Schwarz Anneli, Isaksson Stina, Källman Ulrika, Rusner Marie
Department of Research, Education and Innovation, Region Västra Götaland, South Älvsborg Hospital, Borås, Sweden.
Department of Development, Region Västra Götaland, South Älvsborg Hospital, Borås, Sweden.
J Clin Nurs. 2021 Mar;30(5-6):830-839. doi: 10.1111/jocn.15626. Epub 2021 Jan 17.
The Green Cross method was developed to support healthcare staff in daily patient safety work. The aim of this study was to describe users' experiences of the method when working with patient safety and their views on the core elements.
Patient safety systems need to be user-friendly to facilitate learning from adverse events. The Green Cross method is described as a simple visual method to recognise risks and preventable adverse events (PAEs) in real time. There are no previous studies describing users' experiences of the Green Cross method.
A qualitative descriptive design.
32 healthcare workers and managers from different specialties in a Swedish hospital were interviewed, from May-September 2018 about their experiences of the Green Cross method; either individually or as part of a group. The interviews were analysed using thematic analysis. The study follows the COREQ guidelines for qualitative data.
Participants associated the Green Cross method with patient safety, but no core elements of the method were identified. Instead, the opportunity to be engaged in patient safety work in a systematic way was underlined by all study participants. Highlighted key areas were the simplicity and the systematic framework of the method along with a need of distinct leadership. The daily meetings promoted trust and dialogue and developed the patient safety mindset. Daily meetings, together with the visualisation of the cross, were emphasised as important by users who otherwise had limited knowledge of the entire method.
This study offers valuable information that can help deepen the understanding of how the method specifically supports patient safety work.
Healthcare workers are expected to report patient safety issues. This study presents user-friendly aspects of the method as well as limitations, relevant for present and future users.
绿色十字方法旨在支持医护人员开展日常患者安全工作。本研究的目的是描述使用者在开展患者安全工作时对该方法的体验以及他们对核心要素的看法。
患者安全系统需要便于使用，以促进从不良事件中吸取经验教训。绿色十字方法被描述为一种简单的可视化方法，可实时识别风险和可预防的不良事件（PAE）。此前尚无研究描述使用者对绿色十字方法的体验。
定性描述性设计。
2018年5月至9月，对瑞典一家医院不同专科的32名医护人员和管理人员进行了访谈，了解他们对绿色十字方法的体验；访谈方式为单独或小组访谈。采用主题分析法对访谈进行分析。本研究遵循定性数据的COREQ指南。
参与者将绿色十字方法与患者安全联系起来，但未确定该方法的核心要素。相反，所有研究参与者都强调了以系统方式参与患者安全工作的机会。突出的关键领域包括该方法的简单性和系统性框架以及对明确领导的需求。日常会议促进了信任和对话，并培养了患者安全思维。对于那些对整个方法了解有限的使用者来说，日常会议以及十字标识的可视化被强调为重要内容。
本研究提供了有价值的信息，有助于加深对该方法如何具体支持患者安全工作的理解。
医护人员应报告患者安全问题。本研究介绍了该方法对使用者友好的方面以及局限性，对当前和未来的使用者都具有参考价值。
