Residents transitioning between hospital and care homes: protocol for codesigning a systems-level response to safety issues (SafeST study)

Jason Scott*, Katie Brittain, Kate Byrnes, Pam Dawson, Stephanie Mulrine, Michele Spencer, Justin Waring, Lesley Young-Murphy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction:
The aim of this study is to develop a better understanding of incident reporting in relation to transitions in care between hospital and care home, and to co-design a systems-level response to safety issues for patients transitioning between hospital and care home.

Methods and analysis:
Two Workstreams (W) will run in parallel. W1 will aim to develop a taxonomy of incident reporting in care homes, underpinned by structured interviews (N=150) with care home representatives, scoping review of care home incident reporting systems, and a review of incident reporting policy related to care homes. The taxonomy will be developed using a standardised approach to taxonomy development. W2 will be structured in three Phases (P). P1a will consist of ≤40 interviews with care home staff to develop a better understanding of their specific internal systems for reporting incidents, and P1b will include ≤30 interviews with others involved in transitions between hospital and care home. P1a and P1b will also examine the impact of the SARS-CoV-2 pandemic on safe transitions. P2 will consist of a retrospectiv documentary analysis of care home data relating to resident transitions, with data size and sampling determined based on data sources identified in P1a. A validated data extraction form will be adapted before use. P3 will consist of four validation and co-design workshops to develop a service specification using NHS Improvement's service specification framework, which will then be mapped against existing systems and recommendations produced. Framework analysis informed by the heuristic of systemic risk factors will be the primary mode of analysis, with content analysis used for analysing incident reports.

Ethics and dissemination:
The study has received university ethical approval and HRA approval. Findings will be disseminated to commissioners, providers and regulators who will be able to use the co-designed service specification to improve integrated care.
Original languageEnglish
Article numbere050665
Number of pages9
JournalBMJ Open
Volume12
Issue number1
DOIs
Publication statusPublished - 6 Jan 2022

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