scholarly journals A comparative assessment of two tools designed to support patient safety culture in UK general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ian Litchfield ◽  
Kate Marsden ◽  
Lucy Doos ◽  
Katherine Perryman ◽  
Anthony Avery ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Focus Group ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Staff Members ◽  
Practice Team

Abstract Background The NHS has recognised the importance of a high quality patient safety culture in the delivery of primary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work offerss a timely exploration of the tools to inform practice staff as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staff on their design, outputs and the feasibility of their sustained use. Methods We have used a content analysis to provide the context for the qualitative study of staff experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staff completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staff completed the MapSaf tool all of whom contributed to the focus group discussions. PC-SafeQuest was perceived as quick and easy to use with direct questions pertinent to the work of GP practices providing useful quantitative insight into important areas of safety culture. Though MaPSaF was more logistically challenging, it created a forum for synchronous cross- practice discussions raising awareness of perceptions of safety culture across the practice team. Conclusions Both tools were able to promote reflective and reflexive practice either in individual staff members or across the broader practice team and the oversight they granted provided useful direction for senior staff looking to improve patient safety. Because PC SafeQuest can be easily disseminated and independently completed it is logistically suited to larger practice organisations, whereas the MapSaf tool lends itself to smaller practices where assembling staff in a single workshop is more readily achieved.

scholarly journals OR and ICU teams ‘running in parallel’ at the end of cardiothoracic surgery improves perceptions of handoff safety

2021 ◽  
Vol 10 (1) ◽  
pp. e001001
Author(s):  
Safraz Hamid ◽  
Frederic Joyce ◽  
Aaliya Burza ◽  
Billy Yang ◽  
Alexander Le ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cardiac Surgery ◽  
Safety Culture ◽  
Positive Response ◽  
Improve Patient Safety ◽  
Health Care Research ◽  
Response Rates ◽  
Patient Safety Culture ◽  
Improvement Project ◽  
Surgery Patient

The transfer of a cardiac surgery patient from the operating room (OR) to the intensive care unit (ICU) is both a challenging process and a critical period for outcomes. Information transferred between these two teams—known as the ‘handoff’—has been a focus of efforts to improve patient safety. At our institution, staff have poor perceptions of handoff safety, as measured by low positive response rates to questions found in the Agency for Health Care Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS). In this quality improvement project, we developed a novel handoff protocol after cardiac surgery where we invited the ICU nurse and intensivist into the OR to receive a face-to-face handoff from the circulating nurse, observe the final 30 min of the case, and participate in the end-of-case debrief discussions. Our aim was to increase the positive response rates to handoff safety questions to meet or surpass the reported AHRQ national averages. We used plan, do, study, act cycles over the course of 123 surgical cases to test how our handoff protocol was leading to changes in perceptions of safety. After a 10-month period, we achieved our aim for four out of the five HSOPS questions assessing safety of handoff. Our results suggest that having an ICU team ‘run in parallel’ with the cardiac surgical team positively impacts safety culture.

Broadening the concept of patient safety culture through value-based healthcare

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Viktor Dombrádi ◽  
Klára Bíró ◽  
Guenther Jonitz ◽  
Muir Gray ◽  
Anant Jani
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Cost Benefit ◽  
Population Level ◽  
Patient Safety Culture ◽  
Content Type ◽  
Experience Of Care ◽  
Improve Patient

PurposeDecision-makers are looking for innovative approaches to improve patient experience and outcomes with the finite resources available in healthcare. The concept of value-based healthcare has been proposed as one such approach. Since unsafe care hinders patient experience and contributes to waste, the purpose of this paper is to investigate how the value-based approach can help broaden the existing concept of patient safety culture and thus, improve patient safety and healthcare value.Design/methodology/approachIn the arguments, the authors use the triple value model which consists of personal, technical and allocative value. These three aspects together promote healthcare in which the experience of care is improved through the involvement of patients, while also considering the optimal utilisation and allocation of finite healthcare resources.FindingsWhile the idea that patient involvement should be integrated into patient safety culture has already been suggested, there is a lack of emphasis that economic considerations can play an important role as well. Patient safety should be perceived as an investment, thus, relevant questions need to be addressed such as how much resources should be invested into patient safety, how the finite resources should be allocated to maximise health benefits at a population level and how resources should be utilised to get the best cost-benefit ratio.Originality/valueThus far, both the importance of patient safety culture and value-based healthcare have been advocated; this paper emphasizes the need to consider these two approaches together.

scholarly journals Assessment of patient safety culture in intensive care units and factors affecting it

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Quality ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

Enhancing a culture of patient safety in an oncologic hospital setting.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 135-135
Author(s):  
Nicole Worthington ◽  
Shannon Bristow
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Center ◽  
Hospital Setting ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Staff Members ◽  
Increased Risk ◽  
Regional Medical Center ◽  
A Priority

135 Background: Patient safety is a priority for all hospitals and staff members. With approx. 1:10 hospitalized patients experiencing an adverse event1, healthcare lags behind other industries with regards to safety. Oncology patients have an increased risk of adverse events due to an immunocompromised status, coupled with complex treatments. Cancer Treatment Centers of America at Eastern Regional Medical Center (ERMC) recognized the need to heighten patient safety while maintaining a positive patient experience. Methods: ERMC participates in the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture to assess employee’s perception of the organization’s patient safety, conducted every 18-24 months. The most recent survey was conducted between May 11 - June 1, 2015. Interventions to enhance safety culture from 2013 to 2015 survey results included: daily safety check-ins for all hospital departments for both day and night shifts; sharing safety stories before routine meetings; leadership rounding; and enhanced transparency of safety events that occurred throughout the hospital. Routine in-servicing was also completed to educate staff members on reportable safety events for Pennsylvania and foster ongoing discussions about patient safety. Results: Survey response rate experienced a 236% increase from 2013 to 2015 (218 to 628 responses respectively). Of the 12 patient safety composites, 11 showed an increase in scores from 2013 to 2015, the outlier being “overall perceptions of patient safety” composite score which dropped by two percentage points. Furthermore, ERMC was above the national benchmark in all 12 patient safety composite categories for the 2015 survey. Conclusions: The ERMC staff considers safety a priority, as evidenced by the increase in AHRQ survey scores from 2013 to 2015. Perceptions of safety throughout the system have increased with the initiation of several safety projects. Based on raw comments from the AHRQ culture of safety survey, more work is needed to involve non-clinical staff in hospital safety. Moving forward, ERMC will investigate innovative solutions to involve all staff, clinical and non-clinical alike, to be engaged in patient safety.

scholarly journals Improving patient safety culture in general practice: an interview study

2015 ◽  
Vol 65 (641) ◽  
pp. e822-e828 ◽  
Author(s):  
Natasha J Verbakel ◽  
Antoinette A de Bont ◽  
Theo JM Verheij ◽  
Cordula Wagner ◽  
Dorien LM Zwart
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Interview Study

scholarly journals Assessment of Patient Safety Culture among Healthcare Providers

2020 ◽  
Vol 13 (2) ◽  
pp. 59
Author(s):  
Hilal H. Alrahbi ◽  
Shamsa K. Al-Toqi ◽  
Sajini Sony ◽  
Nuha Al-Abri
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Study Data ◽  
Average Percentage ◽  
Royal Court ◽  
Correlational Design ◽  
Quality Of Patient Care

PURPOSE: Patient safety is an important element in ensuring quality of patient care and accreditation. This study aimed to assess the perception of patient safety culture among the healthcare providers; assess the areas of strength and improvement related to patient safety culture; and assess the relationship between patient safety culture and demographic variables of the sample. METHOD: Descriptive correlational design was employed in this study. Data was collected using the Hospital Survey on Patient Safety Culture (HSPSC). A stratified random sample of 158 healthcare providers from the Diwan of Royal Court Health Complex in Muscat participated in this study. RESULTS: The findings of this study indicated that most of the participants responded positively to the HSPSC items. The average percentage of positive responses was 56.4%. The major areas of strength were “teamwork within department,” “feedback and communication about errors,” and “organizational learning-continuous improvement” (83%, 77%, & 75%; respectively). The major areas of improvement were “frequency of events reported,” “teamwork across departments,” “non-punitive response to errors” and “overall perception of PS” (34%, 42%, 45% & 47%; respectively). Significant differences found were across “patient contact” characteristic [t (156) = 2.142, p = .034]; across “work specializations” [F (3, 154) = 2.84, p = .04]; and across “years of experience at the institution” [F (4, 153) = 4.86, p = .004]. CONCLUSION: A culture that is safe for healthcare providers to work is paramount to minimize adverse events and save patients’ lives. The findings of this study provide a foundation for further interventions to improve patient safety culture. 

scholarly journals PERAN CHAMPION KESELAMATAN PASIEN DALAM PENERAPAN BUDAYA KESELAMATAN PASIEN DI RUMAH SAKIT PEMERINTAH SE KOTA PEKANBARU

2018 ◽  
Vol 2 (1) ◽  
pp. 66-73
Author(s):  
Yulia Febrianita ◽  
Roni Saputra
Keyword(s):  
Public Health ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Government Hospital ◽  
Purposive Sampling ◽  
School Of Public Health ◽  
Harvard School

ABSTRAK Harvard School of Public Health menyebutkan bahwa dari seluruh dunia 43 juta orang dirugikan setiap tahun akibat perawatan yang tidak aman. Budaya keselamatan pasien yang baik dapat memperkecil insiden yang berhubungan dengan keselamatan pasien. Upaya dalam meningkatkan budaya keselamatan pasien dengan membentuk champion keselamatan pasien. Model peran yang dibentuk dapat membantu proses resosialisasi bagi staf dalam  pelaksanaan keselamatan  pasien dan penerapan budaya keselamatan pasien. Penelitian ini bertujuan untuk mengetahui peran champion keselamatan pasien dalam penerapan budaya keselamatan pasien di ruangan rawat inap Rumah Sakit Pemerintah Se-Pekanbaru. Metode penelitian ini menggunakan jenis penelitian non –eksperimental, dengan pendekatan deskriptif kuantitatif, menggunakan teknik sampel purposive sampling dengan sampel yang digunakan 92 perawat, tempat penelitian ruang rawat inap Rumah Sakit Pemerintah A dan Rumah Sakit Pemerintah B. Hasil menunjukkan terdapat peran champion keselamatan pasien dalam penerapan budaya keselamatan pasien di Rumah sakit Pemerintah se-kota pekanbaru adalah berkategori baik sebesar 56 %. Penelitian ini merekomendasikan perlunya membuat program pemberdayaan champion keselamatan pasien untuk meningkatkan budaya keselamatan pasien. Kata kunci : budaya, keselamatan pasien, peran champion    ABSTRACT The Harvard School of Public Health says that from around the world 43 million people are harmed each year as a result of unsafe treatment. A good patient safety culture can minimize incidents related to patient safety. Efforts in improving the patient's safety culture by establishing a champion of patient safety. The role model established can help the process of resocialization for staff in the implementation of patient safety and the application of patient safety culture. This study aims to determine the role of champion of patient safety in the application of patient safety culture in the inpatient room Private Hospital Se-Pekanbaru. This research method uses non-experimental research type, with quantitative descriptive approach, using purposive sampling technique with sample used 92 nurses, in-patient study area of ​​government Hospital A and government Hospital B. Results show there is role of champion patient safety in the application of patient safety culture in goverment hospitals in Pekanbaru is good category by 56%. This study recommends the need to create a champion safety program for patient safety to improve patient safety culture.

scholarly journals Nursing Leadership Models in Promoting and Improving Patient’s Safety Culture in Healthcare Facilities; A Systematic Review

2020 ◽  
Author(s):  
Yodang Yodang ◽  
Nuridah Nuridah
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Nursing Leadership ◽  
Health Care Facilities ◽  
Leadership Models ◽  
Care Facilities ◽  
Improve Patient

Background: Nurse leader has an important role in encouraging patient’s safety culture among nurses in the healthcare system. This literature review aims to identify the nursing leadership model and to promote and improve patient safety culture to improve patient outcomes in health care facilities including hospitals, primary health care, and nursing home settings. Methods: Searching appropriate journals through some journal databases were applied including DOAJ, GARUDA, Google Scholar, MDPI, Proquest, Pubmed, Sage Journals, ScienceDirect, and Wiley Online Library, which were published from 2015 to 2020. Results: Fourteen articles meet the criteria and are included in this review. The majority of these articles were retrieved from western countries, the US, Canada, and Finland. This review identifies three nursing leadership models that seem useful to promote and improve patient safety culture in health care facilities which are transformational, authentic, and ethical leadership models. Conclusion: The patient safety influences health care outcomes. The evidence shows the leadership has positive relation to patient satisfaction and patient safety outcomes improvement. The transformational, authentic, and ethical leadership models seem to be more useful in promoting, maintaining, and improving patient safety culture in health care facilities.  

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