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6. Developing the University of Tartu in Estonia into a well-networked Patient Safety Research Centre (PATSAFE): A study protocol

Author

PÕLLUSTE, Kaja, primary, Calsbeek, Hiske, additional, Orrego, Carola, additional, Ballester, Marta, additional, Suñol, Rosa, additional, Vall-Roqué, Helena, additional, Kangasniemi, Mari, additional, Läänelaid, Siim, additional, Starkopf, Joel, additional, van Tuijl, Anne, additional, Wollersheim, Hub, additional, Freimann, Tiina, additional, Mägi, Liisi, additional, Bañeres, Joaquim, additional, Fernández-Maillo, María del Mar, additional, Emond, Yvette, additional, and Lember, Margus, additional

Published
2023
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11. Evaluation of physicians' professional performance: An iterative development and validation study of multisource feedback instruments

Author

Overeem, Karlijn, Wollersheim, Hub C, Arah, Onyebuchi A, Cruijsberg, Juliette K, Grol, Richard PTM, and Lombarts, Kiki MJMH

Abstract

Abstract Background There is a global need to assess physicians' professional performance in actual clinical practice. Valid and reliable instruments are necessary to support these efforts. This study focuses on the reliability and validity, the influences of some sociodemographic biasing factors, associations between self and other evaluations, and the number of evaluations needed for reliable assessment of a physician based on the three instruments used for the multisource assessment of physicians' professional performance in the Netherlands. Methods This observational validation study of three instruments underlying multisource feedback (MSF) was set in 26 non-academic hospitals in the Netherlands. In total, 146 hospital-based physicians took part in the study. Each physician's professional performance was assessed by peers (physician colleagues), co-workers (including nurses, secretary assistants and other healthcare professionals) and patients. Physicians also completed a self-evaluation. Ratings of 864 peers, 894 co-workers and 1960 patients on MSF were available. We used principal components analysis and methods of classical test theory to evaluate the factor structure, reliability and validity of instruments. We used Pearson's correlation coefficient and linear mixed models to address other objectives. Results The peer, co-worker and patient instruments respectively had six factors, three factors and one factor with high internal consistencies (Cronbach's alpha 0.95 - 0.96). It appeared that only 2 percent of variance in the mean ratings could be attributed to biasing factors. Self-ratings were not correlated with peer, co-worker or patient ratings. However, ratings of peers, co-workers and patients were correlated. Five peer evaluations, five co-worker evaluations and 11 patient evaluations are required to achieve reliable results (reliability coefficient ≥ 0.70). Conclusions The study demonstrated that the three MSF instruments produced reliable and valid data for evaluating physicians' professional performance in the Netherlands. Scores from peers, co-workers and patients were not correlated with self-evaluations. Future research should examine improvement of performance when using MSF.

Published
2012

18. Developing the University of Tartu in Estonia into a well-networked Patient Safety Research Centre (PATSAFE): A study protocol

Author

PÕLLUSTE, Kaja, primary, Calsbeek, Hiske, additional, Orrego, Carola, additional, Ballester, Marta, additional, Suñol, Rosa, additional, Vall-Roqué, Helena, additional, Kangasniemi, Mari, additional, Läänelaid, Siim, additional, Starkopf, Joel, additional, van Tuijl, Anne, additional, Wollersheim, Hub, additional, Freimann, Tiina, additional, Mägi, Liisi, additional, Bañeres, Joaquim, additional, Fernández-Maillo, María del Mar, additional, Emond, Yvette, additional, and Lember, Margus, additional

Published
2022
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23. Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge

Author

van Sluisveld, Nelleke, Hesselink, Gijs, van der Hoeven, Johannes Gerardus, Westert, Gert, Wollersheim, Hub, and Zegers, Marieke

Subjects
Health care reform, Medical care -- Quality management, Medical personnel, Information management, Information accessibility, Health care industry
Abstract

Purpose To systematically review and evaluate the effectiveness of interventions in order to improve the safety and efficiency of patient handover between intensive care unit (ICU) and general ward healthcare professionals at ICU discharge. Methods PubMed, CINAHL, PsycINFO, EMBASE, Web of Science, and the Cochrane Library were searched for intervention studies with the aim to improve clinical handover between ICU and general ward healthcare professionals that had been published up to and including June 2013. The methods for article inclusion and data analysis were pre-specified and aligned with recommendations outlined in the PRISMA guideline. Two reviewers independently extracted data (study purpose, setting, population, method of sampling, sample size, intervention characteristics, outcome, and implementation activities) and assessed the quality of the included studies. Results From the 6,591 citations initially extracted from the six databases, we included 11 studies in this review. Of these, six (55 %) reported statistically significant effects. Effective interventions included liaison nurses to improve communication and coordination of care and forms to facilitate timely, complete and accurate handover information. Effective interventions resulted in improved continuity of care (e.g., reduced discharge delay) and in reduced adverse events. Inconsistent effects were observed for use of care, namely, reduction of length of stay versus increase of readmissions to higher care. No statistically significant effects were found in the reduction of mortality. The overall methodological quality of the 11 studies reviewed was relatively low, with an average score of 4.5 out of 11 points. Conclusions This review shows that liaison nurses and handover forms are promising interventions to improve the quality of patient handover between the ICU and general ward. More robust evidence is needed on the effectiveness of interventions aiming to improve ICU handover and supportive implementation strategies., Author(s): Nelleke van Sluisveld [sup.1], Gijs Hesselink [sup.1], Johannes Gerardus van der Hoeven [sup.2], Gert Westert [sup.1], Hub Wollersheim [sup.1], Marieke Zegers [sup.1] Author Affiliations: (1) grid.10417.33, 0000000404449382, IQ healthcare, [...]

Published
2015
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34. Perioperative safety determinants in ethnic patient groups

Author

Bloo, Gerrit, Calsbeek, Hiske, Westert, Gert, Dekkers, Wim, Akkersdijk, George, Krugten, Robbert Jan van, Wolff, André P, and Wollersheim, Hub

Abstract

Background In a Dutch hospital, unexpectedly, safer perioperative care was found in non-western ethnic minority patients compared to Dutch ethnic majority patients undergoing high-risk surgery with a mortality risk >1%. We explored determinants in order to find tools for nurses and physicians to improve patients’ safety and safety experience during the perioperative period.Methods A qualitative grounded theory design was applied to understand patients’ perspective on their needs and safety in the perioperative period we interviewed patients (n= 17).Results Three themes emerged: ‘Nurse & physician behaviour’, ‘Team performance’, and ‘Patient behaviour’. In the first theme ‘Nurse and physicians’ behaviour’, positive determinants related to an attitude of experienced professionals that provide patients with trust. On the other hand, negative determinants provide patients with experiences of unsafety. In the second theme ‘Team performance’, positive determinants involved effective communication and coordinated care of the nurses and physicians. Negative determinants related to visible disagreement about the treatment. In the third theme ‘Patient behaviour’, positive determinants related to seeking support from nurses, physicians, and family to recover and to endure an anxious period. Negative determinants related to missing appointments or not consulting the information provided.Conclusion and practice implications ‘Nurse & physician behaviour’ and ‘Team performance’ are relevant determinants that contribute to patients’ experiences of safe care. Stimulating an active attitude of patients in seeking support may contribute to experiences of safe care. These results can be used to improve patients’ experience of safe care in an uncertain and vulnerable perioperative period.

Published
2023
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46. Searching for the missing pieces between the hospital and primary care: mapping the patient process during care transitions

Author

Johnson, Julie K, Farnan, Jeanne M, Barach, Paul, Hesselink, Gijs, Wollersheim, Hub, Pijnenborg, Loes, Kalkman, Cor, Arora, Vineet M, Venneri, F, Molisso, A, Albolino, S, Toccafondi, G, Barach, P, Gademan, P, Göbel, B, Johnson, J, Kalkman, C, Pijnenborg, L, Wollersheim, H, Hesselink, G, Schoonhoven, L, Vernooij-Dassen, M, Zegers, M, Boshuizen, E, Drachsler, H, Kicken, W, van der Klink, M, Stoyanov, S, Kutryba, B, Dudzik-Urbaniak, E, Kalinowski, M, Kutaj-Wasikowska, H, Suñol, R, Groene, O, Orrego, C, Öhlén, G, Airosa, F, Bergenbrant, S, Flink, M, Hansagi, H, Olsson, M, Lilford, R, Chen, Y-F, Novielli, N, and Manaseki-Holland, S

Published
2012
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47. Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers

Author

Hesselink, Gijs, Flink, Maria, Olsson, Mariann, Barach, Paul, Dudzik-Urbaniak, Ewa, Orrego, Carola, Toccafondi, Giulio, Kalkman, Cor, Johnson, Julie K, Schoonhoven, Lisette, Vernooij-Dassen, Myrra, Wollersheim, Hub, Venneri, F, Molisso, A, Albolino, S, Toccafondi, G, Barach, P, Gademan, P, Göbel, B, Johnson, J, Kalkman, C, Pijnenborg, L, Wollersheim, H, Hesselink, G, Schoonhoven, L, Vernooij-Dassen, M, Zegers, M, Boshuizen, E, Drachsler, H, Kicken, W, van der Klink, M, Stoyanov, S, Kutryba, B, Dudzik-Urbaniak, E, Kalinowski, M, Kutaj-Wasikowska, H, Suñol, R, Groene, O, Orrego, C, Öhlén, G, Airosa, F, Bergenbrant, S, Flink, M, Hansagi, H, Olsson, M, Lilford, R, Chen, Y-F, Novielli, N, and Manaseki-Holland, S

Published
2012
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