scholarly journals The Collective Leadership for Safety Culture (Co-Lead) Team Intervention to Promote Teamwork and Patient Safety

2020 ◽  
Vol 17 (22) ◽  
pp. 8673
Author(s):  
Aoife De Brún ◽  
Sabrina Anjara ◽  
Una Cunningham ◽  
Zuneera Khurshid ◽  
Steve Macdonald ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Systematic Approach ◽  
Multidisciplinary Teams ◽  
Healthcare Staff ◽  
Collective Leadership ◽  
Healthcare Teams ◽  
Healthcare It ◽  
Enhance Patient Safety ◽  
Safety Cultures

Traditional hierarchical leadership has been implicated in patient safety failings internationally. Given that healthcare is almost wholly delivered by multidisciplinary teams, there have been calls for a more collective and team-based approach to the sharing of leadership and responsibility for patient safety. Although encouraging a collective approach to accountability can improve the provision of high quality and safe care, there is a lack of knowledge of how to train teams to adopt collective leadership. The Collective Leadership for Safety Cultures (Co-Lead) programme is a co-designed intervention for multidisciplinary healthcare teams. It is an open-source resource that offers teams a systematic approach to the development of collective leadership behaviours to promote effective teamworking and enhance patient safety cultures. This paper provides an overview of the co-design, pilot testing, and refining of this novel intervention prior to its implementation and discusses key early findings from the evaluation. The Co-Lead intervention is grounded in the real-world experiences and identified needs and priorities of frontline healthcare staff and management and was co-designed based on the evidence for collective leadership and teamwork in healthcare. It has proven feasible to implement and effective in supporting teams to lead collectively to enhance safety culture. This intervention overview will be of value to healthcare teams and practitioners seeking to promote safety culture and effective teamworking by supporting teams to lead collectively.

Patient safety culture in Hungarian hospitals

2019 ◽  
Vol 32 (2) ◽  
pp. 412-424 ◽  
Author(s):  
Nina Granel ◽  
Josep Maria Manresa-Domínguez ◽  
Anita Barth ◽  
Katalin Papp ◽  
Maria Dolors Bernabeu-Tamayo
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Healthcare Staff ◽  
Content Type ◽  
Work Area ◽  
Exploratory Factor Analyses ◽  
The Usa ◽  
Blame Culture

Purpose The Hospital Survey on Patient Safety Culture (HSOPSC) is a rigorously designed tool for measuring inpatient safety culture. The purpose of this paper is to develop a cross-cultural HSOPSC for Hungary and determine its strengths and weaknesses. Design/methodology/approach The original US version was translated and adapted using existing guidelines. Healthcare workers (n=371) including nurses, physicians and other healthcare staff from six Hungarian hospitals participated. Answers were analyzed using exploratory factor analyses and reliability tests. Findings Positive responses in all dimensions were lower in Hungary than in the USA. Half the participants considered their work area “acceptable” regarding patient safety. Healthcare staff worked in “crisis mode,” trying to accomplish too much and too quickly. The authors note that a “blame culture” does not facilitate patient safety improvements in Hungary. Practical implications The results provide valuable information for promoting a more positive patient safety culture in Hungary and for evaluating future strategies to improve patient safety. Originality/value Introducing a validated scale to measure patient safety culture in Hungary improves healthcare quality.

Assessing patient safety culture at the National Hospital of Obstetrics and Gynecology in 2019

2021 ◽  
Vol 30 (9) ◽  
pp. 83-90
Author(s):  
Nguyen Thi Phuong Thao ◽  
Dao Anh Son ◽  
Tran Thi Huong Tra ◽  
Dao Trung Nguyen ◽  
Nguyen Thi Hoai Thu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Obstetrics And Gynecology ◽  
Healthcare Staff ◽  
National Hospital ◽  
Cross Sectional ◽  
Staff Members

A cross-sectional study was conducted on primary healthcare staff working at the National Hospital of Obstetrics and Gynecology from August 2019 to April 2020. We aimed to assess healthcare staff members’ awareness on patient safety culture (PSC) using a self-administered Hospital Survey on Patient Safety Culture questionnaire (HSPSC). The overall PSC awareness was only 60.4%. 9 out of 12 PSC items were considered PSC strength dimensions. Areas with room for improvement include “Non-punitive Response to Errors” (50.7%), “Frequency of events reported” (41.2%), and “Organisational learning - continuous improvement” (67.8%). It is necessary to strengthen the quality of training on the safety of the entire staff, encourage communication and report on medical errors to improve the quality of health care.

scholarly journals Using Co-Design to Develop a Collective Leadership Intervention for Healthcare Teams to Improve Safety Culture

2018 ◽  
Vol 15 (6) ◽  
pp. 1182 ◽  
Author(s):  
Marie E. Ward ◽  
Aoife De Brún ◽  
Deirdre Beirne ◽  
Clare Conway ◽  
Una Cunningham ◽  
...  
Keyword(s):  
Safety Culture ◽  
Collective Leadership ◽  
Healthcare Teams ◽  
Leadership Intervention

Assessing the relationship between patient safety culture and EHR strategy

2016 ◽  
Vol 29 (6) ◽  
pp. 614-627 ◽  
Author(s):  
Eric W. Ford ◽  
Geoffrey A. Silvera ◽  
Abby S Kazley ◽  
Mark L. Diana ◽  
Timothy R Huerta
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Errors ◽  
Patient Safety Culture ◽  
Care Quality ◽  
Content Type ◽  
Ehr Adoption ◽  
Safety Cultures ◽  
The Impact ◽  
The Relationship

Purpose – The purpose of this paper is to explore the relationship between hospitals’ electronic health record (EHR) adoption characteristics and their patient safety cultures. The “Meaningful Use” (MU) program is designed to increase hospitals’ adoption of EHR, which will lead to better care quality, reduce medical errors, avoid unnecessary cost, and promote a patient safety culture. To reduce medical errors, hospital leaders have been encouraged to promote safety cultures common to high-reliability organizations. Expecting a positive relationship between EHR adoption and improved patient safety cultures appears sound in theory, but it has yet to be empirically demonstrated. Design/methodology/approach – Providers’ perceptions of patient safety culture and counts of patient safety incidents are explored in relationship to hospital EHR adoption patterns. Multi-level modeling is employed to data drawn from the Agency for Healthcare Research and Quality’s surveys on patient safety culture (level 1) and the American Hospital Association’s survey and healthcare information technology supplement (level 2). Findings – The findings suggest that the early adoption of EHR capabilities hold a negative association to the number of patient safety events reported. However, this relationship was not present in providers’ perceptions of overall patient safety cultures. These mixed results suggest that the understanding of the EHR-patient safety culture relationship needs further research. Originality/value – Relating EHR MU and providers’ care quality attitudes is an important leading indicator for improved patient safety cultures. For healthcare facility managers and providers, the ability to effectively quantify the impact of new technologies on efforts to change organizational cultures is important for pinpointing clinical areas for process improvements.

scholarly journals Exploring Patient Safety Culture in a Kuwaiti Secondary Care Setting

2021 ◽  
Vol 21 (1) ◽  
pp. e77-85
Author(s):  
Hamad Alqattan ◽  
Jennifer Cleland ◽  
Zoe Morrison ◽  
Isobel M. Cameron
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Clinical Skills ◽  
Research Question ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Healthcare Staff ◽  
Services Research ◽  
Face To Face ◽  
Staff Members

Objectives: Qualitative studies can improve understanding of patient safety culture (PSC), which has been relatively neglected by researchers in the Gulf Cooperation Council context. This study employed a qualitative approach to explore healthcare staff and patients’ perceptions of PSC and how it can be improved. Methods: This qualitative study was conducted in a public hospital in Kuwait. Individual face-to-face interviews were used to understand the experience of healthcare staff and patients concerning PSC. After obtaining the required ethical approvals, maximum variation sampling was used. Interviews were recorded and transcribed. The analysis was inductive and thematic. Results: A total of 51 participants were included in this study (35 healthcare professionals and 16 patients). Data analysis revealed four overarching themes relevant to the research question: (1) workload; (2) communication; (3) environmental constraints; and (4) incident reporting. These issues were interrelated in practice. Kuwaiti and non-Kuwaiti participants held different views, particularly about the response to errors and expatriate staff members’ clinical skills. Conclusion: This study revealed multiple factors related to workload, communication, healthcare environment and incident reporting, which hindered the promotion of positive PSC in the included department. The presence of numerous constraints suggests that multiple interventions which target both individual and organisational levels should be implemented.   KEYWORDS Health Services Research; Patient Safety; Safety Culture; Kuwait.

scholarly journals Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol

2020 ◽  
Vol 2 ◽  
pp. 5
Author(s):  
Aoife De Brun ◽  
Lisa Rogers ◽  
Marie O'Shea ◽  
Eilish McAuliffe
Keyword(s):  
Safety Culture ◽  
Research Question ◽  
Realist Evaluation ◽  
Collective Leadership ◽  
Programme Theory ◽  
Healthcare Teams ◽  
Analysis And Synthesis ◽  
Range Theory ◽  
The Impact ◽  
Leadership Intervention

There is accumulating evidence for the value of collective and shared approaches to leadership across sectors and settings. However, relatively little research has explored collective leadership in healthcare and thus, there is little understanding of what works for healthcare teams, why, how and to what extent. This study describes the approach that will be adopted to the realist evaluation of a collective leadership intervention with four heterogenous healthcare teams in four different settings. A realist evaluation will be conducted. Realist evaluation is a theory-based approach to evaluation. It enables the use of mixed-methods to explore the research question of interest. Development of an initial programme theory (IPT) constitutes the first phase of the approach. This IPT will be informed by interviews with members of teams identified as working collectively, an examination of extant literature using realist synthesis, and will be refined through consultation with an expert panel. A multiple case study design will be adopted to explore the impact of the intervention, including quantitative scales on teamworking, leadership and safety culture, realist interviews with key informants and observations of teams during intervention sessions. Analysis of data will be guided by the IPT to refine the theory and context-mechanism-outcome configurations. Findings from the cases will be compared to identify patterns or demi-regularities and to explore if the intervention operates differently in different contexts. This analysis and synthesis of findings across the teams will inform the development of a middle range theory that will not only add to our understanding of how collective leadership influences teamwork and patient safety, but also provide guidance for future collective leadership interventions.  Favourable ethical opinion has been received from the University College Dublin Ethics Committee. Results will be disseminated via publication in peer-review journals, national and international conferences and to stakeholders/interest groups.

scholarly journals A Proactive Risk Assessment Framework to Enhance Patient Safety: Analysis of Unintended Retained Foreign Objects in Operating Rooms

2020 ◽  
Vol 9 (1) ◽  
pp. 300-304
Author(s):  
Maryam Tabibzadeh ◽  
Zarna Patel
Keyword(s):  
Risk Assessment ◽  
Patient Safety ◽  
Safety Culture ◽  
Nuclear Regulatory Commission ◽  
Operating Rooms ◽  
Assessment Framework ◽  
Foreign Objects ◽  
Enhance Patient Safety ◽  
Sentinel Event ◽  
Regulatory Commission

According to a study by Johns Hopkins, in average 251,454 Americans die annually from preventable medical errors. Medical error is the third leading cause of death in the U.S. after heart disease and cancer. Among different adverse events in healthcare settings, unintended retained foreign objects (URFOs) has been identified as the most common sentinel event by The Joint Commission. This paper proposes a proactive risk assessment framework to enhance patient safety in operating rooms by addressing the URFOs issue. The risk assessment framework is developed by integrating the 10 traits of a positive safety culture, initially introduced by the Nuclear Regulatory Commission, with an accident investigation framework called AcciMap, originally developed by Rasmussen. The AcciMap is a hierarchical framework, which comprises six layers: government and regulatory bodies, company, management, staff and work. In this study, it has been utilized to capture and analyze socio-technical contributing causes of URFOs across its layers in order to assess the activities of key players in each layer as well as the interactions between those layers. Moreover, we have been able to identify the most influential traits of a positive safety culture affecting the URFOs issue.

scholarly journals Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol

2019 ◽  
Vol 2 ◽  
pp. 5 ◽  
Author(s):  
Aoife De Brun ◽  
Lisa Rogers ◽  
Marie O'Shea ◽  
Eilish McAuliffe
Keyword(s):  
Safety Culture ◽  
Research Question ◽  
Realist Evaluation ◽  
Collective Leadership ◽  
Programme Theory ◽  
Healthcare Teams ◽  
Analysis And Synthesis ◽  
Range Theory ◽  
The Impact ◽  
Leadership Intervention

There is accumulating evidence for the value of collective and shared approaches to leadership across sectors and settings. However, relatively little research has explored collective leadership in healthcare and thus, there is little understanding of what works for healthcare teams, why, how and to what extent. This study describes the approach that will be adopted to the realist evaluation of a collective leadership intervention with four heterogenous healthcare teams in four different settings. A realist evaluation will be conducted. Realist evaluation is a theory-based approach to evaluation. It enables the use of mixed-methods to explore the research question of interest. Development of an initial programme theory (IPT) constitutes the first phase of the approach. This IPT will be informed by interviews with members of teams identified as working collectively, an examination of extant literature using realist synthesis, and will be refined through consultation with an expert panel. A multiple case study design will be adopted to explore the impact of the intervention, including quantitative scales on teamworking, leadership and safety culture, realist interviews with key informants and observations of teams during intervention sessions. Analysis of data will be guided by the IPT to refine the theory and context-mechanism-outcome configurations. Findings from the cases will be compared to identify patterns or demi-regularities and to explore if the intervention operates differently in different contexts. This analysis and synthesis of findings across the teams will inform the development of a middle range theory that will not only add to our understanding of how collective leadership influences teamwork and patient safety, but also provide guidance for future collective leadership interventions.  Favourable ethical opinion has been received from the University College Dublin Ethics Committee. Results will be disseminated via publication in peer-review journals, national and international conferences and to stakeholders/interest groups.

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