Relationship between the Nurses' Willingness to Report Near Miss and the Perception of Patient Safety Culture

2017 ◽  
Vol 19 (3) ◽  
pp. 1599-1611
Author(s):  
Suk Hee Jeon ◽  
Eun Jung Kim
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Near Miss ◽  
Willingness To Report

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

scholarly journals The effect of patient safety culture on nurses’ near-miss reporting intention: the moderating role of perceived severity of near misses

2021 ◽  
Vol 26 (1-2) ◽  
pp. 6-16
Author(s):  
Yi Yang ◽  
Huaping Liu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Working Environment ◽  
Near Miss ◽  
Cross Sectional Survey ◽  
Near Misses ◽  
Perceived Severity ◽  
The Relationship

Background Reporting near misses is a practical approach to improve the confounding challenge of patient safety. Evidence suggests that patient safety culture and the characteristics of errors might have important impacts on reporting. No studies, however, have examined the relationships among patient safety culture, perceived severity of near misses and near-miss reporting. Aims To explore the relationship between patient safety culture and nurses’ near-miss reporting intention, and examine the potential moderating effect the perceived severity of near misses might have on this relationship. Methods Using a cross-sectional survey, data were collected with three validated survey instruments completed by 920 Registered Nurses in eight tertiary hospitals in China. Multiple regression analysis tested relationships among the variables. Results Nurses reported a moderate–high level of near-miss reporting intention. Patient safety culture was positively associated with nurses’ near-miss reporting intention. Perceived severity of near misses did not significantly moderate the relationship between patient safety culture and reporting intention. Conclusions Nurses generally showed a positive willingness to report near misses. A specific near-miss management and education system within a learning, supportive working environment are key components to improve reporting intention among nurses which could significantly improve patient safety.

scholarly journals Implementation of patient safety culture in outcome level in X general hospital in Yogyakarta

2019 ◽  
Vol 7 (1) ◽  
pp. 36
Author(s):  
Siti Kurnia Widi Hastuti ◽  
Daru Respati Puspaningtyas ◽  
Nur Syarianingsih Syam
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Mixed Methods Research ◽  
District Hospital ◽  
Patient Safety Culture ◽  
Near Miss ◽  
Primary Data ◽  
Safety Level ◽  
Safety Incident ◽  
Patient Safety Incident

Background: Creating a culture of patient safety is something that must be considered. This is because culture contains two important components, namely values and beliefs that can change organizations. Most safety incidents of Yogyakarta District Hospital in 2018 were 21 near miss incidents, incidents in total, then 17 incident, not injured and 5 events in unexpected events, while in potential injured there were no incidents during 2018. In 2018 there were still several months of data that had not yet met patient safety incident targets. From a preliminary study the researcher obtained, data on patient safety incident reporting has not been optimally performed by nurses. The purpose of this study was to determine the implementation of patient safety culture at the outcome level.Methods: This research is mixed methods research with an explanatory sequential design. Primary data obtained from in-depth interviews, a description of the implementation of patient safety culture at the Outcome level data obtained from questionnaires given to 72 nurses.Results: The culture of patient safety Yogyakarta District Hospital has been implemented well. At the level of patient safety culture outcomes related to the frequency of reporting patient safety events have been carried out but related to incidents that have no potential for injury when reporting is not appropriate, the perception of patient safety at the patient safety level, the number of reporting of events at the Yogyakarta District Hospital has been carried out properly.Conclusions: The safety culture of patients at Yogyakarta District Hospital at the outcome level has been implemented well. 

Hospital Nurses’ Intention to Report Near Misses, Patient Safety Culture and Professional Seniority

2021 ◽  
Author(s):  
Orly Toren ◽  
Dokhi Mohanad ◽  
Freda DeKeyser Ganz
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Errors ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Team Work ◽  
Near Miss ◽  
Institute Of Medicine ◽  
Near Misses ◽  
The Relationship

Abstract Background Preventable medical errors are the third cause of death after cancer and heart disease. The first step in coping with medical errors in the healthcare system is to develop a culture of patient safety. Reporting medical errors, especially near misses, is one of the chosen methods of dealing with patient safety issues, recommended by the Institute of Medicine. Despite this recommendation, few studies examined the relationship between reporting near misses and improvements in patient safety culture. Intention to report a near miss event is another means to understand the phenomena of reporting, but no studies were found that included this variable and its relationship to safety culture. The aims of this study were to determine the extent nurses reported near miss events; to describe the relationship between patient safety culture, professional seniority and intention to report near misses; and to determine predictors of intention to report near miss events. Methods This was a descriptive cross-sectional study, based on the Hospital Survey on Patient Safety (HSOPS). The target population was ICU and inpatient ward nurses working in general hospitals. The sampling method was cluster convenience sampling. Statistical analysis included descriptive and predictive analyses. Results The sample included 227 nurses. Most nurses rated the patient safety culture components as moderately positive. Approximately 80% stated their intention to report a near miss, however 52.4% indicated that they did not report a near miss event in the past year. A positive correlation was found between all components of the patient safety culture and the intention to report a near miss event. Professional seniority was not related to any safety culture components or intention to report a near-miss event. Three variables predicted intention to report: team work, feedback and communication about errors, and the amount of near misses reported in the last year. Conclusions There is a discrepancy between what nurses describe as their intent to report a near miss event and their actual reporting of an event. Components of safety culture, especially communication openness, teamwork and reported near misses in the last year are significant predictors of the intent to report. Therefore, reinforcement of these components should be encouraged at the policy level to enable nurses to report near misses and thus improve patient safety.

Assessing the culture of safety in cardiovascular perfusion: attitudes and perceptions

Perfusion ◽  
2017 ◽  
Vol 32 (7) ◽  
pp. 583-590 ◽  
Author(s):  
Chad Lawson ◽  
Megan Predella ◽  
Allison Rowden ◽  
Jamie Goldstein ◽  
Joseph J. Sistino ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Near Miss ◽  
Work Unit ◽  
Perceived Safety ◽  
Culture Of Safety ◽  
Hospital Units ◽  
Positive Response Rate

Introduction: The Hospital Survey on Patient Safety Culture was developed by the Agency for Healthcare Research and Quality (AHRQ) to assess the culture of safety in hospitals. The purpose of this study was to identify specific domains of perfusion that are indicators of a high quality culture of safety. Methods: Perfusionists were recruited to participate in the survey through email invitation through Perflist, Perfmail and LinkedIn. The survey consisted of 37 questions across six safety domains. Questions were developed using the AHRQ Hospital Survey on Patient Safety Culture. ‘Positive scores’ were defined as a response that either agreed or strongly agreed with a safety standard. Survey responses that resulted in a 75 percent or higher positive response rate were identified as vital components of a high culture of safety. Logistic regression analysis was used to determine importance components of perceived safety. Results: Four responses were found to have a significant predictive level of a positive safety environment in the work unit: (1) in this unit, we discuss ways to prevent errors from happening again; OR=3.09, (2) in this unit, we treat others with respect; OR=1.09 (3) my supervisor/manager seriously considers staff suggestions for improving patient safety; OR=1.89 and (4) there is good cooperation among hospital units that need to work together; OR=1.77. There were two predictors of a negative work unit safety environment: (1) staff are afraid to ask questions when something does not seem right; OR=0.62 and (2) it is just by chance that more serious mistakes don’t happen around here; OR=0.55. Conclusions: The results from this survey indicate that effective communication secondary to both incident and near-miss reporting is associated with a higher perceived culture of safety. A positive safety environment is associated with being able to speak up regarding safety issues without fear of negative repercussions.

scholarly journals Reestruturação de núcleo de segurança do paciente com aplicação da metodologia lean seis sigma

2019 ◽  
Vol 19 (76) ◽  
Author(s):  
Andre Barros Ferreira ◽  
Ricardo Rodrigues de Castro Teixeira
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Management Practices ◽  
Low Cost ◽  
Management Strategies ◽  
Patient Safety Culture ◽  
Near Miss ◽  
Management Tools ◽  
Action Time ◽  
Lean Tools

RESUMOEm uma época em que o tema segurança do paciente vem sendo desenvolvido sistematicamente por órgãos de fiscalização e qualidade, os hospitais e clínicas devem cada dia mais ampliar a cultura de segurança do paciente. Para fazer isso, é necessário adotar medidas estratégicas e ferramentas de gestão LEAN, inspiradas em práticas de gestão e resultados do sistema Toyota. Este artigo relata a implantação de ferramentas LEAN no Núcleo de Segurança do Paciente (NSP) em um hospital de olhos de médio porte. Os objetivos da implantação eram: elevar a cultura de segurança do paciente na instituição e aumentar as notificações de possíveis eventos (near miss) a fim de garantir ação prévia e evitar danos; em paralelo, diminuir subnotificações e o tempo de ação dos membros do NSP frente às notificações, facilitando o acesso das notificação aos colaboradores e, desta forma, permitir a prevenção de eventos adversos com dano. A implantação foi desenvolvida em cinco fases, que vão da concepção do projeto até a análise dos resultados. Foram evidenciadas melhorias na compreensão da finalidade do NSP, ampliando de 82% para 100% o conhecimento sobre o Núcleo por parte dos colaboradores. Os resultados mostraram a importância na utilização das ferramentas Jidoka e Kaizen, fomentando a criação do website do NSP que permitiu ampliar os conhecimentos dos colaboradores e diminuir de 77% para 3% a dificuldade em notificar. O sistema de envio de e-mail imediato aos membros melhorou o tempo de ação do NSP, reduzindo a média de 27 dias para apenas 1 dia. Observamos que, mesmo em época de crise, com pequeno custo, houve um aumento da cultura de segurança do paciente no hospital em 357,14% em comparação com o ano anterior, com aumento de notificações de near miss (eventos que podem ser controlados para não causarem dano). Hoje em dia, a aplicação de ferramentas e conceitos LEAN nas estratégias gerenciais é garantia fundamental da sustentabilidade, cumprimento de normas e leis, sem que haja impacto financeiro que impeça a garantia da segurança do paciente.Palavras-chave: Segurança do paciente. Administração hospitalar. Gestão de riscos. Eficiência organizacional. Indicadores de qualidade em assistência à saúde. ABSTRACTAt a time when the subject of patient safety has been systematically developed by oversight and quality agencies, hospitals and clinics must increasingly broaden the patient safety culture. To do this, strategic measures and LEAN management tools, based on Toyota system management practices and results, must be adopted. This article reports the implementation of LEAN tools at the Patient Safety Center (NSP) in a medium-sized eye hospital. The objectives of the implantation were: to elevate the patient safety culture in the institution and increase the notifications of possible events (near miss) in order to guarantee previous action and avoid damages; in parallel, reduce underreporting and action time of NSP members in the face of notifications, facilitating the access of notifications to employees and, thus, allowing the prevention of adverse events with damage. The deployment was developed in five phases, ranging from project design to results analysis. Improvements in the understanding of the purpose of the NSP were evidenced, increasing from 82% to 100% the knowledge about the Center by the employees. The results showed the importance of using the Jidoka and Kaizen tools, promoting the creation of the NSP website that allowed the employees to increase their knowledge and reduce from 77% the difficulty to notify. Members' immediate email system has improved NSP action time, reducing the average from 27 days to just 1 day. Even at a time of crisis, at a low cost, there was an increase in the patient safety culture in the hospital by 357.14% compared to the previous year, with an increase in near miss reports (events that can be controlled for do no harm). Nowadays, the application of LEAN tools and concepts in management strategies is a fundamental guarantee of sustainability, compliance with rules and laws, without having a financial impact that does not guarantee patient safety.Keywords: Patient Safety. Hospital administration. Risk management. Efficiency, organizational. Quality indicators, Health Care.

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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