scholarly journals Patient safety climate profiles across time: Strength and level of safety climate associated with a quality improvement program in Switzerland—A cross-sectional survey study

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0181410 ◽  
Author(s):  
Anna C. Mascherek ◽  
David L. B. Schwappach
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Safety Climate ◽  
Quality Improvement Program ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Improvement Program ◽  
Cross Sectional ◽  
Patient Safety Climate ◽  
Time Strength

scholarly journals Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e015607 ◽  
Author(s):  
Camilla Göras ◽  
Maria Unbeck ◽  
Ulrica Nilsson ◽  
Anna Ehrenberg
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Safety Climate ◽  
Nurse Managers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perioperative Nurses ◽  
Patient Safety Climate ◽  
Medical Directors ◽  
Surgical Teams

BackgroundA positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors’ estimations of their staffs’ attitudes to patient safety.MethodsA cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams. To evoke estimations from nurse managers and medical directors about staff attitudes to patient safety, a short questionnaire, based on SAQ, was used. Three OR departments at three different hospitals in Sweden participated. All licensed practical nurses (n=124), perioperative nurses (n=233), physicians (n=184) and their respective manager (n=22) were invited to participate.ResultsMean percentage positive scores for the six SAQ factors and the three professional groups varied, and most factors (safety climate, teamwork climate, stress recognition, working conditions and perceptions of management), except job satisfaction, were below 60%. Significantly lower mean values were found for perioperative nurses compared with physicians for perceptions of management (56.4 vs 61.4, p=0.013) and working conditions (63.7 vs 69.8, p=0.007). Nurse managers and medical directors’ estimations of their staffs’ ratings of the safety climate cohered fairly well.ConclusionsThis study shows variations and some weak areas for patient safety climate in the studied ORs as reported by front-line staff and acknowledged by nurse managers and medical directors. This finding is a concern because a weak patient safety climate has been associated with poor patient outcomes. To raise awareness, managers need to support patient safety work in the OR.

scholarly journals Exploring Safety Aspects in Dental School Clinics Including Droplet Infection Prevention

2020 ◽  
Vol 8 (E) ◽  
pp. 509-515
Author(s):  
Asmaa Abdelnaby ◽  
Laila Mahmoud Kamel ◽  
Jylan Elguindy ◽  
Reham Yousri Elamir ◽  
Eman Elfar
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Infection Control ◽  
Dental Health ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Practices ◽  
Preparedness Plan ◽  
Dental Schools

BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care. AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University. METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used. RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated. CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.

scholarly journals Patient safety content and delivery in pre-registration nursing curricula: A national cross-sectional survey study

2018 ◽  
Vol 66 ◽  
pp. 82-89 ◽  
Author(s):  
Kim Usher ◽  
Cindy Woods ◽  
Jane Conway ◽  
Jackie Lea ◽  
Vicki Parker ◽  
...  
Keyword(s):  
Patient Safety ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nursing Curricula

Risk Factors for Conversion from Laparoscopic to Open Surgery: Analysis of 2138 Converted Operations in the American College of Surgeons National Surgical Quality Improvement Program

2013 ◽  
Vol 79 (9) ◽  
pp. 914-921 ◽  
Author(s):  
Dominic Papandria ◽  
Thomas Lardaro ◽  
Daniel Rhee ◽  
Gezzer Ortega ◽  
Amany Gorgy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Quality Improvement ◽  
Open Surgery ◽  
Quality Improvement Program ◽  
Laparoscopic Procedure ◽  
Improvement Program ◽  
Cross Sectional ◽  
Surgical Quality ◽  
Acs Nsqip ◽  
American College Of Surgeons

Minimal access procedures have influenced surgical practice and patient expectations. Risk of laparoscopic conversion to open surgery is frequently cited but vaguely quantified. The present study examines three common procedures to identify risk factors for laparoscopic conversion to open (LCO) events. Cross-sectional analysis using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP; 2005 to 2009) identified cases with laparoscopic procedure codes for appendectomy, cholecystectomy, and bariatric procedures. The primary outcome was conversion of a laparoscopic procedure to its open equivalent. Summary statistics for laparoscopic and LCO groups were compared and logistic regression analysis was used to estimate patient and operative risk factors for conversion. Of 176,014 selected laparoscopic operations, 2,138 (1.2%) were converted. Most patients were female (68%) and white (71.2%); mean age was 45.1 years. LCO cholecystectomy was significantly more likely (n = 1526 [1.9%]) and LCO bariatric procedures were less likely (n = 121 [0.3%]); appendectomy was intermediate (n = 491 [1.0%], P < 0.001). Patient factors associated with LCO included male sex ( P < 0.001), age 30 years or older ( P < 0.025), American Society of Anesthesiologists Class 2 to 4 ( P < 0.001), obesity ( P < 0.01), history of bleeding disorder ( P = 0.036), or preoperative systemic inflammatory response syndrome or sepsis ( P < 0.001). LCO was associated with greater incidence of postoperative complications, including death, organ space surgical site infection, sepsis, wound dehiscence, and return to the operating room ( P < 0.001). Overall LCO incidence is low in hospitals participating in ACS-NSQIP. Conversion risk factors include patient age, sex, obesity, and preoperative comorbidity as well as the procedure performed. This information should be valuable to clinicians in discussing conversion risk with patients.

Safety, Quality, and the National Surgical Quality Improvement Program

2006 ◽  
Vol 72 (11) ◽  
pp. 994-998 ◽  
Author(s):  
Shukri F. Khuri
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Conceptual Framework ◽  
Systems Of Care ◽  
Adverse Outcomes ◽  
Quality Improvement Program ◽  
Institute Of Medicine ◽  
Improvement Program ◽  
Surgical Quality

The Institute of Medicine 1999 publication, To Err is Human, focused attention on preventable provider errors in surgery, and prompted numerous new national initiatives to improve patient safety. It is uncertain whether these initiatives have actually improved patient safety, mainly because of the lack of a quantitative metric for the assessment of patient safety in surgery. A 15-year experience with the National Surgical Quality Improvement Program, which originated in the Veteran's Administration in 1991 and was recently made available to the private sector, prompts the surgical community to place patient safety in surgery within a much larger conceptual framework than that of the Institute of Medicine report, and provides a quantitative metric for the assessment of patient safety initiatives. This conceptual framework defines patient safety in surgery as safety from all adverse outcomes (not only preventable errors and sentinel events); regards safety as an integral part of quality of surgical care; recognizes that adverse outcomes, and hence patient safety, are primarily determined by quality of systems of care; and uses comparative risk-adjusted outcome data as a metric for the identification of system problems and for the assessment and improvement of patient safety from adverse outcomes.

Barriers to research utilization influencing patient safety climate: A cross‐sectional study

2021 ◽  
Author(s):  
Maria Beatriz Guimarães Ferreira ◽  
Márcia Marques Santos Felix ◽  
Rebeca Ainoã Souza Lopes ◽  
Vanderlei José Haas ◽  
Cristina Maria Galvão ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Climate ◽  
Research Utilization ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient Safety Climate
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