scholarly journals Establishing the use of a safety attitudes questionnaire to assess the safety climate across a critical care network

2018 ◽  
Vol 19 (3) ◽  
pp. 219-225 ◽  
Author(s):  
Antony Thomas ◽  
John-Paul Lomas
Keyword(s):  
Critical Care ◽  
Safety Climate ◽  
Inverse Relation ◽  
Point Change ◽  
Safety Attitudes ◽  
Care Network ◽  
Critical Care Units ◽  
Safety Attitudes Questionnaire ◽  
Safety Attitude Questionnaire ◽  
Safety Attitude

Aims We aimed to measure the safety culture across a network of critical care units to compare units, track temporal changes and to present easy to interpret information back to staff. Methods We provided adapted paper versions of the short ICU ‘Safety attitude questionnaire’ to 14 critical care units annually between 2015 and 2017. The responses were analysed to establish scores for individual safety domains. Feedback used colour conditional formatted tables to allow easy identification of high and low scores. Results There was an inverse relation between median unit score and standardised mortality (rs = 0.4). Rates of staff fatigue increased between 2016 and 2017 (two-point change on a 1–5 scale). Conclusions A critical care network can usefully collect and feedback safety attitude questionnaires which show a relationship with patient outcome. Units should monitor overtime working.

Factors associated with patient safety implementation based on safety attitudes questionnaire in accredited hospital Jambi City Indonesia

2019 ◽  
Vol 8 (2) ◽  
pp. 157
Author(s):  
Basok Buhari ◽  
Rizanda Machmud ◽  
Dorisnita Dorisnita
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Attitude Questionnaire ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Factors Associated ◽  
Safety Attitude Questionnaire ◽  
Environment Factor ◽  
Safety Attitude ◽  
Work Environment Factor

Abstract Background: The Nursing service are influenced by the behavior nurses in implementation of patient safety the Contributes to adverse event or incident patient safety in accredited public hospital. This study aims to analyses most dominant determinant factors associated with patient safety implementation based on safety attitudes questionnaire (SAQ) in accredited hospital. Methods: This study is a cross sectional study with quantitative method conducted on nurses who work in accredited hospital. Samples of 190 nurses were included in this study by using proportional random sampling technique. The data were analyzed by using multiple logistic regression with backward LR method. Results: Total 190 participant were (22.1%) males and 148 (77.9%) females. Most participant had completed Diploma of vocational education 157 (82.6%). The most dominan factors associated with implementation of patient safety base on Safety Attitude Questionnaire is the work environment factor (p 0.001; OR 3.187). Conclusion: It is proven that a good work environment factor will improve the behavior of nurses in implementing patient safety. This research recommends to develop policy toward evaluation effort of implementation patient safety, as well as evaluation of all nursing procedures in terms of patient safety consideration to external or internal work environment. Key Word: Accredited Hospital; Patient Safety; Safety Attitude Questionnaire (SAQ), Work Environment

scholarly journals Nursing safety attitudes: relationship with time of experience and intention to leave the job

2020 ◽  
Vol 41 ◽  
Author(s):  
Gisele Hespanhol Dorigan ◽  
Damaris Ferreira Piffer Mingato ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Job Satisfaction ◽  
Safety Climate ◽  
Intention To Leave ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Material Resources ◽  
Perception Of Safety ◽  
Safety Attitude

ABSTRACT Objective: To evaluate the safety attitudes of the nursing staff and their relationship with staff adequacy and material resources, time of experience and intention to leave the job. Method: A descriptive and cross-sectional study in a teaching hospital, sampled by convenience, with the application of the Safety Attitudes Questionnaire, collected from January to April 2016. Results: 262 professionals participated, of whom 98 were nurses and 164 technicians. They reported a positive safety attitude for job satisfaction. The adequacy of staff and material resources positively influenced safety attitudes. There was a negative correlation between time of experience and perception of management, safety climate, working conditions and safe behaviors and, between the intention to leave the job and the teamwork climate, job satisfaction, and safe behaviors. Conclusion: The negative perception of safety attitudes was related to the time of experience and to the intention to leave the job.

scholarly journals Safety climate in public hospitals with the Safety Attitudes Questionnaire assessment

2019 ◽  
Author(s):  
Paloma Aparecida Carvalho ◽  
Luiz Augusto Casulari ◽  
Leila Bernarda Donato Gottems
Keyword(s):  
Safety Climate ◽  
Statistical Tests ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Questionnaire Assessment ◽  
Two Parameters ◽  
Safety Attitude

Abstract Background To evaluate the safety climate in Brazilian public hospitals using the Safety Attitudes Questionnaire from the perspective of professionals working in Brazilian public hospitals. Methods An analytical cross-sectional study of the safety climate carried out in eleven public hospitals. The evaluation was performed using the Safety Attitudes Questionnaire in an electronic format. Sampling was stratified, and collection was by convenience. Results equal or greater than 75 were considered positive. Descriptive and inferential analyses were performed, and Kruskal-Wallis and Mann-Whitney non-parametric statistical tests were used. Results None of the eleven hospitals had a mean over 75. The domains that performed positively above 75 were work satisfaction at all hospitals and perception of stress in nine hospitals. The worst results were for working conditions and management perception, and none of the hospitals had a mean above 75 for these two parameters. Differences in the means of the domains of the questionnaire were found in all hospitals, except for the management perception domain. No professional category had a mean over 75 in all hospitals. Conclusions Because the safety climate in the eleven public hospitals has proven to be negative, actions are suggested to improve this performance since maintaining a safety culture is an important aspect of patient safety. Our research provides a baseline measurement of the safety attitude in the evaluated hospitals, making it possible to guide decision making to implement improvements of the quality of patient care and safety.

scholarly journals Evaluasi Safety Attitude Culture pada Perawat di Ruang Operasi PKU Muhammadiyah Gamping

2020 ◽  
Vol 20 (1) ◽  
pp. 253
Author(s):  
Irma Wulandari ◽  
Titih Huriah ◽  
Sri Sundari
Keyword(s):  
Patient Safety ◽  
Medical Error ◽  
Mixed Methods Research ◽  
Safety Climate ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Research Approach ◽  
Safety Attitudes ◽  
High Category ◽  
Safety Attitude

In Indonesia, the incidence of medical error is quite high as evidenced by the existence of hospital incident reports, where in 2010 there were 75% of unexpected events and in 2011 as many as 60% of cases of surgical cases or patients with surgery. Medical error is one of the unwanted events, which occurred in various countries. Therefore it begins to develop a patient safety system. In order to carry out these functions, hospital should be able to carry out management based on customer oriented and patient safety by implementing a safety attitude culture. The purpose of this study was to determine the safety attitude culture evaluation of nurses in surgery rooms of PKU Muhammadiyah Gamping. This research was a research using a mixed methods research approach; namely a quantitative method with a descriptive approach and qualitative methods with a case study approach. The population in this study was nurses in surgery room with a total sampling technique of 20 people. The questionnaire in this study referred to the Surgery room Version of Safety Attitudes Questionnaire. Quantitative data analysis used descriptive analysis; while qualitative analysis was performed by data reduction, data presentation, and drawing conclusions/verification. The results shows that overall evaluation of safety culture attitude of nurses in the surgery room summed up in the high category (75,0 %). Meanwhile based on the safety attitude culture component, namely safety climate is in the high category (85,0%), team working climate is in the high category (90,0%), stress recognition is in the high category (65,0%), management perceptions is in the moderate category ( 75,0%), working conditions is in the high category (60,0%), job satisfaction is in the high category (90,0%).

scholarly journals A quality improvement project for delirium prevention and management over the Greater Manchester Critical Care Network

2020 ◽  
pp. 175114372091270
Author(s):  
Jessica Davis ◽  
Karen Berry ◽  
Rebecca McIntyre ◽  
Daniel Conway ◽  
Anthony Thomas ◽  
...  
Keyword(s):  
Critical Care ◽  
Best Practice ◽  
Point Prevalence ◽  
Screening Tools ◽  
Care Bundle ◽  
Improvement Project ◽  
Care Network ◽  
Critical Care Units ◽  
Patient Morbidity ◽  
Delirium Prevention

Background Delirium is a common complication of critical illness with a significant impact on patient morbidity and mortality. The Greater Manchester Critical Care Network established the Delirium Reduction Working Group in 2015. This article describes a region-wide delirium improvement project launched by that group. Methods Multiple Plan-Do-Study-Act cycles were undertaken. Cycle 1: April 2015 demonstrated only 48% of patients had a formal delirium screen. Following this a network-wide event took place and the Delirium Standards for the Greater Manchester Critical Care Network were produced. Cycle 2: May 2016 quarterly audits across the network monitored compliance against the agreed standards. Group events involved implementation of a delirium care bundle, sharing best practice, educating staff and providing guidance on the management of delirium. Cycle 3: November 2016 quarterly audit continued and a regional delirium study day was rolled out across the region. Results We have 14 different units across our network, all of which have participated in the audit. The first audit showed a delirium point prevalence of 28%, subsequent point prevalence audits demonstrated rates as low as 13%. There has also been an improvement in the use of delirium screening tools. In the first audit 37% of patients had two delirium screens in 24 h, this has increased to 60% in the latest audit. Improvements were also made in availability of sensory aids and pain assessments. Conclusion The project has demonstrated the feasibility of delivering a coordinated delirium improvement project across multiple critical care units.

scholarly journals Organizational and Individual Safety Factors in Work on Chemical Tanker Vessels

2019 ◽  
Author(s):  
Line Raknes Hjellvik ◽  
Randi Elisabeth Hope Aga ◽  
Bjørn Sætrevik
Keyword(s):  
Situation Awareness ◽  
Structural Equation ◽  
Safety Climate ◽  
Safety Management ◽  
Operating Conditions ◽  
Organizational Level ◽  
Management Systems ◽  
Safety Management Systems ◽  
Safety Attitudes ◽  
Safety Attitude

Chemical tanker vessels are at risk for large-scale accidents due to the nature of their cargo and operating conditions, challenging environments as well as general maritime hazards. To counteract such hazards, the ship-owning company works on maintaining safety at the organizational level, and the captain instantiates safety regulations on the interpersonal level. The crew members are expected to maintain safety by having accurate situation awareness, and beneficial safety attitudes and behaviour. We pre-registered an analysis to test for associations between safety variables in a survey for chemical tanker vessel crews. A structural equation model revealed that the ship-owning company’s safety climate and the captain’s leadership style were associated with the vessel’s safety climate. Further, the vessel’s safety climate was associated with individual safety attitude, situation awareness and adherence to safety management systems. Safety attitude had a central role in the model and was associated with situation awareness, reporting attitude, safe behaviour and adherence to safety management systems. The results imply that it may be beneficial to monitor and improve safety attitudes among crew on chemical tanker vessels and in similar work-environments.

scholarly journals Adjusting to duty hour reforms: residents’ perception of the safety climate in interdisciplinary night-float rotations

2018 ◽  
Vol 9 (4) ◽  
pp. e111-119 ◽  
Author(s):  
Alexandre Lafleur ◽  
Adrien Harvey ◽  
Caroline Simard
Keyword(s):  
Patient Safety ◽  
Nous Avons ◽  
Safety Climate ◽  
Safety Attitudes ◽  
Residency Programs ◽  
Safety Attitudes Questionnaire ◽  
Night Float ◽  
Patient Safety Climate ◽  
Hospitalised Patients ◽  
Sécurité Des Patients

Background: New scheduling models were needed to adjust to residents’ duty hour reforms while maintaining safe patient care. In interdisciplinary night-float rotations, four to six residents from most residency programs collaborated for after-hours cross-coverage of most adult hospitalised patients as part of a Faculty-led rotation. Residents worked sixteen 12-hour night shifts over a month.                                                                                Methods: We measured residents’ perception of the patient safety climate during implementation of night-float rotations in five tertiary hospitals. We surveyed 267 residents who had completed the rotation in 2015-2016 with an online version of the Safety Attitudes Questionnaire. First year residents came from most residency programs, second- and third-year residents came from internal medicine.Results: One-hundred-and-thirty residents completed the questionnaire. Scores did not differ across hospitals and residents’ years of training for all six safety-related climate factors: teamwork climate, job satisfaction, perceptions of management, safety climate, working conditions, and stress recognition.Conclusion: Simultaneous implementation in five hospitals of a Faculty-led interdisciplinary night-float rotation for most junior residents proved to be logistically feasible and showed similar and reassuring patient safety climate scores._____Contexte: De nouveaux horaires de garde en établissements hospitaliers étaient nécessaires pour s’adapter aux réformes des heures de travail des résidents tout en maintenant des soins sécuritaires pour les patients. Dans les stages cliniques de nuit interdisciplinaires, quatre à six résidents de la plupart des programmes de résidence ont collaboré pour assurer une couverture croisée, après les heures normales de travail, de la plupart des patients adultes hospitalisés. Les résidents ont travaillé seize nuits de 12 heures durant un mois.Méthodes: Nous avons mesuré la perception des résidents du climat de travail lié à la sécurité des patients lors de la mise en place de stages de nuit dans cinq hôpitaux universitaires. Nous avons interrogé 267 résidents ayant terminé le stage en 2015-2016 avec une version numérique du Safety Attitudes Questionnaire. Les résidents de première année provenaient de la plupart des programmes de résidence, les résidents de deuxième et troisième années provenaient du programme de médecine interne.Résultats: 130 résidents ont complété le questionnaire. Les scores ne différaient pas entre les hôpitaux et les années de formation des résidents pour les six facteurs liés à la sécurité des patients: climat de travail en équipe, satisfaction au travail, perceptions des supérieurs, climat de sécurité, conditions de travail et reconnaissance du stress.Conclusions: La mise en place simultanée, dans cinq hôpitaux, de stages cliniques de nuit réunissant des résidents juniors de la majorité des programmes de résidence fut logistiquement possible et a montré des résultats similaires et rassurants sur le climat de travail lié à la sécurité des patients.

scholarly journals Application of Safety Attitudes Questionnaire (SAQ) in Adult Intensive Care Units: a cross-sectional study

2020 ◽  
Author(s):  
Abdullah S. Alqahtani ◽  
Rachel Evley
Keyword(s):  
Safety Culture ◽  
Safety Climate ◽  
Cross Sectional Study ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Significant Difference ◽  
The Mean

AbstractPurposeTo achieve a positive safety culture, staff perception of safety must be frequently measured. There are several active and reactive methods to use to measure safety cultures such as near-miss occurrence, accidental data collection, measuring behavior, self-report method, and safety questionnaires. The safety attitudes questionnaire (SAQ) tool was used to measure safety culture. This tool is widely used in literature and among researchers and has been used and validated in middle eastern cultures. In addition, it has a validated Arabic version.MethodsA cross-sectional study was conducted using anonymous and random sampling. I surveyed all ICU staff working in all the adult ICUs in two of the major hospitals in the eastern province of Saudi Arabia. The short version of the Safety Attitudes Questionnaire was used to assess participants’ attitudes towards safety culture. The study involved all healthcare providers working in Adult ICU.ResultsThe study occurred over a three-week period in March 2019. A total of 82 completed questionnaires were returned which represented a response rate of 82%. On average, the domain that scored the highest number of positive responses was Job satisfaction with 68.5%, followed by teamwork climate 67.8%, then working conditions 60.1%, 57.1% safety climate, then preparation of management with 53.4%, and finally 46% in Stress recognition. A statistically significant difference was found between the mean SAQ score and the educational level of the participants. Participants with bachelor’s degrees scored a mean of 50.17 compared to participants hold diploma degrees who scored a mean of 68.81 (P=0.02). Moreover, a significant difference was found between the mean SAQ score and participants’ specialties. Attending/Staff Physician mean score was 36.40, Nurse Manager/Charge Nurse scored 39.78, and Respiratory therapist mean score was 47.88, compared to mean score of 62.27 for Registered Nurse, and Respiratory supervisor 67.0 (P=0.04). In addition, 79.2% of the respondents did not report any incidents in the last 12 months.ConclusionsThe result of the study shows an unsatisfying level of safety culture among healthcare staff in ICUs. The importance of this study is to establish a baseline for safety climate in these hospitals and specifically ICUs. In addition, by exposing the system weaknesses it helps the administration to strengthen and improve patient care. By decreasing workload and job stress, studies show they have a positive association with increasing job performance.

scholarly journals GAMBARAN BUDAYA KESELAMATAN PROFESIONAL PEMBERI ASUHAN DI KAMAR OPERASI

2019 ◽  
Vol 3 (2) ◽  
pp. 139
Author(s):  
Hamzah Hamzah ◽  
Susmiati Susmiati ◽  
Emil Huriani
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Team Work ◽  
Average Score ◽  
Attitude Questionnaire ◽  
Safety Attitude Questionnaire ◽  
Safety Attitude

Budaya keselamatan pasien di rumah sakit di Kota Jambi masih belum cukup baik seperti yang dapat dilihat dari jumlah insiden keselamatan pasien yang dilaporkan dari tim KPRS. Penelitian bertujuan untuk melihat gambaran budaya keselamatan profesional pemberi asuhan (PPA) di kamar operasi rumah sakit umumKota Jambi. Desain Penelitian kuantitatif deskriptif. Alat pengumpulan data menggunakan safety attitude questionnaire yang diadaptasi dalam bahasa Indonesia. Analisa data secara univariat dengan jumlah sampel 126 orang yang terdiri dari dokter spesialis, perawat bedah, penata anestesi, dan apoteker. Total skor budaya keselamatan (71,08), skor rata-rata iklim kerja tim (75,54), iklim keselamatan (74,83), kepuasan kerja (83,81), pengakuan stres (42,50), persepsi manajemen (69,56), dan kondisi kerja (64,28). Penelitian ini merekomendasikan perlu mengembangkan kebijakan terhadap upaya evaluasi penerapan budaya keselamatan pasien di rumah sakit, begitu juga evaluasi terhadap semua standar prosedur operasional ditinjau dari pertimbangan budaya keselamatan serta faktor yang mempengaruhinya. Kata kunci: Persepsi profesional pemberi asuhan, kamar operasi, budaya keselamatan pasien Abstract Professional safety culture description in operating rooms. The culture of patient safety in hospitals in Jambi City is still not good enough as can be seen from the number of patient safety incidents reported from the KPRS team. The aim of this study was to look at a picture of the culture of professional safety of care givers (PPA) in the operating room of the Jambi City General Hospital. Descriptive quantitative research design. The data collection tool uses a safety attitude questionnaire that was adapted in Indonesian. Univariate data analysis with a sample of 126 people consisting of specialist doctors, surgical nurses, anesthetists, and pharmacists. Total safety culture score (71.08), average score of team work climate (75.54), safety climate (74.83), job satisfaction (83.81), stres recognition (42.50), management perception ( 69.56), and working conditions (64.28). This study recommends that it is necessary to develop policies for evaluating the application of patient safety culture in hospitals, as well as evaluating all standard operating procedures in terms of safety culture considerations and the factors that influence them. Keywords: professional perceptions of caregiver, operating room, patient safety culture

scholarly journals Could low Safety Attitudes Questionnaire scores be indicative of an environment where it may be difficult to get new training practices established?

2017 ◽  
Vol 3 (2) ◽  
pp. 54-59
Author(s):  
Sarah Channing ◽  
Neil Ryan ◽  
Sophie Barnes ◽  
Kate Collins ◽  
Helen van der Nelson ◽  
...  
Keyword(s):  
Safety Culture ◽  
Safety Climate ◽  
Training Session ◽  
Interrupted Time Series ◽  
Team Training ◽  
Multiprofessional Team ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Significant Difference ◽  
The Impact

IntroductionSimulation-based, multiprofessional team training (SBMPTT) is used widely in healthcare, with evidence that it can improve clinical outcomes and be associated with a positive safety culture. Our aim was to explore the impact of introducing this type of training to a gynaecological team.MethodsIn this interrupted time-series study, ‘Safety Attitudes Questionnaire’ (SAQ) data was collected both before and after SBMPTT was introduced to a gynaecological team.ResultsLow baseline SAQ scores coincided with difficulty in establishing the training, meaning that at the end of our study period only a small proportion of staff had actually attended a training session. Despite trends towards improvement in scores for safety climate, teamwork climate and job satisfaction, no statistically significant difference was observed. There was however an improved perception of the level of collaboration between nursing staff and doctors after the introduction of training.Conclusions and DiscussionIn this paper we explore a hypothesis that low baseline SAQ scores may highlight that the multiprofessional teams most in need of training work in environments where it is more challenging to implement. There is evidence from other specialties that multiprofessional team training works, now we need to understand how to address the barriers to getting it started. In this paper we suggest how the SAQ could be used as a directive tool for improvement; using the detailed analysis of the local safety culture it provides to both inform future training design and also provide management with an objective marker of progress.

Sign in / Sign up

Export Citation Format

Share Document