Factors influencing the patient safety climate in intensive care units: cross-sectional study

Abstract Background Measuring the patient safety climate of a health service provides important information about the safety status at a given time. This study aimed to determine the factors influencing the patient safety climate in Intensive Care Units. Methods An analytical and cross-sectional study conducted in 2017 and 2018 in two adult Intensive Care Units of a Brazilian Teaching Hospital. The Safety Attitudes Questionnaire instrument was applied with the multidisciplinary teams to determine the factors influencing the patient safety climate. Data were double entered into a database and processed using the R (version 3.5.0) statistical software. Position, central tendency and dispersion measures were taken and absolute and relative frequencies, mean and confidence intervals were calculated for the quantitative variables. Linear regression was performed to verify the effect of variables on the SAQ domains. Variables with a p-value of less than 0.25 were selected for multivariate analysis. Results A total of 84 healthcare providers participated in the study. The mean Safety Attitudes Questionnaire score was 59.5, evidencing a negative climate. The following factors influenced the safety climate: time since course completion, professional category, type of employment contract, complementary professional training, and weekly workload. Conclusions The factors identified indicate items for planning improvements in communication, teamwork, work processes, and management involvement, aiming to ensure care safety and construct a supportive safety climate.

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Factors Influencing the Patient Safety Climate in Intensive Care Units: Cross-sectional Study

10.21203/rs.3.rs-428115/v1 ◽

2021 ◽

Author(s):

Ranielle de Lima Silva Nunes ◽

Ana Elisa Bauer de Camargo Silva ◽

Juliana Carvalho de Lima ◽

Dayse Edwiges Carvalho ◽

Cristina Alves Bernardes ◽

...

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Safety Climate ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Safety Attitudes ◽

Safety Attitudes Questionnaire ◽

Patient Safety Climate ◽

Factors Influencing

Abstract Background:Measuring the patient safety climate of a health service provides important information about the safety status at a given time. This study aimed to determine the factors influencing the patient safety climate in Intensive Care Units.Methods:An analytical and cross-sectional study conducted in 2017 and 2018 in two adult Intensive Care Units of a Brazilian Teaching Hospital. The Safety Attitudes Questionnaire instrument was applied with the multidisciplinary teams to determine the factors influencing the patient safety climate. Data were double entered into a database and processed using the R (version 3.5.0) statistical software. Position, central tendency and dispersion measures were taken and absolute and relative frequencies, mean and confidence intervals were calculated for the quantitative variables. Linear regression was performed to verify the effect of variables on the SAQ domains. Variables with a p-value of less than 0.25 were selected for multivariate analysis.Results:A total of 84 healthcare providers participated in the study. The mean Safety Attitudes Questionnaire score was 59.5, evidencing a negative climate. The following factors influenced the safety climate: time since course completion, professional category, type of employment contract, complementary professional training, and weekly workload. Conclusions:The factors identified indicate items for planning improvements in communication, teamwork, work processes, and management involvement, aiming to ensure care safety and construct a supportive safety climate.

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Patient safety climate from the nursing perspective

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0606 ◽

2020 ◽

Vol 73 (6) ◽

Author(s):

Vanessa Leal Lira ◽

Sônia Maria de Araújo Campelo ◽

Nayra Ferreira Lima Castelo Branco ◽

Herica Emilia Félix de Carvalho ◽

Denise de Andrade ◽

...

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Intensive Care Units ◽

Safety Climate ◽

Emergency Services ◽

Cross Sectional Study ◽

Cross Sectional ◽

Safety Attitudes ◽

Management Domain ◽

Patient Safety Climate

ABSTRACT Objective: To analyze the patient safety climate in intensive care units from the nursing perspective. Methods: Cross-sectional study developed with 87 nursing professionals working in three Intensive Care Units of a public hospital for emergency services in Piauí from October to November 2018. The study used a validated Safety Attitudes Questionnaire (SAQ). In the inferential analysis, the Student’s t-test, Mann-Whitney, and Kruskal-Wallis were performed. Results: The total SAQ score obtained a mean of 68.57. In analyzing the scores obtained for each domain in the general SAQ, the Job Satisfaction, and Teamwork Climate domains were those that obtained the highest scores, and the lowest score was for the Perception of Hospital Management domain. Conclusion: The safety attitudes assessed from the perspective of the nursing team proved to be unfavorable.

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Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study

Intensive and Critical Care Nursing ◽

10.1016/j.iccn.2012.01.001 ◽

2012 ◽

Vol 28 (6) ◽

pp. 344-354 ◽

Cited By ~ 37

Author(s):

Randi Ballangrud ◽

Birgitta Hedelin ◽

Marie Louise Hall-Lord

Keyword(s):

Patient Safety ◽

Intensive Care ◽

Intensive Care Units ◽

Safety Climate ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Patient Safety Climate ◽

Nurses Perceptions

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Patient safety culture in Slovenian out-of-hours primary care clinics

Slovenian Journal of Public Health ◽

10.1515/sjph-2017-0028 ◽

2017 ◽

Vol 56 (4) ◽

pp. 203-210 ◽

Cited By ~ 1

Author(s):

Zalika Klemenc-Ketiš ◽

Ellen Tveter Deilkås ◽

Dag Hofoss ◽

Gunnar Tschudi Bondevik

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Safety Climate ◽

International Study ◽

Patient Safety Culture ◽

Cross Sectional Study ◽

Full Time ◽

Cross Sectional ◽

Out Of Hours ◽

Safety Attitudes

Abstract Introduction Patient safety culture is a concept which describes how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. We aimed to investigate patient safety culture in Slovenian out-of-hours health care (OOHC) clinics, and determine the possible factors that might be associated with it. Methods This was a cross-sectional study, which took place in Slovenian OOHC, as part of the international study entitled Patient Safety Culture in European Out-of-Hours Services (SAFE-EUR-OOH). All the OOHC clinics in Slovenia (N=60) were invited to participate, and 37 agreed to do so; 438 employees from these clinics were invited to participate. We used the Slovenian version of the Safety Attitudes Questionnaire – an ambulatory version (SAQAV) to measure the climate of safety. Results Out of 438 invited participants, 250 answered the questionnaire (57.1% response rate). The mean overall score ± standard deviation of the SAQ was 56.6±16.0 points, of Perceptions of Management 53.6±19.6 points, of Job Satisfaction 48.5±18.3 points, of Safety Climate 59.1±22.1 points, of Teamwork Climate 72.7±16.6, and of Communication 51.5±23.4 points. Employees working in the Ravne na Koroškem region, employees with variable work shifts, and those with full-time jobs scored significantly higher on the SAQ-AV. Conclusion The safety culture in Slovenian OOHC clinics needs improvement. The variations in the safety culture factor scores in Slovenian OOHC clinics point to the need to eliminate variations and improve working conditions in Slovenian OOHC clinics.

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

Canadian Medical Education Journal ◽

10.36834/cmej.43345 ◽

2018 ◽

Vol 9 (4) ◽

pp. e111-119 ◽

Cited By ~ 2

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.

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

10.1101/2020.07.07.20114918 ◽

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.

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