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BMC Health Services Research May 2024Strong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and...
BACKGROUND
Strong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and patients. However, there is currently minimal published empirical evidence about the relationship between the perceptions of providers and staff on workplace safety culture and patient safety culture.
METHODS
This study examined cross-sectional relationships between the core Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey 2.0 patient safety culture measures and supplemental workplace safety culture measures. We used data from a pilot test in 2021 of the Workplace Safety Supplemental Item Set, which consisted of 6,684 respondents from 28 hospitals in 16 states. We performed multiple regressions to examine the relationships between the 11 patient safety culture measures and the 10 workplace safety culture measures.
RESULTS
Sixty-nine (69) of 110 associations were statistically significant (mean standardized β = 0.5; 0.58 < standardized β < 0.95). The largest number of associations for the workplace safety culture measures with the patient safety culture measures were: (1) overall support from hospital leaders to ensure workplace safety; (2) being able to report workplace safety problems without negative consequences; and, (3) overall rating on workplace safety. The two associations with the strongest magnitude were between the overall rating on workplace safety and hospital management support for patient safety (standardized β = 0.95) and hospital management support for workplace safety and hospital management support for patient safety (standardized β = 0.93).
CONCLUSIONS
Study results provide evidence that workplace safety culture and patient safety culture are fundamentally linked and both are vital to a strong and healthy culture of safety.
Topics: Humans; Patient Safety; Organizational Culture; Cross-Sectional Studies; Safety Management; Workplace; Surveys and Questionnaires; Female; Male; United States; Hospitals; Adult; Attitude of Health Personnel
PubMed: 38698405
DOI: 10.1186/s12913-024-10984-3 -
Journal of Patient Safety Jan 2021This study conducted a survey to examine how the general public in Korea perceives patient engagement for patient safety and to identify vulnerable groups and contents...
OBJECTIVES
This study conducted a survey to examine how the general public in Korea perceives patient engagement for patient safety and to identify vulnerable groups and contents priorities of patient engagement education for the general public.
METHODS
We developed a questionnaire based on previous studies and conducted one-on-one interviews with 600 individuals from the public. Then, we conducted descriptive statistical analyses (i.e., frequency, percentage, and averages) on the questionnaire items. Furthermore, we examined the individual differences of participants' sociodemographic characteristics in their responses to the questionnaire.
RESULTS
The general public's awareness regarding accreditation programs for healthcare organizations was still low (47.4%). Nearly 60% of participants said that they did not agree with the practice of telling their own names and dates of birth before treatment. Approximately 80% of the participants would not ask medical staff to confirm washing their hands. Only half of the participants were aware of medical dispute mediation and arbitration programs. Nearly 90% of the participants agreed that patient safety is important. However, on participants' confidence in making the correct choice and safety in their treatment, the average score was 68.7 of 100 points. Participants tended to be less confident about engaging in patient safety activities if they were older, less educated, or had poor health status.
CONCLUSIONS
Participants in this study believed that patient safety is an important issue, but they were not confident about choosing the correct medical institution or about receiving safe treatment.
Topics: Adult; Aged; Female; Humans; Male; Middle Aged; Neural Networks, Computer; Patient Participation; Patient Safety; Republic of Korea; Surveys and Questionnaires; Young Adult
PubMed: 30633064
DOI: 10.1097/PTS.0000000000000565 -
Revista Brasileira de Enfermagem 2020to report the development and implementation of a digital tool developed by a group of nurses and information technology professionals working in healthcare quality...
OBJECTIVES
to report the development and implementation of a digital tool developed by a group of nurses and information technology professionals working in healthcare quality management.
METHODS
an experience report regarding the development of the Safety Huddle digital model, using the agile Scrum methodology.
RESULTS
the first stage was the development of the model proposed by the team of nurses and IT professionals, based on the demand of quality and patient safety leaders in Brazil, and the second phase was the software implementation.
FINAL CONSIDERATIONS
the development and implementation of the Safety Huddle contributed to expedite the detection and distribution of actions, in addition to promoting integration among teams, accountability, and empowerment of professionals to foresee and identify issues related to patient safety and face them through action plans.
Topics: Brazil; Humans; Patient Care Team; Patient Safety; Software
PubMed: 33338149
DOI: 10.1590/0034-7167-2019-0788 -
JAMA Jun 2023US hospitals report data on many health care quality metrics to government and independent health care rating organizations, but the annual cost to acute care hospitals...
IMPORTANCE
US hospitals report data on many health care quality metrics to government and independent health care rating organizations, but the annual cost to acute care hospitals of measuring and reporting quality metric data, independent of resources spent on quality interventions, is not well known.
OBJECTIVE
To evaluate externally reported inpatient quality metrics for adult patients and estimate the cost of data collection and reporting, independent of quality-improvement efforts.
DESIGN, SETTING, AND PARTICIPANTS
Retrospective time-driven activity-based costing study at the Johns Hopkins Hospital (Baltimore, Maryland) with hospital personnel involved in quality metric reporting processes interviewed between January 1, 2019, and June 30, 2019, about quality reporting activities in the 2018 calendar year.
MAIN OUTCOMES AND MEASURES
Outcomes included the number of metrics, annual person-hours per metric type, and annual personnel cost per metric type.
RESULTS
A total of 162 unique metrics were identified, of which 96 (59.3%) were claims-based, 107 (66.0%) were outcome metrics, and 101 (62.3%) were related to patient safety. Preparing and reporting data for these metrics required an estimated 108 478 person-hours, with an estimated personnel cost of $5 038 218.28 (2022 USD) plus an additional $602 730.66 in vendor fees. Claims-based (96 metrics; $37 553.58 per metric per year) and chart-abstracted (26 metrics; $33 871.30 per metric per year) metrics used the most resources per metric, while electronic metrics consumed far less (4 metrics; $1901.58 per metric per year).
CONCLUSIONS AND RELEVANCE
Significant resources are expended exclusively for quality reporting, and some methods of quality assessment are far more expensive than others. Claims-based metrics were unexpectedly found to be the most resource intensive of all metric types. Policy makers should consider reducing the number of metrics and shifting to electronic metrics, when possible, to optimize resources spent in the overall pursuit of higher quality.
Topics: Humans; Delivery of Health Care; Hospitals; Quality Improvement; Quality of Health Care; Retrospective Studies; Adult; United States; Insurance Claim Review; Patient Safety; Public Reporting of Healthcare Data; Economics, Hospital
PubMed: 37278813
DOI: 10.1001/jama.2023.7271 -
Revista Brasileira de Enfermagem 2020to reflect on aspects related to homeless patients' safety.
OBJECTIVES
to reflect on aspects related to homeless patients' safety.
METHODS
this is a reflective theoretical essay based on patient safety theories.
RESULTS
the patient safety culture has developed in the hospital care context and seeks to reduce adverse events in specific hospital settings. On the streets, there is evidence that many people suffer damage related to lack of access to health services, which contributes to undiagnosed or untreated diseases. To build the safety culture it is necessary to identify risks and errors in this scenario since health safety should not start only when hospitalizing an individual.
FINAL CONSIDERATIONS
public policies for this population group need to be effective, as this issue should be a priority concern in health care to prevent harm and adverse events during care delivery.
Topics: Ill-Housed Persons; Humans; Patient Safety; Quality of Health Care
PubMed: 32609211
DOI: 10.1590/0034-7167-2019-0114 -
BMJ Open Feb 2017To explore the status of patient safety culture in Arab countries based on the findings of the Hospital Survey on Patient Safety Culture (HSPSC). (Review)
Review
OBJECTIVES
To explore the status of patient safety culture in Arab countries based on the findings of the Hospital Survey on Patient Safety Culture (HSPSC).
DESIGN
Systematic review.
METHODS
We performed electronic searches of the MEDLINE, EMBASE, CINAHL, ProQuest and PsychINFO, Google Scholar and PubMed databases, with manual searches of bibliographies of included articles and key journals. We included studies that were conducted in the Arab countries that were focused on patient safety culture. 2 reviewers independently verified that the studies met the inclusion criteria and critically assessed the quality of the studies.
RESULTS
18 studies met our inclusion criteria. The review identified that non-punitive response to error is seen as a serious issue which needs to be improved. Healthcare professionals in the Arab countries tend to think that a 'culture of blame' still exists that prevents them from reporting incidents. We found an overall similarity between the reported composite score for dimension of teamwork within units in all of the reviewed studies. Teamwork within units was found to be better than teamwork across hospital units. All of the reviewed studies reported that organisational learning and continuous improvement was satisfactory as the average score of this dimension for all studies was 73.2%. Moreover, the review found that communication openness seems to be a concerning issue for healthcare professionals in the Arab countries.
CONCLUSIONS
There is a need to promote patient safety culture as a strategy for improving the patient safety in the Arab world. Improving patient safety culture should include all stakeholders, like policymakers, healthcare providers and those responsible for medical education. This review was limited only to English language publications. The varied settings in which the HSPSC was used may have influenced the areas of strengths and weaknesses as healthcare workers' perception of safety culture may differ.
Topics: Attitude of Health Personnel; Communication; Humans; Middle East; Organizational Culture; Patient Safety; Quality Improvement; Stakeholder Participation
PubMed: 28237956
DOI: 10.1136/bmjopen-2016-013487 -
BMJ Open Sep 2014To review the empirical literature to identify the activities, time spent and engagement of hospital managers in quality of care. (Review)
Review
OBJECTIVES
To review the empirical literature to identify the activities, time spent and engagement of hospital managers in quality of care.
DESIGN
A systematic review of the literature.
METHODS
A search was carried out on the databases MEDLINE, PSYCHINFO, EMBASE, HMIC. The search strategy covered three facets: management, quality of care and the hospital setting comprising medical subject headings and key terms. Reviewers screened 15,447 titles/abstracts and 423 full texts were checked against inclusion criteria. Data extraction and quality assessment were performed on 19 included articles.
RESULTS
The majority of studies were set in the USA and investigated Board/senior level management. The most common research designs were interviews and surveys on the perceptions of managerial quality and safety practices. Managerial activities comprised strategy, culture and data-centred activities, such as driving improvement culture and promotion of quality, strategy/goal setting and providing feedback. Significant positive associations with quality included compensation attached to quality, using quality improvement measures and having a Board quality committee. However, there is an inconsistency and inadequate employment of these conditions and actions across the sample hospitals.
CONCLUSIONS
There is some evidence that managers' time spent and work can influence quality and safety clinical outcomes, processes and performance. However, there is a dearth of empirical studies, further weakened by a lack of objective outcome measures and little examination of actual actions undertaken. We present a model to summarise the conditions and activities that affect quality performance.
Topics: Hospital Administrators; Hospitals; Humans; Patient Safety; Professional Role; Quality of Health Care
PubMed: 25192876
DOI: 10.1136/bmjopen-2014-005055 -
Archivos Argentinos de Pediatria Oct 2015Patient safety and quality of care has become a challenge for health systems. Health care is an increasingly complex and risky activity, as it represents a combination...
Patient safety and quality of care has become a challenge for health systems. Health care is an increasingly complex and risky activity, as it represents a combination of human, technological and organizational processes. It is necessary, therefore, to take effective actions to reduce the adverse events and mitigate its impact. This glossary is a local adaptation of key terms and concepts from the international bibliographic sources. The aim is providing a common language for assessing patient safety processes and compare them.
Topics: Child; Humans; Patient Safety
PubMed: 26294153
DOI: 10.5546/aap.2015.469 -
BMJ Open Quality Jul 2020Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important...
BACKGROUND
Multiple modalities are available to introduce patient safety training to healthcare professionals. In internal medicine, clinical rounds have always played an important role in education; however, the patient safety content taught at the point of care is not well studied. We studied, both quantitatively and qualitatively, the number and nature of patient safety messages delivered by attending physicians to determine what is taught at the point of care and how well this is recognised and recalled by attending physicians, residents and medical students.
METHODS
This prospective mixed methods study was conducted on the medicine teaching service. Clinical rounds were audio-recorded. Immediately after rounds, attending physicians, residents and students completed a short survey card identifying the number and type of educational messages they immediately recalled teaching or hearing. Independent t-test was used to compare differences in the number of messages delivered by attendings and recalled by trainees. One-way analysis of variance was used to compare differences in messages delivered by attending physicians compared with trainees. Recordings were transcribed and analysed qualitatively for patient safety content.
RESULTS
Trainees recalled more educational messages than attendings recalled teaching in all educational domains. Safety messages comprised 17.5% of educational messages. The average number of patient safety messages recalled per session was 1.08 per attending physicians, 1.84 per resident and 2.50 per student. Residents recalled 56.4% of safety messages delivered; students recalled 76.7% of safety messages.
CONCLUSION
Patient safety is a focus of teaching during clinical rounds and provides meaningful opportunities to train students and residents to practice safe patient care.
Topics: Attitude of Health Personnel; Clinical Competence; Cross-Sectional Studies; Humans; Patient Safety; Prospective Studies; Qualitative Research; Students, Medical; Surveys and Questionnaires; Teaching Rounds
PubMed: 32719084
DOI: 10.1136/bmjoq-2019-000869 -
Revista Brasileira de Enfermagem Feb 2019To develop and validate an instrument for the self-assessment of the Patient Safety Centers in health care institutions. (Review)
Review
OBJECTIVE
To develop and validate an instrument for the self-assessment of the Patient Safety Centers in health care institutions.
METHOD
Non-experimental methodological study. Divided in the following stages: literature review and construction of the preliminary instrument; content validation by nine professionals with experience in Quality Management and patient safety, who contributed to the adequacy of the items in terms of clarity and relevance; finally, 12 PSC coordinators, which conducted the reliability validation of the final instrument, using Cronbach's Alpha.
RESULTS
The instrument presented content validity regarding clarity and relevance, evidenced by an agreement level greater than 70%. The internal consistency presented high reliability, with a Cronbach's alpha of 0.857 for the general instrument, 0.825 for the domain Structure, and 0.809 for the domain Process.
CONCLUSION
The instrument presented evidence of content validity and reliability for self-assessment, implementation and evaluation of the PSC in health institutions.
Topics: Brazil; Humans; Patient Safety; Psychometrics; Reproducibility of Results; Self-Assessment; Surveys and Questionnaires; Validation Studies as Topic
PubMed: 30942371
DOI: 10.1590/0034-7167-2017-0657