), pp. 195-205. https://doi.org/10.1097/ceh.0000000000000098en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectadverse eventsen_UK
dc.subjectpatient safetyen_UK
dc.subjectprimary careen_UK
dc.subjectincident analysisen_UK
dc.subjectteam learningen_UK
dc.subjectemotional demandsen_UK
dc.subjecthuman factors and ergonomicsen_UK
dc.subjectsystems thinkingen_UK
dc.titleEnhancing the Effectiveness of Significant Event Analysis: Exploring Personal Impact and Applying Systems Thinking in Primary Careen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-02en_UK
dc.rights.embargoreason[ceh-36-195.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1097/ceh.0000000000000098en_UK
dc.identifier.pmid27583996en_UK
dc.citation.jtitleJournal of Continuing Education in the Health Professionsen_UK
dc.citation.issn1554-558Xen_UK
dc.citation.issn0894-1912en_UK
dc.citation.volume36en_UK
dc.citation.issue3en_UK
dc.citation.spage195en_UK
dc.citation.epage205en_UK
dc.citation.publicationstatusPublisheden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailvivien.swanson@stir.ac.uken_UK
dc.citation.date01/07/2016en_UK
dc.description.notesAdditional co-authors: Suzanne Stirling, Judy Wakeling, Angela Inglis, John McKay, and Joan Sargeanten_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationBright HFen_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.contributor.affiliationNHS Education for Scotlanden_UK
dc.identifier.isiWOS:000388301600009en_UK
dc.identifier.wtid503440en_UK
dc.contributor.orcid0000-0002-1685-2991en_UK
dc.date.accepted2016-07-01en_UK
dcterms.dateAccepted2016-07-01en_UK
dc.date.filedepositdate2018-01-25en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorBowie, Paul|en_UK
local.rioxx.authorMcNaughton, Elaine|en_UK
local.rioxx.authorBruce, David|en_UK
local.rioxx.authorHolly, Deirdre|en_UK
local.rioxx.authorForrest, Eleanor|en_UK
local.rioxx.authorMacleod, Marion|en_UK
local.rioxx.authorKennedy, Susan|en_UK
local.rioxx.authorPower, Ailsa|en_UK
local.rioxx.authorToppin, Denis|en_UK
local.rioxx.authorBlack, Irene|en_UK
local.rioxx.authorPooley, Janet|en_UK
local.rioxx.authorTaylor, Audrey|en_UK
local.rioxx.authorSwanson, Vivien|0000-0002-1685-2991en_UK
local.rioxx.authorKelly, Moya|en_UK
local.rioxx.authorFerguson, Julie|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2999-12-02en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameceh-36-195.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0894-1912en_UK
Appears in Collections:Psychology Journal Articles

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