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  • Venesoja, AnuDepartment of Emergency Medicine and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Health & Wellbeing, LAB University of Applied Sciences - Lappeenrannan Kampus, Lappeenranta, Finland (author)

Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues : a qualitative study

  • Article/chapterEnglish2023

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  • BMJ Publishing Group Ltd,2023
  • electronicrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:umu-206756
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-206756URI
  • https://doi.org/10.1136/bmjopen-2022-067754DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4901URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153037160URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • Objectives: This study aimed to describe emergency medical services (EMS) managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues in the EMS.Design: The study used a descriptive qualitative approach. Five focus groups and two individuals were interviewed using a semi-structured guide with open-ended questions. The data were analysed using reflexive thematic analysis. Consolidated criteria for Reporting Qualitative research was used to guide the reporting of this study.Setting: EMS organisations from Finland's five healthcare districts.Participants: EMS medical directors (n=5) and EMS managers (n=14). Purposive sampling was used.Results: Two main themes, 'Patient safety considered an organisational responsibility' and 'EMS patients' opportunities and obstacles to speaking up', were generated from the data. Under the main theme, 'Patient safety considered an organisational responsibility', were three subthemes: patient safety considered part of the quality in EMS, system-level models for handling and observing patient safety in EMS, and management's ability to find a balance when using patients' feedback for patient safety development. Under the other main theme were four subthemes: 'social and feedback skills of EMS personnel and management', 'managements' assumptions of patients' reasons for not speaking up', 'EMS organisations' different but unsystematic ways of collecting feedback' and 'management's openness to develop patient participation'.Conclusions: The nature of the EMS organisations and EMS assignments could affect a patient's participation in developing patient safety in EMS. However, EMS managers and medical directors are receptive to collaborating with patients concerning patient safety issues if they have sufficient resources and a coherent way to collect patient safety concerns. The management is open to collaborating with patients, but there is a need to develop a systematic method with enough resources to facilitate the management's collaborating with patients.

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  • Tella, SusannaHealth & Wellbeing, LAB University of Applied Sciences - Lappeenrannan Kampus, Lappeenranta, Finland; Department of Nursing Science, University of Eastern Finland, Faculty of Health Sciences, Kuopio, Finland (author)
  • Castrén, MaaretDepartment of Emergency Medicine and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland (author)
  • Lindström, VeronicaKarolinska Institutet,Sophiahemmet Högskola,Umeå universitet,Institutionen för omvårdnad,Department of Neurobiology, Care Sciences, Society Division of Nursing, Karolinska Institutet, Stockholm, Sweden; Samariten Ambulance, Stockholm, Sweden; Department of Health Promotion Science, Sophiahemmet University, Stockholm, Sweden(Swepub:shh)veronica.lindstrom (author)
  • Department of Emergency Medicine and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Health & Wellbeing, LAB University of Applied Sciences - Lappeenrannan Kampus, Lappeenranta, FinlandHealth & Wellbeing, LAB University of Applied Sciences - Lappeenrannan Kampus, Lappeenranta, Finland; Department of Nursing Science, University of Eastern Finland, Faculty of Health Sciences, Kuopio, Finland (creator_code:org_t)

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  • In:BMJ Open: BMJ Publishing Group Ltd13:42044-6055

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Venesoja, Anu
Tella, Susanna
Castrén, Maaret
Lindström, Veron ...
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MEDICAL AND HEALTH SCIENCES
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