scholarly journals The impact of nurse working hours on patient safety culture: a cross-national survey including Japan, the United States and Chinese Taiwan using the Hospital Survey on Patient Safety Culture

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Yinghui Wu ◽  
Shigeru Fujita ◽  
Kanako Seto ◽  
Shinya Ito ◽  
Kunichika Matsumoto ◽  
...  
Keyword(s):  
United States ◽  
Patient Safety ◽  
National Survey ◽  
Safety Culture ◽  
Working Hours ◽  
Patient Safety Culture ◽  
The United States ◽  
The Impact ◽  
Cross National

scholarly journals Using a Positive Deviance Approach to Influence the Culture of Patient Safety Related to Infection Prevention

2018 ◽  
Vol 5 (10) ◽  
Author(s):  
Pranavi Sreeramoju ◽  
Lucia Dura ◽  
Maria E Fernandez ◽  
Abu Minhajuddin ◽  
Kristina Simacek ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Social Network ◽  
Safety Culture ◽  
Infection Prevention ◽  
Technical Problem ◽  
Patient Safety Culture ◽  
The United States ◽  
Positive Deviance ◽  
The Impact

Abstract Background Health care–associated infections (HAIs) are a socio-technical problem. We evaluated the impact of a social change intervention on health care personnel (HCP), called “positive deviance” (PD), on patient safety culture related to infection prevention among HCP. Methods This observational study was done in 6 medical wards at an 800-bed public academic hospital in the United States. Three of these wards were randomly assigned to receive PD intervention on HCP. After a retrospective 6-month baseline period, PD was implemented over 9 months, followed by 9 months of follow-up. Patient safety culture and social networks among HCP were surveyed at 6, 15, and 24 months. Rates of HAI were measured among patients. Results The measured patient safety culture was steady over time at 69% aggregate percent positive responses in wards with PD vs decline from 79% to 75% in wards without PD (F statistic 10.55; P = .005). Social network maps suggested that nurses, charge nurses, medical assistants, ward managers, and ward clerks play a key role in preventing infections. Fitted time series of monthly HAI rates showed a decrease from 4.8 to 2.8 per 1000 patient-days (95% confidence interval [CI], 2.1 to 3.5) in wards without PD, and 5.0 to 2.1 per 1000 patient-days (95% CI, –0.4 to 4.5) in wards with PD. Conclusions A positive deviance approach appeared to have a significant impact on patient safety culture among HCP who received the intervention. Social network analysis identified HCP who are likely to help disseminate infection prevention information. Systemwide interventions independent of PD resulted in HAI reduction in both intervention and control wards.

scholarly journals The characteristics of patient safety culture in Japan, Taiwan and the United States

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Shigeru Fujita ◽  
Kanako Seto ◽  
Shinya Ito ◽  
Yinghui Wu ◽  
Chiu-Chin Huang ◽  
...  
Keyword(s):  
United States ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
The United States

scholarly journals Healthcare Professional’s Perception of Patient Safety Measured by the Hospital Survey on Patient Safety Culture: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Julia Hiromi Hori Okuyama ◽  
Tais Freire Galvao ◽  
Marcus Tolentino Silva
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Meta Analysis ◽  
Patient Safety Culture ◽  
The United States ◽  
Three Dimensions ◽  
Asian Continent ◽  
Learning From Errors ◽  
Event Reporting ◽  
Arcsine Transformation

Objective.To assess the culture of patient safety in studies that employed the hospital survey on patient safety culture (HSOPS) in hospitals around the world.Method.We searched MEDLINE, EMBASE, SCOPUS, CINAHL, and SciELO. Two researchers selected studies and extracted the following data: year of publication, country, percentage of physicians and nurses, sample size, and results for the 12 HSOPS dimensions. For each dimension, a random effects meta-analysis with double-arcsine transformation was performed, as well as meta-regressions to investigate heterogeneity, and tests for publication bias.Results.59 studies with 755,415 practitioners surveyed were included in the review. 29 studies were conducted in the Asian continent and 11 in the United States. On average studies scored 9 out of 10 methodological quality score. Of the 12 HSOPS dimensions, six scored under 50% of positivity, with “nonpunitive response to errors” the lowest one. In the meta-regression, three dimensions were shown to be influenced by the proportion of physicians and five by the continent where survey was held.Conclusions.The HSOPS is widely used in several countries to assess the culture of patient safety in hospital settings. The culture of culpability is the main weakness across studies. Encouraging event reporting and learning from errors should be priorities in hospitals worldwide.

Cross-National Explorations of the Impact of Affect at Work Using the State-Trait Emotion Measure: A Coordinated Series of Studies in the United States, China, and Romania

2011 ◽  
Vol 24 (5) ◽  
pp. 405-442 ◽  
Author(s):  
Edward L. Levine ◽  
Xian Xu ◽  
Liu-Qin Yang ◽  
Dan Ispas ◽  
Horia D. Pitariu ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
The State ◽  
Affect At Work ◽  
The Impact ◽  
Cross National

scholarly journals The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study

2021 ◽  
Vol 4 (1) ◽  
pp. 18-26
Author(s):  
Khaled Al-Surimi ◽  
Shahenaz Najjar ◽  
Abdulrazak Al Quidaihi ◽  
Emad Masuadi
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Secondary Outcome ◽  
Event Reporting ◽  
National Accreditation ◽  
Hospital Units ◽  
Accreditation Program ◽  
Perceptions Of Safety ◽  
The Impact

ABSTRACT Introduction The objective of this study was to assess the effectiveness of the Saudi national accreditation program on patient safety culture in a secondary-tertiary public hospital in Saudi Arabia. Methods Three hundred health professionals were randomly selected to participate in a survey. The survey was used in three phases: baseline, before accreditation, and after accreditation. Primary and secondary outcome measures were teamwork within hospital units, feedback and communication about errors, hospital handoffs and transitions, overall perceptions of safety, frequency of event reporting, and perception of patient safety grade. Results The survey response rate was 100%. A statistically significant impact of accreditation was found for teamwork within hospital units, feedback and communication about errors, and hospital handoffs and transitions (p = 0.002, 0.009, and 0.010, respectively). Ordinal logistic regression confirmed that the accreditation program had a significant effect on overall perceptions of safety (odds ratio [OR] [1.42–13.56], p = 0.010), frequency of event reporting (OR [0.91–7.96], p = 0.073), and staff awareness of grading safety culture (OR [0.02–0.70]) and reporting behavior (OR 0.10 [0.03–0.37]). Conclusion The Saudi national accreditation program had a significant positive impact on some patient safety culture dimensions and outcomes. These findings provide local empirical evidence on the benefits of implementing national accreditation programs. Further research on a larger scale is highly recommended.

scholarly journals The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: A cross-sectional survey

2020 ◽  
Author(s):  
Zahra Chegini ◽  
Edris Kakemam ◽  
Mohammad Asghari Jafarabadi ◽  
Ali Janati
Keyword(s):  
Patient Safety ◽  
Regression Analysis ◽  
Safety Culture ◽  
Linear Regression Analysis ◽  
Educational Status ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Coaching Behavior ◽  
The Impact

Abstract Background: There is growing interest in examining the factors affecting the reporting of errors by nurses. However, little research has been conducted into the effects of perceived patient safety culture and leader coaching of nurses on the intention to report errors. Methods: This cross-sectional study was conducted amongst 256 nurses in the emergency departments of 18 public and private hospitals in Tabriz, northwest Iran. Participants completed the Hospital Survey on Patient Safety Culture (HSOPSC), Coaching Behavior Scale and Intention to Report Errors questionnaires and the data was analyzed using multiple linear regression analysis. Results: Overall, 43% of nurses had an intention to report errors; 50% of respondents reported that their nursing managers demonstrated high levels of coaching. With regard to patient safety culture, areas of strength and weakness were “teamwork within units” (PRR = 66.80%) and “non-punitive response errors” (PRR = 19.66%). Regression analysis findings highlighted a significant association between an intention to report errors and patient safety culture (B=0.123, CI 95%: 0.005 to 0.328, P = 0.026), leader coaching behavior (B=0.172, CI 95%: 0.066 to 0.347, P = 0.004) and nurses’ educational status (B=0. 787, 95% CI: -.064 to 1.638, P = 0.048). Conclusions: Further research is needed to assess how interventions addressing patient safety culture and leader coaching behaviours might increase the intention to report errors.

Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration

2019 ◽  
Vol 35 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Bickey H. Chang ◽  
Yea-Jen Hsu ◽  
Michael A. Rosen ◽  
Ayse P. Gurses ◽  
Shu Huang ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cardiac Surgery ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Central Line ◽  
Management Support ◽  
Culture Dimensions ◽  
Health Care Associated Infections ◽  
Future Work ◽  
The Impact

Using a pre–post design, this study examined the impact of a multifaceted program to simultaneously improve 3 health care–associated infections and patient safety culture throughout the cardiac surgery service line in 11 hospitals. Interventions included the Comprehensive Unit-based Safety Program to improve safety culture and evidence-based bundles to prevent central line–associated bloodstream infection (CLABSI), surgical site infection (SSI), and ventilator-associated pneumonia (VAP). CLABSIs and SSIs showed a downward trend over 2 years, then the rates returned to levels similar to baseline in the third year. VAP rate changes were difficult to interpret because of the VAP definition change. Patient safety culture domain “hospital management support” showed significant improvement, but feedback and communication about errors and staffing declined. Simultaneous implementation of multiple interventions across units is challenging. The findings highlight the importance of sustainment efforts and suggest future work should anticipate both positive and negative change in safety culture dimensions.

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