Siobhan McCarthy | Royal College of Surgeons in Ireland (original) (raw)

Uploads

Papers by Siobhan McCarthy

Research paper thumbnail of Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol

PLOS ONE

Background After Action Review is a form of facilitated team learning and review of events. The m... more Background After Action Review is a form of facilitated team learning and review of events. The methodology originated in the United States Army and forms part of the Incident Management Framework in the Irish Health Services. After Action Review has been hypothesized to improve safety culture and the effect of patient safety events on staff (second victim experience) in health care settings. Yet little direct evidence exists to support this and its implementation has not been studied. Aim To investigate the effect of After Action Review on safety culture and second victim experience and to examine After Action Review implementation in a hospital setting. Methods A mixed methods study will be conducted at an Irish hospital. To assess the effect on safety culture and second victim experience, hospital staff will complete surveys before and twelve months after the introduction of After Action Review to the hospital (Hospital Survey on Safety Culture 2.0 and Second Victim Experience an...

Research paper thumbnail of Quality of End-of-Life Care in Acute and Community Hospitals from Relatives' Perspectives and Stakeholder Perceptions of the Potential of their Views to Inform Positive Change in Care

The study investigated the quality of end-of-life care in hospitals settings and the utility of b... more The study investigated the quality of end-of-life care in hospitals settings and the utility of bereaved relatives' views for improving care. It was conducted over ten years utilizing a multi-phased mixed methods design. In Ireland, 30,000 people die each year. Two thirds die in hospital settings. Yet prior to the initiation of this study in 2007, there was little research examining bereaved relatives' perspectives of the quality of end-of-life care in hospital settings. There was a gap in the research comparing quality between acute and community hospitals. The first phase of the study (Part A) began in 2007. It compared the quality of end-of-life care, rated retrospectively by bereaved relatives, between two acute and two community hospitals. It examined the importance of hospital type (acute versus community) in comparison to patient and family factors, in influencing bereaved relatives' perception of two outcomes measures (a) unmet needs for specific domains of end-o...

Research paper thumbnail of Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review

BMJ Open Quality, 2021

ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conduct... more ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conducted in Ireland, to review the quality of their reporting and to assess outcomes and costs.DesignScoping review.Data sourcesSystematic searches were conducted in PubMed, Web of Science, Embase, Google Scholar, Lenus and rian.ie. Two researchers independently screened abstracts (n=379) and separately reviewed 43 studies identified for inclusion using a 70-item critique tool. The tool was based on the Quality Improvement Minimum Quality Criteria Set (QI-MQCS), an appraisal instrument for QI intervention publications, and health economics reporting criteria. After reaching consensus, the final dataset was analysed using descriptive statistics. To support interpretations, findings were presented at a national stakeholder workshop.Eligibility criteriaQI studies implemented and evaluated in Ireland and published between January 2015 and April 2020.ResultsThe 43 studies represented various QI int...

Research paper thumbnail of Challenging behaviour: principals' experience of stress and perception of the effects of challenging behaviour on staff in special schools in Ireland

European journal of special …, 2007

... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Culti... more ... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Cultivating and keeping special education teachers: what principals and district leaders can do , New York:Corwin Press. View all references; Lawson & O'Brien, 199421. ...

Research paper thumbnail of Development of a Patient Safety E-Learning Programme for Doctors

Research paper thumbnail of Managing Complaints about Doctors: Stakeholder Perspectives of the Role of the Medical Council in Ireland

Research paper thumbnail of Online patient safety education programme for junior doctors: is it worthwhile?

Irish Journal of Medical Science (1971 -), 2014

Increasing demand exists for blended approaches to the development of professionalism. Trainees o... more Increasing demand exists for blended approaches to the development of professionalism. Trainees of the Royal College of Physicians of Ireland participated in an online patient safety programme. Study aims were: (1) to determine whether the programme improved junior doctors' knowledge, attitudes and skills relating to error reporting, open communication and care for the second victim and (2) to establish whether the methodology facilitated participants' learning. 208 junior doctors who completed the programme completed a pre-online questionnaire. Measures were "patient safety knowledge and attitudes", "medical safety climate" and "experience of learning". Sixty-two completed the post-questionnaire, representing a 30 % matched response rate. Participating in the programme resulted in immediate (p < 0.01) improvement in skills such as knowing when and how to complete incident forms and disclosing errors to patients, in self-rated knowledge (p < 0.01) and attitudes towards error reporting (p < 0.01). Sixty-three per cent disagreed that doctors routinely report medical errors and 42 % disagreed that doctors routinely share information about medical errors and what caused them. Participants rated interactive features as the most positive elements of the programme. An online training programme on medical error improved self-rated knowledge, attitudes and skills in junior doctors and was deemed an effective learning tool. Perceptions of work issues such as a poor culture of error reporting among doctors may prevent improved attitudes being realised in practice. Online patient safety education has a role in practice-based initiatives aimed at developing professionalism and improving safety.

Research paper thumbnail of Challenging behaviour: principals' experience of stress and perception of the effects of challenging behaviour on staff in special schools in Ireland

European Journal of Special Needs Education, 2007

... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Culti... more ... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Cultivating and keeping special education teachers: what principals and district leaders can do , New York:Corwin Press. View all references; Lawson & O'Brien, 199421. ...

Research paper thumbnail of Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol

PLOS ONE

Background After Action Review is a form of facilitated team learning and review of events. The m... more Background After Action Review is a form of facilitated team learning and review of events. The methodology originated in the United States Army and forms part of the Incident Management Framework in the Irish Health Services. After Action Review has been hypothesized to improve safety culture and the effect of patient safety events on staff (second victim experience) in health care settings. Yet little direct evidence exists to support this and its implementation has not been studied. Aim To investigate the effect of After Action Review on safety culture and second victim experience and to examine After Action Review implementation in a hospital setting. Methods A mixed methods study will be conducted at an Irish hospital. To assess the effect on safety culture and second victim experience, hospital staff will complete surveys before and twelve months after the introduction of After Action Review to the hospital (Hospital Survey on Safety Culture 2.0 and Second Victim Experience an...

Research paper thumbnail of Quality of End-of-Life Care in Acute and Community Hospitals from Relatives' Perspectives and Stakeholder Perceptions of the Potential of their Views to Inform Positive Change in Care

The study investigated the quality of end-of-life care in hospitals settings and the utility of b... more The study investigated the quality of end-of-life care in hospitals settings and the utility of bereaved relatives' views for improving care. It was conducted over ten years utilizing a multi-phased mixed methods design. In Ireland, 30,000 people die each year. Two thirds die in hospital settings. Yet prior to the initiation of this study in 2007, there was little research examining bereaved relatives' perspectives of the quality of end-of-life care in hospital settings. There was a gap in the research comparing quality between acute and community hospitals. The first phase of the study (Part A) began in 2007. It compared the quality of end-of-life care, rated retrospectively by bereaved relatives, between two acute and two community hospitals. It examined the importance of hospital type (acute versus community) in comparison to patient and family factors, in influencing bereaved relatives' perception of two outcomes measures (a) unmet needs for specific domains of end-o...

Research paper thumbnail of Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review

BMJ Open Quality, 2021

ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conduct... more ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conducted in Ireland, to review the quality of their reporting and to assess outcomes and costs.DesignScoping review.Data sourcesSystematic searches were conducted in PubMed, Web of Science, Embase, Google Scholar, Lenus and rian.ie. Two researchers independently screened abstracts (n=379) and separately reviewed 43 studies identified for inclusion using a 70-item critique tool. The tool was based on the Quality Improvement Minimum Quality Criteria Set (QI-MQCS), an appraisal instrument for QI intervention publications, and health economics reporting criteria. After reaching consensus, the final dataset was analysed using descriptive statistics. To support interpretations, findings were presented at a national stakeholder workshop.Eligibility criteriaQI studies implemented and evaluated in Ireland and published between January 2015 and April 2020.ResultsThe 43 studies represented various QI int...

Research paper thumbnail of Challenging behaviour: principals' experience of stress and perception of the effects of challenging behaviour on staff in special schools in Ireland

European journal of special …, 2007

... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Culti... more ... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Cultivating and keeping special education teachers: what principals and district leaders can do , New York:Corwin Press. View all references; Lawson & O'Brien, 199421. ...

Research paper thumbnail of Development of a Patient Safety E-Learning Programme for Doctors

Research paper thumbnail of Managing Complaints about Doctors: Stakeholder Perspectives of the Role of the Medical Council in Ireland

Research paper thumbnail of Online patient safety education programme for junior doctors: is it worthwhile?

Irish Journal of Medical Science (1971 -), 2014

Increasing demand exists for blended approaches to the development of professionalism. Trainees o... more Increasing demand exists for blended approaches to the development of professionalism. Trainees of the Royal College of Physicians of Ireland participated in an online patient safety programme. Study aims were: (1) to determine whether the programme improved junior doctors' knowledge, attitudes and skills relating to error reporting, open communication and care for the second victim and (2) to establish whether the methodology facilitated participants' learning. 208 junior doctors who completed the programme completed a pre-online questionnaire. Measures were "patient safety knowledge and attitudes", "medical safety climate" and "experience of learning". Sixty-two completed the post-questionnaire, representing a 30 % matched response rate. Participating in the programme resulted in immediate (p < 0.01) improvement in skills such as knowing when and how to complete incident forms and disclosing errors to patients, in self-rated knowledge (p < 0.01) and attitudes towards error reporting (p < 0.01). Sixty-three per cent disagreed that doctors routinely report medical errors and 42 % disagreed that doctors routinely share information about medical errors and what caused them. Participants rated interactive features as the most positive elements of the programme. An online training programme on medical error improved self-rated knowledge, attitudes and skills in junior doctors and was deemed an effective learning tool. Perceptions of work issues such as a poor culture of error reporting among doctors may prevent improved attitudes being realised in practice. Online patient safety education has a role in practice-based initiatives aimed at developing professionalism and improving safety.

Research paper thumbnail of Challenging behaviour: principals' experience of stress and perception of the effects of challenging behaviour on staff in special schools in Ireland

European Journal of Special Needs Education, 2007

... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Culti... more ... [CrossRef], [Web of Science ®], [CSA] View all references, 20053. Billingsley, BS 2005. Cultivating and keeping special education teachers: what principals and district leaders can do , New York:Corwin Press. View all references; Lawson & O'Brien, 199421. ...