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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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posted on 03.08.2022, 13:11 authored by Siobhan McCarthySiobhan McCarthy, Theresa Keane, Aisling WalshAisling Walsh, Lisa MellonLisa Mellon, David WilliamsDavid Williams, Loretta Jenkins, Catherine Hogan, Cornelia Stuart, Natasha RafterNatasha Rafter

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 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.

Discussion: 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.

Funding

The effect of After Action Review in enhancing safety culture and second victim experience and its implementation in an Irish hospital | Funder: Health Research Board (Ireland) | Grant ID: APA-2019-024

History

Comments

The original article is available at https://journals.plos.org/

Published Citation

McCarthy SE. et al. 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. 2021;16(11):e0259887.

Publication Date

18 November 2021

PubMed ID

34793495

Department/Unit

  • Beaumont Hospital
  • Graduate School of Healthcare Management
  • Health Psychology
  • Medicine
  • Public Health and Epidemiology

Research Area

  • Health Professions Education
  • Respiratory Medicine
  • Population Health and Health Services

Publisher

Public Library of Science (PLoS)

Version

  • Published Version (Version of Record)