Patient safety in patients who occupy beds on clinically inappropriate wards: A qualitative interview study with NHS staff

BMJ Quality and Safety

Volumn 21, Issue 3, 2012, Pages 218-224

  Goulding, Lucy ^a   Adamson, Joy ^a   Watt, Ian ^a   Wright, John ^b  

^a UNIVERSITY OF YORK   (United Kingdom)

^b BRADFORD INSTITUTE FOR HEALTH RESEARCH   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE PERSONNEL; HUMAN; INTERPERSONAL COMMUNICATION; KNOWLEDGE; NURSE; PATIENT SAFETY; PERCEPTION; PERSONAL EXPERIENCE; PHYSICIAN; WARD;

ATTITUDE OF HEALTH PERSONNEL; BED OCCUPANCY; ENGLAND; HOSPITAL UNITS; HOSPITALS, TEACHING; HUMANS; INTERVIEWS AS TOPIC; MEDICAL STAFF, HOSPITAL; NATIONAL HEALTH PROGRAMS; PATIENT SAFETY; QUALITATIVE RESEARCH;

EID: 84857457747     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2011-000280     Document Type: Article

References (36)

1. National Audit Office. Inpatient Admissions and Bed Management in NHS Acute Hospitals. London: The Stationery Office, 2000.
2. Lepage B, Robert R, Lebeau M, et al. Use of a risk analysis method to improve care management for outlying inpatients in a university hospital. Qual Saf Health Care 2009;18:441-5.
3. Alameda C, Suárez C. Clinical outcomes in medical outliers admitted to hospital with heart failure. Eur J Intern Med 2009;20:764-7.
4. Rae B, Busby W, Millard PH. Fast-tracking acute hospital care - from bed crisis to bed crisis. Aust Health Rev 1997;31:50-62.
5. Creamer GL, Dahl A, Perumal D, et al. Anatomy of the ward round: the time spent in different activities. ANZ J Surg 2010;80:930-2.
6. Ashdown DA, Williams D, Davenport K, et al. The impact of medical outliers on elective surgical lists. Ann R Coll Surg Engl 2003;85:46-7.
7. Wolstenholme E, McKelvie D, Smith G, et al. Using system dynamics in modelling health and social care commissioning in the UK. 2004. http://www.systemdynamics.org/conferences/2004/SDS-2004/PAPERS/116SMITH.pdf (accessed 20 Jun 2011).
8. Gilligan S, Walters M. Quality improvements in hospital flow may lead to a reduction in mortality. Clin Govern Int J 2008;13:26-34.
9. Audit Commission. Bed Management. London, UK: CW Print Group Ltd, 2003.
10. Fullerton KJ, Crawford VL. The winter bed crisis - quantifying seasonal effects on hospital bed usage. QJM 1999;92:199-206.
11. Wright N, Shapiro LM, Nicholson J. Treatment of renal failure in a non-specialist unit. BMJ 1980;12:117-18. (Pubitemid 10064844)
12. Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 2007;4:CD000197.
13. Bucknall CE, Robertson C, Moran F, et al. Management of asthma in hospital: a prospective audit. Br Med J (Clin Res Ed) 1988;296:1637-9.
14. Sanderson JD, Taylor RF, Pugh S, et al. Specialized gastrointestinal units for the management of upper gastrointestinal haemorrhage. Postgrad Med J 1990;66:654-6. (Pubitemid 20234810)
15. Department of Health. An Organisation with a Memory: Learning from Adverse Events in the NHS. London: The Stationery Office, 2000.
16. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517-19. (Pubitemid 32230913)
17. Reason J. Human error: models and management. BMJ 2000;320:768-70. (Pubitemid 30179429)
18. Vincent C. Patient Safety. Amsterdam: Elsevier, 2006.
19. Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ 1998;316:1154-7. (Pubitemid 28156466)
20. Mohan S, Wilkes LM, Ogunsiji O, et al. Caring for patients with cancer in non-specialist wards: the nurse experience. Eur J Cancer Care (Engl) 2005;14:256-63. (Pubitemid 40853714)
21. Lloyd JM, Elsayed S, Majee A, et al. The practice of out-lying patients is dangerous: a multicentre comparison study of nursing care provided for trauma patients. Injury 2005;36:710-13. (Pubitemid 40732304)
22. Elsayed S, Cosker TD, Grant A. Pressure for beds - does it put our orthopaedic patients at risk? Injury 2005;36:86-7. (Pubitemid 39611310)
23. Tameside and Glossop Acute Services. Repatriation Policy for All Outlier Patients. http://www.tamesidehospital.nhs.uk/Documents/Repatriation%20Policy.pdf (accessed 25 Aug 2011).
24. University Hospitals of Leicester NHS Trust. Bed Management Policy. http://www.knowledge.uhl-tr.nhs.uk/Shared%20Documents/ Policies%20and%20procedures/ Business%20conduct%20and%20service%20provision%20policies%20and%20procedures/ Bed%20Management%20Policy%20 (UHL).pdf (accessed 25 Aug 2011).
25. Newcastle Upon Tyne Hospitals NHS Foundation Trust. Bed Management Guidelines. http://www.newcastle-hospitals.org.uk/downloads/policies/ Operational/BedManagementGuidelines.pdf (accessed 25 Aug 2011).
26. South Tees Hospitals NHS Trust. Trust Bed Management Policy. http://www.southtees.nhs.uk/UserFiles/pages/2241.pdf (accessed 25 Aug 2011).
27. Healthcare Commission: Buckinghamshire Hospitals NHS Trust Progress Following the Publication of the Healthcare Commission's Investigation Report in July 2006. http://www.cqc.org.uk/-db/-documents/Buckinghamshire-Hospitals-NHS- Trust---progress-report-Nov07.pdf (accessed 25 Aug 2011).
28. Silverman D. Doing Qualitative Research: A Practical Handbook. London: Sage, 2000:179-84.
29. Pope C, Ziebland S, Mays N. Analysing qualitative data. In: Pope C, Mays N, eds. Qualitative Research in Health Care. 3rd edn. Oxford: Blackwell Publishing Ltd, 2006:63-80.
30. Buetow S. Thematic analysis and its reconceptualization as 'saliency analysis'. J Health Serv Res Policy 2010;15:123-5.
31. Taylor-Adams S, Vincent C. Systems analysis of clinical incidents: the London Protocol. Clin Risk 2004;10:211-20. (Pubitemid 39524259)
32. Henriksen K, Dayton E, Keyes MA, et al. Understanding adverse events: A human factors framework. In: Hughes RG, ed. Patient safety and quality: An evidence based handbook for nurses. Rockville, Maryland: Agency for Healthcare Research and Quality, 2008. http://www.ncbi.nlm.nih.gov/books/NBK2666/ (accessed 31 Oct 2011).
33. Vincent C, Taylor-Adams S, Chapman EJ, et al. How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol. BMJ 2000;320:777-81. (Pubitemid 30179432)
34. Leape LL. A systems analysis approach to medical error. J Eval Clin Pract 1997;3:213-22. (Pubitemid 127499689)
35. Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet 1997;349:309-13. (Pubitemid 27056822)
36. Macfarlane AJ, Godden S, Pollock AM. Are we on trackdcan we monitor bed targets in the NHS plan for England? J Public Health (Oxf) 2005;27:263-9.