What We Really can Learn From Aviation: Checklist-based Team Time-Out in Conjunction With Interpersonal Competence Training for the Daily Management of a Surgical Department

2021 ◽  
pp. 155335062110184
Author(s):  
Christoph Hirche ◽  
Ulrich Kneser
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Organizational Factors ◽  
Interpersonal Competence ◽  
Daily Work ◽  
Surgical Department ◽  
Error Culture ◽  
Time Out ◽  
Team Time Out ◽  
Competence Training

Objective. Aviation and affiliated training concepts have gained a pioneering role in the establishment of interpersonal competence training for physicians and in particular for surgical disciplines. Strengthening interpersonal competence in conjunction with standardized processes and tools aims at implementing safety and error culture in the clinical surroundings while improving patient safety. In a surgical center, safety culture starts with decisive day-to-day management, continues with WHO team time-out and optimal surroundings for the operation, and goes beyond mortality and morbidity conferences and reevaluation of the daily work. Nevertheless, operational day-to-day management has been only little in the focus of security and error culture in surgical literature yet. Method. Interpersonal competence training has been introduced in the hospital group. In 2017, a checklist-based team time-out was implemented to optimize day-to-day management so that conflicts and collisions can be identified timely. Results. The daily completed checklist addresses changes in staff and resource availability, patient-relevant, and other organizational factors. The introduction has provided a significant level of stability and proven itself as part of the safety culture and exemplary leadership beyond the “classical” fields in surgery. Conclusion. This “simple” instrument from the aviation toolbox in conjunction with interpersonal competence training can be recommended to improve the management and safety culture in a surgical clinic to streamline operations and positively affect patient safety and staff development as well as employee satisfaction. Nevertheless, it is not sufficient to implement standard operation procedures templates and checklists, and they have to be lived daily and by everyone.

scholarly journals Application of a Patient Safety Culture in Undata Palu Hospital

2021 ◽  
Vol 2 (2) ◽  
pp. 74-80
Author(s):  
Freny Ravika Mbaloto ◽  
Niswa Salamung ◽  
Ni Ketut Elmiyanti
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Human Error ◽  
Improve Patient Safety ◽  
Organizational Factors ◽  
Patient Safety Culture ◽  
Developed Countries ◽  
Emergency Rooms ◽  
Exact Test ◽  
Fundamental Factor

Introduction: The Word Health Organization suggests that developed countries focus more on knowledge of standardized mechanisms and organizational factors that cause unsafe care for patients, such as those related to miscommunication, eg coordination, human error and the need to improve patient safety culture. Patient safety culture is a major and fundamental factor because building a patient safety culture is a way to build an overall patient safety program. This study aims to determine the applicationof patients safety culture at  Undata Hospital, Palu, Central Sulawesi Province, Indonesia.  Method: Using a survey questionnaire, this study explores differences in the application of of patient safety cultures in patient, critical and emergency rooms. The research samples of 157 people obtained through the use of probability sampling techniques. Data were analyzed using Fisher's exact test. The statistic show that there are differences in the application of safety culture in patient, critical and emergency rooms. Because there are differences in the application of safety culture between rooms, the statistical analysis was continued with the Post Hoc Mann-Whitney test. Results: The results showed that statistically there was no difference in the application of patient safety culture between inpatient and critical rooms because p = 0.643 (p> 0,05 ), a difference in the application of patient safety culture between in patient and emergency rooms because p = 0.011 (p <0,05), a difference in the application of patient safety culture between critical rooms and emergency rooms because p = 0.049 (p<0.05).

scholarly journals Organizational Factors in Implementation of Patient Safety Culture in Hospitals: Systematic Literature Review

2021 ◽  
Vol 4 (2) ◽  
pp. 40
Author(s):  
Septin Srimentari Lely Darma ◽  
Purwaningsih Purwaningsih ◽  
Elida Ulfiana
Keyword(s):  
Patient Safety ◽  
Literature Review ◽  
Organizational Structure ◽  
Safety Culture ◽  
Health Workers ◽  
Improve Patient Safety ◽  
Organizational Factors ◽  
Patient Safety Culture ◽  
Research Quality ◽  
Alphabetical Order

Introduction: Patient safety culture is a program organized to minimize the risk of unexpected events and improve patient safety. This study is aimed to explain the relationship between organizational factors in the implementation of patient safety culture in hospitals based on empirical studies in the last five years.Method: ProQuest, ScienceDirect, Sage, CINAHL, and google scholar databases have been searched using indexed keywords in the Medical Subject Heading (MeSH) on 2015-2020. JBI's review with a cross-sectional study design used to assess research quality. The PRISMA flowchart was used to summarize the study selection process in the literature review with inclusion and exclusion criteria adjusted to the PICOS framework.Results: We found 13 journals that consist of three studies discuss about leadership, seven journals describe about resources, and three journals relate to organizational structure.  Every country has a different characteristic in implementation of patient safety culture. The thirteen journals came from countries that divided in to three continents, there are Asia, Europe, and Africa. The results of this studyshow that leadership, resources, and, organizational structure can optimize the application of patient safety culture. Leadership support motivates health workers in the room in implementing a patient safety culture. Adequate resources reduce the risk of accidents at work, and an effective organizational structure creates good and conducive performance.Conclusions: Provide between three and five key words in alphabetical order, which accurately identify the paper’s subject, purpose, method and focus. Don't use words or terms in the title as keywords. These keywords will be used for indexing purposes. Keywords cannot be more than 5 words or phrases in alphabetical order

Reducing unintended retained foreign objects in operating rooms: a proactive risk assessment framework to improve patient safety

2021 ◽  
pp. 251604352110446
Author(s):  
Maryam Tabibzadeh ◽  
Zarna Patel
Keyword(s):  
Risk Assessment ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Organizational Factors ◽  
Operating Rooms ◽  
Nuclear Industry ◽  
Assessment Framework ◽  
Foreign Objects ◽  
Sentinel Event

According to a study by Johns Hopkins, an average of 251,454 Americans die annually from medical errors. Medical error is the third leading cause of death in the U.S. after heart disease and cancer. Unintended retained foreign objects (URFOs) has been identified as the most common sentinel event by The Joint Commission. This paper proposes a proactive risk assessment framework to enhance patient safety in operating rooms by addressing the URFOs issue. This framework is developed by integrating the 10 traits of a positive safety culture, initially introduced by the nuclear industry and later adopted by other industries, with an accident investigation methodology called AcciMap, originally developed by Rasmussen. The AcciMap is a hierarchical framework consisting of several layers: government and regulatory bodies, company (hospital), (surgery division) management, (operating room) staff, and work. Thirty main categories of socio-technical contributing causes of URFOs were captured across the AcciMap layers. Organizational factors were identified as the root cause of questionable decisions made by staff and management. Financial and budget constraints, inadequate training infrastructure, absence of a risk management infrastructure, and leadership failure are the most influential organizational factors contributed to URFOs. Our mapping of the aforementioned positive safety culture traits on the AcciMap depicted that the four traits of Work Processes, Leadership Safety Values and Actions, Effective Communication, and Continuous Learning had the most influence on the URFOs issue. Associated recommendations to these findings are provided to contribute to reducing risks of URFOs instances.

Toward incident reporting (IR) systems: A safety culture survey within the oncology network of a northern Italian region

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e17527-e17527 ◽  
Author(s):  
M. Aita ◽  
L. Zanier ◽  
E. Rijavec ◽  
V. Merlo ◽  
J. Menis ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
User Satisfaction ◽  
Organizational Context ◽  
Organizational Factors ◽  
Incident Reporting ◽  
University Hospital ◽  
Error Reporting ◽  
University Hospitals ◽  
Frequency Distributions

e17527 Background: Physicians are reluctant partners in error reporting. Insufficient evidence exists on what may affect IR in a specific cultural and organizational context. The primary endpoint of our study was to offer a critical perspective on the dominant attitudes toward IR systems among health operators of Friuli-Venezia Giulia cancer network. The survey was part of a Health Department patient safety project. Methods: A preliminary PubMed and ASCO database search was performed (keywords: incident/error reporting, attitudes, barriers, blame/safety culture, cancer, oncology, chemotherapy). Two web-based questionnaires were administered to health personnel of Oncology Units (OU) with developing and existing IR systems, respectively. Data were collected in a MySQL database and managed by PhpMyAdmin. SAS 9.1 was used for the analysis of frequency distributions. Results: Target population: 14 OU; 2 University Hospitals, 1 Scientific Institute for Research, Hospitalization, and Health Care (SIRHHC) (2 OU), 10 Hospital Centers; 262 operators (83 physicians, 172 nurses, 2 pharmacists, 5 technicians). Overall response rate: 44.6%; physician/nurse 59/36%; University Hospital (n = 99)/SIRHHC (n = 55)/Hospital Center (n = 101) 73%/9%/38%. Knowledge of risk management issues: 86% (90% of untrained operators from IR-free centers). Eighty-six percent of all operators showed a favourable attitude toward voluntary IR systems. Main reasons: patient safety improvement (65%); organizational growth (38%); professional duty (20.5%). A 78.5% preference for computerized forms was recorded. On a five-point scale, IR features rating 5 in >50% of the answers were: simplicity (85%); getting a feed-back (76%); exhaustivity (66%); adoption of organization more than individual recommendations (59%). Specific training, feedback guarantee and plainness of reporting forms were suggested by 90, 64, and 51% of all operators as essential measures for system acceptance and user satisfaction. Conclusions: Logistic and organizational factors (i.e., time constraints, work overload, resource allocation to incident reporting more than investigation and learning back) should be taken in account by county health directors aiming for successful reporting systems. No significant financial relationships to disclose.

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.

Sign in / Sign up

Export Citation Format

Share Document