Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia
Objectives The UK-developed patient measure of safety (PMOS) is a validated tool which captures patient perceptions of safety in hospitals. We aimed (1) to investigate the extent to which the PMOS is appropriate for use with stroke, acute myocardial infarction (AMI) and hip fracture patients in Aust...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2016-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/6/6/e011069.full |
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| author | Jeffrey Braithwaite Natalie Taylor Rebecca Lawton Robyn Clay-Williams Emily Hogden Zhicheng Li |
| author_facet | Jeffrey Braithwaite Natalie Taylor Rebecca Lawton Robyn Clay-Williams Emily Hogden Zhicheng Li |
| author_sort | Jeffrey Braithwaite |
| collection | DOAJ |
| description | Objectives The UK-developed patient measure of safety (PMOS) is a validated tool which captures patient perceptions of safety in hospitals. We aimed (1) to investigate the extent to which the PMOS is appropriate for use with stroke, acute myocardial infarction (AMI) and hip fracture patients in Australian hospitals and (2) to pilot the PMOS for use in a large-scale, national study ‘Deepening our Understanding of Quality in Australia’ (DUQuA).Participants Stroke, AMI and hip fracture patients (n=34) receiving care in 3 wards in 1 large hospital.Methods 2 phases were conducted. First, a ‘think aloud’ study was used to determine the validity of PMOS with this population in an international setting, and to make amendments based on patient feedback. The second phase tested the revised measure to establish the internal consistency reliability of the revised subscales, and piloted the recruitment and administration processes to ensure feasibility of the PMOS for use in DUQuA.Results Of the 43 questions in the PMOS, 13 (30%) were amended based on issues patients highlighted for improvement in phase 1. In phase 2, a total of 34 patients were approached and 29 included, with a mean age of 71.3 years (SD=16.39). Internal consistency reliability was established using interitem correlation and Cronbach's α for all but 1 subscale. The most and least favourably rated aspects of safety differed between the 3 wards. A study log was categorised into 10 key feasibility factors, including liaising with wards to understand operational procedures and identify patterns of patient discharge.Conclusions Capturing patient perceptions of care is crucial in improving patient safety. The revised PMOS is appropriate for use with vulnerable older adult groups. The findings from this study have informed key decisions made for the deployment of this measure as part of the DUQuA study. |
| format | Article |
| id | doaj-art-363c5710f9f14d638dae9e96646231b2 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2016-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-363c5710f9f14d638dae9e96646231b22025-02-11T16:10:13ZengBMJ Publishing GroupBMJ Open2044-60552016-06-016610.1136/bmjopen-2016-011069Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in AustraliaJeffrey Braithwaite0Natalie Taylor1Rebecca Lawton2Robyn Clay-Williams3Emily Hogden4Zhicheng Li5Centre for Research Excellence in Implementation Science in Oncology, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaThe Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UKAustralian Institute of Health Innovation, Macquarie University, Macquarie Park, New South Wales, Australia1 Implementation to Impact (i2i), School of Population Health, UNSW, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaObjectives The UK-developed patient measure of safety (PMOS) is a validated tool which captures patient perceptions of safety in hospitals. We aimed (1) to investigate the extent to which the PMOS is appropriate for use with stroke, acute myocardial infarction (AMI) and hip fracture patients in Australian hospitals and (2) to pilot the PMOS for use in a large-scale, national study ‘Deepening our Understanding of Quality in Australia’ (DUQuA).Participants Stroke, AMI and hip fracture patients (n=34) receiving care in 3 wards in 1 large hospital.Methods 2 phases were conducted. First, a ‘think aloud’ study was used to determine the validity of PMOS with this population in an international setting, and to make amendments based on patient feedback. The second phase tested the revised measure to establish the internal consistency reliability of the revised subscales, and piloted the recruitment and administration processes to ensure feasibility of the PMOS for use in DUQuA.Results Of the 43 questions in the PMOS, 13 (30%) were amended based on issues patients highlighted for improvement in phase 1. In phase 2, a total of 34 patients were approached and 29 included, with a mean age of 71.3 years (SD=16.39). Internal consistency reliability was established using interitem correlation and Cronbach's α for all but 1 subscale. The most and least favourably rated aspects of safety differed between the 3 wards. A study log was categorised into 10 key feasibility factors, including liaising with wards to understand operational procedures and identify patterns of patient discharge.Conclusions Capturing patient perceptions of care is crucial in improving patient safety. The revised PMOS is appropriate for use with vulnerable older adult groups. The findings from this study have informed key decisions made for the deployment of this measure as part of the DUQuA study.https://bmjopen.bmj.com/content/6/6/e011069.full |
| spellingShingle | Jeffrey Braithwaite Natalie Taylor Rebecca Lawton Robyn Clay-Williams Emily Hogden Zhicheng Li Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia BMJ Open |
| title | Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia |
| title_full | Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia |
| title_fullStr | Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia |
| title_full_unstemmed | Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia |
| title_short | Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia |
| title_sort | older vulnerable patient view a pilot and feasibility study of the patient measure of safety pmos with patients in australia |
| url | https://bmjopen.bmj.com/content/6/6/e011069.full |
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