scholarly journals Variation in perception of safety culture in out-of-hours family medicine service in Croatia

2021 ◽  
Vol 60 (3) ◽  
pp. 152-157
Author(s):  
Jasna Mesarić ◽  
Diana Šimić ◽  
Ellen Catharina Tveter Deilkås ◽  
Dag Hofoss ◽  
Gunnar Tschudi Bondevik
Keyword(s):  
Family Medicine ◽  
Organizational Climate ◽  
Safety Culture ◽  
Demographic Data ◽  
Process Of Care ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Medicine Service

Abstract Introduction The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents’ demographic characteristic. Methods A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire – Ambulatory Version (SAQ-AV) sub-scales. Results Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant. Conclusions SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.

scholarly journals The safety attitudes questionnaire for out-of-hours service in primary healthcare—Psychometric properties of the Croatian version

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242065
Author(s):  
Jasna Mesarić ◽  
Diana Šimić ◽  
Milica Katić ◽  
Ellen Catharina Tveter Deilkås ◽  
Dag Hofoss ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Psychometric Properties ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Process Of Care ◽  
Out Of Hours ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Stress Recognition

The aim of the study was to assess the reliability and construct validity of the Croatian translation of the Safety Attitudes Questionnaire—Ambulatory version (SAQ-AV) in the out-of-hours (OOH) primary care setting. A cross-sectional observational study using anonymous web-survey was carried out targeting a convenience sample of 358 health professionals working in the Croatian OOH primary care service. The final sample consisted of 185 questionnaires (response rate 51.7%). Psychometric properties were assessed using exploratory hierarchical factor analysis with Schmid-Leiman rotation to bifactor solution, McDonald’s ω, and Cronbach’s α. Five group factors were identified: Organization climate, Teamwork climate, Stress recognition, Ambulatory process of care, and Perceptions of workload. Items loading on the Stress recognition and Perceptions of workload factor had low loadings on the general factor. Cronbach’s α ranged between 0.79 and 0.93. All items had corrected item-total correlation above 0.5. McDonalds’ ω total for group factors ranged between 0.76 and 0.91. Values of ω general for factors Organization climate, Teamwork climate, and Ambulatory process of care ranged between 0.41 and 0.56. McDonalds’ ω general for Stress recognition and Perceptions of workload were 0.13 and 0.16, respectively. Even though SAQ-AV may not be a reliable tool for international comparisons, subsets of items may be reliable tools in several national settings, including Croatia. Results confirmed that Stress recognition is not a dimension of patient safety culture, while Ambulatory process of care might be. Future studies should investigate the relationship of patient safety culture to treatment outcome.

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

2017 ◽  
Vol 56 (4) ◽  
pp. 203-210 ◽  
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.

scholarly journals Assessment of safety culture in a public hospital in the Federal District, Brazil

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 252-258
Author(s):  
Paloma Aparecida Carvalho ◽  
Carla Albina Soares Laundos ◽  
Juliana Ventura Souza Juliano ◽  
Luiz Augusto Casulari ◽  
Leila Bernarda Donato Gottems
Keyword(s):  
Safety Culture ◽  
Public Hospital ◽  
Federal District ◽  
High Complexity ◽  
Stress Perception ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Perception Of Health ◽  
Representative Samples

ABSTRACT Objective: to assess the perception of health professionals regarding safety culture of a high complexity public hospital of the Federal District, Brazil. Method: cross-sectional and descriptive study. The Safety Attitudes Questionnaire was used in electronic format. Descriptive and inferential analyses were carried out. Results: 358 professionals participated, with 242 (67.6%) being female. Of these, 224 (62.6%) worked directly or indirectly with patients in assistance activities; 79 (22.1%) in administrative activities; 14 (3.9%) in management; and 41 (11.5%) in others. The total score was 57.1. Job satisfaction factors and stress perception had the most expressive results, 76.2 and 68.8, respectively. The category "working conditions" presented the lowest result, 40.7. Conclusion: the results are below the score of 75, value recommended as indicative of a positive safety atmosphere. We suggest the implementation of actions for the promotion of safety culture and new studies with representative samples of all segments of workers.

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

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.

scholarly journals Safety culture in the operating room of a public hospital in the perception of healthcare professionals

2015 ◽  
Vol 23 (6) ◽  
pp. 1041-1048 ◽  
Author(s):  
Paloma Aparecida Carvalho ◽  
Leila Bernarda Donato Göttems ◽  
Maria Raquel Gomes Maia Pires ◽  
Maria Liz Cunha de Oliveira
Keyword(s):  
Operating Room ◽  
Safety Culture ◽  
Quantitative Research ◽  
Public Hospital ◽  
Healthcare Professionals ◽  
Stress Perception ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Analysis Instrument

Objective: to evaluate the perception of healthcare professionals about the safety culture in the operating room of a public hospital, large-sized, according to the domains of the Safety Attitudes Questionnaire (SAQ). Method: descriptive, cross-sectional and quantitative research, with the application of the SAQ to 226 professionals. Descriptive data analysis, instrument consistency and exploratory factor analysis. Results: participants were distributed homogeneously between females (49.6%) and males (50.4%); mean age of 39.6 (SD±9.9) years and length of professional experience of 9.9 (SD±9.2) years. And Cronbach's ( of 0.84. It was identified six domains proposed in the questionnaire: stress perception (74.5) and job satisfaction (70.7) showed satisfactory results; teamwork environment (59.1) and climate of security (48.9) presented scores below the minimum recommended (75); unit's management perceptions (44.5), hospital management perceptions (34.9) and working conditions (41.9) presented the lowest averages. Conclusions: the results showed that, from the perspective of the professionals, there is weakness in the values, attitudes, skills and behaviors that determine the safety culture in a healthcare organization.

scholarly journals Assessment of safety culture by surgical unit nursing teams

2014 ◽  
Vol 23 (3) ◽  
pp. 581-590 ◽  
Author(s):  
Monique Mendes Marinho ◽  
Vera Radünz ◽  
Sayonara de Fátima Faria Barbosa
Keyword(s):  
Safety Culture ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Nursing Professionals ◽  
Inpatient Units ◽  
Nursing Teams

The objective was to evaluate the patient safety culture from the perspective of the nursing teams at two surgical inpatient units of a university hospital, using the Safety Attitudes Questionnaire. Cross-sectional survey with quantitative approach, conducted at the two surgical inpatient units of the university hospital in Florianópolis, SC, Brazil. The Safety Attitudes Questionnaire was applied to 46 nursing professionals. Data analysis used descriptive and inferential statistics. The results show that all dimensions measured values scored lower than the minimum positive safety culture. The lower scores were found in the dimensions "perceptions of management" and "working conditions". Concerning the age of the professionals, young professionals stood out with higher scores. As for the professional categories, the higher scores were related to nursing assistants. The evaluation of the safety culture in the units studied demonstrates weakness in the six dimensions assessed.

scholarly journals Diagnóstico de cultura de segurança do paciente

2019 ◽  
Vol 13 ◽  
Author(s):  
Elaine Cristina de Souza Ferreira ◽  
Natália Soares Melo
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Short Form ◽  
Patient Safety Culture ◽  
Maturity Model ◽  
Hospital Data ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire

Objetivo: realizar um levantamento do diagnóstico de cultura de segurança do paciente para investigar a percepção da equipe multiprofissional de uma maternidade de risco habitual sobre a segurança do paciente. Método: trata-se de estudo quantitativo, descritivo, transversal, com profissionais de uma maternidade de risco habitual. Coletaram-se os dados por meio da aplicação de 98 questionários Safety Attitudes Questionnaire – short form 2006. Resultados: observou-se que somente 47 (87,03%) questionários eram válidos e, dos 47 questionários analisados sobre a avaliação da cultura de segurança, os domínios ficaram abaixo da média de pontos considerada adequada (≥75) em: Satisfação no trabalho (70,10%); Clima do trabalho em equipe (62,68%) e Percepção do estresse (57,19%); os domínios Percepção da gerência do setor e gerência geral (46,49%) e Condições de trabalho obtiveram a média mais baixa do estudo (44,61%). Conclusão: entende-se que a instituição estudada possui uma cultura de segurança frágil e encontra-se em estágio patológico em relação ao modelo de maturidade de cultura de segurança do paciente. Descritores: Segurança do Paciente; Maternidade; Equipe Multiprofissional; Cultura de Segurança; Diagnóstico da Cultura e Eventos Adversos.AbstractObjective: to conduct a survey of the patient safety culture diagnosis to investigate the perception of the multi-professional team of a habitual risk maternity ward on patient safety. Method: this is a quantitative, descriptive, cross-sectional study with professionals from a usual risk maternity hospital. Data was collected through the application of 98 questionnaires Safety Attitudes Questionnaire - short form 2006. Results: it was observed that only 47 (87.03%) questionnaires were valid and, of the 47 questionnaires analyzed about safety culture evaluation, the domains were below the points average considered adequate (≥75) in: Job Satisfaction (70.10%); Teamwork climate (62.68%) and Stress perception (57.19%); the Perceptions of Sector Management and General Management (46.49%) and Working Conditions domains had the lowest study average (44.61%). Conclusion: it is understood that the institution studied has a fragile safety culture and is in a pathological stage in relation to the patient safety culture maturity model.  Descriptors: Patient Safety; Maternity; Multiprofessional Team; Safety Culture; Diagnosis of Culture and Adverse Events.ResumenObjetivo: realizar una encuesta sobre el diagnóstico de la cultura de seguridad del paciente para investigar la percepción del equipo multiprofesional de una sala de maternidad de riesgo habitual sobre la seguridad del paciente. Método: este es un estudio cuantitativo, descriptivo, transversal con profesionales de un hospital de maternidad de riesgo habitual. Los datos se recolectaron mediante la aplicación de 98 cuestionarios Safety Attitudes Questionnaire – short form 2006. Resultados: se observó que solo 47 (87.03%) cuestionarios eran válidos y, de los 47 cuestionarios analizados sobre la evaluación del cultivo de seguridad, los dominios estaban por debajo del promedio de puntos considerado adecuado (≥75) en: Satisfacción laboral (70,10%); Clima de trabajo en equipo (62.68%) y Percepción de estrés (57.19%); las Percepciones de los ámbitos de gestión del sector y gestión general (46,49%) y Condiciones de trabajo tuvieron el promedio de estudio más bajo (44,61%). Conclusión: se entiende que la institución estudiada tiene una cultura de seguridad frágil y se encuentra en una etapa patológica en relación con el modelo de madurez de la cultura de seguridad del paciente. Descriptores: Seguridad del Paciente; Responsabilidad Parental; Cultura de Seguridad; Diagnóstico de la Cultura y Eventos Adversos.

Assessment of patient safety culture during COVID-19: a cross-sectional study in a tertiary a-level hospital in China

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chih-Hsuan Huang ◽  
Ying Wang ◽  
Hsin-Hung Wu ◽  
Lee Yii-Ching
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Team Building ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Content Type ◽  
Safety Attitudes

PurposeThe aims of this study are to (1) evaluate physicians and nurses' perspectives on patient safety culture amid the COVID-19 pandemic and (2) integrate the emotional exhaustion of physicians and nurses into an evaluation of patient safety culture to provide insights into appropriate implications for medical care.Design/methodology/approachPatient safety culture was assessed with the Chinese version of the Safety Attitudes Questionnaire. Confirmatory factor analysis was conducted to validate the structure of the data (i.e. reliability and validity), and Pearson's correlation analysis was performed to identify relationships between safety-related dimensions.FindingsSafety climate was strongly associated with working conditions and teamwork climate. In addition, working conditions was highly correlated with perceptions of management and job satisfaction, respectively. It is worth noting that the stress and emotional exhaustion of the physicians and nurses during this epidemic were high and needed attention.Practical implicationsFor healthcare managers and practitioners, team-building activities, power of public opinions, IoT-focused service, and Employee Assistance Programs are important implications for inspiring the patient safety-oriented culture during the period of the COVID-19 pandemic.Originality/valueThis paper considers the role of emotional state into patient safety instrument, a much less understood but equally important dimension in the field of patient safety.

scholarly journals Safety culture: perception of health professionals in a mental hospital

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2316-2322 ◽  
Author(s):  
Isabelly Costa Lima de Oliveira ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Samia Freitas Aires ◽  
Rodrigo Jácob Moreira de Freitas ◽  
Beatriz Viana da Silva ◽  
...  
Keyword(s):  
Mental Health ◽  
Safety Culture ◽  
Health Professionals ◽  
Mental Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Perception Of Safety ◽  
Female Predominance ◽  
Nursing Professionals

ABSTRACT Objective: To evaluate the culture of patient safety in a mental health service. Method: Cross-sectional study conducted with health professionals in a mental hospital, by applying the Safety Attitudes Questionnaire (SAQ). Descriptive and inferential analyses were performed. Results: One-hundred and three professionals participated in the study, with female predominance (64.1%) and time of performance equal to or greater than 21 years (32.4%). The nursing professionals of technical level and with statutory work regime were the most participative, 54.4% and 52% respectively. The total score was 69 points. The domain that reached the highest score was Job satisfaction (80 points) and the lowest was Working conditions (57 points). The statutory professionals and those with longer professional experience obtained better scores in the perception of safety culture. Conclusion: The result of safety culture was below the recommended, indicating the need for strengthening this construct in mental health hospitals.

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