scholarly journals Improving patient safety culture in general practice: an interview study

2015 ◽  
Vol 65 (641) ◽  
pp. e822-e828 ◽  
Author(s):  
Natasha J Verbakel ◽  
Antoinette A de Bont ◽  
Theo JM Verheij ◽  
Cordula Wagner ◽  
Dorien LM Zwart
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Interview Study

scholarly journals A comparative assessment of two tools designed to support patient safety culture in UK general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ian Litchfield ◽  
Kate Marsden ◽  
Lucy Doos ◽  
Katherine Perryman ◽  
Anthony Avery ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Focus Group ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Staff Members ◽  
Practice Team

Abstract Background The NHS has recognised the importance of a high quality patient safety culture in the delivery of primary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work offerss a timely exploration of the tools to inform practice staff as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staff on their design, outputs and the feasibility of their sustained use. Methods We have used a content analysis to provide the context for the qualitative study of staff experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staff completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staff completed the MapSaf tool all of whom contributed to the focus group discussions. PC-SafeQuest was perceived as quick and easy to use with direct questions pertinent to the work of GP practices providing useful quantitative insight into important areas of safety culture. Though MaPSaF was more logistically challenging, it created a forum for synchronous cross- practice discussions raising awareness of perceptions of safety culture across the practice team. Conclusions Both tools were able to promote reflective and reflexive practice either in individual staff members or across the broader practice team and the oversight they granted provided useful direction for senior staff looking to improve patient safety. Because PC SafeQuest can be easily disseminated and independently completed it is logistically suited to larger practice organisations, whereas the MapSaf tool lends itself to smaller practices where assembling staff in a single workshop is more readily achieved.

scholarly journals Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE'

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Dorien LM Zwart ◽  
Maaike Langelaan ◽  
Rosalinde C van de Vooren ◽  
Marijke M Kuyvenhoven ◽  
Cor J Kalkman ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture

scholarly journals Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial

2015 ◽  
Vol 65 (634) ◽  
pp. e319-e329 ◽  
Author(s):  
Natasha J Verbakel ◽  
Maaike Langelaan ◽  
Theo JM Verheij ◽  
Cordula Wagner ◽  
Dorien LM Zwart
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Safety Culture ◽  
Randomised Trial ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Cluster Randomised Trial ◽  
Cluster Randomised

scholarly journals Acting between Checklists and Reality. Managers’ Balancing between Standardization and Adaptive Behaviour in Patient Safety Work- an Interview Study

2020 ◽  
Author(s):  
Mats Hedsköld ◽  
Magna Andreen Sachs ◽  
Thorleif Rosander ◽  
Mia von Knorring ◽  
Karin Pukk Harenstam
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Role Models ◽  
Qualitative Content Analysis ◽  
Patient Safety Culture ◽  
Interview Study ◽  
Adaptive Behaviour ◽  
First Line ◽  
Line Managers ◽  
Everyday Work

Abstract Background Safety culture can be described and understood through its manifestations in the organisation as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains elusive as a concept. Even if the literature points to leadership as an important factor for creating and sustaining a mature safety culture, little is known about how first line managers’ balance the different and often conflicting organizational goals in everyday practice. The purpose of this study was to explore how health care first line managers perceive their role and how they promote patient safety and patient safety culture in their units.Methods Interview study with first line managers in intensive care units in in eight different hospitals located in the middle of Sweden. An inductive qualitative content analysis approach was used.Results We present how first line managers view their role in patient safety and exemplify concrete strategies by which managers promote safety culture by acting as role models, designing everyday work and promoting psychological safety and a learning environment.Conclusions Our study shows the central role of front-line managers in designing the everyday work in the ICU. In our study both of Safety − 1 and Safety − 2 aspects emerged in the analysis. Although promoted widely in Swedish healthcare at the time for the interviews, the HSOPSC was not mentioned by the managers as a central source of information on the unit’s safety culture.

scholarly journals Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mats Hedsköld ◽  
Magna Andreen Sachs ◽  
Torleif Rosander ◽  
Mia von Knorring ◽  
Karin Pukk Härenstam
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Qualitative Content Analysis ◽  
High Reliability ◽  
Patient Safety Culture ◽  
Interview Study ◽  
First Line ◽  
Line Managers ◽  
Safety Work ◽  
Promote Patient Safety

Abstract Background Safety culture can be described and understood through its manifestations in the organization as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains elusive as a concept. Even if the literature points to leadership as an important factor for creating and sustaining a mature safety culture, little is known about how the safety work of first line managers’ is done and how they balance the different and often conflicting organizational goals in everyday practice. The purpose of this study was to explore how health care first line managers perceive their role and how they promote patient safety and patient safety culture in their units. Methods Interview study with first line managers in intensive care units in eight different hospitals located in the middle of Sweden. An inductive qualitative content analysis approach was used, this was then followed by a deductive analysis of the strategies informed by constructs from High reliability organizations. Results We present how first line managers view their role in patient safety and exemplify concrete strategies by which managers promote patient safety in everyday work. Conclusions Our study shows the central role of front-line managers in organizing for safe care and creating a culture for patient safety. Although promoted widely in Swedish healthcare at the time for the interviews, the HSOPSC was not mentioned by the managers as a central source of information on the unit’s safety culture.

IMPROVING PATIENT SAFETY CULTURE IN GENERAL PRACTICE

2014 ◽  
Vol 23 (4) ◽  
pp. 350.1-350
Author(s):  
N J Verbakel ◽  
M Langelaan ◽  
T J M Verheij ◽  
C Wagner ◽  
D L M Zwart
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture

Fakor Determinan yang Memengaruhi Budaya Keselamatan Pasien di RS Pemerintah Kabupaten Kuningan

1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Lia Mulyati ◽  
Dedy Rachman ◽  
Yana Herdiana
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Work Satisfaction ◽  
Patient Safety Culture ◽  
Team Work ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

Budaya keselamatan merupakan kunci untuk mendukung tercapainya peningkatan keselamatan dan kesehatan kerja dalam organisasi. Upaya membangun budaya keselamatan merupakan langkah pertama dalam mencapai keselamatan pasien. Terdapat beberapa faktor yang berkontribusi dalam perkembangan budaya keselamatan yaitu; sikap baik individu maupun organisasi, kepemimpinan, kerja tim, komunikasi dan beban kerja. Penelitian ini bertujuan mengetahui faktor determinan yang berhubungan dengan terciptanya budaya keselamatan pasien di RS Pemerintah Kabupaten Kuningan. Teknik pengambilan sampel yang digunakan incidental sampling 88 orang perawat pelaksana. Rancangan penelitian menggunakan survey analitik dengan pendekatan cross sectional, uji hipotesis digunakan Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan terdapat pengaruh yang signifikan antara persepsi terhadap manajemen (p 0.0005, odd rasio 21.3), dukungan tim kerja (p 0.0005, odd rasio 13.34), stress kerja (p 0.006, odd rasio 3.94), kepuasan kerja (nilai p 0. 002) dengan budaya keselamatan pasien. Tidak terdapat pengaruh yang signifikan kondisi kerja dengan budaya keselamatan pasien dengan nilai p 0.507. Berdasarkan analisis multuvariat diperoleh persepsi terhadap manajemen menjadi factor determinan dengan nilai p 0.000 < α 0.05. Simpulan; unsur pimpinan memiliki pengaruh yang signifikan dalam menciptakan budaya keselamatan pasien. Pimpinan memiliki kewenangan dalam menerapkan system yang berlaku dalam organisasi, oleh karena itu gaya kepemimpinan, teknik komunikasi serta kemampuan manajerial merupakan suatu hal yang sangat perlu diperhatikan dalam menciptakan atmosfer kerja yang kondusif sebagai upaya terciptanya budaya keselamatan pasien. Berdasarkan hasil penelitian bahwa model kepemimpinan transformasional merupakan model yang sesuai diterapkan untuk meningkatkan budaya keselamatan pasien, pelatihan keterampilan komunikasi efektif serta pengembangan model pendidikan antar profesi sebagai upaya peningkatan kemampuan kolaborasi.Kata kunci:Budaya keselamatan pasien, stress kerja, kepuasan kerja.Determinant factors that are Influencing Patient Safety Culture in a Government-owned Hospitals in Kuningan Regency AbstractSafety culture is a key to support the achievement of occupational health and safety in an organization. An effort to build safety culture is the first step in ensuring patient safety. There are some factors that contribute in the development of safety culture, namely, individual and organizational attitude, leadership, team work, communication, and work load. This study aimed to identify the determinant factors that are related to achievement of patient safety culture in a government-owned hospital in Kuningan Regency. Eighty eight samples of nurses were recruited using incidental sampling technique. The research design was using cross sectional study, the hypothesis testing were using Chi Square and multiple logistic regression. The results showed that there were significant influenced between perception towards management (p= 0.0005, odd rasio 21.3), team work support (p= 0.0005, odd rasio 13.34), work-related stress (p= 0.006, odd rasio 3.94), work satisfaction (p= 0. 002) with patient safety culture. There was not significant influenced between work condition and patient safety (p= 0.507). The multivariate analysis showed that perception towards management was the determinant factor for patient safety culture (p 0.000 < α 0.05). In conclusion, leaders have significant influence in creating patient safety culture. Leaders have authority to implement systems in the organization. Therefore, leadership style, communication technique, and managerial ability are important in order to create a conducive atmosphere for developing patient safety culture. As recommendation, transformational leadership is a model that is appropriate to be applied in order to increase patient safety culture, trainings of effective communication and inter-professional education model are also needed to increase the collaboration skills among health professionals.Keywords:Patient safety culture, work-related stress, work satisfaction.

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