scholarly journals Patient safety culture in Austrian hospitals – A qualitative study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
ŠD Draganović ◽  
G O Offermanns ◽  
J B Brandl
Keyword(s):  
Risk Management ◽  
Patient Safety ◽  
Change Management ◽  
Safety Culture ◽  
Critical Incident ◽  
Patient Safety Culture ◽  
Current Status ◽  
Research Approach ◽  
Management Tools ◽  
Risk Manager

Abstract Background Adverse events in the healthcare system often have severe consequences for the patient and healthcare institutions. Thus, various risk management tools have been recently introduced to 11 Austrian hospitals to increase patient safety. The goal of our study was to test whether the introduced risk management tools actually improved patient safety culture (PSC). Methods An exploratory research approach was used to examine the current status of five aspects from PSC in hospitals. Semi-structured expert interviews with health professionals were conducted (N = 32). The inductive content analysis and technique of content structuring were used to analyze and systemize extensive qualitative data material. Intercoder reliability (κ = .605) shows satisfactory results. Results The results of the first aspect, Critical Incident Reporting System (CIRS), show that hospitals still have potential for improvement in terms of education of employees, coordination, and communication. The data of the second issue, surgical checklist, shows that the education was insufficient and that these checklists are not handled properly and used only fragmentarily. Concerning the third aspect “transfer/report”, it can be stated that systematic transfer/reports are widely unknown. Furthermore, the fourth aspect, hand hygiene, lacks a systematic training concept and control of compliance. The fifth aspect, education of risk manager, has brought a number of general benefits (e.g. methodical knowledge) to risk managers. Conclusions The results provide valuable insights into strengths and weaknesses of the implementation of risk management tools and thus highlight opportunities on how to influence PSC through organizational development and change management. Furthermore, this study has taken the first essential step towards the understanding of the effective and efficient development of PSC by providing valuable insights into the underlying mechanisms of non-functioning PSC. Key messages The study showed where the weakness points in processes of implementing risk management tools are and offered a theoretical solution for the development of a patient safety culture. Risk management tools were not equally effective in every controlled aspect. The effective implementation of these tools requires change management as a foundation to develop PSC.

scholarly journals Patient Safety Culture Status and Its Predictors among Healthcare Workers

2018 ◽  
Vol 7 (2) ◽  
pp. 107
Author(s):  
Mengistu Mitiku ◽  
Alemseged Aregay ◽  
Tesfay Hailu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Health Care Professionals ◽  
Healthcare Workers ◽  
Strong Predictor ◽  
Statistical Significance ◽  
Patient Safety Culture ◽  
Current Status ◽  
Northern Ethiopia ◽  
Cross Sectional Survey

<p>Good patient safety culture of healthcare professionals brings about fine consequences for patients. This study, therefore, aimed in evaluating the current status and predictors of safety culture among healthcare workers in Mekelle Zone hospitals, Tigray, Northern Ethiopia. A cross-sectional survey was conducted among 325 healthcare workers in three hospitals of Mekelle city from February to May, 2017. Simple random sampling technique was employed to select study subjects. Data was analyzed using SPSS. Logistic regression was used to determine the predictors of patient safety culture among healthcare workers at 95% confidence level and 5% level of significance. Statistical significance was set at p &lt;0.05. Of the 325 Healthcare workers, 21.6% rated the culture of patient safety as satisfactory and 78.4% rated as unsatisfactory. Old aged healthcare workers (AOR=21.9, 95% of CI: 2.51-61.69) and ‘hospital management support for patient safety’ (AOR=2.68, 95% CI=1.06-6.79) were strong predictor of satisfactory patient safety culture. Satisfactory patient safety culture grade obtained was only 21.6%, indicating that health care professionals are not delivering patient centered service and there is a lot of work to be done in the hospitals to improve culture of patient safety among healthcare workers. </p>

scholarly journals IMPLEMENTATION OF TOTAL QUALITY MANAGEMENT: THE EFFECT ON PATIENT SAFETY CULTURE, SERVICE QUALITY, AND ITS IMPACT ON PATIENT SATISFACTION AND PRIVATE HOSPITAL PERFORMANCE IN MANADO CITY

2021 ◽  
Vol 9 (7) ◽  
pp. 44-58
Author(s):  
Jessy Jousina Pondaag ◽  
Paulus Kindangen ◽  
Hendra N. Tawas ◽  
Jacky Sigfried Beatrix Sumarauw
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Quality Management ◽  
Service Quality ◽  
Total Quality Management ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Hospital Performance ◽  
Research Approach ◽  
Total Quality

The purpose of this research is to determine the effect of implementation of Total Quality Management (TQM) on patient safety culture, service quality, patient satisfaction, and hospital performance. This research conducted in private hospitals in Manado City which are: GMIM Pancaran Kasih Hospital, Advent Hospital, Sitti Maryam Hospital, and Siloam Hospital. The research approach used in this research is quantitative approach. The population in this research is the inpatients. Data collection technique conducted by questionnaires, documentation and observation. The sampling technique used in this research is saturated sampling (census). Data analysis conducted by using path analysis with the using SPSS ver. 25. The result of this research shows that the implementation of Total Quality Management impacted positively significantly on patient safety culture, the implementation of Total Quality Management impacted positively significantly on hospital service quality, the implementation of Total Quality Management impacted insignificantly on patient satisfaction, the implementation of Total Quality Management impacted positively significantly on hospital performance, Patient Safety Culture impacted positively significantly on patient satisfaction, Patient Safety Culture impacted positively significantly on hospital performance, Service Quality impacted positively significantly on hospital performance, Hospital Performance impacted positively significantly on hospital performance, and Patient Satisfaction impacted positively significantly on hospital performance.

scholarly journals Study and promotion of safety culture using mixed methods research

2021 ◽  
Vol 8 (2) ◽  
pp. 129-139
Author(s):  
Daiane Brigo Alves ◽  
Elisiane Lorenzini ◽  
Nelly Oelke ◽  
Anthony John Onwuegbuzie ◽  
Adriane Cristina Bernat Kolankiewicz
Keyword(s):  
Patient Safety ◽  
Mixed Methods ◽  
Knowledge Translation ◽  
Safety Culture ◽  
Multidisciplinary Team ◽  
Mixed Methods Research ◽  
Negative Impact ◽  
Patient Safety Culture ◽  
Research Approach ◽  
Safety Attitudes

Abstract Objective With a positive safety culture, institutions offer the best quality and safe care to their patients. The objective of this study was to analyze patient safety culture from the perspective of the multidisciplinary team, to identify factors that influence patient safety culture, and to create/promote—jointly with the study participants—strategies for improving processes of change. Methods The study design represented a mixed methods research approach, with a sequential explanatory design. A multidisciplinary team of workers at a general hospital was eligible for the study. To collect quantitative data, we administered the Safety Attitudes Questionnaire (SAQ). The qualitative phase was accomplished via focus groups (FGs), with participants from the first phase of the study using the principles of deliberative dialogue (DD) as a knowledge-translation strategy. The STROBE guideline was used to develop the study. Results The overall SAQ score was positive (75.1 ± 10.4). Negative scores were found in the fields of Safety Climate, Working Conditions, and Stress Recognition. Focus group discussions identified the aspects that create a negative impact on safety culture, such as ineffective communication, punitive approach in the event of errors, the lack of commitment and adherence to the protocols, and the non-recognition of the stress and the mistakes. Actions for the promotion of safety culture were developed and implemented during the study. Conclusions The use of the principles of DD as a strategy for knowledge translation (KT) made it possible to identify and plan for joint actions to generate improvements in safety culture.

scholarly journals Current Status and Predictors of Patient Safety Culture in Hospitals of Qassim Region, Saudi Arabia

2020 ◽  
Author(s):  
Ayed AlReshidi ◽  
Majeda Farajat ◽  
Tarek Ibrahim ◽  
Abdulaziz Alresheedi ◽  
Aliaa Elnefiely ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Current Status

scholarly journals Reestruturação de núcleo de segurança do paciente com aplicação da metodologia lean seis sigma

2019 ◽  
Vol 19 (76) ◽  
Author(s):  
Andre Barros Ferreira ◽  
Ricardo Rodrigues de Castro Teixeira
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Management Practices ◽  
Low Cost ◽  
Management Strategies ◽  
Patient Safety Culture ◽  
Near Miss ◽  
Management Tools ◽  
Action Time ◽  
Lean Tools

RESUMOEm uma época em que o tema segurança do paciente vem sendo desenvolvido sistematicamente por órgãos de fiscalização e qualidade, os hospitais e clínicas devem cada dia mais ampliar a cultura de segurança do paciente. Para fazer isso, é necessário adotar medidas estratégicas e ferramentas de gestão LEAN, inspiradas em práticas de gestão e resultados do sistema Toyota. Este artigo relata a implantação de ferramentas LEAN no Núcleo de Segurança do Paciente (NSP) em um hospital de olhos de médio porte. Os objetivos da implantação eram: elevar a cultura de segurança do paciente na instituição e aumentar as notificações de possíveis eventos (near miss) a fim de garantir ação prévia e evitar danos; em paralelo, diminuir subnotificações e o tempo de ação dos membros do NSP frente às notificações, facilitando o acesso das notificação aos colaboradores e, desta forma, permitir a prevenção de eventos adversos com dano. A implantação foi desenvolvida em cinco fases, que vão da concepção do projeto até a análise dos resultados. Foram evidenciadas melhorias na compreensão da finalidade do NSP, ampliando de 82% para 100% o conhecimento sobre o Núcleo por parte dos colaboradores. Os resultados mostraram a importância na utilização das ferramentas Jidoka e Kaizen, fomentando a criação do website do NSP que permitiu ampliar os conhecimentos dos colaboradores e diminuir de 77% para 3% a dificuldade em notificar. O sistema de envio de e-mail imediato aos membros melhorou o tempo de ação do NSP, reduzindo a média de 27 dias para apenas 1 dia. Observamos que, mesmo em época de crise, com pequeno custo, houve um aumento da cultura de segurança do paciente no hospital em 357,14% em comparação com o ano anterior, com aumento de notificações de near miss (eventos que podem ser controlados para não causarem dano). Hoje em dia, a aplicação de ferramentas e conceitos LEAN nas estratégias gerenciais é garantia fundamental da sustentabilidade, cumprimento de normas e leis, sem que haja impacto financeiro que impeça a garantia da segurança do paciente.Palavras-chave: Segurança do paciente. Administração hospitalar. Gestão de riscos. Eficiência organizacional. Indicadores de qualidade em assistência à saúde. ABSTRACTAt a time when the subject of patient safety has been systematically developed by oversight and quality agencies, hospitals and clinics must increasingly broaden the patient safety culture. To do this, strategic measures and LEAN management tools, based on Toyota system management practices and results, must be adopted. This article reports the implementation of LEAN tools at the Patient Safety Center (NSP) in a medium-sized eye hospital. The objectives of the implantation were: to elevate the patient safety culture in the institution and increase the notifications of possible events (near miss) in order to guarantee previous action and avoid damages; in parallel, reduce underreporting and action time of NSP members in the face of notifications, facilitating the access of notifications to employees and, thus, allowing the prevention of adverse events with damage. The deployment was developed in five phases, ranging from project design to results analysis. Improvements in the understanding of the purpose of the NSP were evidenced, increasing from 82% to 100% the knowledge about the Center by the employees. The results showed the importance of using the Jidoka and Kaizen tools, promoting the creation of the NSP website that allowed the employees to increase their knowledge and reduce from 77% the difficulty to notify. Members' immediate email system has improved NSP action time, reducing the average from 27 days to just 1 day. Even at a time of crisis, at a low cost, there was an increase in the patient safety culture in the hospital by 357.14% compared to the previous year, with an increase in near miss reports (events that can be controlled for do no harm). Nowadays, the application of LEAN tools and concepts in management strategies is a fundamental guarantee of sustainability, compliance with rules and laws, without having a financial impact that does not guarantee patient safety.Keywords: Patient Safety. Hospital administration. Risk management. Efficiency, organizational. Quality indicators, Health Care.

Fakor Determinan yang Memengaruhi Budaya Keselamatan Pasien di RS Pemerintah Kabupaten Kuningan

1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Lia Mulyati ◽  
Dedy Rachman ◽  
Yana Herdiana
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Work Satisfaction ◽  
Patient Safety Culture ◽  
Team Work ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

Budaya keselamatan merupakan kunci untuk mendukung tercapainya peningkatan keselamatan dan kesehatan kerja dalam organisasi. Upaya membangun budaya keselamatan merupakan langkah pertama dalam mencapai keselamatan pasien. Terdapat beberapa faktor yang berkontribusi dalam perkembangan budaya keselamatan yaitu; sikap baik individu maupun organisasi, kepemimpinan, kerja tim, komunikasi dan beban kerja. Penelitian ini bertujuan mengetahui faktor determinan yang berhubungan dengan terciptanya budaya keselamatan pasien di RS Pemerintah Kabupaten Kuningan. Teknik pengambilan sampel yang digunakan incidental sampling 88 orang perawat pelaksana. Rancangan penelitian menggunakan survey analitik dengan pendekatan cross sectional, uji hipotesis digunakan Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan terdapat pengaruh yang signifikan antara persepsi terhadap manajemen (p 0.0005, odd rasio 21.3), dukungan tim kerja (p 0.0005, odd rasio 13.34), stress kerja (p 0.006, odd rasio 3.94), kepuasan kerja (nilai p 0. 002) dengan budaya keselamatan pasien. Tidak terdapat pengaruh yang signifikan kondisi kerja dengan budaya keselamatan pasien dengan nilai p 0.507. Berdasarkan analisis multuvariat diperoleh persepsi terhadap manajemen menjadi factor determinan dengan nilai p 0.000 < α 0.05. Simpulan; unsur pimpinan memiliki pengaruh yang signifikan dalam menciptakan budaya keselamatan pasien. Pimpinan memiliki kewenangan dalam menerapkan system yang berlaku dalam organisasi, oleh karena itu gaya kepemimpinan, teknik komunikasi serta kemampuan manajerial merupakan suatu hal yang sangat perlu diperhatikan dalam menciptakan atmosfer kerja yang kondusif sebagai upaya terciptanya budaya keselamatan pasien. Berdasarkan hasil penelitian bahwa model kepemimpinan transformasional merupakan model yang sesuai diterapkan untuk meningkatkan budaya keselamatan pasien, pelatihan keterampilan komunikasi efektif serta pengembangan model pendidikan antar profesi sebagai upaya peningkatan kemampuan kolaborasi.Kata kunci:Budaya keselamatan pasien, stress kerja, kepuasan kerja.Determinant factors that are Influencing Patient Safety Culture in a Government-owned Hospitals in Kuningan Regency AbstractSafety culture is a key to support the achievement of occupational health and safety in an organization. An effort to build safety culture is the first step in ensuring patient safety. There are some factors that contribute in the development of safety culture, namely, individual and organizational attitude, leadership, team work, communication, and work load. This study aimed to identify the determinant factors that are related to achievement of patient safety culture in a government-owned hospital in Kuningan Regency. Eighty eight samples of nurses were recruited using incidental sampling technique. The research design was using cross sectional study, the hypothesis testing were using Chi Square and multiple logistic regression. The results showed that there were significant influenced between perception towards management (p= 0.0005, odd rasio 21.3), team work support (p= 0.0005, odd rasio 13.34), work-related stress (p= 0.006, odd rasio 3.94), work satisfaction (p= 0. 002) with patient safety culture. There was not significant influenced between work condition and patient safety (p= 0.507). The multivariate analysis showed that perception towards management was the determinant factor for patient safety culture (p 0.000 < α 0.05). In conclusion, leaders have significant influence in creating patient safety culture. Leaders have authority to implement systems in the organization. Therefore, leadership style, communication technique, and managerial ability are important in order to create a conducive atmosphere for developing patient safety culture. As recommendation, transformational leadership is a model that is appropriate to be applied in order to increase patient safety culture, trainings of effective communication and inter-professional education model are also needed to increase the collaboration skills among health professionals.Keywords:Patient safety culture, work-related stress, work satisfaction.

GESTÃO HOSPITALAR E CULTURA DE SEGURANÇA DO PACIENTE NA PERCEPÇÃO DA EQUIPE DE ENFERMAGEM

2017 ◽  
Vol 40 ◽  
Author(s):  
Edenise Maria Santos da Silva-Batalha ◽  
Marta Maria Melleiro
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Research

O objetivo deste estudo foi avaliar a percepção de trabalhadores de enfermagem de um hospital de ensino acerca da cultura de segurança do paciente frente à gestão hospitalar. Trata-se de uma pesquisa quantitativa desenvolvida em um hospital de 900 leitos. A amostra foi composta por 301 profissionais de enfermagem. O instrumento de coleta foi o questionário da Agency for Healthcare Research and Quality, intitulado Hospital Survey on Patient Safety Culture, traduzido para o Português e adaptado da versão original em inglês. A análise deu-se por meio de estatísticas descritivas e testes específicos. Os resultados referentes à dimensão “Apoio da gestão hospitalar para segurança do paciente” evidenciaram que 53,6% dos participantes discordavam que a administração propiciava um clima de trabalho favorável à segurança do paciente, 46% discordavam que a segurança do paciente fosse uma prioridade da administração e 58,3% concordavam que a administração apenas se interessava pela segurança após a ocorrência de eventos adversos. Tais resultados demonstram a necessidade de envolvimento maior da gestão hospitalar para com a segurança dos pacientes, favorecendo o amadurecimento da cultura de segurança. Ainda, a relação entre a enfermagem e a gestão hospitalar deve ser fortalecida, baseando-se em relações mais próximas e lineares. Conclui-se que não é apenas uma parte da organização que é responsável pela cultura de segurança, há, portanto, a necessidade de envolver a gestão e todos os trabalhadores na criação, implementação e fortalecimento dos sentimentos, valores, comportamentos, atitudes e ações que irão fomentar essa cultura. Palavras-chave: Administração hospitalar. Segurança do paciente. Enfermagem.

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