![Andrew Carson-Stevens BSc (Hons), MBBCh, MPhil, PhD, HonMFPH, MRCGP, FRSA](https://profiles-cardiff.imgix.net/attachments/2397?w=200&h=200&auto=format&crop=faces&fit=crop&q=90")
Yr Athro Andrew Carson-Stevens
(e/fe)
BSc (Hons), MBBCh, MPhil, PhD, HonMFPH, MRCGP, FRSA
Athro Diogelwch Cleifion
- Carson-StevensAP@caerdydd.ac.uk
- +44 29206 87779
- Neuadd Meirionnydd, Llawr 8fed, Ystafell 808E, Ysbyty Athrofaol Cymru, Parc y Mynydd Bychan, Caerdydd, CF14 4YS
- Ar gael fel goruchwyliwr ôl-raddedig
Trosolwyg
Trosolwg
Rwy'n ymarferydd cyffredinol academaidd ac ymchwilydd gwasanaethau iechyd sy'n arwain ymchwil i sut mae sefydliadau iechyd a gofal cymdeithasol yn dysgu o ofal anniogel a brofir gan gleifion a theuluoedd.
Rwy'n cynnull y Grŵp Ymchwil Diogelwch Cleifion (y 'grŵp PISA') yn yr Is-adran Meddygaeth Poblogaeth, Ysgol Meddygaeth, Prifysgol Caerdydd, ac mae ein portffolio o ymchwil yn cael ei gefnogi gan NIHR, y Sefydliad Iechyd, y Sefydliad hwn, Ymchwil Canser y DU, Ymchwil Iechyd a Gofal Cymru ac mae'n cynnwys:
- ymchwilio i natur a baich niwed y gellir ei osgoi mewn gofal iechyd;
- nodi meysydd blaenoriaeth diogelwch cleifion o ddadansoddi data diogelwch cleifion arferol (e.e. adolygiad o nodiadau achos, adroddiadau digwyddiadau);
- arloesedd methodolegol ar gyfer rhannu dysgu o ymchwilio i ddigwyddiadau diogelwch cleifion;
- mesur diogelwch cleifion (datblygu tacsonomeg); a
- datblygu a gweithredu ymyriadau i leihau niwed i gleifion mewn lleoliadau iechyd a gofal cymdeithasol.
Ym mis Ebrill 2023, ymunais â Chanolfan Ymchwil Marie Curie yn yr Is-adran Meddygaeth Boblogaeth fel cyd-arweinydd ar gyfer ymchwil Diogelwch Cleifion a Gwella Gofal Iechyd.
Ar draws Prifysgol Caerdydd, rwy'n cynnull Cynghrair Ergonomeg a Chleifion Mwy Diogel Cymru (WESPA), grŵp rhyngddisgyblaethol o ymchwilwyr (Ysgol Meddygaeth, Ysgol Busnes Caerdydd, Ysgol Peirianneg) a chlinigwyr sy'n cynnal ymchwil a gwerthuso gwasanaethau i alluogi arloesi a gweithredu arferion i wella diogelwch cleifion mewn gofal iechyd.
Arweinyddiaeth academaidd genedlaethol
Fi yw Arweinydd Arbenigedd Ymchwil Gofal Sylfaenol Cymru yn Ymchwil Iechyd a Gofal Cymru lle rwyf wedi arwain y gwaith o ddatblygu dulliau canolog cynhwysol o ddarparu ymchwil glinigol yn y gymuned.
Fi yw'r Arweinydd Pecyn Gwaith Diogelwch Cleifion yng Nghanolfan Ymchwil Gofal Sylfaenol a Gofal Brys Cymru (Canolfan PRIME Cymru).
Yn ystod pandemig COVID-19, roeddwn yn aelod o Grŵp Iechyd Cyhoeddus Brys y DU (NIHR / DHSC / CMOs) a'r Panel Gweithredu Dealltwriaeth a Dileu Treialon COVID-19 dilynol (CUE-TIP), Grŵp Cyflenwi Ymchwil Brechlyn COVID-19 Cymru, a chyfrannu at frechlyn a darparu treialon therapiwtig.
Rwy'n Gynghorydd Gwyddonol i raglen GIG Addysg i'r Alban ar 'Ymchwil Diogelwch Cleifion a Gwella Ansawdd a Datblygu Addysgol' ac yn aelod o'r Grŵp Cyfeirio Gofal Sylfaenol ar gyfer rhaglen genomeg Iechyd Ein Dyfodol.
Arweinydd academaidd rhyngwladol
Rwy'n gynghorydd hirsefydlog i Sefydliad Iechyd y Byd ar ddiogelwch cleifion ac yn gynghorydd methodolegol i Weithgor OECD ar gyfer Canlyniadau Diogelwch a Adroddir gan Gleifion.
Roeddwn ar y panel arbenigol ar gyfer adolygiad rhyngwladol Sefydliad Iechyd y Byd o Systemau Adrodd a Dysgu Digwyddiadau Diogelwch Cleifion gan arwain at adroddiad technegol ac arweiniad. Ym mis Chwefror 2020, cyd-gadeiriodd y gweithgor ar gyfer 'Mesur, adrodd, dysgu a gwyliadwriaeth' mewn Ymgynghoriad Byd-eang Sefydliad Iechyd y Byd yng Ngenefa, ac yna roeddwn yn un o dri uwch academydd a oedd yn gyfrifol am lunio'r cynnwys a'r argymhellion ar gyfer mesur a gynhwysir yn Cynllun Gweithredu Diogelwch Cleifion Byd-eang WHO ( 2020-2030).
Rwy'n Athro Anrhydeddus yn Sefydliad Arloesi Iechyd Awstralia, Prifysgol Macquarie, Awstralia (2016 –) ac Athro Atodol ym Mhrifysgol Queen's, Canada (2019 –) lle rwy'n goruchwylio myfyrwyr doethurol.
Cyhoeddiad
2023
- Sewell, B. et al. 2023. The cost of implementing the COVID-19 shielding policy in Wales. BMC Public Health 23, article number: 2342. (10.1186/s12889-023-17169-3)
- Purchase, T., Bowie, P., Hibbert, P., Krishnan, R. G. and Carson-Stevens, A. 2023. Human factors to improve patient safety. In: Patient Safety. Cham, Switzerland: Springer, pp. 45-60., (10.1007/978-3-031-35933-0_4)
- Purchase, T. et al. 2023. Analysis of applying a patient safety taxonomy to patient and clinician-reported incident reports during the COVID-19 pandemic: a mixed methods study. BMC Medical Research Methodology 23(1), article number: 234. (10.1186/s12874-023-02057-6)
- Hibbert, P. D. et al. 2023. Unsafe care in residential settings for older adults. A content analysis of accreditation reports.. International Journal for Quality in Health Care (10.1093/intqhc/mzad085)
- Anderson, N. et al. 2023. Mapping processes in the emergency department using the functional resonance analysis method. Annals of Emergency Medicine 82(3), pp. 288-297. (10.1016/j.annemergmed.2022.12.029)
- de Andrade, F. K. et al. 2023. Validated medication deprescribing instruments for patients with palliative care needs a systematic review. Hospital Pharmacy (10.1016/j.farma.2023.08.004)
- Rawlings, A. et al. 2023. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice (10.3399/BJGP.2022.0616)
- Gbinigie, O. et al. 2023. Platform adaptive trial of novel antivirals for early treatment of COVID-19 In the community (PANORAMIC): protocol for a randomised, controlled, open-label, adaptive platform trial of community novel antiviral treatment of COVID-19 in people at increased risk of more severe disease. BMJ Open 13, article number: e069176. (10.1136/bmjopen-2022-069176)
- Porter, A. et al. 2023. Rationale for the shielding policy for clinically vulnerable people in the UK during the COVID-19 pandemic: a qualitative study. BMJ Open 13, article number: e073464. (10.1136/bmjopen-2023-073464)
- McFadzean, I. J. et al. 2023. Patient safety in prisons: a multi-method analysis of reported incidents in England. Journal of the Royal Society of Medicine 116(7), pp. 236-245. (10.1177/01410768231166138)
- Evans, S., Farnell, D. J. J., Carson-Stevens, A. and Kemp, A. 2023. Survey of practices for documenting evidence of bruises from physical abuse during child protection proceedings. BMJ Paediatrics Open 7(1), article number: e002047. (10.1136/bmjpo-2023-002047)
- Sivell, S., Price, D. and Carson-Stevens, A. 2023. The challenges and experiences of providing end-of-life care in primary care: online survey and semi-structured interviews with UK primary care professionals.. Presented at: RCGP Annual Conference 2023, Glasgow, 19-20 October 2023, Vol. 73. Vol. Suppl. Royal College of General Practitioners, (10.3399/bjgp23X733833)
- Rees, P. et al. 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13(7), article number: e075058. (10.1136/bmjopen-2023-075058)
- Davies, F. et al. 2023. Evaluation of different models of general practitioners working in or alongside emergency departments: a mixed methods realist evaluation. NIHR Journals Library
- Hibbert, P. D., Molloy, C. J., Schultz, T. J., Carson-Stevens, A. and Braithwaite, J. 2023. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. International Journal for Quality in Health Care 35(3) (10.1093/intqhc/mzad056)
- Snooks, H. et al. 2023. Did the UK's public health Shielding policy protect the clinically extremely vulnerable during the Covid-19 pandemic in Wales? Results of EVITE Immunity, a link data retrospective study. Public Health 218, pp. 12-20. (10.1016/j.puhe.2023.02.008)
- Alqenae, F. A., Steinke, D., Carson-Stevens, A. and Keers, R. N. 2023. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Therapeutic Advances in Drug Safety 14 (10.1177/20420986231154365)
- Keers, R. N. et al. 2023. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLoS ONE 18(3), article number: e0282021. (10.1371/journal.pone.0282021)
- Sivell, S. et al. 2023. Protocol to evaluate the implementation of the royal college of general practitioners and Marie Curie Daffodil Standards in UK general practice. Presented at: The Marie Curie Research Conference 2023, Virtual, 6-10 February 2023, Vol. 13. BMJ Publishing Group pp. A8., (10.1136/spcare-2023-MCRC.19)
- Sivell, S., Price, D. and Carson-Stevens, A. 2023. Understanding the experiences of providing end-of-life care in UK general practices; preliminary data from an independent evaluation of the daffodil standards.. Presented at: The Marie Curie Research Conference 2023, Virtual, 6-10 February 2023, Vol. 13. BMJ Supportive and Palliative Care: BMJ Publishing Group pp. A8-A9., (10.1136/spcare-2023-MCRC.20)
- Butler, C. C. et al. 2023. Molnupiravir plus usual care versus usual care alone as early treatment for adults with COVID-19 at increased risk of adverse outcomes (PANORAMIC): an open-label, platform-adaptive randomised controlled trial. The Lancet 401(10373) (10.1016/S0140-6736(22)02597-1)
- Bowie, P., Ross, A., Purchase, T., McNab, D., Hughes, H., Donovan, L. and Carson-Stevens, A. 2023. Patient safety learning for healthcare improvement: considering the "system context" in medico-legal cases?. Journal of Personal Injury Law
2022
- MacFarlane, E., Carson-Stevens, A., North, R., Ryan, B. and Acton, J. 2022. A mixed-methods characterisation of patient safety incidents by primary eye care practitioners. Ophthalmic and Physiological Optics 42(6), pp. 1304-1315. (10.1111/opo.13030)
- Evans, B. A. et al. 2022. Implementing public involvement throughout the research process - experience and learning from the GPs in EDs study. Health Expectations 25(5), pp. 2471-2484. (10.1111/hex.13566)
- Evans, B. A. et al. 2022. Evaluation of the shielding initiative in Wales (EVITE Immunity): protocol for a quasi-experimental study. BMJ Open 12, article number: e059813. (10.1136/bmjopen-2021-059813)
- Evans, B. A. et al. 2022. Evaluation of the shielding initiative in Wales (EVITE Immunity): protocol for a quasiexperimental study. BMJ Open 12(9), article number: e059813. (10.1136/bmjopen-2021-059813)
- Dinnen, T. et al. 2022. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Supportive and Palliative Care 12(e3), pp. e403-e410. (10.1136/bmjspcare-2019-001824)
- Edwards, M. et al. 2022. The effectiveness of primary care streaming in emergency departments on decision-making and patient flow and safety – a realist evaluation. International Emergency Nursing 62, article number: 101155. (10.1016/j.ienj.2022.101155)
- Slater, D., Hollnagel, E., MacKinnon, R., Sujan, M., Carson-Stevens, A., Ross, A. and Bowie, P. 2022. A systems analysis of the COVID-19 pandemic response in the United Kingdom-Part 1-The overall context. Safety Science 146, article number: 105525. (10.1016/j.ssci.2021.105525)
- Yardley, S., Williams, H., Bowie, P., Edwards, A., Noble, S., Donaldson, L. and Carson-Stevens, A. 2022. Which human factors design issues are influencing system performance in out-of-hours community palliative care? Integration of realist approaches with an established systems analysis framework to develop mid-range programme theory. BMJ Open 12(1) (10.1136/bmjopen-2020-048045)
- Price, D. et al. 2022. Patients' experiences of attending emergency departments where primary care services are located: qualitative findings from patient and clinician interviews from a realist evaluation. BMC Emergency Medicine 22(12) (10.1186/s12873-021-00562-9)
- Hibbert, P. D. et al. 2022. Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study. International Journal for Quality in Health Care 34(2), article number: mzac033. (10.1093/intqhc/mzac033)
- Evans, B. A. et al. 2022. Implementing public involvement throughout the research process - experience and learning from the GPs in EDs study. BMJ Open (10.1111/hex.13566)
- McFadzean, I. et al. 2022. Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'. BMC Emergency Medicine 22(1), article number: 155. (10.1186/s12873-022-00709-2)
- Sewell, B. et al. 2022. P3 How Much Did the COVID-19 Shielding Policy Cost in Wales? Results of a Cost Analysis Within the EVITE Immunity Evaluation. Value in Health 25(12) (10.1016/j.jval.2022.09.015)
2021
- Ensaldo-Carrasco, E., Sheikh, A., Cresswell, K., Bedi, R., Carson-Stevens, A. and Sheikh, A. 2021. Patient safety incidents in primary care dentistry in England and Wales: a mixed-methods study. Journal of Patient Safety 17(8), pp. e1383-e1393. (10.1097/PTS.0000000000000530)
- Avery, A. J. et al. 2021. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Quality and Safety 30, pp. 961-976. (10.1136/bmjqs-2020-011405)
- Cooper, A. et al. 2021. Identifying safe care processes when GPs work in or alongside emergency departments: realist evaluation. British Journal of General Practice 71(713), pp. e931-e940. (10.3399/BJGP.2021.0090)
- Lazarus, R. et al. 2021. Safety and immunogenicity of concomitant administration of COVID-19 vaccines (ChAdOx1 or BNT162b2) with seasonal influenza vaccines in adults in the UK (ComFluCOV): a multicentre, randomised, controlled, phase 4 trial. The Lancet 398(10318), pp. 2277-2287. (10.1016/S0140-6736(21)02329-1)
- Urquhart, A., Yardley, S., Thomas, E., Donaldson, L. and Carson-Stevens, A. 2021. Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Journal of the Royal Society of Medicine 14(12), pp. 563-574. (10.1177/01410768211032589)
- Cooper, A. et al. 2021. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. BMC Emergency Medicine 21, article number: 139. (10.1186/s12873-021-00537-w)
- Bennett-Britton, I., Banks, J., Carson-Stevens, A. and Salisbury, C. 2021. Continuous, risk-based, consultation peer review in out-of-hours general practice: a qualitative interview study of the benefits and limitations. British Journal of General Practice 71(711), pp. e797-e805. (10.3399/BJGP.2021.0076)
- Yardley, S., Francis, S., Chuter, A., Hellard, S., Abernethy, J. and Carson-Stevens, A. 2021. Mixed methods study protocol: Do national reporting and learning system medication incidents in palliative care reflect patient and carer concerns about medication management and safety?. BMJ Open 11(9) (10.1136/bmjopen-2021-048696)
- Alshehri, G. H., Keers, R. N., Carson-Stevens, A. and Ashcroft, D. M. 2021. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. Journal of Patient Safety 17, pp. 341-351. (10.1097/PTS.0000000000000815)
- Snooks, H. et al. 2021. Call volume, triage outcomes and protocols during the first wave of the COVID-19 pandemic in the UK: results of a national survey. Journal of the American College of Emergency Physicians Open (JACEP Open) 2(4), article number: e12492. (10.1002/emp2.12492)
- Ensaldo-Carrasco, E., Suarez-Ortegon, M. F., Carson-Stevens, A., Cresswell, K., Bedi, R. and Sheikh, A. 2021. Patient safety incidents and adverse events in ambulatory dental care: A systematic scoping review. Journal of Patient Safety 17(5), pp. 381-391. (10.1097/PTS.0000000000000316)
- Fournier, J. et al. 2021. Patient-safety incidents during COVID-19 health crisis in France: an exploratory sequential multi-method study in primary care. European Journal of General Practice 27(1), pp. 142-151. (10.1080/13814788.2021.1945029)
- Alghamdi, A. A., Keers, R. N., Sutherland, A., Carson-Stevens, A. and Ashcroft, D. M. 2021. A mixed-methods analysis of medication safety incidents reported in neonatal and children's intensive care. Pediatric Drugs 23, pp. 287-297. (10.1007/s40272-021-00442-6)
- Edwards, M. et al. 2021. A classification of primary care streaming pathways in UK emergency departments: findings from a multi-methods study comprising cross-sectional survey; site visits with observations, semi-structured and informal interviews. International Emergency Nursing 56, article number: 101000. (10.1016/j.ienj.2021.101000)
- Choudhry, M. et al. 2021. Senior clinical and business managers' perspectives on the influence of different funding mechanisms, and barriers and enablers to implementing models of employing General Practitioners in or alongside emergency departments: qualitative study. Health Policy 125, pp. 482-488. (10.1016/j.healthpol.2020.11.016)
- Hernan, A. L., Giles, S., Carson-Stevens, A., Morgan, M., Lewis, P., Hind, J. and Versace, V. L. 2021. Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England. BMJ Open 11(4), article number: e042551. (10.1136/bmjopen-2020-042551)
- Disbeschl, S. et al. 2021. Protocol for a feasibility study incorporating a randomised pilot trial with an embedded process evaluation and feasibility economic analysis of ThinkCancer!: a primary care intervention to expedite cancer diagnosis in Wales. Pilot and Feasibility Studies 7(1), article number: 100. (10.1186/s40814-021-00834-y)
- Emary, K. R. W. et al. 2021. Efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 variant of concern 202012/01 (B.1.1.7): an exploratory analysis of a randomised controlled trial. The Lancet 397(10282), pp. 1351-1362. (10.1016/S0140-6736(21)00628-0)
- Voysey, M. et al. 2021. Single-dose administration and the influence of the timing of the booster dose on immunogenicity and efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine: a pooled analysis of four randomised trials. Lancet 397(10277), pp. 881-891. (10.1016/S0140-6736(21)00432-3)
- Vaismoradi, M. et al. 2021. Nobody ever questions-Polypharmacy in care homes: A mixed methods evaluation of a multidisciplinary medicines optimisation initiative. PLoS ONE 16(1), article number: e0244519. (10.1371/journal.pone.0244519)
- Bowie, P. et al. 2021. Is the "never event?"concept a useful safety management strategy in complex primary healthcare systems?. International Journal for Quality in Health Care 33(S1), pp. 25-30. (10.1093/intqhc/mzaa101)
- Voysey, M. et al. 2021. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet 397(10269), pp. 99-111. (10.1016/S0140-6736(20)32661-1)
2020
- Evans, H. P. et al. 2020. Automated classification of primary care patient safety incident report content and severity using supervised Machine Learning (ML) approaches. Health Informatics Journal 26(4), pp. 3123-3139. (10.1177/1460458219833102)
- Hibbert, P. D. et al. 2020. Characterising the types of paediatric adverse events detected by the global trigger tool - CareTrack Kids. Journal of Patient Safety and Risk Management 25(6), pp. 239-249. (10.1177/2516043520969329)
- Gibson, R. et al. 2020. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Addiction 115(11), pp. 2066-2076. (10.1111/add.15039)
- Evans, A., Hinchliffe, A., Hood, K. and Carson-Stevens, A. 2020. Use of prescribing indicators as a means of identifying variation in the prevalence of valproate prescribing between health communities: a cross-sectional study. Integrated Healthcare Journal 2(1), article number: e000022. (10.1136/ihj-2019-000022)
- Omar, A. et al. 2020. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. Archives of Disease in Childhood 105, pp. 731-737. (10.1136/archdischild-2019-318406)
- Edwards, M. et al. 2020. Emergency department clinical leads' experiences of implementing primary care services where GPs work in or alongside emergency departments in the UK: a qualitative study. BMC Emergency Medicine 20(1), article number: 62. (10.1186/s12873-020-00358-3)
- Price, D. et al. 2020. Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers? experiences. BMC Medical Research Methodology 20(1), article number: 151. (10.1186/s12874-020-01039-2)
- Hibbert, P., Thomas, M., Deakin, A., Runciman, W., Carson-Stevens, A. and Braithwaite, J. 2020. A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations. International Journal for Quality in Health Care 32(3), pp. 184-189. (10.1093/intqhc/mzaa005)
- Cooper, A., Carson-Stevens, A., Hughes, T. and Edwards, A. 2020. Is streaming patients in emergency departments to primary care services effective and safe?. BMJ 368, article number: m462. (10.1136/bmj.m462)
- Mitchell, R. et al. 2020. Using the WHO international classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths. Applied Ergonomics 82, article number: 102920. (10.1016/j.apergo.2019.102920)
- Young, S., Deslandes, P., Cooper, J., Williams, H., Kenkre, J. and Carson-Stevens, A. 2020. A mixed methods analysis of lithium-related patient safety incidents in primary care. Therapeutic Advances in Drug Safety 11, pp. 1-8. (10.1177/2042098620922748)
2019
- Hussain, F., Cooper, A., Carson-Stevens, A., Donaldson, S. L., Hibbert, P., Hughes, T. and Edwards, A. 2019. Diagnostic error in the emergency department: learning from national patient safety incidents report analysis. BMC Emergency Medicine 19, article number: 77. (10.1186/s12873-019-0289-3)
- Carson-Stevens, A. et al. 2019. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Family Practice 20, article number: 134. (10.1186/s12875-019-0990-z)
- Cooper, A. et al. 2019. Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper. Emergency Medicine Journal 36(10), pp. 625-630. (10.1136/emermed-2018-208305)
- Cooper, A. et al. 2019. The impact of general practitioners working in or alongside emergency departments: a rapid realist review. BMJ Open 9(4), article number: e024501. (10.1136/bmjopen-2018-024501)
- Williams, H. et al. 2019. Quality improvement identifying priorities for safer out- of- hours palliative care: lessons from a mixed methods analysis of a national incident reporting database. Palliative Medicine 33(3), pp. 346-356. (10.1177/0269216318817692)
2018
- Carson-Stevens, A., McNab, D., Freestone, J., Black, C. and Bowie, P. 2018. Participatory design of a complex improvement intervention for the primary care management of Sepsis using the Functional Resonance Analysis Method. BMC Medicine 16, article number: 174. (10.1186/s12916-018-1164-x)
- Stanciu, M. A. et al. 2018. Development of an intervention to expedite cancer diagnosis through primary care: a protocol. BJGP Open 2(3), article number: 18X101595. (10.3399/bjgpopen18X101595)
- Doran, N., Bethune, R., Watson, J., Finucane, K. and Carson-Stevens, A. 2018. Empowering junior doctors: a qualitative study of a QI programme in South West England. Postgraduate Medical Journal 94(1116), pp. 571-577.
- Yardley, I., Yardley, S., Williams, H., Carson-Stevens, A. and Donaldson, L. J. 2018. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Palliative Medicine 32(8), pp. 1353-1362. (10.1177/0269216318776846)
- Carson-Stevens, A., Donaldson, L. and Sheikh, A. 2018. The rise of patient safety-II: should we give up hope on safety-I and extracting value from patient safety incidents? Comment on "false dawns and new horizons in patient safety research and practice". International Journal of Health Policy and Management 7(7), article number: 12. (10.15171/ijhpm.2018.23)
- Carson-Stevens, A., Hayes, J., Evans, A. and Donaldson, L. 2018. Wales: Realizing a data-drive healthcare improvement agenda: a manifesto for world class patient safety. In: Braithwaite, J. et al. eds. Health Care Systems: Future Predictions of Global Care.. CRC Press Taylor and Francis Group, pp. 275-280.
- Ensaldo-Carrasco, E., Carson-Stevens, A., Cresswell, K., Bedi, R. and Sheikh, A. 2018. Developing agreement on never events in primary care dentistry: an international eDelphi study. British Dental Journal 224, pp. 733-740. (10.1038/sj.bdj.2018.351)
- Cooper, J. et al. 2018. Classification of patient-safety incidents in primary care. Bulletin of the World Health Organization 96(7), pp. 498-505. (10.2471/BLT.17.199802)
- Stuttaford, L., Chakraborty, M., Carson-Stevens, A. and Powell, C. 2018. G190 Patient safety incidents in neonatology: a 10-year descriptive analysis of reports from NHS England and Wales. Archives of Disease in Childhood 103(S1), article number: A78. (10.1136/archdischild-2018-rcpch.185)
- Yardley, I. E., Carson-Stevens, A. and Donaldson, L. J. 2018. Serious incidents after death: content analysis of incidents reported to a national database. Journal of the Royal Society of Medicine 111(2), pp. 57-64. (10.1177/0141076817744561)
2017
- Cooper, J. et al. 2017. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Annals of Family Medicine 15(5), pp. 455-461. (10.1370/afm.2123)
- Cooper, A. et al. 2017. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age and Ageing 46(5), pp. 833-839. (10.1093/ageing/afx044)
- Cork, N., Rooney, K. D. and Carson-Stevens, A. 2017. When I say? quality improvement. Medical Education 51(5), pp. 467-468. (10.1111/medu.13244)
- Lazenby, S., Edwards, A. G., Samuriwo, R., Riley, S. G., Murray, M. A. and Carson-Stevens, A. 2017. End-of-life care decisions for haemodialysis patients – ‘We only tend to have that discussion with them when they start deteriorating’. Health Expectations 20(2), pp. 260-273. (10.1111/hex.12454)
- Carson-Stevens, A. and Donaldson, L. 2017. Reporting and learning from patient safety incidents in general practice: a practical guide. Royal College of General Practitioners.. Manual. Royal College of General Practitioners. Available at: http://www.rcgp.org.uk/-/media/Files/CIRC/Patient-Safety/Reporting-and-learning-from-patient-safety-incidents.ashx?la=en
- Bell, B. G. et al. 2017. Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study. BMJ Open 7(2), article number: e013786. (10.1136/bmjopen-2016-013786)
- Cooper, J., MacLeod, N., Williams, H. and Carson-Stevens, A. 2017. Learning from excellence and patient safety incidents. Archives of Disease in Childhood 102(3), pp. 295-296. (10.1136/archdischild-2016-312445)
- Gibson, R. et al. 2017. Unsafe opioid replacement therapy in England and Wales: a mixed-methods study. The Lancet 389(S1), pp. S38. (10.1016/S0140-6736(17)30434-8)
- Rees, P. et al. 2017. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. Plos Medicine 14(1), article number: e1002217. (10.1371/journal.pmed.1002217)
- Carson-Stevens, A. 2017. Generating learning from patient safety incident reports from general practice. PhD Thesis, Cardiff University.
2016
- Makeham, M., Dovey, S., Zwar, N. and Carson-Stevens, A. 2016. Administrative errors: technical series on safer primary care. Technical Report.
- Samuriwo, R., Williams, H., Cooper, J. and Carson-Stevens, A. 2016. Improving skin care through data: a pitch for patient safety incident reporting. Journal of Wound Care 25(12), pp. 691. (10.12968/jowc.2016.25.12.691)
- Carson-Stevens, A. et al. 2016. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Services and Delivery Research 4(27), pp. 1-76. (10.3310/hsdr04270)
- Panesar, S. S. et al. 2016. How safe is primary care? A systematic review. BMJ Quality & Safety 25(7), pp. 544-553. (10.1136/bmjqs-2015-004178)
- Wood, F., Martin, S. M., Carson-Stevens, A., Elwyn, G., Precious, E. and Kinnersley, P. R. 2016. Doctors’ perspectives of informed consent for non-emergency surgical procedures: a qualitative interview study. Health Expectations 19(3), pp. 751-761. (10.1111/hex.12258)
- Samuriwo, R., Evans, H. P., Williams, H., Rees, P., Hibbert, P., Makeham, M. and Carson-Stevens, A. 2016. Primary Care Patient Safety (PISA) Research Group - Identifying priorities for pressure ulcer prevention in primary care.. EWMA Journal 16(1), pp. 25-26.
- Evans, H. P., Cooper, A., Williams, H. and Carson-Stevens, A. 2016. Improving the safety of vaccine delivery. Human Vaccines & Immunotherapeutics 12(5), pp. 1280-1281. (10.1080/21645515.2015.1137404)
- Williams, H., Cooper, A. and Carson-Stevens, A. 2016. Opportunities for incident reporting. Response to: 'The problem with incident reporting' by Macrae et al. BMJ Quality & Safety 25(2), pp. 133-134. (10.1136/bmjqs-2015-004962)
2015
- Williams, H. et al. 2015. Harms from discharge to primary care: mixed methods analysis of incident reports. British Journal of General Practice (BJGP) 65(641), pp. e829-e837. (10.3399/bjgp15X687877)
- Carson-Stevens, A. et al. 2015. A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice. BMJ Open 5(12), article number: e009079. (10.1136/bmjopen-2015-009079)
- Omar, A. et al. 2015. Vulnerable children and their care quality issues: a descriptive analysis of a national database [Abstract]. BMJ Quality and Safety 24(11), pp. 732-733., article number: 588. (10.1136/bmjqs-2015-IHIabstracts.18)
- Rees, P. et al. 2015. Identifying priorities for improved child healthcare: a mixed methods analysis of safety incident reports [Abstract]. BMJ Quality and Safety 24(11), pp. 730-731., article number: 579. (10.1136/bmjqs-2015-IHIabstracts.16)
- Rees, P. et al. 2015. Pediatric immunization-related safety incidents in primary care: a mixed methods analysis of a national database. Vaccine 33(32), pp. 3873-3880. (10.1016/j.vaccine.2015.06.068)
- Rees, P. et al. 2015. Safety incidents in the primary care office setting. Pediatrics 135(6), pp. 1027-1035. (10.1542/peds.2014-3259)
- Carson-Stevens, A., Edwards, A. G., Panesar, S., Parry, G., Rees, P., Sheikh, A. and Donaldson, L. 2015. Reducing the burden of iatrogenic harm in children. The Lancet 385(9978), pp. 1593-1594. (10.1016/S0140-6736(14)61739-6)
- Dahill, M. et al. 2015. First-year doctors' attitudes and beliefs relating to quality improvement and patient safety. Clinical Risk 21(2-3), pp. 47-49. (10.1177/1356262215585270)
- Rees, P., Edwards, A., Powell, C., Evans, H. P., Panesar, S. and Carson-Stevens, A. 2015. Disparities in the quality of primary healthcare for socially deprived children. Archives of Disease in Childhood 100(3), pp. 299-300. (10.1136/archdischild-2014-307618)
- Samuriwo, R., Hibbert, P., Makeham, M., Evans, H. P. and Carson-Stevens, A. 2015. Priorities for pressure ulcer prevention: mixed methods analysis of patient safety incidents reports from primary care in England and Wales (2003-2013).. Presented at: PRIME Centre Wales 1st Annual Meeting, Cardiff, Wales, 22 September 2015.
- Samuriwo, R., Hibbert, P., Makeham, M., Evans, H. P. and Carson-Stevens, A. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: a mixed methods analysis. Presented at: 18th Annual Meeting of the European Pressure Ulcer Advisory Panel (EPUAP 2015), Ghent, Belgium, 16-18 September 2015.
- Samuriwo, R., Hibbert, P., Makeham, M., Evans, H. P. and Carson-Stevens, A. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: A mixed methods analysis.. Presented at: 25th Conference of the European Wound Management Association (EWMA 2015), London, England, 13 May 2015.
- Samuriwo, R. et al. 2015. How do we prevent pressure ulcers in primary care? Galvanising insights from healthcare professionals. Presented at: 21st Annual Institute for Healthcare Improvement Scientific Symposium (IHI 2015), Orlando, FL, USA, 7 December 2015.
2014
- Rees, P., Edwards, A., Panesar, S. and Carson-Stevens, A. 2014. Child mortality in the UK. The Lancet 384(9958), pp. 1923-1924. (10.1016/S0140-6736(14)62272-8)
- Rees, P., Evans, H. P., Panesar, S., Llewelyn, M., Edwards, A. and Carson-Stevens, A. 2014. Contraindicated BCG vaccination in "at risk" infants. BMJ 349, article number: g5388. (10.1136/bmj.g5388)
- Panesar, S., Carson-Stevens, A., Salvilla, S. and Sheikh, A. Panesar, S. et al. eds. 2014. Patient safety and healthcare improvement at a glance. Wiley-Blackwell.
- Rees, P., Carson-Stevens, A., Williams, H., Panesar, S. and Edwards, A. 2014. Quality improvement informed by a reporting and learning system. Archives of Disease in Childhood 99(7), pp. 702-703. (10.1136/archdischild-2014-306198)
- Madhok, R. et al. 2014. Promoting patient safety in India: situational analysis and the way forward. National Medical Journal of India 27(4), pp. 217-223.
- Jones, A. and Carson-Stevens, A. 2014. Patient stories in improvement. In: Panesar, S. S. et al. eds. Patient Safety and Healthcare Improvement at a Glance. Chichester, UK: Wiley, pp. 90-92.
2013
- Panesar, S. S. et al. 2013. The orthopaedic error index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. BMJ Open 3(11), pp. e003448. (10.1136/bmjopen-2013-003448)
- Parry, G. J., Carson-Stevens, A., Luff, D. F., McPherson, M. E. and Goldmann, D. A. 2013. Recommendations for evaluation of health care improvement initiatives. Academic Pediatrics 13(6), pp. S23-S30. (10.1016/j.acap.2013.04.007)
- Cresswell, K. M. et al. 2013. Global research priorities to better understand the burden of iatrogenic harm in primary care: An international delphi exercise. PLoS Medicine 10(11), pp. e1001554. (10.1371/journal.pmed.1001554)
- Ward, H. O., McIldowie, B., Kibble, S., Squire, A. and Carson-Stevens, A. 2013. Financial implications for survivors of stroke. British Medical Journal 347, article number: f4999. (10.1136/bmj.f4999)
- Carson-Stevens, A., Patel, E., Nutt, S. L., Bhatt, J. and Panesar, S. S. 2013. The social movement drive: a role for junior doctors in healthcare reform. Journal of the Royal Society of Medicine 106(8), pp. 305-309. (10.1177/0141076813489677)
- Mustafa, M., Carson-Stevens, A., Gillespie, D. and Edwards, A. G. 2013. Psychological interventions for women with metastatic breast cancer. Cochrane Library 2013(6), article number: CD004253. (10.1002/14651858.CD004253.pub4)
- Panesar, S., Carson-Stevens, A., Salvilla, S., Patel, B., Mirza, S. and Mann, B. 2013. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Drug, Healthcare and Patient Safety 2013(5), pp. 57-65. (10.2147/DHPS.S40887)
- Carson-Stevens, A., Davies, M. M., Jones, R., Pawan Chik, A. D., Robbé, I. J. and Fiander, A. N. 2013. Framing patient consent for student involvement in pelvic examination: a dual model of autonomy: Table 1.. Journal of Medical Ethics 39(11), pp. 676-680. (10.1136/medethics-2012-100809)
- Carson-Stevens, A. P., Jones, A., Hansen, A. S., Printz, A., Patel, E., Bhatt, J. and Panesar, S. S. 2013. Q-Tip: "What can I do to improve your care today?" -One question closer to patient-centered care. American Journal of Medical Quality 28(2), pp. 174-174. (10.1177/1062860612470782)
2011
- Carson-Stevens, A., Hingston, C. D. and Wise, M. P. 2011. Minimising drug errors in critically ill patients. Critical Care 15(1), article number: 401. (10.1186/cc9366)
2010
- Panesar, S. S., Carson-Stevens, A., Fitzgerald, J. E. and Emerton, M. 2010. The WHO surgical safety checklist - junior doctors as agents for change. International Journal of Surgery 8(6), pp. 414-416. (10.1016/j.ijsu.2010.06.004)
Articles
- Sewell, B. et al. 2023. The cost of implementing the COVID-19 shielding policy in Wales. BMC Public Health 23, article number: 2342. (10.1186/s12889-023-17169-3)
- Purchase, T. et al. 2023. Analysis of applying a patient safety taxonomy to patient and clinician-reported incident reports during the COVID-19 pandemic: a mixed methods study. BMC Medical Research Methodology 23(1), article number: 234. (10.1186/s12874-023-02057-6)
- Hibbert, P. D. et al. 2023. Unsafe care in residential settings for older adults. A content analysis of accreditation reports.. International Journal for Quality in Health Care (10.1093/intqhc/mzad085)
- Anderson, N. et al. 2023. Mapping processes in the emergency department using the functional resonance analysis method. Annals of Emergency Medicine 82(3), pp. 288-297. (10.1016/j.annemergmed.2022.12.029)
- de Andrade, F. K. et al. 2023. Validated medication deprescribing instruments for patients with palliative care needs a systematic review. Hospital Pharmacy (10.1016/j.farma.2023.08.004)
- Rawlings, A. et al. 2023. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice (10.3399/BJGP.2022.0616)
- Gbinigie, O. et al. 2023. Platform adaptive trial of novel antivirals for early treatment of COVID-19 In the community (PANORAMIC): protocol for a randomised, controlled, open-label, adaptive platform trial of community novel antiviral treatment of COVID-19 in people at increased risk of more severe disease. BMJ Open 13, article number: e069176. (10.1136/bmjopen-2022-069176)
- Porter, A. et al. 2023. Rationale for the shielding policy for clinically vulnerable people in the UK during the COVID-19 pandemic: a qualitative study. BMJ Open 13, article number: e073464. (10.1136/bmjopen-2023-073464)
- McFadzean, I. J. et al. 2023. Patient safety in prisons: a multi-method analysis of reported incidents in England. Journal of the Royal Society of Medicine 116(7), pp. 236-245. (10.1177/01410768231166138)
- Evans, S., Farnell, D. J. J., Carson-Stevens, A. and Kemp, A. 2023. Survey of practices for documenting evidence of bruises from physical abuse during child protection proceedings. BMJ Paediatrics Open 7(1), article number: e002047. (10.1136/bmjpo-2023-002047)
- Rees, P. et al. 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13(7), article number: e075058. (10.1136/bmjopen-2023-075058)
- Davies, F. et al. 2023. Evaluation of different models of general practitioners working in or alongside emergency departments: a mixed methods realist evaluation. NIHR Journals Library
- Hibbert, P. D., Molloy, C. J., Schultz, T. J., Carson-Stevens, A. and Braithwaite, J. 2023. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. International Journal for Quality in Health Care 35(3) (10.1093/intqhc/mzad056)
- Snooks, H. et al. 2023. Did the UK's public health Shielding policy protect the clinically extremely vulnerable during the Covid-19 pandemic in Wales? Results of EVITE Immunity, a link data retrospective study. Public Health 218, pp. 12-20. (10.1016/j.puhe.2023.02.008)
- Alqenae, F. A., Steinke, D., Carson-Stevens, A. and Keers, R. N. 2023. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Therapeutic Advances in Drug Safety 14 (10.1177/20420986231154365)
- Keers, R. N. et al. 2023. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLoS ONE 18(3), article number: e0282021. (10.1371/journal.pone.0282021)
- Butler, C. C. et al. 2023. Molnupiravir plus usual care versus usual care alone as early treatment for adults with COVID-19 at increased risk of adverse outcomes (PANORAMIC): an open-label, platform-adaptive randomised controlled trial. The Lancet 401(10373) (10.1016/S0140-6736(22)02597-1)
- Bowie, P., Ross, A., Purchase, T., McNab, D., Hughes, H., Donovan, L. and Carson-Stevens, A. 2023. Patient safety learning for healthcare improvement: considering the "system context" in medico-legal cases?. Journal of Personal Injury Law
- MacFarlane, E., Carson-Stevens, A., North, R., Ryan, B. and Acton, J. 2022. A mixed-methods characterisation of patient safety incidents by primary eye care practitioners. Ophthalmic and Physiological Optics 42(6), pp. 1304-1315. (10.1111/opo.13030)
- Evans, B. A. et al. 2022. Implementing public involvement throughout the research process - experience and learning from the GPs in EDs study. Health Expectations 25(5), pp. 2471-2484. (10.1111/hex.13566)
- Evans, B. A. et al. 2022. Evaluation of the shielding initiative in Wales (EVITE Immunity): protocol for a quasi-experimental study. BMJ Open 12, article number: e059813. (10.1136/bmjopen-2021-059813)
- Evans, B. A. et al. 2022. Evaluation of the shielding initiative in Wales (EVITE Immunity): protocol for a quasiexperimental study. BMJ Open 12(9), article number: e059813. (10.1136/bmjopen-2021-059813)
- Dinnen, T. et al. 2022. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Supportive and Palliative Care 12(e3), pp. e403-e410. (10.1136/bmjspcare-2019-001824)
- Edwards, M. et al. 2022. The effectiveness of primary care streaming in emergency departments on decision-making and patient flow and safety – a realist evaluation. International Emergency Nursing 62, article number: 101155. (10.1016/j.ienj.2022.101155)
- Slater, D., Hollnagel, E., MacKinnon, R., Sujan, M., Carson-Stevens, A., Ross, A. and Bowie, P. 2022. A systems analysis of the COVID-19 pandemic response in the United Kingdom-Part 1-The overall context. Safety Science 146, article number: 105525. (10.1016/j.ssci.2021.105525)
- Yardley, S., Williams, H., Bowie, P., Edwards, A., Noble, S., Donaldson, L. and Carson-Stevens, A. 2022. Which human factors design issues are influencing system performance in out-of-hours community palliative care? Integration of realist approaches with an established systems analysis framework to develop mid-range programme theory. BMJ Open 12(1) (10.1136/bmjopen-2020-048045)
- Price, D. et al. 2022. Patients' experiences of attending emergency departments where primary care services are located: qualitative findings from patient and clinician interviews from a realist evaluation. BMC Emergency Medicine 22(12) (10.1186/s12873-021-00562-9)
- Hibbert, P. D. et al. 2022. Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study. International Journal for Quality in Health Care 34(2), article number: mzac033. (10.1093/intqhc/mzac033)
- Evans, B. A. et al. 2022. Implementing public involvement throughout the research process - experience and learning from the GPs in EDs study. BMJ Open (10.1111/hex.13566)
- McFadzean, I. et al. 2022. Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'. BMC Emergency Medicine 22(1), article number: 155. (10.1186/s12873-022-00709-2)
- Sewell, B. et al. 2022. P3 How Much Did the COVID-19 Shielding Policy Cost in Wales? Results of a Cost Analysis Within the EVITE Immunity Evaluation. Value in Health 25(12) (10.1016/j.jval.2022.09.015)
- Ensaldo-Carrasco, E., Sheikh, A., Cresswell, K., Bedi, R., Carson-Stevens, A. and Sheikh, A. 2021. Patient safety incidents in primary care dentistry in England and Wales: a mixed-methods study. Journal of Patient Safety 17(8), pp. e1383-e1393. (10.1097/PTS.0000000000000530)
- Avery, A. J. et al. 2021. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Quality and Safety 30, pp. 961-976. (10.1136/bmjqs-2020-011405)
- Cooper, A. et al. 2021. Identifying safe care processes when GPs work in or alongside emergency departments: realist evaluation. British Journal of General Practice 71(713), pp. e931-e940. (10.3399/BJGP.2021.0090)
- Lazarus, R. et al. 2021. Safety and immunogenicity of concomitant administration of COVID-19 vaccines (ChAdOx1 or BNT162b2) with seasonal influenza vaccines in adults in the UK (ComFluCOV): a multicentre, randomised, controlled, phase 4 trial. The Lancet 398(10318), pp. 2277-2287. (10.1016/S0140-6736(21)02329-1)
- Urquhart, A., Yardley, S., Thomas, E., Donaldson, L. and Carson-Stevens, A. 2021. Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Journal of the Royal Society of Medicine 14(12), pp. 563-574. (10.1177/01410768211032589)
- Cooper, A. et al. 2021. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. BMC Emergency Medicine 21, article number: 139. (10.1186/s12873-021-00537-w)
- Bennett-Britton, I., Banks, J., Carson-Stevens, A. and Salisbury, C. 2021. Continuous, risk-based, consultation peer review in out-of-hours general practice: a qualitative interview study of the benefits and limitations. British Journal of General Practice 71(711), pp. e797-e805. (10.3399/BJGP.2021.0076)
- Yardley, S., Francis, S., Chuter, A., Hellard, S., Abernethy, J. and Carson-Stevens, A. 2021. Mixed methods study protocol: Do national reporting and learning system medication incidents in palliative care reflect patient and carer concerns about medication management and safety?. BMJ Open 11(9) (10.1136/bmjopen-2021-048696)
- Alshehri, G. H., Keers, R. N., Carson-Stevens, A. and Ashcroft, D. M. 2021. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. Journal of Patient Safety 17, pp. 341-351. (10.1097/PTS.0000000000000815)
- Snooks, H. et al. 2021. Call volume, triage outcomes and protocols during the first wave of the COVID-19 pandemic in the UK: results of a national survey. Journal of the American College of Emergency Physicians Open (JACEP Open) 2(4), article number: e12492. (10.1002/emp2.12492)
- Ensaldo-Carrasco, E., Suarez-Ortegon, M. F., Carson-Stevens, A., Cresswell, K., Bedi, R. and Sheikh, A. 2021. Patient safety incidents and adverse events in ambulatory dental care: A systematic scoping review. Journal of Patient Safety 17(5), pp. 381-391. (10.1097/PTS.0000000000000316)
- Fournier, J. et al. 2021. Patient-safety incidents during COVID-19 health crisis in France: an exploratory sequential multi-method study in primary care. European Journal of General Practice 27(1), pp. 142-151. (10.1080/13814788.2021.1945029)
- Alghamdi, A. A., Keers, R. N., Sutherland, A., Carson-Stevens, A. and Ashcroft, D. M. 2021. A mixed-methods analysis of medication safety incidents reported in neonatal and children's intensive care. Pediatric Drugs 23, pp. 287-297. (10.1007/s40272-021-00442-6)
- Edwards, M. et al. 2021. A classification of primary care streaming pathways in UK emergency departments: findings from a multi-methods study comprising cross-sectional survey; site visits with observations, semi-structured and informal interviews. International Emergency Nursing 56, article number: 101000. (10.1016/j.ienj.2021.101000)
- Choudhry, M. et al. 2021. Senior clinical and business managers' perspectives on the influence of different funding mechanisms, and barriers and enablers to implementing models of employing General Practitioners in or alongside emergency departments: qualitative study. Health Policy 125, pp. 482-488. (10.1016/j.healthpol.2020.11.016)
- Hernan, A. L., Giles, S., Carson-Stevens, A., Morgan, M., Lewis, P., Hind, J. and Versace, V. L. 2021. Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England. BMJ Open 11(4), article number: e042551. (10.1136/bmjopen-2020-042551)
- Disbeschl, S. et al. 2021. Protocol for a feasibility study incorporating a randomised pilot trial with an embedded process evaluation and feasibility economic analysis of ThinkCancer!: a primary care intervention to expedite cancer diagnosis in Wales. Pilot and Feasibility Studies 7(1), article number: 100. (10.1186/s40814-021-00834-y)
- Emary, K. R. W. et al. 2021. Efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 variant of concern 202012/01 (B.1.1.7): an exploratory analysis of a randomised controlled trial. The Lancet 397(10282), pp. 1351-1362. (10.1016/S0140-6736(21)00628-0)
- Voysey, M. et al. 2021. Single-dose administration and the influence of the timing of the booster dose on immunogenicity and efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine: a pooled analysis of four randomised trials. Lancet 397(10277), pp. 881-891. (10.1016/S0140-6736(21)00432-3)
- Vaismoradi, M. et al. 2021. Nobody ever questions-Polypharmacy in care homes: A mixed methods evaluation of a multidisciplinary medicines optimisation initiative. PLoS ONE 16(1), article number: e0244519. (10.1371/journal.pone.0244519)
- Bowie, P. et al. 2021. Is the "never event?"concept a useful safety management strategy in complex primary healthcare systems?. International Journal for Quality in Health Care 33(S1), pp. 25-30. (10.1093/intqhc/mzaa101)
- Voysey, M. et al. 2021. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet 397(10269), pp. 99-111. (10.1016/S0140-6736(20)32661-1)
- Evans, H. P. et al. 2020. Automated classification of primary care patient safety incident report content and severity using supervised Machine Learning (ML) approaches. Health Informatics Journal 26(4), pp. 3123-3139. (10.1177/1460458219833102)
- Hibbert, P. D. et al. 2020. Characterising the types of paediatric adverse events detected by the global trigger tool - CareTrack Kids. Journal of Patient Safety and Risk Management 25(6), pp. 239-249. (10.1177/2516043520969329)
- Gibson, R. et al. 2020. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Addiction 115(11), pp. 2066-2076. (10.1111/add.15039)
- Evans, A., Hinchliffe, A., Hood, K. and Carson-Stevens, A. 2020. Use of prescribing indicators as a means of identifying variation in the prevalence of valproate prescribing between health communities: a cross-sectional study. Integrated Healthcare Journal 2(1), article number: e000022. (10.1136/ihj-2019-000022)
- Omar, A. et al. 2020. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. Archives of Disease in Childhood 105, pp. 731-737. (10.1136/archdischild-2019-318406)
- Edwards, M. et al. 2020. Emergency department clinical leads' experiences of implementing primary care services where GPs work in or alongside emergency departments in the UK: a qualitative study. BMC Emergency Medicine 20(1), article number: 62. (10.1186/s12873-020-00358-3)
- Price, D. et al. 2020. Challenges of recruiting emergency department patients to a qualitative study: a thematic analysis of researchers? experiences. BMC Medical Research Methodology 20(1), article number: 151. (10.1186/s12874-020-01039-2)
- Hibbert, P., Thomas, M., Deakin, A., Runciman, W., Carson-Stevens, A. and Braithwaite, J. 2020. A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations. International Journal for Quality in Health Care 32(3), pp. 184-189. (10.1093/intqhc/mzaa005)
- Cooper, A., Carson-Stevens, A., Hughes, T. and Edwards, A. 2020. Is streaming patients in emergency departments to primary care services effective and safe?. BMJ 368, article number: m462. (10.1136/bmj.m462)
- Mitchell, R. et al. 2020. Using the WHO international classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths. Applied Ergonomics 82, article number: 102920. (10.1016/j.apergo.2019.102920)
- Young, S., Deslandes, P., Cooper, J., Williams, H., Kenkre, J. and Carson-Stevens, A. 2020. A mixed methods analysis of lithium-related patient safety incidents in primary care. Therapeutic Advances in Drug Safety 11, pp. 1-8. (10.1177/2042098620922748)
- Hussain, F., Cooper, A., Carson-Stevens, A., Donaldson, S. L., Hibbert, P., Hughes, T. and Edwards, A. 2019. Diagnostic error in the emergency department: learning from national patient safety incidents report analysis. BMC Emergency Medicine 19, article number: 77. (10.1186/s12873-019-0289-3)
- Carson-Stevens, A. et al. 2019. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. BMC Family Practice 20, article number: 134. (10.1186/s12875-019-0990-z)
- Cooper, A. et al. 2019. Taxonomy of the form and function of primary care services in or alongside emergency departments: concepts paper. Emergency Medicine Journal 36(10), pp. 625-630. (10.1136/emermed-2018-208305)
- Cooper, A. et al. 2019. The impact of general practitioners working in or alongside emergency departments: a rapid realist review. BMJ Open 9(4), article number: e024501. (10.1136/bmjopen-2018-024501)
- Williams, H. et al. 2019. Quality improvement identifying priorities for safer out- of- hours palliative care: lessons from a mixed methods analysis of a national incident reporting database. Palliative Medicine 33(3), pp. 346-356. (10.1177/0269216318817692)
- Carson-Stevens, A., McNab, D., Freestone, J., Black, C. and Bowie, P. 2018. Participatory design of a complex improvement intervention for the primary care management of Sepsis using the Functional Resonance Analysis Method. BMC Medicine 16, article number: 174. (10.1186/s12916-018-1164-x)
- Stanciu, M. A. et al. 2018. Development of an intervention to expedite cancer diagnosis through primary care: a protocol. BJGP Open 2(3), article number: 18X101595. (10.3399/bjgpopen18X101595)
- Doran, N., Bethune, R., Watson, J., Finucane, K. and Carson-Stevens, A. 2018. Empowering junior doctors: a qualitative study of a QI programme in South West England. Postgraduate Medical Journal 94(1116), pp. 571-577.
- Yardley, I., Yardley, S., Williams, H., Carson-Stevens, A. and Donaldson, L. J. 2018. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Palliative Medicine 32(8), pp. 1353-1362. (10.1177/0269216318776846)
- Carson-Stevens, A., Donaldson, L. and Sheikh, A. 2018. The rise of patient safety-II: should we give up hope on safety-I and extracting value from patient safety incidents? Comment on "false dawns and new horizons in patient safety research and practice". International Journal of Health Policy and Management 7(7), article number: 12. (10.15171/ijhpm.2018.23)
- Ensaldo-Carrasco, E., Carson-Stevens, A., Cresswell, K., Bedi, R. and Sheikh, A. 2018. Developing agreement on never events in primary care dentistry: an international eDelphi study. British Dental Journal 224, pp. 733-740. (10.1038/sj.bdj.2018.351)
- Cooper, J. et al. 2018. Classification of patient-safety incidents in primary care. Bulletin of the World Health Organization 96(7), pp. 498-505. (10.2471/BLT.17.199802)
- Stuttaford, L., Chakraborty, M., Carson-Stevens, A. and Powell, C. 2018. G190 Patient safety incidents in neonatology: a 10-year descriptive analysis of reports from NHS England and Wales. Archives of Disease in Childhood 103(S1), article number: A78. (10.1136/archdischild-2018-rcpch.185)
- Yardley, I. E., Carson-Stevens, A. and Donaldson, L. J. 2018. Serious incidents after death: content analysis of incidents reported to a national database. Journal of the Royal Society of Medicine 111(2), pp. 57-64. (10.1177/0141076817744561)
- Cooper, J. et al. 2017. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Annals of Family Medicine 15(5), pp. 455-461. (10.1370/afm.2123)
- Cooper, A. et al. 2017. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age and Ageing 46(5), pp. 833-839. (10.1093/ageing/afx044)
- Cork, N., Rooney, K. D. and Carson-Stevens, A. 2017. When I say? quality improvement. Medical Education 51(5), pp. 467-468. (10.1111/medu.13244)
- Lazenby, S., Edwards, A. G., Samuriwo, R., Riley, S. G., Murray, M. A. and Carson-Stevens, A. 2017. End-of-life care decisions for haemodialysis patients – ‘We only tend to have that discussion with them when they start deteriorating’. Health Expectations 20(2), pp. 260-273. (10.1111/hex.12454)
- Bell, B. G. et al. 2017. Understanding the epidemiology of avoidable significant harm in primary care: protocol for a retrospective cross-sectional study. BMJ Open 7(2), article number: e013786. (10.1136/bmjopen-2016-013786)
- Cooper, J., MacLeod, N., Williams, H. and Carson-Stevens, A. 2017. Learning from excellence and patient safety incidents. Archives of Disease in Childhood 102(3), pp. 295-296. (10.1136/archdischild-2016-312445)
- Gibson, R. et al. 2017. Unsafe opioid replacement therapy in England and Wales: a mixed-methods study. The Lancet 389(S1), pp. S38. (10.1016/S0140-6736(17)30434-8)
- Rees, P. et al. 2017. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. Plos Medicine 14(1), article number: e1002217. (10.1371/journal.pmed.1002217)
- Samuriwo, R., Williams, H., Cooper, J. and Carson-Stevens, A. 2016. Improving skin care through data: a pitch for patient safety incident reporting. Journal of Wound Care 25(12), pp. 691. (10.12968/jowc.2016.25.12.691)
- Carson-Stevens, A. et al. 2016. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Services and Delivery Research 4(27), pp. 1-76. (10.3310/hsdr04270)
- Panesar, S. S. et al. 2016. How safe is primary care? A systematic review. BMJ Quality & Safety 25(7), pp. 544-553. (10.1136/bmjqs-2015-004178)
- Wood, F., Martin, S. M., Carson-Stevens, A., Elwyn, G., Precious, E. and Kinnersley, P. R. 2016. Doctors’ perspectives of informed consent for non-emergency surgical procedures: a qualitative interview study. Health Expectations 19(3), pp. 751-761. (10.1111/hex.12258)
- Samuriwo, R., Evans, H. P., Williams, H., Rees, P., Hibbert, P., Makeham, M. and Carson-Stevens, A. 2016. Primary Care Patient Safety (PISA) Research Group - Identifying priorities for pressure ulcer prevention in primary care.. EWMA Journal 16(1), pp. 25-26.
- Evans, H. P., Cooper, A., Williams, H. and Carson-Stevens, A. 2016. Improving the safety of vaccine delivery. Human Vaccines & Immunotherapeutics 12(5), pp. 1280-1281. (10.1080/21645515.2015.1137404)
- Williams, H., Cooper, A. and Carson-Stevens, A. 2016. Opportunities for incident reporting. Response to: 'The problem with incident reporting' by Macrae et al. BMJ Quality & Safety 25(2), pp. 133-134. (10.1136/bmjqs-2015-004962)
- Williams, H. et al. 2015. Harms from discharge to primary care: mixed methods analysis of incident reports. British Journal of General Practice (BJGP) 65(641), pp. e829-e837. (10.3399/bjgp15X687877)
- Carson-Stevens, A. et al. 2015. A cross-sectional mixed methods study protocol to generate learning from patient safety incidents reported from general practice. BMJ Open 5(12), article number: e009079. (10.1136/bmjopen-2015-009079)
- Omar, A. et al. 2015. Vulnerable children and their care quality issues: a descriptive analysis of a national database [Abstract]. BMJ Quality and Safety 24(11), pp. 732-733., article number: 588. (10.1136/bmjqs-2015-IHIabstracts.18)
- Rees, P. et al. 2015. Identifying priorities for improved child healthcare: a mixed methods analysis of safety incident reports [Abstract]. BMJ Quality and Safety 24(11), pp. 730-731., article number: 579. (10.1136/bmjqs-2015-IHIabstracts.16)
- Rees, P. et al. 2015. Pediatric immunization-related safety incidents in primary care: a mixed methods analysis of a national database. Vaccine 33(32), pp. 3873-3880. (10.1016/j.vaccine.2015.06.068)
- Rees, P. et al. 2015. Safety incidents in the primary care office setting. Pediatrics 135(6), pp. 1027-1035. (10.1542/peds.2014-3259)
- Carson-Stevens, A., Edwards, A. G., Panesar, S., Parry, G., Rees, P., Sheikh, A. and Donaldson, L. 2015. Reducing the burden of iatrogenic harm in children. The Lancet 385(9978), pp. 1593-1594. (10.1016/S0140-6736(14)61739-6)
- Dahill, M. et al. 2015. First-year doctors' attitudes and beliefs relating to quality improvement and patient safety. Clinical Risk 21(2-3), pp. 47-49. (10.1177/1356262215585270)
- Rees, P., Edwards, A., Powell, C., Evans, H. P., Panesar, S. and Carson-Stevens, A. 2015. Disparities in the quality of primary healthcare for socially deprived children. Archives of Disease in Childhood 100(3), pp. 299-300. (10.1136/archdischild-2014-307618)
- Rees, P., Edwards, A., Panesar, S. and Carson-Stevens, A. 2014. Child mortality in the UK. The Lancet 384(9958), pp. 1923-1924. (10.1016/S0140-6736(14)62272-8)
- Rees, P., Evans, H. P., Panesar, S., Llewelyn, M., Edwards, A. and Carson-Stevens, A. 2014. Contraindicated BCG vaccination in "at risk" infants. BMJ 349, article number: g5388. (10.1136/bmj.g5388)
- Rees, P., Carson-Stevens, A., Williams, H., Panesar, S. and Edwards, A. 2014. Quality improvement informed by a reporting and learning system. Archives of Disease in Childhood 99(7), pp. 702-703. (10.1136/archdischild-2014-306198)
- Madhok, R. et al. 2014. Promoting patient safety in India: situational analysis and the way forward. National Medical Journal of India 27(4), pp. 217-223.
- Panesar, S. S. et al. 2013. The orthopaedic error index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. BMJ Open 3(11), pp. e003448. (10.1136/bmjopen-2013-003448)
- Parry, G. J., Carson-Stevens, A., Luff, D. F., McPherson, M. E. and Goldmann, D. A. 2013. Recommendations for evaluation of health care improvement initiatives. Academic Pediatrics 13(6), pp. S23-S30. (10.1016/j.acap.2013.04.007)
- Cresswell, K. M. et al. 2013. Global research priorities to better understand the burden of iatrogenic harm in primary care: An international delphi exercise. PLoS Medicine 10(11), pp. e1001554. (10.1371/journal.pmed.1001554)
- Ward, H. O., McIldowie, B., Kibble, S., Squire, A. and Carson-Stevens, A. 2013. Financial implications for survivors of stroke. British Medical Journal 347, article number: f4999. (10.1136/bmj.f4999)
- Carson-Stevens, A., Patel, E., Nutt, S. L., Bhatt, J. and Panesar, S. S. 2013. The social movement drive: a role for junior doctors in healthcare reform. Journal of the Royal Society of Medicine 106(8), pp. 305-309. (10.1177/0141076813489677)
- Mustafa, M., Carson-Stevens, A., Gillespie, D. and Edwards, A. G. 2013. Psychological interventions for women with metastatic breast cancer. Cochrane Library 2013(6), article number: CD004253. (10.1002/14651858.CD004253.pub4)
- Panesar, S., Carson-Stevens, A., Salvilla, S., Patel, B., Mirza, S. and Mann, B. 2013. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Drug, Healthcare and Patient Safety 2013(5), pp. 57-65. (10.2147/DHPS.S40887)
- Carson-Stevens, A., Davies, M. M., Jones, R., Pawan Chik, A. D., Robbé, I. J. and Fiander, A. N. 2013. Framing patient consent for student involvement in pelvic examination: a dual model of autonomy: Table 1.. Journal of Medical Ethics 39(11), pp. 676-680. (10.1136/medethics-2012-100809)
- Carson-Stevens, A. P., Jones, A., Hansen, A. S., Printz, A., Patel, E., Bhatt, J. and Panesar, S. S. 2013. Q-Tip: "What can I do to improve your care today?" -One question closer to patient-centered care. American Journal of Medical Quality 28(2), pp. 174-174. (10.1177/1062860612470782)
- Carson-Stevens, A., Hingston, C. D. and Wise, M. P. 2011. Minimising drug errors in critically ill patients. Critical Care 15(1), article number: 401. (10.1186/cc9366)
- Panesar, S. S., Carson-Stevens, A., Fitzgerald, J. E. and Emerton, M. 2010. The WHO surgical safety checklist - junior doctors as agents for change. International Journal of Surgery 8(6), pp. 414-416. (10.1016/j.ijsu.2010.06.004)
Book sections
- Purchase, T., Bowie, P., Hibbert, P., Krishnan, R. G. and Carson-Stevens, A. 2023. Human factors to improve patient safety. In: Patient Safety. Cham, Switzerland: Springer, pp. 45-60., (10.1007/978-3-031-35933-0_4)
- Carson-Stevens, A., Hayes, J., Evans, A. and Donaldson, L. 2018. Wales: Realizing a data-drive healthcare improvement agenda: a manifesto for world class patient safety. In: Braithwaite, J. et al. eds. Health Care Systems: Future Predictions of Global Care.. CRC Press Taylor and Francis Group, pp. 275-280.
- Jones, A. and Carson-Stevens, A. 2014. Patient stories in improvement. In: Panesar, S. S. et al. eds. Patient Safety and Healthcare Improvement at a Glance. Chichester, UK: Wiley, pp. 90-92.
Books
- Panesar, S., Carson-Stevens, A., Salvilla, S. and Sheikh, A. Panesar, S. et al. eds. 2014. Patient safety and healthcare improvement at a glance. Wiley-Blackwell.
Conferences
- Sivell, S., Price, D. and Carson-Stevens, A. 2023. The challenges and experiences of providing end-of-life care in primary care: online survey and semi-structured interviews with UK primary care professionals.. Presented at: RCGP Annual Conference 2023, Glasgow, 19-20 October 2023, Vol. 73. Vol. Suppl. Royal College of General Practitioners, (10.3399/bjgp23X733833)
- Sivell, S. et al. 2023. Protocol to evaluate the implementation of the royal college of general practitioners and Marie Curie Daffodil Standards in UK general practice. Presented at: The Marie Curie Research Conference 2023, Virtual, 6-10 February 2023, Vol. 13. BMJ Publishing Group pp. A8., (10.1136/spcare-2023-MCRC.19)
- Sivell, S., Price, D. and Carson-Stevens, A. 2023. Understanding the experiences of providing end-of-life care in UK general practices; preliminary data from an independent evaluation of the daffodil standards.. Presented at: The Marie Curie Research Conference 2023, Virtual, 6-10 February 2023, Vol. 13. BMJ Supportive and Palliative Care: BMJ Publishing Group pp. A8-A9., (10.1136/spcare-2023-MCRC.20)
- Samuriwo, R., Hibbert, P., Makeham, M., Evans, H. P. and Carson-Stevens, A. 2015. Priorities for pressure ulcer prevention: mixed methods analysis of patient safety incidents reports from primary care in England and Wales (2003-2013).. Presented at: PRIME Centre Wales 1st Annual Meeting, Cardiff, Wales, 22 September 2015.
- Samuriwo, R., Hibbert, P., Makeham, M., Evans, H. P. and Carson-Stevens, A. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: a mixed methods analysis. Presented at: 18th Annual Meeting of the European Pressure Ulcer Advisory Panel (EPUAP 2015), Ghent, Belgium, 16-18 September 2015.
- Samuriwo, R., Hibbert, P., Makeham, M., Evans, H. P. and Carson-Stevens, A. 2015. Primary care pressure ulcer related patient safety incidents reports from England and Wales: A mixed methods analysis.. Presented at: 25th Conference of the European Wound Management Association (EWMA 2015), London, England, 13 May 2015.
- Samuriwo, R. et al. 2015. How do we prevent pressure ulcers in primary care? Galvanising insights from healthcare professionals. Presented at: 21st Annual Institute for Healthcare Improvement Scientific Symposium (IHI 2015), Orlando, FL, USA, 7 December 2015.
Monographs
- Carson-Stevens, A. and Donaldson, L. 2017. Reporting and learning from patient safety incidents in general practice: a practical guide. Royal College of General Practitioners.. Manual. Royal College of General Practitioners. Available at: http://www.rcgp.org.uk/-/media/Files/CIRC/Patient-Safety/Reporting-and-learning-from-patient-safety-incidents.ashx?la=en
- Makeham, M., Dovey, S., Zwar, N. and Carson-Stevens, A. 2016. Administrative errors: technical series on safer primary care. Technical Report.
Thesis
- Carson-Stevens, A. 2017. Generating learning from patient safety incident reports from general practice. PhD Thesis, Cardiff University.
Ymchwil
Trosolwg o Ymchwil
Nodgweithgareddau ymchwil a datblygu yw pennu amlder, baich ac atalioldeb niwed sy'n gysylltiedig â gofal iechyd mewn lleoliadau iechyd a gofal cymdeithasol, a datblygu a gweithredu ymyriadau i wella diogelwch cleifion mewn meysydd blaenoriaeth.
Dysgu o iechyd a gofal cymdeithasol anniogel a brofir gan gleifion a theuluoedd
Rwyf wedi datblygu dull dulliau cymysg ar gyfer ymchwilio i amlder ac osgoi niwed sylweddol mewn gofal iechyd; a nodi meysydd blaenoriaeth diogelwch cleifion o ddadansoddi data diogelwch cleifion ar gyfer ysgogi gwybodaeth gyda rhanddeiliaid lluosog gan gynnwys sefydliadau'r GIG a llunwyr polisi.
Datblygwyd fy datblygiadau methodolegol ar gyfer cynhyrchu dysgu o ddigwyddiadau diogelwch cleifion yn ystod astudiaeth agenda genedlaethol o ddigwyddiadau diogelwch cleifion mewn Ymarfer Cyffredinol (wedi'i ariannu gan raglen Ymchwil Gwasanaethau Iechyd a Chyflenwi NIHR, ac a elwir ar lafar fel 'astudiaeth PISA').
Astudiaeth PISA oedd y nodwedd fwyaf o ddigwyddiadau diogelwch cleifion mewn practis cyffredinol ledled y byd. Mae allbynnau methodolegol astudiaeth PISA wedi darparu sylfaen i ymchwilwyr eraill efelychu ac ehangu'r ymchwil, a hyrwyddo'r agenda diogelwch cleifion gofal sylfaenol, yn rhyngwladol. Yn y DU, er enghraifft, fe'u cymhwyswyd i nodi 'niwed sylweddol y gellir ei osgoi' mewn Meddygfeydd Cyffredinol yn Lloegr (a ariennir gan Raglen Ymchwil Polisi NIHR) a'r astudiaeth a ariennir gan NIHR, i ymchwilio i niwed y gellir ei osgoi mewn gwasanaethau gofal iechyd carchardai yn Lloegr.
Nododd astudiaeth PISA a ariannwyd gan NIHR & DR, (2013-15) i nodweddu digwyddiadau diogelwch cleifion sy'n digwydd mewn practis cyffredinol amrywiaeth o grwpiau cleifion agored i niwed a gwendid systemig a oedd yn cyfiawnhau ymchwiliad manylach.
Yn dilyn hynny, mae'r grŵp PISA wedi arwain astudiaethau mawr o feysydd blaenoriaeth a nodwyd ar gyfer diogelwch cleifion ar draws y continwwm iechyd a gofal cymdeithasol, gan gynnwys: rhyddhau anniogel o leoliadau gofal eilaidd i ofal sylfaenol a gwallau a brofir gan blant mewn gofal sylfaenol, oedolion hŷn, cleifion sy'n derbyn gofal lliniarol , cynllunio gofal uwch, cleifion â dementia, oedolion sy'n derbyn gwasanaethau iechyd meddwl mewn gofal sylfaenol, ac oedolion sy'n derbyn opiate ailosod.
Mae'r astudiaethau gorffenedig yn cynnwys:
- Nodweddu natur adroddiadau digwyddiadau diogelwch cleifion gofal sylfaenol yn System Adrodd a Dysgu Cenedlaethol Cymru a Lloegr: astudiaeth gosod agenda dulliau cymysg ar gyfer ymarfer cyffredinol – a gyhoeddwyd yng nghyfnodolyn NIHR HS&DR https://doi.org/10.3310/hsdr04270
- Digwyddiadau diogelwch cleifion yn ymwneud â phlant sâl mewn gofal sylfaenol yng Nghymru a Lloegr: Dadansoddiad dulliau cymysg – cyhoeddwyd yn PLOS Medicine https://doi.org/10.1371/journal.pmed.1002217
- Dosbarthiad awtomataidd o ofal sylfaenol am ddigwyddiadau diogelwch cleifion yn adrodd cynnwys a difrifoldeb gan ddefnyddio dulliau dysgu peiriannau dan oruchwyliaeth (ML) - cyhoeddwyd yn Health Informatics https://doi.org/10.1177/1460458219833102
- Digwyddiadau diogelwch yn ymwneud â phlant mewn practis cyffredinol – cyhoeddwyd yn Pediatrics https://doi.org/10.1542/peds.2014-3259
- Niwed o ryddhau i ofal sylfaenol: Dadansoddiad dulliau cymysg o adroddiadau digwyddiad – cyhoeddwyd yn British Journal of General Practice https://doi.org/10.3399/bjgp15X687877
- Datblygu system ddosbarthu ryngwladol ar gyfer diogelwch cleifion mewn gofal sylfaenol – a gyhoeddwyd ym Mwletin Sefydliad Iechyd y Byd http://dx.doi.org/10.2471/BLT.17.199802
- Natur y bai mewn adroddiadau digwyddiadau diogelwch cleifion: Dadansoddiad dulliau cymysg o gronfa ddata genedlaethol – cyhoeddwyd yn Annals of Family Medicine http://dx.doi.org/10.1370/afm.2123
- Digwyddiadau diogelwch sy'n gysylltiedig ag imiwneiddio pediatrig mewn gofal sylfaenol: Dadansoddiad dulliau cymysg o gronfa ddata genedlaethol – cyhoeddwyd yn Brechlyn https://doi.org/10.1016/j.vaccine.2015.06.068
- Sources of unsafe primary care for older adults: A mixed methods analysis of patient safety incident reports – cyhoeddwyd yn Age and Ageing https://dx.doi.org/10.1093%2Fageing%2Fafx044
- Blaenoriaethau gwella ansawdd ar gyfer gofal lliniarol mwy diogel y tu allan i oriau: Lessons from a mixed methods analysis of a national incident-reporting database – a gyhoeddwyd yn Palliative Medicine https://doi.org/10.1177%2F0269216318817692
- Diogelwch cleifion mewn gofal lliniarol: Astudiaeth dulliau cymysg o adroddiadau i gronfa ddata genedlaethol o ddigwyddiadau difrifol – cyhoeddwyd yn Palliative Medicine https://doi.org/10.1177/0269216318776846
- Digwyddiadau diogelwch cleifion mewn deintyddiaeth gofal sylfaenol yng Nghymru a Lloegr: Astudiaeth dulliau cymysg – cyhoeddwyd yn y Journal of Patient Safety http://dx.doi.org/10.1097/PTS.0000000000000530
- Digwyddiadau diogelwch cleifion ymlaen llaw cynlluniau gofal ar gyfer salwch difrifol: dadansoddiad dulliau cymysg – cyhoeddwyd yn BMJ Supportive and Palliative Care http://dx.doi.org/10.1136/bmjspcare-2019-001824
- Camgymeriad diagnostig yn yr adran frys: dysgu o ddadansoddi adroddiadau digwyddiadau diogelwch cleifion cenedlaethol – cyhoeddwyd yn BMC Emergency Medicine https://doi.org/10.1186/s12873-019-0289-3.
- Niwed sy'n gysylltiedig ag iechyd a gofal cymdeithasol ymhlith plant bregus mewn gofal sylfaenol: dulliau cymysg dadansoddi adroddiadau diogelwch cenedlaethol – cyhoeddwyd yn Archives of Disease in Childhood. http://dx.doi.org/10.1136/archdischild-2019-318406
- Dysgu o ddigwyddiad diogelwch cleifion yn ymwneud ag oedolion sâl acíwt mewn unedau asesu ysbytai yng Nghymru a Lloegr: dadansoddiad dulliau cymysg ar gyfer gwella ansawdd – cyhoeddwyd yn Journal of the Royal Society of Medicine. https://doi.org/10.1177/01410768211032589
- Dadansoddiad dulliau cymysg o ddigwyddiadau diogelwch cleifion sy'n cynnwys triniaeth amnewid opioid gyda methadone neu buprenorffin mewn gofal yn y gymuned yng Nghymru a Lloegr – cyhoeddwyd yn Addiction https://doi.org/10.1111/add.15039
- Dysgu o wallau diagnostig i wella diogelwch cleifion pan fydd meddygon teulu yn gweithio mewn adrannau brys neu ochr yn ochr â nhw: ymgorffori methodoleg realaeth i ddadansoddi adroddiadau digwyddiadau diogelwch cleifion – i'w gyhoeddi yn BMC Emergency Medicine.
Dysgu sut i wella diogelwch cleifion mewn gwahanol gyd-destunau iechyd a gofal cymdeithasol (gan gynnwys cartrefi gofal)
Defnyddiwyd canfyddiadau o ddadansoddiadau blaenorol o ddigwyddiadau diogelwch cleifion i lywio dyluniad mentrau a phrosiectau gwella ansawdd yn empirig i wella diogelwch cleifion mewn sefydliadau gofal iechyd. Mae'r gwersi a ddysgwyd o'n hastudiaethau gofal sylfaenol yn cael eu defnyddio gan y gwasanaeth Gwella 1000 o Fywydau yng Nghymru i ddylunio eu strategaeth gwella ar lefel genedlaethol ar gyfer diogelwch cleifion gofal sylfaenol. Ar lefel leol, defnyddiodd un bwrdd iechyd yng Nghymru, ein dadansoddiad o adroddiadau am gamgymeriadau sy'n gysylltiedig â gwrthgeulo i dynnu sylw at risgiau i gleifion sy'n cael eu cychwyn ar Warfarin yn yr ysbyty. Arweiniodd y prosiect gwella ansawdd dilynol at Wasanaeth Gwell dan Gyfarwyddyd cenedlaethol ar gyfer darparu gwasanaethau gwrthgeulo i gleifion mewn lleoliadau cymunedol yn lle hynny (am fwy o fanylion, gwyliwch fideo byr ar YouTube).
Yn ogystal, rydym yn cysyniadu, ymchwilio a chefnogi timau i wella diogelwch cleifion ar gyfer grwpiau cleifion agored i niwed ar draws y continwwm gofal. Er enghraifft, gyda chymorth gan Goleg Brenhinol yr Ymarferwyr Cyffredinol a chymrodoriaeth a ariennir gan Marie Curie, rydym wedi datblygu model 'ymchwilydd-preswyl' o weithio mewn bwrdd iechyd mawr yng Nghymru i werthuso prosiect gwella ansawdd gyda'r nod o wella gofal diwedd oes yn y lleoliad gofal y tu allan i oriau meddyg teulu.
Rydym yn gwerthuso datblygiad, profi a gweithredu ymyriadau diogelwch cleifion i ddeall sut ac ym mha gyd-destunau y gallant wella canlyniadau. Mae'r Grŵp PISA yn defnyddio dull gwerthuso proses sy'n cael ei yrru gan theori a ddatblygwyd gyda chydweithwyr yn Ysgol Feddygol Harvard a'r Sefydliad Gwella Gofal Iechyd (gweler Parry, Carson-Stevens et al. 2013 am fwy o fanylion).
Adeiladu gallu a gallu i alluogi pontio o 'ddysgu i weithredu'
Rwy'n gweithio'n agos gyda sefydliadau'r GIG i weithredu arloesiadau methodolegol ac archwilio sut i gynyddu cyrhaeddiad ac effaith y buddion i gleifion a'u teuluoedd (gan gynnwys rhoddwyr gofal anffurfiol), er enghraifft, trwy:
Mae ymdrechion blaenorol i adnabod a dysgu o'r ffynonellau niwed pwysicaf i gleifion wedi cael eu cyfyngu gan ddiffyg system safonol gyffredinol ar gyfer dosbarthu difrifoldeb niwed ac esgeulustod cyffredinol niwed seicolegol yn y cyd-destun hwn. Mae fy ngrŵp ymchwil wedi datblygu cyfres o systemau dosbarthu yn empirig, er enghraifft y System Dosbarthu Difrifoldeb Niwed Gofal Sylfaenol a gyhoeddwyd ym Mwletin Sefydliad Iechyd y Byd, i'w defnyddio'n rhyngwladol, ar draws lleoliadau gofal sylfaenol, i wella canfod ac atal digwyddiadau sy'n achosi'r niwed mwyaf difrifol i gleifion.
Mae profiadau gofal dirdynnol, anniogel cleifion a'u teuluoedd yn cael eu darlunio mewn adroddiadau digwyddiadau diogelwch cleifion. Mae adroddiadau o'r fath yn cynrychioli persbectif unigryw ar gyfer dysgu. Fodd bynnag, mae maint y data mewn llawer o systemau adrodd am ddigwyddiadau diogelwch cleifion mor fawr fel nad oes llawer erioed wedi'i ddadansoddi na'i ddefnyddio i gefnogi gwelliant mewn diogelwch cleifion.
Rydym wedi datblygu dulliau dysgu peiriannau (hy dulliau dosbarthu testun) i oresgyn yr her hon a fydd yn awtomeiddio casglu gwybodaeth hanfodol i ddeall digwyddiadau diogelwch cleifion gan gynnwys tynnu manylion am yr hyn a ddigwyddodd (math o ddigwyddiad), pam y digwyddodd (ffactorau cyfrannol) a difrifoldeb y canlyniad (difrifoldeb niwed).
Mae sefydliadau hefyd wedi cael eu rhwystro gan ddiffyg buddsoddiad ar gyfer meithrin gallu a gallu staff i ddadansoddi data o'r fath. Gyda chefnogaeth Gwobr Hyrwyddo Analytics gan Sefydliad Iechyd, rydym ar hyn o bryd yn archwilio dulliau o 'harneisio dadansoddeg data i wneud y mwyaf o ddysgu'r GIG o adroddiadau digwyddiadau diogelwch cleifion' ac yn gweithio i wireddu'r synergedd rhwng dadansoddwyr data, rheolwyr a chlinigwyr ar gyfer nodi a gweithredu ar ddysgu o ddata diogelwch cleifion.
Mae'r gwersi a ddysgwyd o fy mhrosiectau ymchwil wedi cael eu lledaenu gyda chefnogaeth Coleg Brenhinol yr Ymarferwyr Cyffredinol i hyfforddi'r gweithlu i gydnabod, adrodd a dysgu o ddigwyddiadau diogelwch cleifion trwy gyrsiau e-ddysgu, seminarau cenedlaethol, a chanllaw ymarferol 'sut i '.
Mae Grŵp PISA yn ymdrechu i feithrin gallu a gallu ymchwilwyr y gwasanaeth iechyd i ymchwilio i ddiogelwch cleifion (myfyrwyr ôl-raddedig, academyddion clinigol, cymrodyr ôl-ddoethurol) trwy ymweld ag apwyntiadau gyda'r grŵp PISA .
Cydweithredwyr academaidd
Rhyngwladol
Ysgol Feddygol Harvard, Boston, UDA
Sefydliad Gwella Gofal Iechyd, Boston, UDA
Prifysgol Macquarie, Sydney, Awstralia
Prifysgol British Columbia, Vancouver, Canada
Prifysgol y Frenhines, Kingston, Canada
Cenedlaethol
Canolfan Ymchwil Marie Curie, Prifysgol Caerdydd a Choleg Prifysgol Llundain
NIHR Greater Manchester Primary Care Canolfan Ymchwil Drosiadol Diogelwch Cleifion
Prifysgol Caeredin
Prifysgol Manceinion
Prifysgol Nottingham
Ysgol Hylendid a Meddygaeth Drofannol Llundain
Addysgu
Trosolwg o ysgolheictod addysgol
Yn rhyngwladol, rwyf wedi rhannu'r dulliau dull cymysg arloesol a ddatblygwyd gan fy ngrŵp ymchwil i ymchwilio a deall epidemioleg digwyddiadau diogelwch cleifion gydag ymchwilwyr eraill. Rwyf wedi hyfforddi dros 70 o ymchwilwyr gwasanaethau iechyd i ymchwilio i ddigwyddiadau diogelwch cleifion ac mae hyn wedi arwain at nifer o wahoddiadau rhyngwladol ar gyfer cynnal ymchwil a chyd-ysgrifennu cyhoeddiadau.
Roeddwn yn ddarlithydd gwadd yn Ysgol Iechyd y Cyhoedd Harvard Chan yn 2017 ac yn cyd-ddysgu cwrs wythnos ar ddulliau epidemiolegol ar gyfer deall diogelwch cleifion. Rwyf hefyd yn ymdrechu i gefnogi staff, rheolwyr ac arweinwyr gofal iechyd rheng flaen i ddysgu o ofal iechyd anniogel; er enghraifft, fi oedd yr Arweinydd Clinigol ar gyfer Gwella Ansawdd mewn Diogelwch Cleifion yng Ngholeg Brenhinol yr Ymarferwyr Cyffredinol (2016-17) ac fe wnes i gyd-ysgrifennu 'RCGP Guide for Reporting and Learning from Patient Safety Incidents in General Practice' a datblygais ddau fodiwl ar-lein a gynhaliwyd gan RCGP Learning. Rwyf hefyd wedi cyfrannu'n rhyngwladol at raglen OPEN Pediatrics Ysbyty Plant Boston / Ysgol Feddygol Harvard, wedi'i hanelu'n bennaf at ddysgwyr o leoliadau incwm isel a chanolig, ar ddatgelu ac ymddiheuro i gleifion a theuluoedd yn dilyn gofal iechyd anniogel.
Rhwng 2012-16, fi oedd Arweinydd Cyfadran Sefydliad Gwella Gofal Iechyd y DU ac Iwerddon ar gyfer y rhaglen addysgol ar-lein a chymunedol, Ysgol Agored yr IHI (2012-16) - bellach y darparwr mwyaf o addysg gwella ansawdd a diogelwch cleifion ledled y byd.
Yn 2008, roeddwn yn intern i'r Athro Donald Berwick yn y Sefydliad Gwella Gofal Iechyd yng Nghaergrawnt, UDA. Roeddwn i'n gyd-sylfaenydd Ysgol Agored yr IHI. Gan ddefnyddio dulliau trefnu cymdeithasol a rhwydwaith cynyddol Ysgol Agored yr IHI o selogion gwella ansawdd, roeddwn yn gyd-sylfaenydd ymgyrch diogelwch cleifion byd-eang ar gyfer gweithwyr gofal iechyd proffesiynol iau o'r enw "Check a Box." Achub bywyd." cefnogi lledaeniad a lledaeniad Rhestr Wirio Diogelwch Llawfeddygol WHO . Yn y blynyddoedd diweddarach, fel aelod o'r gyfadran, datblygais ddulliau i fyfyrwyr ddysgu am brofiad cleifion a theuluoedd mewn gofal iechyd i lywio gwelliant ansawdd drwy ofyn Un Cwestiwn – annog myfyrwyr i fabwysiadu strategaethau syml fel gofyn i bob claf y maent yn ei gyfarfod, "Beth alla i ei wneud i wella'ch gofal heddiw?". Ers hynny, mae'r datblygiadau arloesol hyn wedi cael eu rhoi ar waith mewn sawl cwricwla meddygol, er enghraifft, ym Mhrifysgol Caerdydd a Phrifysgol British Columbia (Canada).
Arweinyddiaeth addysgol ym Mhrifysgol Caerdydd
Arweinyddiaeth a chyfraniadau modiwlau
|
Blwyddyn o/i |
Ysgol |
Teitl y modiwl/cwrs |
Lefel yr astudiaeth |
Rôl |
|
2019 – 2021 |
Meddyginiaeth |
Modiwl Ansawdd a Diogelwch (20 credyd) a ddatblygwyd i'w ddefnyddio yn y: MSc Gofal Critigol, Arweinyddiaeth Glinigol a Rheoli Newid mewn Cardioleg MSc, Meddygaeth Lliniarol ar gyfer Gweithwyr Gofal Iechyd Proffesiynol MSc. |
Msc |
Arweinydd y modiwl |
|
2019 – 2021 |
Busnes |
Cynllunio Strategol ac Arloesi |
Diploma PG mewn Cynllunio Gofal Iechyd |
Cynneddf |
|
2014 – 2021 |
Meddyginiaeth |
Meddygaeth Blwyddyn 5: Newid Arferion, MB BCh |
Myfyrwyr Meddygol Blwyddyn 5 (n = 300+) |
Arweinydd y modiwl |
|
2017 – 2021 |
Meddyginiaeth |
Gwella ansawdd gofal clinigol |
Meddygaeth Boblogaeth Intercalated BSc (n = 10+) |
Arweinydd y modiwl |
|
2018 – 2021 |
Meddyginiaeth |
Wythnos Blasu Ymchwil SSC Blwyddyn 2 |
Myfyrwyr Meddygol Blwyddyn 2 (n = 20) |
Tiwtor SSC |
|
2018 – 2021 |
Meddyginiaeth |
Hwyluso Tiwtorial ar gyfer Rhaglen Epidemioleg Glinigol a ddarperir gan Is-adran Meddygaeth Boblogaeth |
Myfyrwyr Meddygol Blwyddyn 3 (n = 60) |
Tiwtor |
|
2018/2019 |
Meddyginiaeth |
Practical Research Experience Student Selected Component |
Myfyrwyr Meddygol Blwyddyn 1 (n = 10) |
Tiwtor |
Rolau arweinyddiaeth academaidd , rheoli ac addysgu/gweinyddu sy'n gysylltiedig ag ymchwil
- Cyfarwyddwr Ymchwil, Is-adran Meddygaeth Boblogaeth, Ebrill 2021 –
- Aelod o Bwyllgor Moeseg Ymchwil yr Ysgol Feddygaeth, Gorffennaf 2020 – Ebrill 2021
- Cyfwelydd myfyrwyr meddygol, Rhagfyr 2019 –
- Diwrnod blasu Wellcome INSPIRE, Rhagfyr 2019 –
- Cadeirydd Bwrdd Arholi PhD, Medi 2019
- Aelod o'r tîm aml-ysgol buddugol dan arweiniad Ysgol Busnes Caerdydd (Yr Athro Aoife McDermott et al.) a fynychodd gyfweliadau ar y rhestr fer i sicrhau cyllid o tua £800,000 i ddarparu Diploma mewn Cynllunio Gofal Iechyd Prifysgol Caerdydd.
- Aelod o brosiect Phoenix Prifysgol Caerdydd, Tachwedd 2018 –
- Cydlynydd Amserlen Cyfarfod Academaidd yr Is-adran Meddygaeth Boblogaeth, Tachwedd 2018 –
- Arweinydd ac Aelod C21, Grŵp Rheoli Addysg, Is-adran Meddygaeth Boblogaeth, Ysgol Meddygaeth, Hydref 2018 –
- Arweinydd thema ansawdd a diogelwch, Is-adran Meddygaeth Boblogaeth, Ysgol Meddygaeth, Awst 2018 –
- Aelod o Uwch Dîm Arweinyddiaeth, Is-adran Meddygaeth y Boblogaeth, Ysgol Meddygaeth, Awst 2018 –
- Aelod o'r Grŵp Rheoli Ymchwil, Is-adran Meddygaeth Boblogaeth, Awst 2018 –
- Y Ganolfan Gofal Sylfaenol ac Argyfwng: Arweinydd Pecyn Gwaith ar gyfer Diogelwch Cleifion, Mai 2015 –
- Bwrdd arholi ar gyfer Epidemioleg Glinigol BSc Intercalated, Mehefin 2017 –
- Mentor academaidd / tiwtor personol, Tachwedd 2015 –
Cyfraniadau addysgu allanol
- Gwahoddiad llawn, 'Dysgu o ddigwyddiadau diogelwch cleifion mewn gofal sylfaenol: y manteision, yr heriau a'r cyfleoedd sydd o'n blaenau', Cwestau, Indemniad a Digwyddiadau mewn Gofal Sylfaenol, Cymdeithas Frenhinol Meddygaeth, Llundain, y DU, Ebrill 2020
- Gweithdy gwahoddedig, 'Cynhyrchu dysgu gweithredadwy o niwed sy'n gysylltiedig â gofal iechyd', 9fed Diwrnod Cenedlaethol Hyfforddeion Diogelwch Cleifion a Myfyrwyr, Cymdeithas Frenhinol Meddygaeth, Llundain, y DU, Tachwedd 2019
- Ymgynghorydd arbenigol, prosiect Cancer Research UK i ddatblygu cyfres o sgrin-ddarllediadau addysgol ar 'Gwella Ansawdd i Gynorthwyo Diagnosis Cynnar o Ganser mewn Ymarfer Cyffredinol', Coleg Brenhinol yr Ymarferwyr Cyffredinol, Llundain, y DU, Mawrth - Hydref 2019
- Cynghorydd arbenigol, fel yr uchod ar gyfer darllediadau sgrinio 'Gwella Gofal Diwedd Oes' RCGP, Coleg Brenhinol yr Ymarferwyr Cyffredinol, Gorffennaf 2019 –
- Datblygu dau fodiwl e-ddysgu ar-lein ar 'Gwella diogelwch cleifion mewn ymarfer cyffredinol', modiwlau eDdysgu RCGP, Coleg Brenhinol yr Ymarferwyr Cyffredinol, Llundain, y DU, Ebrill 2018
- Cyflwynwyd gweithdai cenedlaethol ar 'Dysgu o ddigwyddiadau diogelwch cleifion mewn practis cyffredinol', Coleg Brenhinol yr Ymarferwyr Cyffredinol (Caerdydd, Lerpwl, Llundain), Gwanwyn 2017
- Siaradwr gwadd mewn digwyddiadau Cyfadran RCGP (RCGP Midlands, RCGP Gorllewin yr Alban, Gaeaf 2017 / Gwanwyn 2018) a Chynhadledd Flynyddol RCGP (Lerpwl), Hydref 2017
- Cyfadran, 'Adeiladu Sgiliau QI Hanfodol', a gyd-addysgir (gyda Dr Kedar Mate) cwrs undydd ar gyfer y Sefydliad ar gyfer Gwella Gofal Iechyd ym Mhrifysgol British Columbia, Vancouver, Canada, Mehefin 2017
- Cyfadran wahoddedig, 'Dulliau Epidemiologig ar gyfer diogelwch cleifion', a gyd-addysgir (gyda'r Athro Malcolm Maclure) cwrs wythnos yn Ysgol Iechyd y Cyhoedd Harvard Chan, Boston, UDA, Ionawr 2017
- Darlithydd ar-lein, 'Datgelu ac ymddiheuro i gleifion a theuluoedd yn dilyn gofal iechyd anniogel', Ysbyty Plant Boston / rhaglen OPEN Pediatrics Ysgol Feddygol Harvard, Boston , UDA, Rhagfyr 2015 (a gyflwynir ar gyfer DPP yn flynyddol rheolaidd)
- Cyfadran, IHI Ysgol Agored Myfyriwr Trefnu Academi Arweinyddiaeth, Sefydliad Gwella Gofal Iechyd, Caergrawnt, UDA; a, wedi cyflwyno gweithdy ar 'Defnyddio cyfryngau cymdeithasol ar gyfer mobileiddio cymdeithasol i wella iechyd cleifion a'r boblogaeth', Awst 2015
- Darlith ar-lein, 'Beth yw Gwella Ansawdd?' ar gyfer y Meistr Rhaglen Iechyd y Cyhoedd yng Ngholeg y Brenin, Llundain, 2015
- Cyd-drefnydd, Dosbarth Meistr Gwella Ansawdd ar gyfer Arweinwyr Gofal Iechyd a Pholisi, Cyfadran Arweinyddiaeth a Rheolaeth Feddygol, Mawrth 2013
Rolau sicrwydd ansawdd / arholwr
- PhD Arholwr, Prifysgol Abertawe, Prifysgol Glasgow, Coleg Prifysgol Llundain, Prifysgol Sydney
- Cadeirydd Arholiad PhD, Prifysgol Caerdydd
- Arholwr Allanol, Gwella Ansawdd mewn cwricwlwm MB BS, King's College Llundain
- Gwerthuswr Allanol i'r Comisiwn Ewropeaidd i'r Astudiaeth 'Hyfforddiant Gwyddoniaeth Gwella ar gyfer Gweithwyr Gofal Iechyd Ewropeaidd', prosiect ymchwil a datblygu addysgol aml-wlad
Cymedroli addysgol mewn cyfarfodydd (rhyngwladol)
- Cyfarfod Rhyngwladol Ysgol Agored IHI. BMJ / Sefydliad Gwella Gofal Iechyd Cynhadledd Ryngwladol ar Ansawdd mewn Gofal Iechyd. Gothenburg, Sweden. Ebrill, 2016
- Cyngres Genedlaethol (Unol Daleithiau) Ysgol Agored IHI. Cynhadledd Flynyddol Sefydliad Gwella Gofal Iechyd. Florida, UDA. Rhagfyr, 2015
- IHI Agored Myfyrwyr Ysgol Trefnu ar gyfer Academi Arweinyddiaeth. Sefydliad ar gyfer Gwella Gofal Iechyd. Cambridge, UDA. Awst, 2015
- Cyfarfod Rhyngwladol Ysgol Agored IHI. BMJ / Sefydliad Gwella Gofal Iechyd Cynhadledd Ryngwladol ar Ansawdd mewn Gofal Iechyd. Llundain, Lloegr. Ebrill, 2015
- Cyngres Ysgol Agored IHI. Cynhadledd Flynyddol Sefydliad Gwella Gofal Iechyd. Florida, UDA. Rhagfyr, 2014
- Academi Arweinyddiaeth Ansawdd Myfyrwyr Ysgol Agored IHI. Sefydliad ar gyfer Gwella Gofal Iechyd. Cambridge, UDA. Awst, 2014
- Cyfarfod Rhyngwladol Ysgol Agored IHI. BMJ / Sefydliad Gwella Gofal Iechyd Cynhadledd Ryngwladol ar Ansawdd mewn Gofal Iechyd. Paris, Ffrainc. Ebrill, 2014
- Cyngres Ysgol Agored IHI. Cynhadledd Flynyddol Sefydliad Gwella Gofal Iechyd. Florida, UDA. Rhagfyr, 2013
Gwerslyfr
- Cyd-olygydd, Diogelwch Cleifion a Gwella Gofal Iechyd ar Gipolwg, Wiley Blackwell
Bywgraffiad
Education and qualifications
- 2014: Improvement Advisor Professional Development Program, Institute for Healthcare Improvement, Cambridge, USA
- 2011: Harvard Macy Scholar (Leading Innovation in Health Care & Education), Harvard University, Boston, USA
- 2010: MPhil (Medicine), Cardiff University, Cardiff, UK
- 2010: MB BCh, University of Wales College of Medicine, Cardiff, UK
- 2007: BSc (1st Class Hons, Public Health), University of Wales, Cardiff, UK
Anrhydeddau a dyfarniadau
Awards
- Honorary Membership of The Faculty of Public Health, 2017
- Peter Wall Scholar, Institute of Advanced Studies, University of British Columbia, 2016
- Health Service Journal Rising Star Award, 2015
- Churchill Fellow, Winston Churchill Memorial Trust, 2013–2015
- Innovation and Engagement Award, School of Medicine Cardiff University, 2013
- NHS Wales Award (co-recipient) for Promoting Clinical Research and Application to Practice, 2012
- Permanente Journal Health Services Award, 2012
- Gold Award Winner, Worshipful Livery Company of Wales, 2010
Peer esteem
- Coordinating member, World Health Organization Safer Primary Care Expert Group
- External examiner (MB BS), King's College London, 2016 –
Aelodaethau proffesiynol
- Aelod, Coleg Brenhinol yr Ymarferwyr Cyffredinol (2018–)
- Cymrodyr, Cymdeithas Frenhinol y Celfyddydau (2018–)
- Aelod, Q fenter, Sefydliad Iechyd (2017–)
- Aelod, Cymdeithas Iechyd Cyhoeddus Ewrop (2017–)
- Aelod Anrhydeddus, Cyfadran Iechyd Cyhoeddus y DU (2017–)
- Aelod Cyswllt, Coleg Brenhinol yr Ymarferwyr Cyffredinol (2012–8)
- Ymarferydd meddygol cofrestredig, Cyngor Meddygol Cyffredinol (2010–)
Safleoedd academaidd blaenorol
- 2019 – presennol: Athro Atodol, Prifysgol y Frenhines, Kingston, ON, Canada
- 2016 – yn bresennol: Athro Anrhydeddus, Awstralia Sefydliad Arloesi Iechyd, Prifysgol Macquarie , Sydney, Awstralia
- 2015 – 2018: Cadeirydd Ymweld (Athro) Gwella ac Arweinyddiaeth Gofal Iechyd, Adran Ymarfer Teulu, Prifysgol British Columbia
- 2015 – presennol: Arweinydd Ymchwil Diogelwch Cleifion, Canolfan Ymchwil Gofal Sylfaenol a Gofal Brys, Cymru
- 2012 – 2018: Darlithyddiaeth Hyfforddiant Academaidd Clinigol Cymru (Darlithydd Clinigol), Prifysgol Caerdydd
- 2010 – 2012: Cymrawd Clinigol, Sefydliad Iechyd Cyhoeddus Cochrane, Prifysgol Caerdydd
Pwyllgorau ac adolygu
Cenedlaethol
- Pwyllgor Goruchwylio Blaenoriaethu, NIHR / Ymchwil Iechyd a Gofal Cymru – RfPPB (2020–) a Gwobrau Ymchwil Iechyd (2020–)
- Grant / adolygydd adroddiad terfynol ar gyfer: Sefydliad Cenedlaethol ar gyfer Ymchwil Iechyd – HS&DR (2015-); Rhaglen Ymchwil Polisi NIHR (2019–), Sefydliad Iechyd (2017–), grantiau Rhaglen NIHR ar gyfer Ymchwil Gymhwysol (2018-); Gwobrau Cyflymydd Arloesedd y GIG (2018–); Cyngor Ymchwil Meddygol (2019-); Cymrodoriaethau Uwch NIHR (2020–)
- Arbenigwr gwahoddedig, Pwyllgor Ariannu Rhaglen Ymchwil Polisi Ymchwil y Sefydliad Cenedlaethol ar gyfer Ymchwil i Iechyd (2019)
- Ffrwd waith Byw, Byw gyda a Thu Hwnt i Ganser, Sefydliad Ymchwil Canser Cenedlaethol (NCRI), Llundain, y DU (2019-2022)
- Aelod, Salford Panel Gwerthuso Sefydliad Gofal Integredig, Hyrwyddo Cynghrair Ansawdd (AQuA) (2019-)
- Ymgynghorydd gwyddonol, Ymchwil Diogelwch Cleifion a Gwella Ansawdd a Datblygu Addysgol, Addysg GIG i'r Alban (2018-)
- Aelod, Coleg yr Aseswyr ar gyfer Arloesi ar gyfer Gwella a Chynyddu Grantiau Gwella, Sefydliad Iechyd (2017-)
- Aelod, Grŵp Arbenigol Diogelwch Gofal Sylfaenol, Gwasanaeth Gwella Bywydau 1000, Iechyd Cyhoeddus Cymru (2017-)
- Aelod, Lleihau Niwed sy'n Gysylltiedig â Meddyginiaethau yn y GIG Cymru, Llywodraeth Cymru (2017-)
- Pwyllgor Rheoli Gweithredol, Canolfan PRIME Cymru (2015-) a Chyd-Gadeirydd Cyfarfod Blynyddol PRIME (2021)
Rhyngwladol
- adolygydd cymheiriaid ar gyfer cyfnodolion 3* a 4* e.e. The Lancet, BMC Medicine, BMJ Quality and Safety.
- Golygydd Academaidd Gwadd, PLOS Medicine (2020)
- Adolygydd Grant, Bwrdd Ymchwil Iechyd, Iwerddon (2019), Bwrdd Ymchwil Iechyd, Seland Newydd (2020), Sefydliad Gwyddoniaeth Cenedlaethol y Swistir (2020).
- Panel Cynghori Ymchwil Rhyngwladol, Canolfan Rhagoriaeth Ymchwil ar gyfer Ecwiti Gofal Iechyd Cynhenid a ariennir gan Ganolfan Rhagoriaeth Ymchwil Ymchwil Iechyd a Meddygol Cenedlaethol Llywodraeth Awstralia (NHMRC), Sydney. CI: Yr Athro Ross Bailie. (2020-)
- Aelod, Gweithgor ar gyfer rhaglen Arolygon Dangosyddion Adroddedig Cleifion OECD (PaRIS). Sefydliad ar gyfer Cydweithrediad a Datblygiad Economaidd Paris, Ffrainc. (2019-)
- Aelod, Gweithgor ar gyfer rhaglen Canlyniadau Diogelwch Cleifion OECD a Adroddwyd. Sefydliad ar gyfer Cydweithrediad a Datblygiad Economaidd Paris, Ffrainc. (2019-)
- Grŵp cynghori arbenigol, Llwyfan Rhannu Gwybodaeth Byd-eang WHO ar gyfer Diogelwch Cleifion (cyfarfod 1af 2017, 2il gyfarfod 2019)
- Bwrdd cynghori gwyddonol rhyngwladol, "Care Track Aged: gofal priodol a ddarperir i Awstraliaid sy'n byw mewn gofal preswyl oed." Dyfarnwyd Prosiect Rhif 1143223 gan y Cyngor Ymchwil Iechyd a Meddygol Cenedlaethol i Brifysgol Macquarie, Sydney. Yr Athro Jeffrey Braithwaite. (2018-)
- Bwrdd cynghori gwyddonol rhyngwladol, "Harneisio gwyddoniaeth systemau i adeiladu system iechyd effeithiol ac effeithlon" grant rhaglen ($ 10.75 miliwn) a ddyfarnwyd gan y Cyngor Ymchwil Iechyd a Meddygol Cenedlaethol i Brifysgol Macquarie, Sydney. Yr Athro Jeffrey Braithwaite. (2017-)
- Bwrdd cynghori golygyddol, BMJ Open Quality (2017-)
- Sefydliad Gwella Gofal Iechyd Aelod o'r Bwrdd Cynghori Symposiwm Gwyddonol (2013)
- Aelod cydlynol, Sefydliad Iechyd y Byd Grŵp Arbenigol Gofal Sylfaenol Mwy Diogel, (2012-)
Meysydd goruchwyliaeth
Deilliannau o'm goruchwyliaeth academaidd
Rwyf wedi goruchwylio gyda chanlyniadau rhagorol dros 70 o weithwyr gofal iechyd proffesiynol i gwblhau graddau uwch a chymrodoriaethau ymchwil. Ar hyn o bryd rwy'n uwch fentor academaidd i chwe ymchwilydd ôl-ddoethurol ac yn Fentor Cymrodyr Arweinwyr y Dyfodol UKRI.
PhD cyfredol / goruchwylio ymchwilwyr / myfyrwyr ymchwil ôl-raddedig:
Myfyrwyr PhD
- Elinor MacFarlane, Blwyddyn 3 (PhD KESS)
- Nichole Pereira, Blwyddyn 3
- Shalini Ganasan, Blwyddyn 2 (Cymrawd PhD ESRC)
- Laura Pozzobon, Blwyddyn 2
- Deddfau Samantha, Blwyddyn 1 (rhan amser)
Mentoriaeth mewn Ymarfer / Ôl-ddoethurol
- Dr Sarah Yardley, Cymrodoriaeth Ôl-ddoethurol Sefydliad THIS, Coleg Prifysgol Llundain (2019–)
- Dr Ben Bowers, Gwobr Cymrodoriaeth Gyrfa Gynnar Wellcome, Prifysgol Caergrawnt (2023–)
- Dr Rebecca Barnes, Cymrodoriaeth Uwch NIHR, Prifysgol Rhydychen (2023–)
- Dr Peter Edwards, Cymrodoriaeth mewn Ymarfer NIHR, Prifysgol Bryste (2022–)
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Goruchwyliaeth gyfredol
Ymgysylltu
Enghreifftiau o weithgareddau ymgysylltu
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Gweithgaredd |
Partner |
Effaith |
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Astudiaeth i wella ansawdd gwasanaethau gofal lliniarol y tu allan i oriau ar gyfer cleifion diwedd oes (Cymrodoriaeth Ymchwil Marie Curie / RCGP, 2016–2018) |
Bwrdd Iechyd Prifysgol Aneurin Bevan (BIUHB) |
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Harneisio dadansoddeg data i wneud y mwyaf o ddysgu gan y GIG o adroddiadau digwyddiadau diogelwch cleifion; ariannwyd gan Health Foundation (Gwobr Hyrwyddo Analytics, Medi 2019-2020) |
Bwrdd Iechyd Prifysgol Caerdydd a'r Fro |
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PhD a ariennir gan KESS-2 i archwilio diogelwch cleifion mewn iechyd llygaid |
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Cyfraniadau parhaus yn seiliedig ar ymchwil at gyfieithu gwybodaeth o fewn y proffesiwn ymarfer cyffredinol (allanol i'r sector HEI) |
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Themâu ymchwil
Arbenigeddau
- Diogelwch cleifion
