The role of simulation in mixed-methods research: a framework & application to patient safety

Abstract Background Research in patient safety is an important area of health services research and is a national priority. It is challenging to investigate rare occurrences, explore potential causes, and account for the complex, dynamic context of healthcare - yet all are required in patient safety...

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Main Authors: Jeanne-Marie Guise, Matthew Hansen, William Lambert, Kerth O’Brien
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-017-2255-7
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author Jeanne-Marie Guise
Matthew Hansen
William Lambert
Kerth O’Brien
author_facet Jeanne-Marie Guise
Matthew Hansen
William Lambert
Kerth O’Brien
author_sort Jeanne-Marie Guise
collection DOAJ
description Abstract Background Research in patient safety is an important area of health services research and is a national priority. It is challenging to investigate rare occurrences, explore potential causes, and account for the complex, dynamic context of healthcare - yet all are required in patient safety research. Simulation technologies have become widely accepted as education and clinical tools, but have yet to become a standard tool for research. Methods We developed a framework for research that integrates accepted patient safety models with mixed-methods research approaches and describe the performance of the framework in a working example of a large National Institutes of Health (NIH)-funded R01 investigation. Results This worked example of a framework in action, identifies the strengths and limitations of qualitative and quantitative research approaches commonly used in health services research. Each approach builds essential layers of knowledge. We describe how the use of simulation ties these layers of knowledge together and adds new and unique dimensions of knowledge. Conclusions A mixed-methods research approach that includes simulation provides a broad multi-dimensional approach to health services and patient safety research.
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spelling doaj.art-1161733360244f76bd38dfa83a2a0d332022-12-21T23:25:36ZengBMCBMC Health Services Research1472-69632017-05-011711710.1186/s12913-017-2255-7The role of simulation in mixed-methods research: a framework & application to patient safetyJeanne-Marie Guise0Matthew Hansen1William Lambert2Kerth O’Brien3Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health and Science UniversityDepartment of Emergency Medicine, Oregon Health and Science UniversityDepartment of Public Health and Preventive Medicine, Oregon Health and Science UniversityDepartment of Psychology, Portland State UniversityAbstract Background Research in patient safety is an important area of health services research and is a national priority. It is challenging to investigate rare occurrences, explore potential causes, and account for the complex, dynamic context of healthcare - yet all are required in patient safety research. Simulation technologies have become widely accepted as education and clinical tools, but have yet to become a standard tool for research. Methods We developed a framework for research that integrates accepted patient safety models with mixed-methods research approaches and describe the performance of the framework in a working example of a large National Institutes of Health (NIH)-funded R01 investigation. Results This worked example of a framework in action, identifies the strengths and limitations of qualitative and quantitative research approaches commonly used in health services research. Each approach builds essential layers of knowledge. We describe how the use of simulation ties these layers of knowledge together and adds new and unique dimensions of knowledge. Conclusions A mixed-methods research approach that includes simulation provides a broad multi-dimensional approach to health services and patient safety research.http://link.springer.com/article/10.1186/s12913-017-2255-7Health services researchPatient safetyResearch designPatient simulationMixed methodsQualitative research
spellingShingle Jeanne-Marie Guise
Matthew Hansen
William Lambert
Kerth O’Brien
The role of simulation in mixed-methods research: a framework & application to patient safety
BMC Health Services Research
Health services research
Patient safety
Research design
Patient simulation
Mixed methods
Qualitative research
title The role of simulation in mixed-methods research: a framework & application to patient safety
title_full The role of simulation in mixed-methods research: a framework & application to patient safety
title_fullStr The role of simulation in mixed-methods research: a framework & application to patient safety
title_full_unstemmed The role of simulation in mixed-methods research: a framework & application to patient safety
title_short The role of simulation in mixed-methods research: a framework & application to patient safety
title_sort role of simulation in mixed methods research a framework application to patient safety
topic Health services research
Patient safety
Research design
Patient simulation
Mixed methods
Qualitative research
url http://link.springer.com/article/10.1186/s12913-017-2255-7
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