| Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation. | |
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MedLine Citation:
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PMID: 20696506 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: to explore the nature of intra- and interprofessional communication on delivery suites, with a particular focus on patient safety. DESIGN: longitudinal study using contrasting forms of observation: ethnographic methods alongside the highly structured Interaction Process Analysis (IPA) framework. SETTING: four contrasting delivery suites offering different models of care and serving different populations: two in the north of England and two in London. PARTICIPANTS: the multidisciplinary delivery suite teams and visiting professionals from related areas. KEY FINDINGS: the ethnographic observations and quantitative findings combine to highlight four principal areas relating to communication: communication underpinning collaboration; effects of workload pressures on communication practices; interprofessional communication; and the influence of architecture on communication. Contextual factors (e.g. case acuity, client throughput, model of care) underscore some inter site differences and attention is drawn to implications for safety. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the use of complementary methods aided exploration of communication in the complex environment of the delivery suite. The findings reflect the complexity of communication patterns and the multiple influences on patterns and norms. Interprofessional tensions, workload pressures and the design of the environment can restrict communication, with implications for safety. As such, these findings have implications for policy in that safety solutions which focus efforts on standardising communication need to be located within wider strategies that also address structural and organisational networks and influences. |
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Authors:
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Emma-Jane Berridge; Nicola J Mackintosh; Della S Freeth |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-08 |
Journal Detail:
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Title: Midwifery Volume: 26 ISSN: 1532-3099 ISO Abbreviation: Midwifery Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-27 Completed Date: 2011-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510930 Medline TA: Midwifery Country: Scotland |
Other Details:
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Languages: eng Pagination: 512-9 Citation Subset: N |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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City University London, 20 Bartholomew Close, London, UK. e.berridge@city.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Clinical Competence Female Great Britain Health Facility Environment / organization & administration Hospitals, Maternity / organization & administration* Humans Infant, Newborn Interdisciplinary Communication* Longitudinal Studies Medical Errors / prevention & control Midwifery / organization & administration* Nurse's Role Nursing Evaluation Research Patient Care Team / organization & administration* Pregnancy Quality of Health Care Safety Management / organization & administration* Total Quality Management / organization & administration* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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