Improvement science and research methods seminar: Realist methods used in the GPs in EDs Study

The January CaHRU Improvement Science and Research Methods seminar was given by Dr Alison Cooper MBBCh MRCGP PhD, Clinical Research Fellow, of Cardiff University. Alison’s PhD as part of this study focused on the potential patient safety implications of these service models and how they could be mitigated. Alison also works as a salaried GP in Rumney Primary Care Centre, Cardiff and lead stakeholder liaison for the Wales Covid-19 Evidence Centre.

‘GPs in EDs’ is a NIHR funded study led by Prof Adrian Edwards at Cardiff University – a realist evaluation of the effectiveness, patient safety, patient experience and wider system implications of GPs working in or alongside emergency departments’. Alison described a theory-driven realist methodological approach to this complex mixed-methods study.

Alison explained “In phase one we developed initial theories about current practice from: a rapid realist review, a national survey and key informant interviews, a national stakeholder event and analysis of patient safety incident reports. In phase two we collected and analysed qualitative (observations/interviews) and quantitative data (accessed via NHS Digital/NWIS for interrupted time series analysis) from a purposive sample of 13 case study sites. Phase three involved the triangulation of each data set to refine initial theories and develop a programme theory along with a toolkit for stakeholders based on our findings.”

If you would like to watch the recording of this seminar or attend future seminars, please contact Sue Bowler sbowler@lincoln.ac.uk. Alison’s slides can be accessed below.

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