scholarly journals Accident and Emergency Care Made High Reliable: Perception of Staff on Factors Affecting Application of High-Reliability Organization Principles in Accident Emergency Units

2021 ◽  
Vol 6 (3) ◽  
pp. p20
Author(s):  
K. K. Malavige (MBBS, MSc, MBA) ◽  
Dr Sathasivam Sridharan (MBBS, MD-Medical administration), MBA ◽  
Dr G. S. K. Dharmaratne (MBBS, MD-Medical Administration) ◽  
Dr Samiddhi Samarakoon (MBBS, MD-Medical administration) ◽  
Dr Nelum Samaruthilake (MBBS, MD -Community Medicine) ◽  
...  
Keyword(s):  
Safety Culture ◽  
Emergency Care ◽  
High Reliability ◽  
Organizational Safety ◽  
High Reliability Organization ◽  
Factors Affecting ◽  
Independent Variables ◽  
Accident And Emergency ◽  
Emergency Units ◽  
Organizational Safety Culture

There is a growing concern regarding patient safety and high reliability which made more intense with this ongoing pandemic.Aim of this study is to assess the organizational factors affecting the practice of High-Reliability Organization (HRO) Principles as perceived by staff in selected Accident and Emergency Units. Methodology: A hospital based cross-sectional study in three Accident and Emergency care setting, among healthcare staff, conducted using a self-administered questionnaire.Results: Out of the five factors affecting HRO practices as perceived by staff, “Organizational Safety Culture” (Mean-4.27., SD-0.49) has the highest mean value followed by Leadership (Mean: 3.96, SD: 0.44) and Teamwork (Mean: 3.95, SD: 0.5). “Work Environment” (Mean: 3.94, SD: 0.46) has the lowest score. All independent and dependent variables have a significant positive correlation with HRO principles (Correlation is significant at the 0.01 level-1-tailed). Multivariate analysis was carried out to assess the proportion variability of the dependent variable. The linear regression model explains 22% of the variability of the HRO practices (dependent variable) by factors affecting HRO practices (independent variables) if all the factors operate together.The distribution of Coefficients, Standardized B value is 0.29 (significant at the 0.01 level), showing if “Organizational Safety Culture” operates together with the other four independent variables 29% of the variability of the HRO practices (dependent variable) can be explained by Organizational Safety Culture.Conclusion: Organizational safety culture shows significant (< 0.01) effect on determining HRO practices.

scholarly journals Obstetric Care Made High Reliabile: Perception of Staff on Factors Associated with Practice of High Reliability Organization Principles in a Selected Tertiary Care Maternity Hospital

2021 ◽  
Vol 6 (3) ◽  
pp. p1
Author(s):  
Kaushalya Kumari Malavige ◽  
Sathasivam Sridharan ◽  
Dharmarathna Sudath ◽  
Sagari Kiriwandenita ◽  
Nelum Samaruthilake ◽  
...  
Keyword(s):  
Safety Culture ◽  
High Reliability ◽  
Tertiary Care ◽  
Obstetric Care ◽  
Working Environment ◽  
Organizational Safety ◽  
High Reliability Organization ◽  
Factors Affecting ◽  
Five Factors ◽  
Organizational Safety Culture

Introduction: Patient safety and high reliability related to obstetric care has become a global concern especially during this COVID-19 pandemic period.Aim of this study is to assess the components of Socio Technical system as the factors affecting while adopting High-Reliability Organization (HRO) Principles as perceived by staff. Methodology: This is a hospital based descriptive cross-sectional study conducted using a self-administered questionnaire.Results: Out of the five factors affecting HRO practices as perceived by staff, "Organizational Safety Culture" (Mean- 4.25., SD-0.454 Significant at <0.01 level), Communication (SD-4.15, SD-0.579), and Teamwork (Mean:3.95, SD:0.499). are having a statistically significant (p <0.05 corresponding to Spearman’s correlation Coefficient positive association with the practice of HRO principles. According to Multiple linear regression model explains 29% of the variability of the HRO practices (dependent variable) can be explained by the factors affecting HRO practices (independent variables) if all the factors operate together. Gender, age, educational level, designation and working experience act as moderating variables to Organizational Safety Culture. There is a significant (p <0.05) difference of HRO practices among female gender, nursing category of staff which is better than other categories.Conclusion: Organizational safety culture, communication and Teamwork and work environment show significant effect on determining HRO practices which is important for policy makers and administrators to pay attention on above three factors to improve reliability. But these five factors (including leadership and working environment) explains only one third of variability of HRO practices), hence need to study other factors affecting reliability of performance.

scholarly journals Design, Implementation and Perceptions of Safety Culture Prerequisites

2019 ◽  
Vol 273 ◽  
pp. 01004
Author(s):  
Nektarios Karanikas ◽  
Alfred Roelen ◽  
Alistair Vardy
Keyword(s):  
Safety Culture ◽  
Theoretical Framework ◽  
Research Project ◽  
Organizational Safety ◽  
Professional Literature ◽  
Just Culture ◽  
Learning Cultures ◽  
Perceptions Of Safety ◽  
Over Time ◽  
Organizational Safety Culture

In the frame of an on-going 4-years research project, the Aviation Academy Safety Culture Prerequisites (AVAC-SCP) metric was developed to assess whether an organisation plans and implements activities that correspond to prerequisites for fostering a positive safety culture. The metric was designed based on an inclusive theoretical framework stemmed from academic and professional literature and in cooperation with knowledge experts and aviation companies. The goal of the AVAC-SCP is to evaluate three aspects, namely (1) the extent to which the prerequisites are designed/documented, (2) the degree of the prerequisites’ implementation, and (3) the perceptions of the employees regarding the organizational safety culture as a proxy for the effectiveness of the prerequisites’ implementation. The prerequisites have been grouped into six categories (common prerequisites and just, flexible, reporting, information and learning cultures) and the metric concludes with scores per aspect and category. The results from surveys at 16 aviation companies showed that these companies had adequately included most of the Safety Culture Prerequisites (SCP) in their documentation where Just culture plans scored the lowest and Reporting culture plans were found with the highest percentage of planning. The level of SCP implementation was the same high as the organisational plans and quite uniform across the companies and sub-cultures. The perceptions were at the same overall level with implementation, but employees perceived the organisational environment as less fair and more flexible than managers claimed. Although the study described in this report was exploratory and not explanatory, we believe that the results presented in combination with the ones communicated to the participating companies can trigger the latter to investigate further their weaker areas and foster their activities related to Safety Culture Prerequisites. Also, the AVAC-SCP metric is deemed useful to organisations that want to self-assess their SCP levels and proceed to comparisons amongst various functions and levels and/or over time.

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