scholarly journals Assessment of Unit Level Patient Safety Culture Dimensions in Tanta University Hospitals, Egypt

2018 ◽  
Vol 7 (10) ◽  
pp. 861-872
Author(s):  
Sanaa Abd El fatahMostafa Abdo ◽  
Asmaa Abd Elraheem Atallah ◽  
Gamalat Mohamed El saleet ◽  
El Sayed Abd El rahman El kafas
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
University Hospitals ◽  
Unit Level ◽  
Culture Dimensions

scholarly journals Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites

2021 ◽  
Vol 10 (1) ◽  
pp. e001183
Author(s):  
Anders Schram ◽  
Charlotte Paltved ◽  
Karl Bang Christensen ◽  
Gunhild Kjaergaard-Andersen ◽  
Hanne Irene Jensen ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Intervention Study ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
In Situ Simulation ◽  
Culture Dimensions ◽  
Scale Scores ◽  
Safety Attitude

ObjectivesThis study aimed to investigate staff’s perceptions of patient safety culture (PSC) in two Danish hospitals before and after an in situ simulation intervention.DesignA repeated cross-sectional intervention study.SettingTwo Danish hospitals. Hospital 1 performs emergency functions, whereas hospital 2 performs elective functions.ParticipantsA total of 967 healthcare professionals were invited to participate in this study. 516 were employed in hospital 1 and 451 in hospital 2. Of these, 39 were trained as simulation instructors.InterventionA 4-day simulation instructor course was applied. Emphasis was put on team training, communication and leadership. After the course, instructors performed simulation in the hospital environment. No systematic simulation was performed prior to the intervention.Main outcome measuresThe Safety Attitude Questionnaire investigating PSC was applied prior to the intervention and again 4 and 8 weeks after intervention. The proportion of participants with a positive attitude and mean scale scores were measured as main outcomes.ResultsThe response rate varied from 63.6% to 72.0% across surveys and hospitals. Baseline scores were generally lower for hospital 1. The proportion of staff with positive attitudes in hospital 1 improved by ≥5% in five of six safety culture dimensions, whereas only two dimensions improved by ≥5% in hospital 2. The mean scale scores improved significantly in five of six safety culture dimensions in hospital 1, while only one dimension improved significantly in hospital 2.ConclusionsSafety attitude outcomes indicate an improvement in PSC from before to after the in situ simulation intervention period. However, it is possible that an effect is more profound in an acute care hospital versus an elective setting.

scholarly journals Impact of the Norwegian National Patient Safety Program on implementation of the WHO Surgical Safety Checklist and on perioperative safety culture

2020 ◽  
Vol 9 (3) ◽  
pp. e000966
Author(s):  
Arvid Steinar Haugen ◽  
Eirik Søfteland ◽  
Nick Sevdalis ◽  
Geir Egil Eide ◽  
Monica Wammen Nortvedt ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Operating Theatre ◽  
Secondary Outcome ◽  
Safety Program ◽  
Surgical Safety ◽  
Hospital Managers ◽  
Culture Dimensions ◽  
National Patient

ObjectivesOur primary objective was to study the impact of the Norwegian National Patient Safety Campaign and Program on Surgical Safety Checklist (SSC) implementation and on safety culture. Secondary objective was associations between SSC fidelity and safety culture. We hypothesised that the programme influenced on SSC use and operating theatre personnel’s safety culture perceptions.SettingA longitudinal cross-sectional study was conducted in a large Norwegian tertiary teaching hospital.ParticipantsWe invited 1754 operating theatre personnel to participate in the study, of which 920 responded to the surveys at three time points in 2009, 2010 and 2017.Primary and secondary outcome measuresPrimary outcome was the results of the patient safety culture measured by the culturally adapted Norwegian version of the Hospital Survey on Patient Safety Culture. Our previously published results from 2009/2010 were compared with new data collected in 2017. Secondary outcome was correlation between SSC fidelity and safety culture. Fidelity was electronically recorded.ResultsSurvey response rates were 61% (349/575), 51% (292/569) and 46% (279/610) in 2009, 2010 and 2017, respectively. Eight of the 12 safety culture dimensions significantly improved over time with the largest increase being ‘Hospital managers’ support to patient safety’ from a mean score of 2.82 at baseline in 2009 to 3.15 in 2017 (mean change: 0.33, 95% CI 0.21 to 0.44). Fidelity in use of the SSC averaged 88% (26 741/30 426) in 2017. Perceptions of safety culture dimensions in 2009 and in 2017 correlated significantly though weakly with fidelity (r=0.07–0.21).ConclusionThe National Patient Safety Program, fostering engagement from trust boards, hospital managers and frontline operating theatre personnel enabled effective implementation of the SSC. As part of a wider strategic safety initiative, implementation of SSC coincided with an improved safety culture.

scholarly journals Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level

2009 ◽  
Vol 18 (4) ◽  
pp. 292-296 ◽  
Author(s):  
M Smits ◽  
C Wagner ◽  
P Spreeuwenberg ◽  
G van der Wal ◽  
P P Groenewegen
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Hospital Level ◽  
Unit Level

scholarly journals Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals

2018 ◽  
Vol 15 (10) ◽  
pp. 2131 ◽  
Author(s):  
Anke Wagner ◽  
Antje Hammer ◽  
Tanja Manser ◽  
Peter Martus ◽  
Heidrun Sturm ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Sector ◽  
Management Support ◽  
University Hospitals ◽  
Psychosocial Working Conditions ◽  
Culture Model

Background: In the healthcare sector, a comprehensive safety culture includes both patient care-related and occupational aspects. In recent years, healthcare studies have demonstrated diverse relationships between aspects of psychosocial working conditions, occupational, and patient safety culture. The aim of this study was to consider and test relevant predictors for staff’s perceptions of occupational and patient safety cultures in hospitals and whether there are shared predictors. From two German university hospitals, 381 physicians and 567 nurses completed a questionnaire on psychosocial working conditions, occupational, and patient safety culture. Two regression models with predictors for occupational and patient safety culture were conceptually developed and empirically tested. In the Occupational Safety Culture model, job satisfaction (β = 0.26, p ≤ 0.001), work‒privacy conflict (β = −0.19, p ≤ 0.001), and patient-related burnout (β = −0.20, p ≤ 0.001) were identified as central predictors. Important predictors in the Patient Safety Culture model were management support for patient safety (β = 0.24, p ≤ 0.001), supervisor support for patient safety (β = 0.18, p ≤ 0.001), and staffing (β = 0.21, p ≤ 0.001). The two models mainly resulted in different predictors. However, job satisfaction and leadership seem to play an important role in both models and can be used in the development of a comprehensive management of occupational and patient safety culture.

scholarly journals EFFECT OF PERCEPTION OF PATIENT SAFETY CULTURE DIMENSIONS ON THE WILLINGNESS TO REPORT PATIENT SAFETY INCIDENT

2018 ◽  
Vol 16 (1) ◽  
pp. 136-147
Author(s):  
Ekowati Supartinah Kamandaka Putri ◽  
◽  
AsihTrirachmi Nuswantari ◽  
Cecilia Widijati Imam ◽  
◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Culture Dimensions ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Willingness To Report

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.

Cross-Sectional Study on Patient Safety Culture, Patient Safety Competency, and Adverse Events

2019 ◽  
Vol 42 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Yonghee Han ◽  
Ji-Su Kim ◽  
YeJi Seo
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
Nurses Perceptions

This study aims to examine the associations between nurses’ perceptions of patient safety culture, patient safety competency, and adverse events. Using convenience sampling, we conducted a cross-sectional study from February to May 2018 in two university hospitals. Furthermore, we performed multiple logistic regression to examine associations between patient safety culture, patient safety competency, and adverse events. Higher mean scores for “communication openness” in patient safety culture were significantly correlated with lower rates for pressure ulcers and falls; furthermore, higher mean scores for “working in teams with other health professionals” in patient safety competency were significantly correlated with reductions in ventilator-associated pneumonia. We recommend that a well-structured hospital culture emphasizing patient safety and continuation of in-service education programs for nurses to provide high-quality, clinically safe care is required. Moreover, further research is required to identify interventions to improve patient safety culture and competency and reduce the occurrence of adverse events.

scholarly journals Evaluation of patient safety culture: comparative study in university hospitals

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Cintia Silva Fassarella ◽  
Flávia Giron Camerini ◽  
Danielle de Mendonça Henrique ◽  
Luana Ferreira de Almeida ◽  
Maria do Céu Barbieri Figueiredo
Keyword(s):  
Patient Safety ◽  
Comparative Study ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Teaching Hospitals ◽  
Management Support ◽  
University Hospitals ◽  
Cross Sectional ◽  
Significant Difference ◽  
Comparative Survey

ABSTRACT Objective: To conduct a benchmarking comparison of the composites of patient safety culture based on the evaluation of Brazilian and Portuguese nurses working in university hospitals. Method: Quantitative, cross-sectional, comparative survey. Data collected between April and December 2014, in two teaching hospitals, applying the instrument Hospital Survey on Patient Safety Culture, in the versions translated and adapted to the countries. Results: 762 nurses distributed in four services participated in the study, 195 Brazilians and 567 Portuguese. Seven of the 12 composites of safety culture showed significant differences between hospitals. The highlights were those related to: “management support for patient safety” (±17); “handoffs and transitions” (±15); “teamwork across units” (±14); and “overall perceptions of patient safety” (±10). Conclusion: The dimension that had the highest significant difference between the studied institutions was “management support for patient safety”. These data may support the managers of the study hospitals, enabling continuous improvements and advancements.

scholarly journals Nurse safety culture in the services of a university hospital

2019 ◽  
Vol 72 (3) ◽  
pp. 767-773
Author(s):  
Cintia Silva Fassarella ◽  
Lolita Dopico da Silva ◽  
Flavia Giron Camerini ◽  
Maria do Céu Aguiar Barbieri Figueiredo
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Management Support ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Culture Dimensions ◽  
Significant Difference ◽  
Information And Communication

ABSTRACT Objective: To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services. Method: cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied. Results: A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003). Conclusion: The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital’s services, serving as a warning and assisting in the services’ improvement.

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