An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: An application of Poisson expectation maximisation analysis on nurse staffing data

Journal article

Cook, R., Jones, S., Williams, G., Worsley, D., Walker, Ray, Radford, Mark and Leary, A. (2019). An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: An application of Poisson expectation maximisation analysis on nurse staffing data. Health informatics journal. 26 (2), pp. 1333-1346. https://doi.org/10.1177/1460458219874637
AuthorsCook, R., Jones, S., Williams, G., Worsley, D., Walker, Ray, Radford, Mark and Leary, A.
AbstractEvidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for service users of healthcare, and that workforce retention is linked to the clinical and organisational experiences of employees. However, this understanding is less well established in mental health. This study comprises a retrospective observational study carried out on routinely collected data from a large mental healthcare provider. Two databases comprising nurse staffing levels and adverse events were modelled using latent variable methods to account for the presence of multiple underlying behaviours. The analysis reveals a strong dependence of the rate of adverse events on the location and perceived clinical demand of the wards, and a reduction in adverse events where registered nurses exceed ‘clinically required levels’. In the first study of its kind, these findings present significant implications for nursing workforce policy and present an opportunity to not only improve safety but potentially impact nurse retention.
KeywordsHealth Informatics
Year2019
JournalHealth informatics journal
Journal citation26 (2), pp. 1333-1346
PublisherSage
ISSN1460-4582
1741-2811
Digital Object Identifier (DOI)https://doi.org/10.1177/1460458219874637
Web address (URL)https://journals.sagepub.com/doi/full/10.1177/1460458219874637
Funder/ClientNHS Improvement
Publication dates
Online03 Oct 2019
Publication process dates
Accepted12 Aug 2019
Deposited04 Sep 2019
Publisher's version
License
File Access Level
Open
Accepted author manuscript
License
File Access Level
Controlled
Permalink -

https://openresearch.lsbu.ac.uk/item/87z8z

Download files

Publisher's version
1460458219874637.pdf
License: CC BY-NC 4.0
File access level: Open

  • 116
    total views
  • 76
    total downloads
  • 0
    views this month
  • 1
    downloads this month

Export as

Related outputs

Investigating the impact of financial concerns on symptoms of depression in UK healthcare workers: data from the UK-REACH nationwide cohort study.
McBride, M., Martin, C.A., Teece, L., Irizar, P., Batson, M., Lagrata, S., Papineni, P., Nazareth, J., Pan, D., Leary, A., Woolf, K., Pareek, M. and UK-REACH Study Collaborative Group (2023). Investigating the impact of financial concerns on symptoms of depression in UK healthcare workers: data from the UK-REACH nationwide cohort study. BJPsych open. 9 (4), p. e124. https://doi.org/10.1192/bjo.2023.520
Implementation and perceived impact of the SWAN model of end-of-life and bereavement care: a realist evaluation
Stewart-Lord, A., Baillie, L., Green, L., Murphy, F. and Alison Leary (2022). Implementation and perceived impact of the SWAN model of end-of-life and bereavement care: a realist evaluation. BMJ Open. https://doi.org/10.1136/bmjopen-2022-066832
Saved bed days: the ultimate currency.
Leary, Alison (2022). Saved bed days: the ultimate currency. BMJ (Clinical research ed.). 378, p. o1686. https://doi.org/10.1136/bmj.o1686
A thematic analysis of the prevention of future deaths reports in healthcare from HM coroners in England and Wales 2016–2019
Leary, Alison, Bushe, David, Oldman, Crystal, Lawler, Jessica and Punshon, G. (2021). A thematic analysis of the prevention of future deaths reports in healthcare from HM coroners in England and Wales 2016–2019. Journal of Patient Safety and Risk Management. 26 (1), pp. 14-21. https://doi.org/10.1177/2516043521992651
Examining the impact of Diabetes Inpatient Specialist Nursing in acute trusts in London
Leary, A., Cook, R., Lawler, J., Trevatt, P. and Ravinder, D. (2021). Examining the impact of Diabetes Inpatient Specialist Nursing in acute trusts in London. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14917
Implementation of advanced practice nursing for minor orthopedic injuries in the emergency care context – a non-inferiority study
Boman, E., Duvaland, E., Gaarde, K., Leary, A., Rauhala, A. and Fagerstrom, L. (2021). Implementation of advanced practice nursing for minor orthopedic injuries in the emergency care context – a non-inferiority study. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2021.103910
Perceptions of the cancer care left undone in primary and community services: A mixed methods evaluation
Lawler, J., Leary, A., Lofton, Lydia and Bushe, Dave (2020). Perceptions of the cancer care left undone in primary and community services: A mixed methods evaluation. Health & Social Care in the Community. 28 (6), pp. 2117-2124. https://doi.org/10.1111/hsc.13022
Why won’t workforce policy makers tackle gender inequality in healthcare?
Leary, Alison (2020). Why won’t workforce policy makers tackle gender inequality in healthcare? BMJ: British Medical Journal.
Workforce experience of the implementation of an advanced clinical practice framework in England: a mixed methods evaluation
Lawler, J., MacLaine, K. and Leary, A. (2020). Workforce experience of the implementation of an advanced clinical practice framework in England: a mixed methods evaluation. Human Resources for Health. 18, p. 96. https://doi.org/10.21203/rs.3.rs-55503/v2
Guest editorial
Leary, A. (2020). Guest editorial. International Journal of Urological Nursing. 14 (3), pp. 104-105. https://doi.org/10.1111/ijun.12254
Do working practices of cancer nurse specialists improve clinical outcomes? Retrospective cohort analysis from the English National Lung Cancer Audit
Stewart, I., Leary, A., Khakwani, A., Borthwick, D., Tod, A., Hubbard, R., Beckett, P. and Tata, L.J. (2020). Do working practices of cancer nurse specialists improve clinical outcomes? Retrospective cohort analysis from the English National Lung Cancer Audit. International Journal of Nursing Studies. p. 103718. https://doi.org/10.1016/j.ijnurstu.2020.103718
In praise of professional judgement
Maxwell, E and Leary, A (2020). In praise of professional judgement. BMJ: British Medical Journal.
What does the future hold for the nursing associate role?
Hickman, S. and Leary, A. (2020). What does the future hold for the nursing associate role? Nursing Times.
The workload of the diabetes specialist nurse workforce in the UK
Lawler, J., Punshon, G., Leary, A., Walden, E. and Stainisstreet, D. (2020). The workload of the diabetes specialist nurse workforce in the UK. Journal of Diabetes Nursing. 24 (1).
Using knowledge discovery through data mining to gain intelligence from routinely collected incident reporting in an acute English hospital
Leary, A., Cook, R., Jones, S.J., Radford, M., Smith, J., Gough, M. and Punshon, G. (2020). Using knowledge discovery through data mining to gain intelligence from routinely collected incident reporting in an acute English hospital. International Journal of Health Care Quality Assurance. 33 (2), pp. 221-234. https://doi.org/10.1108/IJHCQA-08-2018-0209
Understanding the demand and unmet need of providing psychological cancer care in the community
Lawler, J., Lofton, L. and Leary, A. (2020). Understanding the demand and unmet need of providing psychological cancer care in the community. Cancer Nursing Practice. 19 (3). https://doi.org/10.7748/cnp.2020.e1680
Uncovering the hidden workload involved in providing cancer care in the community
Lawler, J., Leary, A., Lofton, L. and Bushe, D. (2020). Uncovering the hidden workload involved in providing cancer care in the community. Primary Health Care. 30 (2). https://doi.org/10.7748/phc.2020.e1610
Implementation of advanced practice nursing for orthopaedic patients in the emergency care context – A study protocol for outcome studies
Boman, E., Duvaland, Elisabeth, Gaarde, Kim, Leary, A. and Fagerström, L. (2020). Implementation of advanced practice nursing for orthopaedic patients in the emergency care context – A study protocol for outcome studies. Journal of Advanced Nursing. 76 (4), pp. 1069-1076. https://doi.org/10.1111/jan.14299
Modelling the Multiple Sclerosis Specialist Nurse Workforce by determination of optimum caseloads in the United Kingdom
Punshon, G., Sopala, J., Hannan, G., Roberts, M., Vernon, K., Pearce, A. and Leary, A. (2019). Modelling the Multiple Sclerosis Specialist Nurse Workforce by determination of optimum caseloads in the United Kingdom. International Journal of MS Care. https://doi.org/10.7224/1537-2073.2019-058
Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence
Lawler, J., Trevatt, P., Elliot, C. and Leary, A. (2019). Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence. Human Resources for Health. 17 (65). https://doi.org/10.1186/s12960-019-0401-5
Staffing the NHS: Why we need to invest in the community workforce
Leary, A (2019). Staffing the NHS: Why we need to invest in the community workforce. Reform.
Nursing pay by gender distribution in the UK- does the Glass Escalator still exist?
Leary, A, Punshon, G, MacLaine, K, Radford, M, Trevatt, P and Shanley, O (2019). Nursing pay by gender distribution in the UK- does the Glass Escalator still exist? International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2019.02.008
Determining acute nurse staffing, a hermeneutic review of an evolving science.
Leary, A and Punshon, G (2019). Determining acute nurse staffing, a hermeneutic review of an evolving science. BMJ Open. 9 (3). https://doi.org/10.1136/bmjopen-2018-025654
The healthcare workforce should be shaped by outcomes, rather than outputs
Leary, A (2019). The healthcare workforce should be shaped by outcomes, rather than outputs. BMJ Opinion.
Turning data into useful knowledge to improve patient care
Leary, A (2018). Turning data into useful knowledge to improve patient care. Journal of Nursing Management.
Do lung cancer nurses relieve the burden of lung cancer? An outcomes study
Leary, A (2018). Do lung cancer nurses relieve the burden of lung cancer? An outcomes study. Cancer Services, Data and Outcomes Conference 2018. Manchester 20 - 21 Jun 2018
Are working practices of lung cancer nurse specialists associated with variation in peoples’ receipt of anti cancer therapy
Stewart, I, Khakwani, A, Hubbard, R, Beckett, P, Borthwick, D, Tod, A, Leary, A and Tata, LJ (2018). Are working practices of lung cancer nurse specialists associated with variation in peoples’ receipt of anti cancer therapy. Lung Cancer. 123, pp. 160-165. https://doi.org/10.1016/j.lungcan.2018.07.022
Modelling the Inflammatory Bowel Disease Specialist Nurse Workforce standards by determination of optimum caseloads in the United Kingdom.
Leary, A, Punshon, G and Mason, I (2018). Modelling the Inflammatory Bowel Disease Specialist Nurse Workforce standards by determination of optimum caseloads in the United Kingdom. Journal of Crohn's and Colitis. 12 (11), pp. 1295-1301. https://doi.org/10.1093/ecco-jcc/jjy106
Barriers to delivering advanced cancer nursing: A workload analysis of specialist nurse practice linked to the English National Lung Cancer Audit
Stewart, I, Leary, A, Tod, A, Borthwick, D, Khakwani, A, Hubbard, R, Beckett, P and Tata, LJ (2018). Barriers to delivering advanced cancer nursing: A workload analysis of specialist nurse practice linked to the English National Lung Cancer Audit. European Journal of Oncology Nursing. 36, pp. 103-111. https://doi.org/10.1016/j.ejon.2018.07.006
Nurse staffing levels and outcomes - mining the UK national datasets for insight.
Leary, A, Tomai, B, Swift, A, Woodward, A and Hurst, K (2017). Nurse staffing levels and outcomes - mining the UK national datasets for insight. International Journal of Health Care Quality Assurance. 30 (3), pp. 235-247. https://doi.org/10.1108/IJHCQA-08-2016-0118
Advancing Nursing Practice: The Emergence of the Role of Advanced Practice Nurse in Saudi Arabia
Hibbert, D, Aboshaiqah, A, Senko, K, Forestall, D, Harb, A, Yousuf, S, Kelley, P, Brennan, P, Serrant, L and Leary, A (2017). Advancing Nursing Practice: The Emergence of the Role of Advanced Practice Nurse in Saudi Arabia. Annals of Saudi Medicine. 37 (1), pp. 522-528. https://doi.org/10.5144/0256-4947.2017.522
Safety and service. Reframing the purpose of nursing to decision makers
Leary, A (2017). Safety and service. Reframing the purpose of nursing to decision makers. Journal of Clinical Nursing. 26 (23-24), pp. 3761-3763. https://doi.org/10.1111/jocn.13885
The experiences of specialist nurses working within the uro-oncology multidisciplinary team in the UK
Punshon, G, Endacott, R, Aslett, P, Brocksom, J, Fluere, L, Howdle, F, Masterson, M, O'Connor, A, Swift, A, Trevatt, P and Leary, A (2017). The experiences of specialist nurses working within the uro-oncology multidisciplinary team in the UK. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice.
Emergency care patient driven solutions for severe asthma
Newell, K, Corrigan, C, Punshon, G and Leary, A (2017). Emergency care patient driven solutions for severe asthma. International Journal of Health Care Quality Assurance. 30 (7), pp. 628-637. https://doi.org/10.1108/ijhcqa-09-2016-0127
Variation in job titles within the nursing workforce.
Leary, A, Maclaine, K, Trevatt, P, Radford, M and Punshon, G (2017). Variation in job titles within the nursing workforce. Journal of Clinical Nursing. 26 (23-24), pp. 4945-4950. https://doi.org/10.1111/jocn.13985
Developing the next generation of specialist cancer nurses.
Leary, A, Whittaker, AJ and Hill, A (2017). Developing the next generation of specialist cancer nurses. Cancer Nursing Practice. 16 (9), pp. 25-30. https://doi.org/10.7748/cnp.2017.e1453
Crowd medical services in the English Football League: remodelling the team for the 21st century using a realist approach
Leary, A, Kemp, A, Greenwood, P, Hart, N, Agnew, J, Barrett, J and Punshon, G (2017). Crowd medical services in the English Football League: remodelling the team for the 21st century using a realist approach. BMJ Open. https://doi.org/10.1136/bmjopen-2017-018619
Which patients are assessed by lung cancer nurse specialists? A national lung cancer audit study of over 128,000 patients across england
Khakwani, A, Hubbard, R, Beckett, P, Borthwick, D, Tod, A, Leary, A, White, J and Tata, LJ (2016). Which patients are assessed by lung cancer nurse specialists? A national lung cancer audit study of over 128,000 patients across england. Lung Cancer. 96, pp. 33-40. https://doi.org/10.1016/j.lungcan.2016.03.011
Mining routinely collected acute data to reveal non-linear relationships between nurse staffing levels and outcomes
Leary, A, Cook, R, Jones, S, Smith, S, Maxwell, E, Punshon, G and Radford, M (2016). Mining routinely collected acute data to reveal non-linear relationships between nurse staffing levels and outcomes. BMJ Open. 6 (12). https://doi.org/10.1136/bmjopen-2016-011177
A systematic literature review comparing the psychological care needs of patients with mesothelioma and advanced lung cancer
Ball, H, Moore, S and Leary, A (2016). A systematic literature review comparing the psychological care needs of patients with mesothelioma and advanced lung cancer. European Journal of Oncology Nursing. 25, pp. 62-67. https://doi.org/10.1016/j.ejon.2016.09.007
Impact of proactive case management by multiple sclerosis specialist nurses on use of unscheduled care and emergency presentation in multiple sclerosis
Leary, A, Quinn, D and Bowen, A (2015). Impact of proactive case management by multiple sclerosis specialist nurses on use of unscheduled care and emergency presentation in multiple sclerosis. International Journal of MS Care. 17 (4), pp. 159-163. https://doi.org/10.7224/1537-2073.2014-011
The specialist nursing workforce caring for men with prostate cancer in the UK
Leary, A, Brocksom, J, Endacott, R, Fleure, L, Howdle, F, Masterton, M, O'Connor, A, Swift, A, Trevatt, P and Aslett, P (2015). The specialist nursing workforce caring for men with prostate cancer in the UK. International Journal of Urological Nursing. 10 (1), pp. 5-13. https://doi.org/10.1111/ijun.12104