scholarly journals Analysis of the Implementation of Patient Safety Culture with the AHRQ Model at Mitra Medika Hospital Tanjung Mulia Medan

2021 ◽  
Vol 2 (5) ◽  
pp. 1-9
Author(s):  
Naeni Juliani ◽  
Arifah Devi Fitriani ◽  
Deli Theo
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Safety Culture ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Management Support ◽  
Main Research ◽  
Reporting Frequency

Safety Culture is a collaborative environment where clinical staff treat one another with respect by involving or empowering patients and families so that each Professional provides patient-focused care. The purpose of this study was to determine the implementation of a patient safety culture with the AHRQ model in Mitra Medika Tanjung Mulia General Hospital Medan. This research uses a mix of methods, namely qualitative and quantitative. The population of this study were all staff on duty in each hospital unit associated with 450 patients at MItra Medika Hospital, so the sample was 75 people using simple random sampling technique. The main research informants were one officer each in each installation.Unit Mitra Medika Tanjung Mulia General Hospital Medan, namely 10 people, one key informant, and one triangulation informant.The results of the study show that the description of expectations and managerial actions of patient safety is 68%, organizational learning is 100%, cooperation in units is 76%, communication open by 80%, feedback about the error of 75%, the dimension of non-punitive response to errors is 55%,Staffing 51%, management support for patient safety efforts by 77%, cooperation between units of 61%, handsoff work and changing patients was 71%,the overall perception of hospital staff about patient safety was 63%, reporting frequency was 63%. With the research results, it is expected that Mitra Media Tanjung Mulia General Hospital Medan is expected to be able to initiate, maintain, and develop an ongoing patient safety program and implement the existing safety culture.

Effect of an educational programme on the attitudes towards patient safety of operation room nurses

2020 ◽  
Vol 29 (4) ◽  
pp. 222-228 ◽  
Author(s):  
Atallah A Habahbeh ◽  
Murad Abdulrahim Alkhalaileh
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Educational Programme ◽  
Quality Healthcare ◽  
Surgical Safety ◽  
Post Test ◽  
Educational Workshop

Background: A culture of patient safety is one of the cornerstones of good-quality healthcare, and its provision is one of the significant challenges in healthcare environments. Aim: The purpose of this study was to evaluate the effect of a surgical safety educational programme on the attitudes of nurses to patient safety in operating rooms (OR). Design: An interventional one-group pre-/post-test design, which sought to measure changes in OR nurses' attitudes toward patient safety culture. Methods: A simple random sampling technique was used to recruit 66 OR nurses working at six Royal Medical Service hospitals in Amman, Jordan. All participants took part in a 4-hour educational workshop. Pre-tests and post-tests were done. Results: The results of this study showed that OR nurses' attitudes towards a culture of patient safety was originally negative; significant improvement after attending the programme was found (3.3 ± 0.20 versus 3.8 ± 0.30). There was a negative correlation between years of experience and nurses' attitudes towards patient safety. Conclusions: Incorporating courses about safety culture into continuing education programmes may improve nurses' attitudes towards patient safety. Nurses should be qualified to play an important role in creating a culture of patient safety.

scholarly journals The Effect of Patient Safety Culture on the Quality of Nurses’ Performance

2021 ◽  
Vol 10 (1) ◽  
pp. LAYOUTING
Author(s):  
Ririk Harlin ◽  
Djazuly Chalidyanto ◽  
Ririn Indah Permatasari
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Safety Culture ◽  
High Performance ◽  
Pearson Correlation ◽  
Poor Performance ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Bivariate Analysis ◽  
Healthcare Facilities

Patient safety culture should be applied by all nurses in healthcare facilities. Yet, most of the time, nurses are not aware of its importance, resulting in patients’ poor perception of the nurses’ performance. This study identified the effect of patient safety culture on nurses’ performance at Bakti Mulia General Hospital. This was a correlation-descriptive study, which selected all nurses as many as 28 at Bakti Mulia General Hospital by using simple random sampling. Data were collected through questionnaires and analyzed using univariate and bivariate analysis with Pearson Correlation test. The majority of the respondents had poor patient safety culture (46%), and some had high patient safety culture (54%). The majority of the respondents showed had poor performance (68%), and some others had high performance (32%). There was a significant effect on patient safety culture on nurses' performance at Bakti Mulia General Hospital.

scholarly journals Factors affecting patient safety culture in terms of compliance with preventing bloodborne pathogens among general hospital nurses

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Na Young Kim ◽  
Kyoung Ja Moon
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Safety Culture ◽  
Explanatory Power ◽  
Patient Safety Culture ◽  
Hierarchical Regression ◽  
Hospital Nurses ◽  
Bloodborne Pathogens ◽  
Knowledge And Attitude ◽  
Sharps Injuries

Abstract Background The present study aims to investigate the relationship between patient safety culture and the prevention of transmitting bloodborne pathogens among nurses at a general hospital. Methods The participants were 284 nurses working at a general hospital located in a city, and the data were collected between April 26 and May 15, 2019. Questionnaires on patient safety culture and the prevention of bloodborne pathogens were used, and SPSS version 22.0 was used for descriptive and hierarchical regression analysis. Results The results showed that the following factors affected the prevention of bloodborne pathogens: experience with needle stick and sharps injuries (β = − 0.94), teamwork (β = 0.41), knowledge and attitude toward patient safety (β = 0.34), leadership (β = 0.15), and priority of patient safety (β = 0.14). The model’s explanatory power was 53% (F = 32.26, p =< 0.001). Conclusions To increase the compliance of general hospital nurses with practices that promote the prevention of bloodborne pathogens, it is necessary to actively prevent needle sticks and sharps injuries. It is also necessary to prioritize patient safety and to develop and verify the effects of various programs that emphasize factors of patient safety culture, such as leadership, teamwork, knowledge, and attitude.

Evaluation of patient safety culture in a private general hospital: a case study in Brazil

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cassiana Gil Prates ◽  
Rita Catalina Aquino Caregnato ◽  
Ana Maria Müller de Magalhães ◽  
Daiane Dal Pai ◽  
Janete de Souza Urbanetto ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Administrative Staff ◽  
Management Support ◽  
Content Type ◽  
Administrative Services ◽  
Graduate Degrees ◽  
Brazilian Version

PurposeThe purpose is to assess the patient safety culture perceived by healthcare and administrative staff in a Brazilian hospital and examine whether education and experience are related to positive perceptions.Design/methodology/approachA descriptive–analytical case study was carried out at Ernesto Dornelles Hospital, a private Brazilian institution. The Brazilian version of the Hospital Survey on Patient Safety Culture was used to assess the perceptions of 618 participants, of whom 315 worked in healthcare assistance and 303 in administrative services. The main outcome was the percentage of positive responses, and the independent variables included the type of work, schooling and length of experience.FindingsNone of the twelve dimensions was strengthened. The percentage of positive responses was the highest for “Hospital management support for patient safety” (67.5%), and the lowest was for “Nonpunitive response to error” (29%). The healthcare staff had a slightly higher average than the administrative staff. The percentage of positive responses from professionals with undergraduate or graduate degrees was higher for the eight dimensions of safety culture. The length of hospital experience was not associated with any dimensions.Originality/valueThis study explored the influence of education and professional experience on the perception of patient safety in healthcare and administrative staff from a private institution. These approaches allow to know with greater depth and clarity factors that are related to the patient safety culture and, thus, have more consistent evidence to support interventions in specific needs.

scholarly journals Do Occupational and Patient Safety Culture in Hospitals Share Predictors in the Field of Psychosocial Working Conditions? Findings from a Cross-Sectional Study in German University Hospitals

2018 ◽  
Vol 15 (10) ◽  
pp. 2131 ◽  
Author(s):  
Anke Wagner ◽  
Antje Hammer ◽  
Tanja Manser ◽  
Peter Martus ◽  
Heidrun Sturm ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Healthcare Sector ◽  
Management Support ◽  
University Hospitals ◽  
Psychosocial Working Conditions ◽  
Culture Model

Background: In the healthcare sector, a comprehensive safety culture includes both patient care-related and occupational aspects. In recent years, healthcare studies have demonstrated diverse relationships between aspects of psychosocial working conditions, occupational, and patient safety culture. The aim of this study was to consider and test relevant predictors for staff’s perceptions of occupational and patient safety cultures in hospitals and whether there are shared predictors. From two German university hospitals, 381 physicians and 567 nurses completed a questionnaire on psychosocial working conditions, occupational, and patient safety culture. Two regression models with predictors for occupational and patient safety culture were conceptually developed and empirically tested. In the Occupational Safety Culture model, job satisfaction (β = 0.26, p ≤ 0.001), work‒privacy conflict (β = −0.19, p ≤ 0.001), and patient-related burnout (β = −0.20, p ≤ 0.001) were identified as central predictors. Important predictors in the Patient Safety Culture model were management support for patient safety (β = 0.24, p ≤ 0.001), supervisor support for patient safety (β = 0.18, p ≤ 0.001), and staffing (β = 0.21, p ≤ 0.001). The two models mainly resulted in different predictors. However, job satisfaction and leadership seem to play an important role in both models and can be used in the development of a comprehensive management of occupational and patient safety culture.

scholarly journals Job Demands, Burnout, and Teamwork in Healthcare Professionals Working in a General Hospital that Was Analysed At Two Points in Time

2018 ◽  
Vol 6 (4) ◽  
pp. 723-729 ◽  
Author(s):  
Dragan Mijakoski ◽  
Jovanka Karadzinska-Bislimovska ◽  
Sasho Stoleski ◽  
Jordan Minov ◽  
Aneta Atanasovska ◽  
...  
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Healthcare Professionals ◽  
Time Lag ◽  
Job Demands ◽  
Maslach Burnout Inventory ◽  
Patient Safety Culture ◽  
Mean Values

AIM: The purpose of the paper was to assess job demands, burnout, and teamwork in healthcare professionals (HPs) working in a general hospital that was analysed at two points in time with a time lag of three years.METHODS: Time 1 respondents (N = 325) were HPs who participated during the first wave of data collection (2011). Time 2 respondents (N = 197) were HPs from the same hospital who responded at Time 2 (2014). Job demands, burnout, and teamwork were measured with Hospital Experience Scale, Maslach Burnout Inventory, and Hospital Survey on Patient Safety Culture, respectively.RESULTS: Significantly higher scores of emotional exhaustion (21.03 vs. 15.37, t = 5.1, p < 0.001), depersonalization (4.48 vs. 2.75, t = 3.8, p < 0.001), as well as organizational (2.51 vs. 2.34, t = 2.38, p = 0.017), emotional (2.46 vs. 2.25, t = 3.68, p < 0.001), and cognitive (2.82 vs. 2.64, t = 2.68, p = 0.008) job demands were found at Time 2. Teamwork levels were similar at both points in time (Time 1 = 3.84 vs. Time 2 = 3.84, t = 0.043, p = 0.97).CONCLUSION: Actual longitudinal study revealed significantly higher mean values of emotional exhaustion and depersonalization in 2014 that could be explained by significantly increased job demands between analysed points in time.

scholarly journals Effects of Patient Safety Culture on Patient Satisfaction With Radiological Services in Nigerian Radiodiagnostic Practice

2018 ◽  
Vol 5 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Chioma Henrietta Okafor ◽  
Anthony C Ugwu ◽  
Ime Edet Okon
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Positive Response ◽  
Health Workers ◽  
Care Delivery ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Patient Satisfaction Questionnaire

Introduction: Patient safety culture is believed to be the first step toward improvement in quality of health-care delivery which will impact patient satisfaction. Objective: To assess the effect of patient safety culture on patient satisfaction in radiodiagnostic practice. Method: Two validated questionnaires via Hospital Survey on Patient Safety Culture by Agency of Health Research and Quality and patient satisfaction questionnaire by Hays were administered to radiodiagnostic staff and patients who came for diagnostic care, respectively. These questionnaires were based on 5-point Likert scale. Questionnaires on patient safety culture and patient satisfaction were administered to 80 radiology health workers and 376 patients of radiology, respectively. Simple random sampling was used to enlist the participants for patient satisfaction while a population study was carried out to enlist patient safety culture participants. Data were analyzed using SPSS version 17. Results: Response rate for patient safety culture questionnaires was 94.6%, while that of patient satisfaction was 62.8%. Among the survey items of patient safety, teamwork has the highest positive response of 76.5%, while staffing has the least, 30%. Overall patient safety culture was 53.7%. The survey item with highest positive response in patient satisfaction survey was patient-provider relationship (80%), while service cost-effectiveness has the least of 59%. Overall patient satisfaction with radiological services was 72.6%. There is no correlation between patient safety culture and patient satisfaction. Conclusion: Even though there is an excellent level of patient satisfaction in this study, it is not related to the practice of patient safety culture in radiodiagnostic unit.

scholarly journals THE RELATIONSHIP BETWEEN CLINICAL LEADERSHIP OF NURSE AND THE IMPLEMENTATION OF PATIENT SAFETY CULTURE AT NURUL HASANAH HOSPITAL

2020 ◽  
Vol 8 (12) ◽  
pp. 1065-1068
Author(s):  
Sontina Saragih ◽  
◽  
Yusnaini a ◽  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Formal Education ◽  
Sampling Technique ◽  
Patient Safety Culture ◽  
P Value ◽  
Cross Sectional ◽  
Clinical Leadership ◽  
Good Patient ◽  
The Relationship

The quality of health services is the main focus in health service facilities, especially hospitals. A patient safety culture can improve quality and patient safety. Nurse clinical leadership was identified as one of the supporting factors for the successful application of a patient safety culture. This study aims to analyze the relationship between clinical leadership of nurses and the application of a patient safety culture at Nurul Hasanah Hospital. This type of research is descriptive correlational analytic with cross sectional approach.The population in this study were all nurses at Nurul Hasanah Hospital with a total sampling technique of 62 nurses. The results showed that most of the respondents with good clinical leadership (53.2%), most of the application of a good patient safety culture (66.1%) and there was a significant relationship between the clinical leadership of nurses and the application of a patient safety culture (p-value = 0.043). So it can be concluded that the application of a good patient safety culture can be realized by the optimal clinical leadership abilities of nurses. Therefore, the support of the hospital managerial is very important to support the clinical leadership competence of nurses in realizing the achievement of a patient safety culture through both formal and non-formal education.

scholarly journals Contributive factors for the consolidation of patient safety culture in the hospital environment

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Andréia Heidmann ◽  
Letícia Flores Trindade ◽  
Catiele Raquel Schmidt ◽  
Marli Maria Loro ◽  
Rosane Teresinha Fontana ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Cultural Change ◽  
Patient Safety Culture ◽  
Hospital Environment ◽  
Management Support ◽  
Contributing Factors ◽  
Level Ii ◽  
Hospital Institution ◽  
Northwest Region

ABSTRACT Objective: To understand the contributing factors for the consolidation of the patient safety culture, from a management perspective, in an accredited hospital. Method: A qualitative study developed in a hospital institution of size IV, accredited by the National Accreditation Organization as level II, located in the northwest region of the State of Rio Grande do Sul/Brazil. The inclusion criteria were the following: having been in the leadership position of the institution for over a year and actively participating in the accreditation process. Leaders on vacation or absent due to illness in August 2018 were excluded. The collection was performed using the Focus Group technique in August 2018. Data were explored by thematic analysis. Results: The group reported teamwork, professional appreciation, management support, implementation of protocols, professional satisfaction, and working conditions as factors that contributed to the consolidation of the safety culture. Conclusions and implications for practice: The identified factors allowed for a cultural change in the institution through participatory management in processes and results that encourage workers to assume significant roles in advancing patient safety by assimilating and taking responsibility for change, which plays a crucial role in developing safe care.

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