Evidence map›Paper›PMID 27279478›Full record

ArticleBMJ open2016

Older, vulnerable patient view: a pilot and feasibility study of the patient measure of safety (PMOS) with patients in Australia.

Natalie Taylor, Emily Hogden, Robyn Clay-Williams, Zhicheng Li, Rebecca Lawton, Jeffrey Braithwaite

Abstract readValidation Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Natalie TaylorAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Emily HogdenAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Robyn Clay-WilliamsAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Zhicheng LiAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Rebecca LawtonBradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK Institute of Psychological Sciences, University of Leeds, Leeds, UK.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe 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).

participantsStroke, AMI and hip fracture patients (n=34) receiving care in 3 wards in 1 large hospital.

methods2 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.

resultsOf 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.

conclusionsCapturing 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.

Indexed as

Patient ParticipationPatient SafetyPatient SatisfactionAgedAged, 80 and overAustraliaFeasibility StudiesFemaleHospitals, PublicHumansMaleMiddle AgedPilot ProjectsProcess Assessment, Health CareProfessional-Patient RelationsQualitative Researchaged caremixed methodsPatient perceptionspatient safetyvulnerable older adults

Identifiers

PMID27279478
PMCPMC4908893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.