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

<h4>Background</h4>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...

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Autores principales:	Siobhán E McCarthy, Theresa Keane, Aisling Walsh, Lisa Mellon, David J Williams, Loretta Jenkins, Catherine Hogan, Cornelia Stuart, Natasha Rafter
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b4518a9c119643118aa000025c35e45b
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spelling	oai:doaj.org-article:b4518a9c119643118aa000025c35e45b2021-12-02T20:12:49ZEffect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.1932-620310.1371/journal.pone.0259887https://doaj.org/article/b4518a9c119643118aa000025c35e45b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259887https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Aim</h4>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.<h4>Methods</h4>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 and Support Tool). Approximately one in twelve staff will be trained as After Action Review Facilitators using a simulation based training programme. Six months after the After Action Review training, focus groups will be conducted with a stratified random sample of the trained facilitators. These will explore enablers and barriers to implementation using the Theoretical Domains Framework. At twelve months, information will be collected from the trained facilitators and the hospital to establish the quality and resource implications of implementing After Action Review.<h4>Discussion</h4>The results of the study will directly inform local hospital decision-making and national and international approaches to incorporating After Action Review in hospitals and other healthcare settings.Siobhán E McCarthyTheresa KeaneAisling WalshLisa MellonDavid J WilliamsLoretta JenkinsCatherine HoganCornelia StuartNatasha RafterPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259887 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Siobhán E McCarthy Theresa Keane Aisling Walsh Lisa Mellon David J Williams Loretta Jenkins Catherine Hogan Cornelia Stuart Natasha Rafter Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.
description	<h4>Background</h4>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.<h4>Aim</h4>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.<h4>Methods</h4>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 and Support Tool). Approximately one in twelve staff will be trained as After Action Review Facilitators using a simulation based training programme. Six months after the After Action Review training, focus groups will be conducted with a stratified random sample of the trained facilitators. These will explore enablers and barriers to implementation using the Theoretical Domains Framework. At twelve months, information will be collected from the trained facilitators and the hospital to establish the quality and resource implications of implementing After Action Review.<h4>Discussion</h4>The results of the study will directly inform local hospital decision-making and national and international approaches to incorporating After Action Review in hospitals and other healthcare settings.
format	article
author	Siobhán E McCarthy Theresa Keane Aisling Walsh Lisa Mellon David J Williams Loretta Jenkins Catherine Hogan Cornelia Stuart Natasha Rafter
author_facet	Siobhán E McCarthy Theresa Keane Aisling Walsh Lisa Mellon David J Williams Loretta Jenkins Catherine Hogan Cornelia Stuart Natasha Rafter
author_sort	Siobhán E McCarthy
title	Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.
title_short	Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.
title_full	Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.
title_fullStr	Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.
title_full_unstemmed	Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.
title_sort	effect of after action review on safety culture and second victim experience and its implementation in an irish hospital: a mixed methods study protocol.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/b4518a9c119643118aa000025c35e45b
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Effect of after action review on safety culture and second victim experience and its implementation in an Irish hospital: A mixed methods study protocol.

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