![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
Trosolwyg
Trosolwg
Rwy'n ymarferydd cyffredinol academaidd 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 Boblogaeth, Ysgol Meddygaeth, Prifysgol Caerdydd, ac mae ein harbenigedd yn 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, cwynion);
- arloesedd methodolegol ar gyfer rhannu dysgu o ymchwilio i ddigwyddiadau diogelwch cleifion;
- mesur diogelwch cleifion (datblygu tacsonomeg / teipoleg); a
- datblygu a gweithredu ymyriadau i leihau niwed i gleifion mewn lleoliadau iechyd a gofal cymdeithasol.
Rwy'n gyd-gyfarwyddwr Canolfan Ymchwil Marie Curie yn yr Is-adran Meddygaeth Boblogaeth ac yn cyd-arwain 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).
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 y Frenhines, Canada (2019 –) lle rwy'n goruchwylio myfyrwyr doethurol.
Cyhoeddiad
2024
- Rawlings, A. et al. 2024. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice 74, pp. e264-e274. (10.3399/BJGP.2022.0616)
- de Andrade, F. K. et al. 2024. Validated medication deprescribing instruments for patients with palliative care needs a systematic review. Hospital Pharmacy 48(2), pp. 83-89. (10.1016/j.farma.2023.08.004)
- Cooper, A. et al. 2024. Programme theories to describe how different general practitioner service models work in different contexts in or alongside emergency departments (GP-ED): realist evaluation. Emergency Medicine Journal 41(5), pp. 287-295. (10.1136/emermed-2023-213426)
- Pereira, N. et al. 2024. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Journal of the American Medical Informatics Association 31(2), pp. 499-508. (10.1093/jamia/ocad231)
- Hibbert, P. D. et al. 2024. The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study). BMC Medicine 22(1), article number: 22. (10.1186/s12916-023-03224-8)
- Png, M. E. et al. 2024. Cost-utility analysis of molnupiravir plus usual care versus usual care alone as early treatment for community-based adults with COVID-19 and increased risk of adverse outcomes in the UK PANORAMIC trial. British Journal of General Practice (10.3399/BJGP.2023.0444)
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)
- 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)
- 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
- 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 35(4), article number: mzad085. (10.1093/intqhc/mzad085)
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)
- 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)
- 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)
Adrannau llyfrau
- 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.
Cynadleddau
- 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.
Erthyglau
- Rawlings, A. et al. 2024. The burden of acute eye conditions on different healthcare providers: a retrospective population-based study. British Journal of General Practice 74, pp. e264-e274. (10.3399/BJGP.2022.0616)
- de Andrade, F. K. et al. 2024. Validated medication deprescribing instruments for patients with palliative care needs a systematic review. Hospital Pharmacy 48(2), pp. 83-89. (10.1016/j.farma.2023.08.004)
- Cooper, A. et al. 2024. Programme theories to describe how different general practitioner service models work in different contexts in or alongside emergency departments (GP-ED): realist evaluation. Emergency Medicine Journal 41(5), pp. 287-295. (10.1136/emermed-2023-213426)
- Pereira, N. et al. 2024. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Journal of the American Medical Informatics Association 31(2), pp. 499-508. (10.1093/jamia/ocad231)
- Hibbert, P. D. et al. 2024. The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study). BMC Medicine 22(1), article number: 22. (10.1186/s12916-023-03224-8)
- Png, M. E. et al. 2024. Cost-utility analysis of molnupiravir plus usual care versus usual care alone as early treatment for community-based adults with COVID-19 and increased risk of adverse outcomes in the UK PANORAMIC trial. British Journal of General Practice (10.3399/BJGP.2023.0444)
- 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)
- 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)
- 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
- 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 35(4), article number: mzad085. (10.1093/intqhc/mzad085)
- 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)
- 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)
- 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)
Gosodiad
- Carson-Stevens, A. 2017. Generating learning from patient safety incident reports from general practice. PhD Thesis, Cardiff University.
Llyfrau
- 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.
Monograffau
- 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.
Ymchwil
Trosolwg o Ymchwil
Dysgu o ganlyniadau iechyd a gofal cymdeithasol anniogel a brofir gan gleifion a'u teuluoedd
Rwyf wedi datblygu dull dulliau cymysg ar gyfer mesur amlder ac osgoi niwed, a nodi blaenoriaethau ar gyfer gwella diogelwch.
Datblygwyd system ddosbarthu Diogelwch Cleifion (PISA), sy'n cynnwys fframweithiau codio aml-echelinol sy'n cyd-fynd â Dosbarthiad Rhyngwladol WHO ar gyfer Diogelwch Cleifion, yn empirig yn ystod agenda genedlaethol yn gosod astudiaeth o ddigwyddiadau diogelwch cleifion mewn Ymarfer Cyffredinol (a ariennir 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. Ers hynny, mae'r system ddosbarthu PISA wedi darparu sylfaen i ymchwilwyr eraill efelychu ac ehangu'r ymchwil, a hyrwyddo'r agenda diogelwch cleifion gofal sylfaenol, yn rhyngwladol. O fewn y DU, er enghraifft, mae PISA wedi'i gymhwyso i nodi 'niwed sylweddol y gellir ei osgoi' mewn Meddygfeydd Cyffredinol yn Lloegr (a ariennir gan Raglen Ymchwil Polisi NIHR), yr astudiaeth a ariennir gan NIHR , i ymchwilio i niwed y gellir ei osgoi mewn gwasanaethau gofal iechyd carchardai yn Lloegr, a Chanser Meddwl a ariennir gan Ymchwil Canser Cymru! Treial yn archwilio achosion yr oedi hiraf ar gyfer diagnosis canser.
Mae gan grŵp PISA bortffolio helaeth o astudiaethau wedi'u cwblhau sydd wedi nodi blaenoriaethau gwella diogelwch ar draws y continwwm iechyd a gofal cymdeithasol, gan gynnwys: rhyddhau anniogel o leoliadau gofal eilaidd i ofal sylfaenol a digwyddiadau diogelwch 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 replacement.
Enghreifftiau o astudiaethau wedi'u cwblhau:
Gofal iechyd mewn carchardai
- Digwyddiadau diogelwch cleifion mewn carchardai – cyhoeddwyd yn y Journal of the Royal Society of Medicine https://doi.org/10.1177/01410768231166138
Gofal pediatrig mewn cyd-destunau cymunedol
- 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
- Digwyddiadau diogelwch yn ymwneud â phlant mewn practis cyffredinol – cyhoeddwyd yn Pediatrics https://doi.org/10.1542/peds.2014-3259
- Digwyddiadau diogelwch sy'n gysylltiedig ag imiwneiddio pediatrig mewn gofal sylfaenol: Dadansoddiad dulliau cymysg o gronfa ddata genedlaethol– cyhoeddwyd yn Vaccine https://doi.org/10.1016/j.vaccine.2015.06.068
Lleoliadau gofal acíwt
- Harms from discharge to primary care: Mixed methods analysis of incident reports – cyhoeddwyd yn British Journal of General Practice https://doi.org/10.3399/bjgp15X687877
- Camgymeriad diagnostig yn yr adran frys: dysgu o ddadansoddiad cenedlaethol o adroddiadau digwyddiadau diogelwch cleifion – a gyhoeddwyd yn BMC Emergency Medicine https://doi.org/10.1186/s12873-019-0289-3.
- 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
- Dysgu o wallau diagnostig i wella diogelwch cleifion pan fydd meddygon teulu yn gweithio mewn adrannau brys neu ochr yn ochr: ymgorffori methodoleg realaeth i ddadansoddi adroddiadau digwyddiadau diogelwch cleifion – cyhoeddwyd yn BMC Emergency Medicine https://doi.org/10.1186/s12873-021-00537-w
Deintyddiaeth
- 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
Grwpiau cymdeithasol bregus ar draws y continwwm gofal
- 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
- 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
- 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
- Ffynonellau gofal sylfaenol anniogel i oedolion hŷn: Dadansoddiad dulliau cymysg o adroddiadau digwyddiadau diogelwch cleifion – 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 Lliniative Medicine https://doi.org/10.1177/0269216318776846
Adeiladu gallu a gallu i alluogi pontio o 'ddysgu i weithredu'
Ledled y byd, mae ymdrechion 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 System Dosbarthu Difrifoldeb Niwed PISA a gyhoeddwyd ym Mwletin Sefydliad Iechyd y Byd, i'w defnyddio'n rhyngwladol i wella canfod ac atal digwyddiadau sy'n achosi'r niwed mwyaf difrifol i gleifion.
- 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
Mae profiadau gofal dirdynnol, anniogel cleifion a'u teuluoedd yn cael eu darlunio'n rhy aml 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 yw llawer erioed wedi'u dadansoddi na'u defnyddio 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).
- 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
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 Hybu Analytics gan y 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 synergedd rhwng dadansoddwyr data, rheolwyr a chlinigwyr ar gyfer nodi a gweithredu ar ddysgu o ddata diogelwch cleifion.
Addysgu
Trosolwg o ysgolheictod addysgol
Yn rhyngwladol, rwyf wedi rhannu gydag ymchwilwyr eraill y dulliau dull cymysg arloesol a ddatblygwyd gan fy ngrŵp ymchwil i ymchwilio a deall epidemioleg digwyddiadau diogelwch cleifion (darlithydd gwadd yn Ysgol Iechyd y Cyhoedd Harvard Chan yn 2017). Rwyf wedi hyfforddi ymchwilwyr i ddysgu o ddigwyddiadau diogelwch cleifion gan ddefnyddio Dull PISA yn genedlaethol ac yn fyd-eang (Awstralia, Brasil, Canada, Ffrainc, Kuwait, Mecsico, Sbaen, Twrci, UDA) gan arwain at lawer o gydweithrediadau ymchwil rhyngwladol ac allbynnau effeithiol. Mae Grŵp PISA yn croesawu datganiadau o ddiddordeb gan y rhai sy'n ceisio hyrwyddo eu hyfedreddau ymchwil diogelwch cleifion (myfyrwyr ôl-raddedig, academyddion clinigol, cymrodyr ôl-ddoethurol, uwch academyddion) trwy apwyntiadau ymweld ym Mhrifysgol Caerdydd.
Mae'r gwersi a ddysgwyd o fy astudiaethau ymchwil wedi dylanwadu ar strategaeth Sefydliad Iechyd y Byd ar gyfer diogelwch cleifion. Caiff dysgu ei rannu'n ôl i ddarparwyr rheng flaen drwy systemau addysgol sefydledig fel Coleg Brenhinol yr Ymarferwyr Cyffredinol; Mae un enghraifft yn cynnwys rhaglen a gynlluniwyd i gefnogi'r gweithlu gofal sylfaenol i gydnabod, adrodd a dysgu o ddigwyddiadau diogelwch cleifion trwy gyrsiau e-ddysgu, seminarau cenedlaethol, a chanllaw ymarferol 'Sut i'. 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 Holi 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 – parhaus |
Meddyginiaeth |
Meddygaeth Blwyddyn 5: Newid Arferion, MB BCh |
Myfyrwyr Meddygol Blwyddyn 5 (n = 300+) |
Arweinydd y modiwl |
|
2017 – parhaus |
Meddyginiaeth |
Gwella ansawdd gofal clinigol |
Meddygaeth Boblogaeth Intercalated BSc (n = 10+) |
Arweinydd y modiwl |
|
2018 – parhaus |
Meddyginiaeth |
Wythnos Blasu Ymchwil SSC Blwyddyn 2 |
Myfyrwyr Meddygol Blwyddyn 2 (n = 20) |
Tiwtor SSC |
|
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 – parhaus
- Cydlynydd Amserlen Cyfarfod Academaidd yr Is-adran Meddygaeth Boblogaeth, Tachwedd 2018 – parhaus.
- Pwyllgor Moeseg Ymchwil yr Ysgol Feddygaeth, Gorffennaf 2020 – Ebrill 2021
- Cyfwelydd myfyrwyr meddygol, Rhagfyr 2019 – parhaus
- Diwrnod blasu Wellcome INSPIRE, Rhagfyr 2019 – parhaus
- Cadeirydd Bwrdd Arholi PhD, Medi 2019
- Aelod o'r gyfadran yn sicrhau cyllid Llywodraeth Cymru ar gyfer Diploma Prifysgol Caerdydd mewn Cynllunio Gofal Iechyd, 2018
- Aelod o brosiect Phoenix Prifysgol Caerdydd, 2018 – 2020
- Arweinydd ac Aelod C21, Grŵp Rheoli Addysg, Is-adran Meddygaeth Boblogaeth, Ysgol Meddygaeth, Hydref 2018 – Mawrth 2021
- Arweinydd thema diogelwch cleifion, Is-adran Meddygaeth Boblogaeth, Ysgol Meddygaeth, Awst 2018 – parhaus
- Aelod o Uwch Dîm Arweinyddiaeth, Is-adran Meddygaeth y Boblogaeth, Ysgol Meddygaeth, Awst 2018 – parhaus
- Aelod o'r Grŵp Rheoli Ymchwil, Is-adran Meddygaeth Boblogaeth, Awst 2018 – Mawrth 2021
- Y Ganolfan Gofal Sylfaenol ac Argyfwng: Arweinydd Pecyn Gwaith ar gyfer Diogelwch Cleifion, Mai 2015 – Parhaus
- Bwrdd arholi ar gyfer Epidemioleg Glinigol BSc Intercalated, Mehefin 2017 – ongiong
- Mentor academaidd / tiwtor personol, Tachwedd 2015 – parhaus
Rolau sicrwydd ansawdd / arholwr
- Cynghorydd arbenigol, BMJ Learning Collection on Quality Improvement, 2023 – parhaus
- PhD Arholwr, Prifysgol Abertawe, Prifysgol Glasgow, Coleg Prifysgol Llundain, Prifysgol Sydney
- Cadeirydd Arholiad PhD, Prifysgol Caerdydd
- Arholwr Allanol, Gwella Ansawdd mewn cwricwlwm MB BS, Coleg y Brenin Llundain, 2016 – 2021.
- Arfarnwr Allanol ar gyfer y Comisiwn Ewropeaidd i'r Astudiaeth 'Hyfforddiant Gwyddoniaeth Gwella ar gyfer Gweithwyr Gofal Iechyd Ewropeaidd', prosiect ymchwil a datblygu addysgol aml-wlad, 2013 - 2016.
Cyfraniadau addysgu allanol
- Gweithdy gwahoddedig, 'Cynhyrchu dysgu y gellir ei weithredu o niwed sy'n gysylltiedig â gofal iechyd', 9fed Diwrnod Hyfforddi a Myfyrwyr Diogelwch Cleifion Blynyddol, 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 Sefydliad 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
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
Dyfarniadau
- Gwobr Partneriaeth Ymchwil Iechyd a Gofal Cymdeithasol gyda Diwydiant (cyd-dderbyniwr) a ddyfarnwyd gan MediWales, 2020
- Dyfarnwyd statws 'arbenigwr ISQua' gan y Gymdeithas Ryngwladol er Ansawdd mewn Gofal Iechyd (ISQua), 2018
- Gwobr Cyflawniad Cynnwys y Cyhoedd – Enillydd Gorau, Ymchwil Iechyd a Gofal Cymru, 2018
- Aelodaeth Anrhydeddus o'r Gyfadran Iechyd y Cyhoedd, 2017
- Gwobr Tîm Ymchwil Gorau (Canolfan Ymchwil Gofal Sylfaenol ac Argyfwng), Ysgol Meddygaeth, Prifysgol Caerdydd, 2017
- 'Gwobr Spotlight' Coleg Brenhinol yr Ymarferwyr Cyffredinol, 2016
- Ysgolhaig Peter Wall Ymweld Rhyngwladol, Sefydliad Astudiaethau Uwch, Prifysgol British Columbia, 2016/17
- Gwobr Rising Star Journal y Gwasanaeth Iechyd, 2015
- Cymrawd Churchill, Ymddiriedolaeth Goffa Winston Churchill, 2013–2015
- Gwobr Arloesi ac Ymgysylltu, Ysgol Meddygaeth Prifysgol Caerdydd, 2013
- Gwobr GIG Cymru (cyd-dderbyniwr) am Hyrwyddo Ymchwil Clinigol a Chymhwyso i Ymarfer, 2012
- Gwobr Gwasanaethau Iechyd Permanente Journal 2012
- Enillydd Gwobr Aur, Cwmni Anrhydeddus Lifrai Cymru, 2010
Parch cyfoedion
Rhyngwladol
- Aelod o Ymgynghoriad Arbenigol Sefydliad Iechyd y Byd ar Fonitro ac Adrodd ar Gynllun Gweithredu Diogelwch Cleifion Byd-eang 2021-2030, Tachwedd 2021.
- Aelod o'r Grŵp Cynghori Arbenigol ar fesur, Cynllun Gweithredu Diogelwch Cleifion Byd-eang WHO (2020-2030), Gorffennaf - Awst 2020.
- Aelod o'r Tasglu ar gyfer drafftio ac adolygu Cynllun Gweithredu Diogelwch Cleifion Byd-eang WHO (2020-2030), Mehefin 2020.
- Siaradwr gwadd a chyd-gadeirydd gweithgor ar gyfer 'Mesur, adrodd, dysgu a gwyliadwriaeth', Ymgynghoriad Byd-eang – Degawd o Ddiogelwch Cleifion 2020-2030: Llunio'r Cynllun Gweithredu Diogelwch Cleifion Byd-eang, Sefydliad Iechyd y Byd, Genefa, y Swistir, Chwefror 2020
- Adolygydd grantiau prosiect rhyngwladol, Cyngor Ymchwil Iechyd , Seland Newydd, Ionawr 2020
- Aelod o'r 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), Ionawr 2020
- Aelod o grŵp cynghori arbenigol rhyngwladol, Cyfarfod Diogelwch Cleifion WHO ar Rhannu Gwybodaeth Fyd-eang, Florence, Yr Eidal, Rhagfyr 2019
- Adolygydd grant, y Bwrdd Ymchwil Iechyd, Iwerddon, Hydref 2019.
- Aelod (cynrychiolydd Llywodraeth Cymru) o'r Gweithgor Rhyngwladol, rhaglen Arolygon Dangosyddion Adroddedig Cleifion OECD (PaRiS). Sefydliad ar gyfer Cydweithrediad a Datblygiad Economaidd (OECD), Paris, Ffrainc, Mai 2019 –
- Aelod o'r Gweithgor Rhyngwladol, prosiect Profiadau Diogelwch Cleifion OECD. OECD, Paris, Ffrainc, Chwefror 2019 –
- Prif siaradwr, Fforwm Ymchwil Ansawdd Iechyd Prifysgol y Frenhines, Kingston, ON, Canada, Mai 2019
- Aelod gwahoddedig o grŵp gweithredu rhyngwladol, Her Diogelwch Meddyginiaeth WHO, Sefydliad Iechyd y Byd, Genefa, Y Swistir, Tachwedd 2018
- Siaradwr gwahoddedig, Uwchgynhadledd Weinidogol WHO ar Ddiogelwch Cleifion, Tokyo, Japan, Ebrill 2018
- Arbenigwr ISQua, Y Gymdeithas Ryngwladol er Ansawdd mewn Gofal Iechyd, Mawrth 2018
- Siaradwr gwahoddedig , Cyfarfod Arbenigol Diogelwch Cleifion WHO ar Rhannu Gwybodaeth Fyd-eang, Fflorens, yr Eidal, Tachwedd 2017
- Aelod o fwrdd cynghori ymchwil rhyngwladol, Harneisio systemau gwyddoniaeth i adeiladu grant rhaglen system iechyd effeithiol ac effeithlon, NHMRC, Awstralia, Gorffennaf 2017 –
- Darlithydd gwadd, Ysgol Iechyd y Cyhoedd Harvard T. H. Chan, Prifysgol Harvard, Boston, UDA, Ionawr 2017
- Aelod, Sefydliad Iechyd y Byd Grŵp Adolygu System Adrodd Digwyddiadau Diogelwch Cleifion, Geneva, Y Swistir, Tachwedd 2016
- Aelod gwahoddedig, Ymgynghoriad Byd-eang WHO 'Gosod Blaenoriaethau ar gyfer Diogelwch Cleifion Byd-eang', Fflorens, yr Eidal, Medi 2016
- Aseswr allanol, asesydd a benodwyd gan y Comisiwn Ewropeaidd, rhaglen "Hyfforddiant Gwyddoniaeth Gwella ar gyfer Gweithwyr Gofal Iechyd Ewropeaidd (ISTEW)" (Funder: Rhaglen Erasmus Dysgu Gydol Oes Ewrop ar gyfer prosiect amlochrog), 2014-2015
- Arweinydd Cyfadran y DU ac Iwerddon, Ysgol Agored IHI, Sefydliad Gwella Gofal Iechyd, Boston, UDA, 2012-2016
Cenedlaethol
- Siaradwr gwadd, 30ain Cynhadledd Cymdeithas Rheoli Clwyfau Ewrop, Llundain UK, Mai 2020
- 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
- Prif siaradwr, Fforwm Ymchwil 999 EMS, Brighton, y DU, Mawrth 2020
- Siaradwr gwadd, Gweithdy Gofal Lliniarol a Diwedd Oes Marie Curie y Tu Allan i Oriau, Llundain UK, Ionawr 2020
- Cynghorydd arbenigol gwahoddedig i banel NIHR, Rhaglen Polisi Ymchwil Cenedlaethol y Sefydliad Iechyd, Rhagfyr 2019
- Gweithdy gwahoddedig a 'Dragon's Den Judge', 9fed Diwrnod Hyfforddi a Myfyrwyr Diogelwch Cleifion Blynyddol, Cymdeithas Frenhinol Meddygaeth, Llundain, y DU, Tachwedd 2019
- Adolygydd grant ar gyfer y Cyngor Ymchwil Feddygol, Cymrodoriaeth Ymchwil Glinigol, Llundain, y DU, Tachwedd 2019
- Penodwyd yn aelod o Ffrwd Waith Gofal Clefydau Uwch a Gofal Diwedd Oes, Living With and Beyond Cancer Group, y Sefydliad Ymchwil Canser Cenedlaethol (NCRI), Llundain, y DU, Tachwedd 2019 –
- Pwyllgor Cynghori Gwyddonol (gwerthuso), Hyrwyddo Cynghrair Ansawdd (AQuA), Manceinion, y DU, Medi 2019
- Adolygydd grant rhaglenni, Grantiau Rhaglen NIHR ar gyfer Ymchwil Gymhwysol, UK, Medi 2019
- adolygydd grant, NIHR Health Services and Delivery Research, Chwefror 2019
- adolygydd cymheiriaid , Cymrodoriaethau Cyflymydd Arloesedd y GIG, Tachwedd 2018
- Ymgynghorydd gwyddonol i NHS Education for Scotland, Ymchwil Diogelwch Cleifion a Gwella Ansawdd a Datblygu Addysgol, Yr Alban, y DU, Ebrill 2018 –
- Gwahodd cyfranogwr, Symposiwm Rhyngwladol ar Ymchwiliad Diogelwch mewn Gofal Iechyd, a drefnwyd gan y Gangen Ymchwilio Diogelwch Gofal Iechyd (Lloegr), Mawrth 2018
- Aelod gwahoddedig, Lleihau Niwed sy'n Gysylltiedig â Meddyginiaethau yng Ngweithgor GIG Cymru, Llywodraeth Cymru, y DU, Tachwedd 2017 –
- Prif siaradwr, Cymdeithas Genedlaethol Addysgwyr mewn Ymarfer, y DU, Mawrth 2015
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
- Aelod, Pwyllgor Cyllid Ymchwil Marie Curie, Ionawr 2022 – yn parhau.
- Member, Clinical Research Delivery in Wales Review, Llywodraeth Cymru, Medi - Rhagfyr 2023.
- Aelodau, Gweithgor Rhaglen Data ar gyfer Ymchwil Cymru, Mehefin 2022 – yn parhau.
- Observer (sy'n cynrychioli Ymchwil Iechyd a Gofal Cymru), Bwrdd Rhaglen Gofal Sylfaenol NIHR, Awst 2021 – yn parhau.
- Aelod, Grŵp Arbenigol COVID Hir mewn Plant, NIHR, Awst 2021
- Aelod, Grŵp Cyfeirio Arbenigol Ymchwil Gwasanaeth Iechyd Cymru, Ymchwil Iechyd a Gofal Cymru, Awst 2021.
- Aelod, panel cyllido ymchwil COVID hir (cleifion nad ydynt yn yr ysbyty), NIHR, Mehefin 2021
- Aelodau, COVID-19 Deall a Dileu Panel Gweithredu Treialon COVID-19 (CUE-TIP), Ebrill 2021 - Mawrth 2022
- Aelod, Grŵp Cyfeirio Gofal Sylfaenol, Ein Iechyd yn y Dyfodol (Rhagfyr 2020 – parhaus)
- Aelod, Grŵp Cyflenwi Ymchwil Brechlyn COVID-19 Cymru (Grŵp Cyflenwi Ymchwil Brechlynnau Cymru erbyn hyn), Gorffennaf 2020 – parhaus
- Aelod, Grŵp Iechyd y Cyhoedd Brys (COVID-19), NIHR / DHSC / CMOs, Mawrth 2020 – 2021
- Pwyllgor Goruchwylio Blaenoriaethu, NIHR / Ymchwil Iechyd a Gofal Cymru – RfPPB (2020–) a Gwobrau Ymchwil Iechyd (2020–)
- Adolygydd y grant / adroddiad terfynol ar gyfer: Sefydliad Cenedlaethol 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–); Wellcome (2022 –).
- 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, Panel Gwerthuso Sefydliad Gofal Integredig Salford, Hyrwyddo Cynghrair Ansawdd (AQuA) (2019-2020)
- Ymgynghorydd gwyddonol, Ymchwil Diogelwch Cleifion a Gwella Ansawdd a Datblygiad Addysgol, Addysg GIG i'r Alban (2018- parhaus)
- 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-parhaus) a chyd-Gadeirydd Cyfarfod Blynyddol PRIME (2021)
Rhyngwladol
- 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. (2019-2022)
- 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
PhD cyfredol / goruchwylio ymchwilwyr / myfyrwyr ymchwil ôl-raddedig:
Myfyrwyr PhD
- Dr Imogen John, Diogelwch gofal diwedd oes. Cymrawd Hyfforddiant Academaidd Clinigol Cymru.
- Dr Thomas Buy, IncorporAting aDVOcaCy iechyd rhieni wrth mAnaging yn sâl Plant mewn gofal primary (ADVOCACY): dull systemau aml-ddulliau o gyd-ddatblygu ymyrraeth gymhleth. Cymrodoriaeth Ddoethurol NIHR.
- Dr Joy McFadzean, PhD yn ôl portffolio.
- Elinor MacFarlane, Gwerthusiad o ddiogelwch cleifion wrth ddarparu gofal i gleifion â phroblemau sy'n gysylltiedig â'r llygaid. KESS.
- Nichole Pereira, Gwerthuso gweithrediad cofnod iechyd electronig gweithredu mewn gofal pediatreg.
- Shalini Ganasan, Dysgu sy'n cael ei yrru gan wydnwch i wella a chynnal systemau gofal iechyd mwy diogel. Cymrodoriaeth PhD ESRC.
- Laura Pozzobon, Mesur niwed sy'n gysylltiedig â meddyginiaeth.
- Deddfau Samantha, Diogelwch diffyg cludo ambiwlans.
Mentoriaeth mewn Ymarfer / Ôl-ddoethurol
- Dr Sarah Yardley, Defnyddio methodolegau 'agos at ymarfer' i esbonio a newid effaith perthnasoedd rhyngbersonol wrth wella ansawdd. HWN Sefydliad Ôl-ddoethurol Cymrodoriaeth, Coleg Prifysgol Llundain (2019–).
- Dr Ben Bowers, Defnyddio meddyginiaethau rheoli symptomau diwedd oes chwistrellu gartref: deall ffactorau dynol a system trwy ddylunio cynhwysol. Gwobr Cymrodoriaeth Gyrfa Gynnar Wellcome, Prifysgol Caergrawnt (2023–).
- Dr Rebecca Barnes, Optimeiddio rheolaeth risg cleifion mewn gwasanaethau gofal sylfaenol brys. Cymrodoriaeth Uwch NIHR, Prifysgol Rhydychen (2023–).
- Dr Peter Edwards, Cymrodoriaeth mewn Ymarfer NIHR, Prifysgol Bryste (2022–).
Goruchwyliaeth gyfredol
Prosiectau'r gorffennol
- Jaafer Qasem, Archwilio derbynioldeb system ddysgu diogelwch cleifion rhyngwladol: dull dulliau cymysg dilyniannol, PhD. Goruchwyliwr. Mabwysiadwyd ar gyfer 2023.
- Samuel Evans, Ansawdd y dystiolaeth a gasglwyd yn y meddygol amddiffyn plant: Datblygu a phrofi peilot is-goch, uwchfioled, traws-bolareiddio ac uwchsain amledd uchel i wella safoni
casgliad o gleisiau, PhD. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2022. - Khalid Muhammad, Adroddwyd am ddigwyddiadau diogelwch meddyginiaeth gofal sylfaenol i'r System Adrodd a Dysgu Genedlaethol (NRLS), PhD. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2021.
- Alison Cooper, Archwilio cyfleoedd ar gyfer diogelwch cleifion pan fydd meddygon teulu yn gweithio mewn adrannau brys neu ochr yn ochr â nhw: synthesis realist a gwerthuso, PhD. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2020.
- Flore Laforest, MPH, a Jawaher Alkhaldi, MPH, Prifysgol Caerdydd. Goruchwyliwr. Mabwysiadwyd ar gyfer 2019.
- Myfyrwyr doethurol ym Mhrifysgol Macquarie, Sydney: Melissa Riddoch DPT, Avanthi Rajaratnam DPT, Natalie Fowler DPT, Kelsy Weavil DPT, Michelle Khan DPT, Maxine Delaney DPT. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2019.
- Haroon Chughtai, MSc Biowybodeg Clinigol, Prifysgol Lerpwl. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2019.
- Myfyrwyr doethurol ym Mhrifysgol Macquarie, Sydney: Harriet Amey DPT, Luke Davies DPT, Sarah Trifogli DPT, Kathryn Walker DPT. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2018.
- Eduardo Ensaldo-Carrasco, Disgrifio a deall digwyddiadau diogelwch cleifion mewn deintyddiaeth gofal sylfaenol ac adeiladu consensws ar Byth Digwyddiadau, PhD, Prifysgol Caeredin. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2018.
- Huw Evans, MSc Gwybodeg Iechyd, Prifysgol Abertawe. Cyd-oruchwyliwr. Mabwysiadwyd ar gyfer 2016.
- Philippa Claire Rees, Diogelwch Pediatrig mewn Gofal Sylfaenol: Astudiaeth dulliau cymysg trawsdoriadol o ddata adroddiadau digwyddiadau cenedlaethol, MPhil, Prifysgol Caerdydd (myfyriwr meddygol sy'n rhyng-gyfrifo). Goruchwyliwr. Mabwysiadwyd ar gyfer 2015.
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
