Patient Safety Culture and Organisational Behaviour: Integrating Error, Leadership and the Work Environment

2018 ◽  
pp. 43-66
Author(s):  
Zenobia Talati ◽  
Mark Griffin
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Organisational Behaviour

scholarly journals A Perception of health care providers toward quality work environment and patients’ safety culture at hemodialysis units.

2016 ◽  
Vol 4 (12) ◽  
pp. 110-128
Author(s):  
Maha Adel Salem ◽  
Hala Ahmed Abdou ◽  
Hoda Ibrahim El-Trawy
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Practice Environment ◽  
Care Providers ◽  
Ministry Of Health ◽  
Safety Work

Many changes have been made in the healthcare practice environment. Understanding of quality practice environment in hemodialysis units has certain implications for maximizing outcomes for clients, nurses, and systems. Developing quality practice environments takes time and commitment to promote and support patients’ safety. Hence improving safety patient culture is vital in dialysis units because it requires for reducing risks for harm, errors of patients and delivering high quality of patients care. The Study aimed to determine the perception of nursing staff’ toward quality practice environment and patients’ safety at Hemodialysis units. Methodology, data collection was utilized a descriptive correlational design for this study, all nursing staff amounted to (n= 90) They are classified into: all head nurses n = 7,, and all nurses who have either diploma (n = 40) or baccalaureate degree (n = 43) who are affiliated to all hemodialysis units (n =7) at Ministry of Health ,Egypt. A package composed of two instruments was used, namely: Environment Scale-Nursing Work Index (PES-NWI) and Hospital Survey on Patient Safety Culture (HSPSC). Results, the major findings indicated that there is a positive correlation significant among practice work environment and patient safety culture except for staffing and resource adequacy in all hemodialysis units of Ministry of Health Hospitals. Also, results point out that the organizational structure of the Ministry of Health Hospitals is characterized by unhealthy environment and unsafe climate that force the nursing staff to have low perception toward most of quality practice environment and patient safety culture factors. The study recommended that initiating a blame-free reporting system to prevent re-occurrence of problems and actions to eliminate them from the workplace by detecting, evaluating, preventing and treating safety work environment

The Influence of Nursing Work Environment on Patient Safety

2020 ◽  
Vol 68 (8) ◽  
pp. 384-390
Author(s):  
Maha Mihdawi ◽  
Rasmieh Al-Amer ◽  
Rima Darwish ◽  
Sue Randall ◽  
Tareq Afaneh
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Professional Communication ◽  
Communication Style ◽  
Public And Private ◽  
Nursing Work Environment ◽  
Work Index ◽  
Public And Private Hospitals

Background: Patient safety has been a concern over the past two decades. The value of nurses and their work environment in relation to patient safety has been acknowledged by studies and international organizations. This study aimed to examine the relationship between patient safety practices and the nursing work environment. Methods: In total, 570 registered nurses were invited from the inpatient units in public and private hospitals. Perceived patient safety was evaluated using the Overall Perceptions of Patient Safety subscale from the Hospital Survey of Patient Safety Culture (HSPSC). The nursing work environment was assessed using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Findings: Of the 350 of 570 (64.6%) nurses surveyed, 35.2% (125) reported positive levels of perceived patient safety. Staffing and resource adequacy, professional communication style, and nurses’ participation in hospital quality improvement activities were associated with higher levels of perceived patient safety. Conclusion/Application to Practice: This study provided empirical results about perceived patient safety culture in relation to nursing work environment. It is paramount to focus on specific dimensions of the nursing work environment, such as staffing and resource adequacy, nurses’ participation and advancement, and communication style to improve the quality of care provided to patients. Hospitals are considered one of the most hazardous places compared with industries. Policy makers would help reduce injuries, save resources, and build a culture of safety when taking into consideration the importance of the nursing work environment in relation to patient safety.

Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses

2020 ◽  
Vol 29 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Qasim AL Ma'mari ◽  
Loai Abu Sharour ◽  
Omar Al Omari
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Work Environment ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Critical Care Nurses ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Predictive Design

A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in Oman. A cross-sectional predictive design was used. A sample of 270 critical care nurses from the two main hospitals in the country's capital participated, with a response rate of 90%. The negative correlation between fatigue and patient safety culture (r= -0.240) indicates that fatigue has a detrimental effect on nurses' perceptions of safety. There was also a significant relationship between work environment, emotional exhaustion, depersonalisation, personal accomplishment and organisational patient safety culture. Regression analysis showed that fatigue, work environment, emotional exhaustion, depersonalisation and personal accomplishment were predictors for overall patient safety among critical care nurses (R2=0.322, F=6.117, P<0.0001). Working to correct these predictors and identifying other factors that affect the patient safety culture are important for improving and upgrading the patient safety culture in Omani hospitals.

scholarly journals DETERMINANT FACTORS ASSOCIATED WITH PATIENT SAFETY CULTURE IN DHARMA YADNYA GENERAL HOSPITAL, BALI

2019 ◽  
Vol 10 (2) ◽  
pp. 139-146
Author(s):  
Ede Surya Darmawan ◽  
Putu Darmika
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Work Environment ◽  
Work Stress ◽  
Safety Culture ◽  
Quantitative Research ◽  
Team Leadership ◽  
Patient Safety Culture ◽  
Team Work ◽  
Cross Sectional

Patient safety is a global issue where the achievement is low, so that it needs to implement a patient safety culture. The patient safety culture is measured based on 12 elements of the patient's safety culture according to AHRQ and the application of 6 patient safety goals. Perceived causes of the problem is the work environment, team work, leadership, job satisfaction and job stress. At RSU Dharma Yadnya Denpasar, the staff's perception about patient safety culture is not known yet, but the incident rate is still high. The purpose of this research is to know the relation of determinant of factor which is related to patient safety culture. This research method is quantitative research with cross sectional design which analyzed by PLS, with sample of nurses and midwife implementer which is 72 respondent. The results of this study indicate that there is a significant correlation between work team, leadership, and work stress with the patient safety culture, respectively 3.707, 12.647, and 3.135> T Statistics 1.96. While there is no significant relation between work environment and job satisfaction with patient safety culture equal to 1,336 and 0,328 <T Statistic 1,96. This study concludes that teamwork, decreased levels of work stress and the application of transformational leadership models need to be applied in an effort to improve the patient safety culture in the hospital. Keywords: Determinants  factors, patient safety culture

scholarly journals Patient safety culture from the perspective of nursing technicians of an emergency sector

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e60734
Author(s):  
Micheline da Fonseca Silva ◽  
Manacés dos Santos Bezerril ◽  
Flávia Tavares Barreto Chiavone ◽  
Soraya Helena Medeiros de Morais ◽  
Maria Eduarda Gonçalves da Costa ◽  
...  
Keyword(s):  
Patient Safety ◽  
Organizational Learning ◽  
Work Environment ◽  
State Hospital ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Objective: to characterize the culture of patient safety from the perspective of nursing technicians of an emergency sector. Methods: cross-sectional study, developed in the emergency sector of a state hospital with 175 nursing technicians, from a 12-dimensional instrument on safety culture. The analysis of the data made based on the percentages of positive, negative and neutral responses of each dimension. Results: the culture of patient safety was characterized positively from the dimension Expectations about its supervisor/head and actions promoting patient safety (56.6%); negatively in the sphere Adequacy of professionals (75.5%); and in a neutral way, in the scope of Organizational Learning - continuous improvement (61.1%). Conclusion: it was understood that nursing technicians characterize the culture of patient safety in the emergency sector as an important aspect of the work environment, but that it needs to be optimized.

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