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Journal articles on the topic 'Patient safety climate'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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1

Avramchuk, Andre S., and Stephen J. J. McGuire. "Patient Safety Climate." Journal of Healthcare Management 63, no. 3 (May 2018): 175–92. http://dx.doi.org/10.1097/jhm-d-16-00004.

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2

While, Alison. "Patient safety and organisational climate." British Journal of Community Nursing 19, no. 9 (September 2, 2014): 466. http://dx.doi.org/10.12968/bjcn.2014.19.9.466.

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3

Li, Ai-Tzu. "Teamwork Climate and Patient Safety Attitudes." Journal of Nursing Care Quality 28, no. 1 (2013): 60–67. http://dx.doi.org/10.1097/ncq.0b013e318262ac45.

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4

Holden, Lela M., Dorraine D. Watts, and Patricia Hinton Walker. "Patient Safety Climate in Primary Care." Journal of Patient Safety 5, no. 1 (March 2009): 23–28. http://dx.doi.org/10.1097/pts.0b013e318199d4bf.

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5

Singer, Sara J., Alyson Falwell, David M. Gaba, and Laurence C. Baker. "Patient Safety Climate in US Hospitals." Medical Care 46, no. 11 (November 2008): 1149–56. http://dx.doi.org/10.1097/mlr.0b013e31817925c1.

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6

Kadzielski, John, Frank McCormick, David Zurakowski, and James H. Herndon. "Patient Safety Climate Among Orthopaedic Surgery Residents." Journal of Bone and Joint Surgery-American Volume 93, no. 11 (June 2011): e62(1)-e62(6). http://dx.doi.org/10.2106/jbjs.j.01478.

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Singer, Sara J., David M. Gaba, Alyson Falwell, Shoutzu Lin, Jennifer Hayes, and Laurence Baker. "Patient Safety Climate in 92 US Hospitals." Medical Care 47, no. 1 (January 2009): 23–31. http://dx.doi.org/10.1097/mlr.0b013e31817e189d.

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8

Taylor, J., F. Dominici, J. Agnew, D. Gerwin, L. Morlock, and M. Miller. "Safety climate, occupational injury, and patient safety in nursing units." Occupational and Environmental Medicine 68, Suppl_1 (September 1, 2011): A25—A26. http://dx.doi.org/10.1136/oemed-2011-100382.79.

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Aghaei, Hamed, Zahra Sadat Asadi, Mostafa Mirzaei Aliabadi, and Hassan Ahmadinia. "The Relationships Among Occupational Safety Climate, Patient Safety Climate, and Safety Performance Based on Structural Equation Modeling." Journal of Preventive Medicine and Public Health 53, no. 6 (November 30, 2020): 447–54. http://dx.doi.org/10.3961/jpmph.20.350.

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10

Pettker, C. M., S. F. Thung, C. A. Raab, K. P. Donohue, J. A. Copel, C. J. Lockwood, and E. F. Funai. "A Comprehensive Obstetrics Patient Safety Program Improves Safety Climate and Culture." Obstetric Anesthesia Digest 32, no. 1 (March 2012): 40. http://dx.doi.org/10.1097/01.aoa.0000410802.93265.d8.

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Pettker, Christian M., Stephen F. Thung, Cheryl A. Raab, Katie P. Donohue, Joshua A. Copel, Charles J. Lockwood, and Edmund F. Funai. "A Comprehensive Obstetrics Patient Safety Program Improves Safety Climate and Culture." Obstetrical & Gynecological Survey 66, no. 6 (June 2011): 346–47. http://dx.doi.org/10.1097/ogx.0b013e31822c186f.

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12

Pettker, Christian M., Stephen F. Thung, Cheryl A. Raab, Katie P. Donohue, Joshua A. Copel, Charles J. Lockwood, and Edmund F. Funai. "A comprehensive obstetrics patient safety program improves safety climate and culture." American Journal of Obstetrics and Gynecology 204, no. 3 (March 2011): 216.e1–216.e6. http://dx.doi.org/10.1016/j.ajog.2010.11.004.

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13

Alves, Daiane Fernanda Brigo, Elisiane Lorenzini, and Adriane Cristina Bernat Kolankiewicz. "Patient safety climate in a Brazilian general hospital." International Journal of Risk & Safety in Medicine 31, no. 2 (May 19, 2020): 97–106. http://dx.doi.org/10.3233/jrs-191024.

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14

Walston, Stephen L., Badran A. Al‐Omar, and Faisal A. Al‐Mutari. "Factors affecting the climate of hospital patient safety." International Journal of Health Care Quality Assurance 23, no. 1 (January 12, 2010): 35–50. http://dx.doi.org/10.1108/09526861011010668.

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15

Colla, J. B. "Measuring patient safety climate: a review of surveys." Quality and Safety in Health Care 14, no. 5 (October 1, 2005): 364–66. http://dx.doi.org/10.1136/qshc.2005.014217.

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16

Brandis, Susan, John Rice, and Stephanie Schleimer. "Dynamic workplace interactions for improving patient safety climate." Journal of Health Organization and Management 31, no. 1 (March 20, 2017): 38–53. http://dx.doi.org/10.1108/jhom-09-2016-0185.

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Purpose Employee engagement (EE), supervisor support (SS) and interprofessional collaboration (IPC) are important contributors to patient safety climate (PSC). The purpose of this paper is to propose and empirically test a model that suggests the presence of a three-way interaction effect between EE, IPC and SS in creating a stronger PSC. Design/methodology/approach Using validated tools to measure EE, SS, IPC and PSC data were collected from a questionnaire of 250 clinical and support staff in an Australian health service. Using a statistical package (SPSS) an exploratory factor analysis was conducted. Bivariate correlations between the derived variables were calculated and a hierarchical ordinary least squares analysis was used to examine the interaction between the variables. Findings This research finds that PSC emerges from synergies between EE, IPC and SS. Modelling demonstrates that the effect of IPC with PSC is the strongest when staff are highly engaged. While the authors expected SS to be an important predictor of PSC; EE has a stronger relationship to PSC. Practical implications These findings have important implications for the development of patient safety programmes that focus on developing excellent supervisors and enabling IPC. Originality/value The authors provide quantitative evidence relating to three of the often mentioned constructs in the typology of patient safety and how they work together to improve PSC. The authors believe this to be the first empirically based study that confirms the importance of IPC as a lead marker for improved patient safety.
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17

Alvarado, Carla J., Pascale Carayon, and Ann Schoofs Hundt. "Patient Safety Climate (PSC) in Outpatient Surgery Centers." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 48, no. 14 (September 2004): 1629–33. http://dx.doi.org/10.1177/154193120404801415.

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18

Alvarado, Carla J., Pascale Carayon, and Ann Schoofs Hundt. "Patient Safety Climate (Psc) in Outpatient Surgery Centers — Part Two." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 49, no. 16 (September 2005): 1464–68. http://dx.doi.org/10.1177/154193120504901601.

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We report results of safety climate questions from health care professionals involved in the “Systems Engineering Intervention in Outpatient Surgery - a Collaborative Community Perspective” study undertaken at the University of Wisconsin-Madison. Surveys were conducted in five outpatient surgery centers pre- and post-intervention. The objectives of this study were to examine patient safety climate across various outpatient surgery centers pre- and post-specific patient safety interventions and to examine the relationship between patient safety climate and job categories, individual outpatient centers and the respondents' Quality of Working Life (QWL). Our results indicate that four patient safety climate scales can be created from the pre- and post-intervention 12-item questionnaire: (1) Top management commitment to patient safety, (2) General patent safety climate, (3) Employee commitment to patient safety and (4) Patient safety change. In one of the survey centers, patient safety climate became more negative over time.
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19

Pousette, Anders, Pernilla Larsman, Mats Eklöf, and Marianne Törner. "The relationship between patient safety climate and occupational safety climate in healthcare – A multi-level investigation." Journal of Safety Research 61 (June 2017): 187–98. http://dx.doi.org/10.1016/j.jsr.2017.02.020.

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20

Hirsbrunner, Therese, Kris Denhaerynck, Katharina Fierz, Koen Milisen, and Rene Schwendimann. "Nurse staffing, patient turnover and safety climate and their association with in-patient falls and injurious falls on medical acute care units: a cross-sectional study." Journal of Hospital Administration 4, no. 3 (April 14, 2015): 54. http://dx.doi.org/10.5430/jha.v4n3p54.

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Objective: Falls and related injuries remain a considerable health risk for in-patients. Numerous studies link falls with nurse staffing levels, but the results are inconsistent. The purpose of this study was to explore the associations between fall prevalence and injurious falls on medical wards and three unit-level system factors: daily nurse staffing, patient turnover, and safety climate.Methods: Using a cross-sectional design, we conducted a secondary data analysis of data from the Patient Safety and Falls Project. Five medical units in a Swiss university hospital were included, resulting in a data set of 949 days, with daily measures of nurse staffing, patient turnover and falls. The safety climate was measured using a subscale of the Safety Attitudes Questionnaire and analyzed at the unit level including data from 154 nurses. Robust multivariate logistic regression was used to explore nurse staffing, patient turnover, and safety climate’s associations with in-patient falls and fall injuries.Results: After controlling for patient age, length of stay and nursing fulltime equivalents, registered nurse experience showed a significant negative relationship with falls (OR = .83, p < .0001). Patient turnover and safety climate were not significantly associated to falls or fall injuries.Conclusions: By linking nurse staffing variables to in-patient falls and fall injuries, the current study’s findings partly confirm those of previous research. Further investigation will be necessary to isolate key factors influencing the association at the unit level between safety climate and in-patient falls.
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21

Mohr, David C., Jennifer Lipkowitz Eaton, Kathleen M. McPhaul, and Michael J. Hodgson. "Does Employee Safety Matter for Patients Too? Employee Safety Climate and Patient Safety Culture in Health Care." Journal of Patient Safety 14, no. 3 (September 2018): 181–85. http://dx.doi.org/10.1097/pts.0000000000000186.

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22

van Melle, Marije A., Henk F. van Stel, Judith M. Poldervaart, Niek J. de Wit, and Dorien L. M. Zwart. "Validation of a questionnaire measuring transitional patient safety climate indicated differences in transitional patient safety climate between primary and secondary care." Journal of Clinical Epidemiology 94 (February 2018): 114–21. http://dx.doi.org/10.1016/j.jclinepi.2017.09.018.

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23

Agnew, Cakil, Rhona Flin, and Kathryn Mearns. "Patient safety climate and worker safety behaviours in acute hospitals in Scotland." Journal of Safety Research 45 (June 2013): 95–101. http://dx.doi.org/10.1016/j.jsr.2013.01.008.

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24

Pettker, Christian, Stephen Thung, Cheryl Raab, Joshua Copel, and Edmund Funai. "543: A comprehensive OB patient safety program improves safety climate and culture." American Journal of Obstetrics and Gynecology 201, no. 6 (December 2009): S202—S203. http://dx.doi.org/10.1016/j.ajog.2009.10.408.

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25

Tejera Quintana, Rubén Jesús, Pilar Marqués-Sánchez, C. Patricia Arencibia-Sánchez, and Elba Mauriz. "Safety Climate Assessment in Operating Room Nurses Through Safety Attitudes Questionnaire (SAQ)." Archives of Nursing Research 2, no. 1 (July 17, 2018): 1. http://dx.doi.org/10.24253/anr.2.1.

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Introduction: Surgical safety is a public health concern worldwide. The attitudes and perceptions of the surgical team regarding to the safety of the patient are associated to the safety climate and the prevalence of adverse events. Objective: To evaluate the safety climate perceived by operating room nurses from several Hospitals. Method: This works presents a multicentre cross-sectional study. Data collection was obtained by means of The Safety Attitudes Questionnaire (SAQ), a self-completed questionnaire translated to the Spanish. A convenience sample with voluntary participation was selected. The safety climate was determined through six factors: Teamwork climate, Safety climate, Job satisfaction, Perception of the Unit and Hospital Management, Working conditions and Stress recognition. Results: safety climate perceived by surgical nurses shows mixed values in relation to patient safety. Perception of the management (p = 0.001)and Working condition domain (p = 0.003) are the domains worst valued. The size of the hospitals and Years of professional experience showed statistical differences in several domains. Conclusions: The variation of the safety climate perceived by nurses suggests that there are needs and opportunities for improvement in all its dimensions.
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26

Hwang, Jee-In, Sung Wan Kim, and Ho Jun Chin. "Patient Participation in Patient Safety and Its Relationships with Nurses' Patient-Centered Care Competency, Teamwork, and Safety Climate." Asian Nursing Research 13, no. 2 (May 2019): 130–36. http://dx.doi.org/10.1016/j.anr.2019.03.001.

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27

Alzahrani, Naif, Russell Jones, and Mohamed Abdel-Latif. "Attitudes of Doctors and Nurses toward Patient Safety within Emergency Departments of a Saudi Arabian Hospital: A Qualitative Study." Healthcare 7, no. 1 (March 18, 2019): 44. http://dx.doi.org/10.3390/healthcare7010044.

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Background: The attitudes of doctors and nurses toward patient safety representa significant contributing factor to hospital safety climates and medical error rates. Yet, there are very few studies of patient safety attitudes in Saudi hospitals and none conducted in hospital emergency departments. Aims: The current study aims to investigate and compare the patient safety attitudes of doctors and nurses in a Saudi hospital emergency department. Materials and Method: The study employed a qualitative research design via semi-structured interviews with Saudi and non-Saudi doctors and nurses working in a Saudi hospital emergency department to determine their attitudes and experiences about the patient safety climate. Results: Findings revealed doctors and nurses held some similar safety attitudes; however, nurses reported issues with doctors with respect to their teamwork, communication, and patient safety attitudes. Moreover, several barriers to the patient safety climate were identified, including limits to resources, teamwork, communication, and incident reporting. Conclusion: The findings provide one of the few research contributions to knowledge regarding the patient safety attitudes of Saudi and non-Saudi doctors and nurses and suggest the application of such knowledge would enhance positive patient outcomes in emergency departments.
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Utari, Dyah, and Syahrul Meizar Nasri. "Work environment affects patient safety climate in a government hospital." International Journal of Public Health Science (IJPHS) 10, no. 1 (March 1, 2021): 61. http://dx.doi.org/10.11591/ijphs.v10i1.20629.

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The work environment becomes one of the motivations for someone to work. The climate of working environment is very important for a person, especially for medical staffs who actually handle and deal with sick people. Medical officers are required to always be friendly, agile, discipline and polite in front of patients thus the patient feels comfortable and quiet. This study aimed to analysis the relationship between work environment and patients’ safety climate. This study was conducted with questionnaires. Based on the survey results, it was revealed that the hospital environment determines the form of services provided to patients. The working environment has positive relationship to patients’ safety climate. At the hospital, there are latent conditions that may be a risk of accidents that come from heavy work load, management and inadequate supervision, work environment filled with pressure and inadequate communication systems. Work environment contributes greatly because the overall work in providing services to patients requires good teamwork.
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NENNİ UNAL, Ferhan, and Harun KIRILMAZ. "Research on Patient Safety Climate Perceptions of Health Employees." Turkiye Klinikleri Journal of Medical Ethics-Law and History 28, no. 1 (2020): 46–54. http://dx.doi.org/10.5336/mdethic.2019-70748.

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30

Matsubara, S., A. Hagihara, and K. Nobutomo. "Development of a patient safety climate scale in Japan." International Journal for Quality in Health Care 20, no. 3 (March 12, 2008): 211–20. http://dx.doi.org/10.1093/intqhc/mzn003.

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31

Hartmann, Christine W., Amy K. Rosen, Mark Meterko, Priti Shokeen, Shibei Zhao, Sara Singer, Alyson Falwell, and David M. Gaba. "An Overview of Patient Safety Climate in the VA." Health Services Research 43, no. 4 (March 17, 2008): 1263–84. http://dx.doi.org/10.1111/j.1475-6773.2008.00839.x.

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32

Harahap, Muhammad Wirawan. "Hubungan antara Patient Safety Climate dengan Pelaksanaan Patient Safety di Rumah Sakit Ibnu Sina Tahun 2017." UMI Medical Journal 3, no. 1 (November 7, 2019): 24–35. http://dx.doi.org/10.33096/umj.v3i1.32.

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Keselamatan pasien muncul dan berkembang seiring dengan semakin bertambahnya jumlah insiden keselamatan pasien dan salah satu faktor yang mempengaruhi keselamatan pasien adalah iklim patient safety. Penelitian ini bertujuan mengetahui hubungan antara patient safety climate dengan pelaksanaan patient safety di RS Ibnu Sina tahun 2017. Penelitian ini merupakan jenis penelitian kuantitatif. Rancangan yang digunakan adalah observasional analitik dengan pendekatan cross-sectional. Sampel sebanyak 252 orang yang ditentukan dengan teknik total sampling. Hasil penelitian menunjukkan bahwa variabel iklim teamwork mempunyai hubungan yang signifikan di instalasi care unit, gawat darurat, rawat inap, rawat jalan, kamar operasi, farmasi, dan gizi, sedangkan variabel iklim keselamatan mempunyai hubungan di instalasi care unit, gawat darurat, rawat inap, rawat jalan, kamar operasi, farmasi, laboratorium dan radiologi. Variabel kepuasan kerja mempunyai hubungan di instalasi gawat darurat, rawat inap, laboratorium, radiologi dan gizi. Variabel stress recognition mempunyai hubungan di instalasi care unit, gawat darurat, rawat inap, kamar operasi dan farmasi. Adapun variabel persepsi manajemen mempunyai hubungan di instalasi rawat jalan dan variabel kondisi kerja mempunyai hubungan di instalasi care unit, gawat darurat, rawat inap, kamar operasi, farmasi, laboratorium, radiologi dan gizi.
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33

Tondo, Juliana Cristina Abbate, and Edinêis de Brito Guirardello. "Perception of nursing professionals on patient safety culture." Revista Brasileira de Enfermagem 70, no. 6 (December 2017): 1284–90. http://dx.doi.org/10.1590/0034-7167-2016-0010.

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ABSTRACT Objective: To evaluate nursing professionals’ perception on safety climate, to check if this perception differs between categories and if there is correlation between the Safety Attitude Questionaire (SAQ) domains and personal and professional variables. Method: Quantitative and transversal study held in a teaching hospital in the countryside of São Paulo, in Brazil. Data collection occurred in the period from April to July 2014, with the application of the SAQ. Results: 259 professionals participated in the study. The domain job satisfaction obtained scores above 75 for both categories. The perception of safety climate differed between the categories for most areas, except for the recognition of stress, and there is correlation between five SAQ domains and the variables time of experience and intention to leave the profession. Conclusion: Knowing the professionals’ perception on safety climate will contribute to a secure assistance.
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34

Al Salem, Gheed, Paul Bowie, and Jill Morrison. "Hospital Survey on Patient Safety Culture: psychometric evaluation in Kuwaiti public healthcare settings." BMJ Open 9, no. 5 (May 2019): e028666. http://dx.doi.org/10.1136/bmjopen-2018-028666.

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ObjectiveAs healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted in Kuwait public hospitals, nor are valid or reliable survey instruments available for this context. This study aims to investigate the psychometric properties of the HSOPSC (Hospital Survey on Patient Safety Culture) tool in Kuwaiti public hospitals in addition to constructing an optimal model to assess the level of safety climate in this setting.DesignCross-sectional study.SettingThree public hospitals in Kuwait.ParticipantsAbout 1317 healthcare professionals.Main outcome measureAn adapted and contextualised version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis, confirmatory factor analysis reliability and correlation analysis.Results1317 questionnaires (87%) were returned. Psychometric evaluation, showed an optimal model of eight factors and 22 safety climate items. All items have strong factor loadings (0.42–0.86) and are theoretically related. Reliability analysis showed satisfactory results (α >0.60).ConclusionsThis is the first validation study of a standardised safety climate measure in a Kuwaiti healthcare setting. An optimal model for assessing patient safety climate was produced that mirrors other international studies and which can be used for measuring the prevailing safety climate. More importance should be attached to the psychometric fidelity of safety climate questionnaires before extending their use in other healthcare culture and contexts internationally.
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Lee, Yii-Ching, Pei-Shan Zeng, Chih-Hsuan Huang, and Hsin-Hung Wu. "Causal Relationship Analysis of the Patient Safety Culture Based on Safety Attitudes Questionnaire in Taiwan." Journal of Healthcare Engineering 2018 (2018): 1–8. http://dx.doi.org/10.1155/2018/4268781.

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This study uses the decision-making trial and evaluation laboratory method to identify critical dimensions of the safety attitudes questionnaire in Taiwan in order to improve the patient safety culture from experts’ viewpoints. Teamwork climate, stress recognition, and perceptions of management are three causal dimensions, while safety climate, job satisfaction, and working conditions are receiving dimensions. In practice, improvements on effect-based dimensions might receive little effects when a great amount of efforts have been invested. In contrast, improving a causal dimension not only improves itself but also results in better performance of other dimension(s) directly affected by this particular dimension. Teamwork climate and perceptions of management are found to be the most critical dimensions because they are both causal dimensions and have significant influences on four dimensions apiece. It is worth to note that job satisfaction is the only dimension affected by the other dimensions. In order to effectively enhance the patient safety culture for healthcare organizations, teamwork climate, and perceptions of management should be closely monitored.
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Ross, Jacqueline. "Patient Safety Outcomes: The Importance of Understanding the Organizational Culture and Safety Climate." Journal of PeriAnesthesia Nursing 26, no. 5 (October 2011): 347–48. http://dx.doi.org/10.1016/j.jopan.2011.08.001.

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37

Durani, Piyush, Joseph Dias, Harvinder P. Singh, and Nicholas Taub. "Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate." BMJ Quality & Safety 22, no. 1 (August 10, 2012): 65–71. http://dx.doi.org/10.1136/bmjqs-2012-001009.

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38

Budiwibowo, Arif. "Analisis Persiapan Pelaksanaan Patient Safety di Ruang Rawat Inap (Studi Kasus di RSUD Kabupaten Bima)." PALAPA 6, no. 1 (May 26, 2018): 50–68. http://dx.doi.org/10.36088/palapa.v6i1.58.

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The era of globalization brings the very rapid effects in the development of cutting-edge medical technology. These conditions have an impact on medical services is very complex and very potentially cause errors, so that the necessary improvement of the quality of health services. Patient safety is one important component in the quality of health services. Improving patient safety measures needed to prevent and minimize unexpected events (KTD). Nurses are one of the health workers who are at the front of health services have a very important role in improving patient safety. The aim of this research to assess patient safety analysis on the Attitudes of ward nurses in public district general hospital Bima and in particular to know the components of patient safety climate Attitudes include teamwork, job conditions, employment decisions, factors that support and hinder patient safety Attitudes. The study was descriptive qualitative. Subjects were nurses of three subjects and patients with interviews. Data collection techniques in this study are the tape recorder. Qualitative data analysis technique that was using descriptive analysis techniques to describe the data in the field were analyzed and concluded. Attitudes of patient safety component of work climate Attitudes patient safety team showed low, job satisfaction shows high patient safety Attitudes at the components of job satisfaction, working conditions showed low Attitudes patient safety, because of logistical and laboratory support is still lacking. Components of patient safety high Attitudes namely job satisfaction component of patient safety is low Attitudes climate of teamwork and conditions of employment because of logistical and laboratory support is still lacking.
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39

Kalankova, D., D. Bartonickova, K. Ziakova, E. Gurkova, and R. Kurucova. "Assessment of the Safety Climate at University Hospitals in the Slovak Republic from the Nurses’ Perspective." Acta Medica Martiniana 20, no. 1 (April 1, 2020): 27–38. http://dx.doi.org/10.2478/acm-2020-0004.

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AbstractIntroduction: Safety climate consists of individual dimensions that might be assessed using specific instruments, e.g., the Hospital Survey on Patient Safety Culture (HSOPS). Establishing the safety climate in healthcare facilities leads to improvements in patient safety.Aim: To assess the safety climate at university hospitals in the Slovak Republic from the nurses’ perspective and to determine the relationship between organisational variables and the particular components of the safety climate.Methods: The study has a cross-sectional design. Data were collected using the HSOPS between December 2017 and July 2018. Two university hospitals participated in the study and overall 280 respondents were included. Respondents were recruited through the purposive sampling method. Data were analysed by descriptive and inductive statistics in the statistical programme SPSS 25.0.Results: Results indicate that in the university hospitals there is a low-level of safety climate. The significant relationship was proved between organisational variables such as the experience in the current position, leaving intention, overtime, perception of staff adequacy, unit type, nurse-patient ratio, and the particular components of the safety climate.Conclusion: Our findings may help hospital management to raise the awareness of the safety climate and to gain a sophisticated overview of the particular components of the safety climate. Adding new organisational variables may help to assess the safety climate from multiple perspectives and, thus, identify areas contributing to patient safety.
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40

Göras, Camilla, Maria Unbeck, Ulrica Nilsson, and Anna Ehrenberg. "Interprofessional team assessments of the patient safety climate in Swedish operating rooms: a cross-sectional survey." BMJ Open 7, no. 9 (September 2017): e015607. http://dx.doi.org/10.1136/bmjopen-2016-015607.

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BackgroundA positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors’ estimations of their staffs’ attitudes to patient safety.MethodsA cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams. To evoke estimations from nurse managers and medical directors about staff attitudes to patient safety, a short questionnaire, based on SAQ, was used. Three OR departments at three different hospitals in Sweden participated. All licensed practical nurses (n=124), perioperative nurses (n=233), physicians (n=184) and their respective manager (n=22) were invited to participate.ResultsMean percentage positive scores for the six SAQ factors and the three professional groups varied, and most factors (safety climate, teamwork climate, stress recognition, working conditions and perceptions of management), except job satisfaction, were below 60%. Significantly lower mean values were found for perioperative nurses compared with physicians for perceptions of management (56.4 vs 61.4, p=0.013) and working conditions (63.7 vs 69.8, p=0.007). Nurse managers and medical directors’ estimations of their staffs’ ratings of the safety climate cohered fairly well.ConclusionsThis study shows variations and some weak areas for patient safety climate in the studied ORs as reported by front-line staff and acknowledged by nurse managers and medical directors. This finding is a concern because a weak patient safety climate has been associated with poor patient outcomes. To raise awareness, managers need to support patient safety work in the OR.
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41

Lafleur, Alexandre, Adrien Harvey, and Caroline Simard. "Adjusting to duty hour reforms: residents’ perception of the safety climate in interdisciplinary night-float rotations." Canadian Medical Education Journal 9, no. 4 (November 13, 2018): e111-119. http://dx.doi.org/10.36834/cmej.43345.

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Background: New scheduling models were needed to adjust to residents’ duty hour reforms while maintaining safe patient care. In interdisciplinary night-float rotations, four to six residents from most residency programs collaborated for after-hours cross-coverage of most adult hospitalised patients as part of a Faculty-led rotation. Residents worked sixteen 12-hour night shifts over a month. Methods: We measured residents’ perception of the patient safety climate during implementation of night-float rotations in five tertiary hospitals. We surveyed 267 residents who had completed the rotation in 2015-2016 with an online version of the Safety Attitudes Questionnaire. First year residents came from most residency programs, second- and third-year residents came from internal medicine.Results: One-hundred-and-thirty residents completed the questionnaire. Scores did not differ across hospitals and residents’ years of training for all six safety-related climate factors: teamwork climate, job satisfaction, perceptions of management, safety climate, working conditions, and stress recognition.Conclusion: Simultaneous implementation in five hospitals of a Faculty-led interdisciplinary night-float rotation for most junior residents proved to be logistically feasible and showed similar and reassuring patient safety climate scores._____Contexte: De nouveaux horaires de garde en établissements hospitaliers étaient nécessaires pour s’adapter aux réformes des heures de travail des résidents tout en maintenant des soins sécuritaires pour les patients. Dans les stages cliniques de nuit interdisciplinaires, quatre à six résidents de la plupart des programmes de résidence ont collaboré pour assurer une couverture croisée, après les heures normales de travail, de la plupart des patients adultes hospitalisés. Les résidents ont travaillé seize nuits de 12 heures durant un mois.Méthodes: Nous avons mesuré la perception des résidents du climat de travail lié à la sécurité des patients lors de la mise en place de stages de nuit dans cinq hôpitaux universitaires. Nous avons interrogé 267 résidents ayant terminé le stage en 2015-2016 avec une version numérique du Safety Attitudes Questionnaire. Les résidents de première année provenaient de la plupart des programmes de résidence, les résidents de deuxième et troisième années provenaient du programme de médecine interne.Résultats: 130 résidents ont complété le questionnaire. Les scores ne différaient pas entre les hôpitaux et les années de formation des résidents pour les six facteurs liés à la sécurité des patients: climat de travail en équipe, satisfaction au travail, perceptions des supérieurs, climat de sécurité, conditions de travail et reconnaissance du stress.Conclusions: La mise en place simultanée, dans cinq hôpitaux, de stages cliniques de nuit réunissant des résidents juniors de la majorité des programmes de résidence fut logistiquement possible et a montré des résultats similaires et rassurants sur le climat de travail lié à la sécurité des patients.
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42

Zhu, Junya. "Measurement equivalence of patient safety climate in Chinese hospitals: can we compare across physicians and nurses?" International Journal for Quality in Health Care 31, no. 6 (June 11, 2018): 411–18. http://dx.doi.org/10.1093/intqhc/mzy132.

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Abstract Objective Self-report instruments have been widely used to better understand variations in patient safety climate between physicians and nurses. Research is needed to determine whether differences in patient safety climate reflect true differences in the underlying concepts. This is known as measurement equivalence, which is a prerequisite for meaningful group comparisons. This study aims to examine the degree of measurement equivalence of the responses to a patient safety climate survey of Chinese hospitals and to demonstrate how the measurement equivalence method can be applied to self-report climate surveys for patient safety research. Methods Using data from the Chinese Hospital Survey of Patient Safety Climate from six Chinese hospitals in 2011, we constructed two groups: physicians and nurses (346 per group). We used multiple-group confirmatory factor analyses to examine progressively more stringent restrictions for measurement equivalence. Results We identified weak factorial equivalence across the two groups. Strong factorial equivalence was found for Organizational Learning, Unit Management Support for Safety, Adequacy of Safety Arrangements, Institutional Commitment to Safety, Error Reporting and Teamwork. Strong factorial equivalence, however, was not found for Safety System, Communication and Peer Support and Staffing. Nevertheless, further analyses suggested that nonequivalence did not meaningfully affect the conclusions regarding physician–nurse differences in patient safety climate. Conclusions Our results provide evidence of at least partial equivalence of the survey responses between nurses and physicians, supporting mean comparisons of its constructs between the two groups. The measurement equivalence approach is essential to ensure that conclusions about group differences are valid.
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Zohar, Dov, Yael Livne, Orly Tenne-Gazit, Hanna Admi, and Yoel Donchin. "Healthcare climate: A framework for measuring and improving patient safety*." Critical Care Medicine 35, no. 5 (May 2007): 1312–17. http://dx.doi.org/10.1097/01.ccm.0000262404.10203.c9.

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44

Manojlovich, M., M. Kerr, B. Davies, J. Squires, R. Mallick, and G. L. Rodger. "Achieving a climate for patient safety by focusing on relationships." International Journal for Quality in Health Care 26, no. 6 (July 24, 2014): 579–84. http://dx.doi.org/10.1093/intqhc/mzu068.

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45

Ginsburg, Liane, and Debra Gilin Oore. "Patient safety climate strength: a concept that requires more attention." BMJ Quality & Safety 25, no. 9 (October 9, 2015): 680–87. http://dx.doi.org/10.1136/bmjqs-2015-004150.

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46

Hessels, Amanda J., Vinni Genovese-Schek, Mansi Agarwal, Teri Wurmser, and Elaine L. Larson. "Relationship between patient safety climate and adherence to standard precautions." American Journal of Infection Control 44, no. 10 (October 2016): 1128–32. http://dx.doi.org/10.1016/j.ajic.2016.03.060.

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47

Hessels, Amanda, and Elaine L. Larson. "Relationship between Patient Safety Climate and Adherence to Standard Precautions." American Journal of Infection Control 44, no. 6 (June 2016): S83—S84. http://dx.doi.org/10.1016/j.ajic.2016.04.087.

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48

Drekonja, Dimitri M., Larissa Grigoryan, Paola Lichtenberger, Christopher J. Graber, Payal K. Patel, John N. Van, Laura M. Dillon, et al. "Teamwork and safety climate affect antimicrobial stewardship for asymptomatic bacteriuria." Infection Control & Hospital Epidemiology 40, no. 9 (July 24, 2019): 963–67. http://dx.doi.org/10.1017/ice.2019.176.

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AbstractObjective:In preparation for a multisite antibiotic stewardship intervention, we assessed knowledge and attitudes toward management of asymptomatic bacteriuria (ASB) plus teamwork and safety climate among providers, nurses, and clinical nurse assistants (CNAs).Design:Prospective surveys during January–June 2018.Setting:All acute and long-term care units of 4 Veterans’ Affairs facilities.Methods:The survey instrument included 2 previously tested subcomponents: the Kicking CAUTI survey (ASB knowledge and attitudes) and the Safety Attitudes Questionnaire (SAQ).Results:A total of 534 surveys were completed, with an overall response rate of 65%. Cognitive biases impacting management of ASB were identified. For example, providers presented with a case scenario of an asymptomatic patient with a positive urine culture were more likely to give antibiotics if the organism was resistant to antibiotics. Additionally, more than 80% of both nurses and CNAs indicated that foul smell is an appropriate indication for a urine culture. We found significant interprofessional differences in teamwork and safety climate (defined as attitudes about issues relevant to patient safety), with CNAs having highest scores and resident physicians having the lowest scores on self-reported perceptions of teamwork and safety climates (P < .001). Among providers, higher safety-climate scores were significantly associated with appropriate risk perceptions related to ASB, whereas social norms concerning ASB management were correlated with higher teamwork climate ratings.Conclusions:Our survey revealed substantial misunderstanding regarding management of ASB among providers, nurses, and CNAs. Educating and empowering these professionals to discourage unnecessary urine culturing and inappropriate antibiotic use will be key components of antibiotic stewardship efforts.
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49

Luiz, Raíssa Bianca, Ana Lúcia de Assis Simões, Elizabeth Barichello, and Maria Helena Barbosa. "Factors associated with the patient safety climate at a teaching hospital." Revista Latino-Americana de Enfermagem 23, no. 5 (October 2015): 880–87. http://dx.doi.org/10.1590/0104-1169.0059.2627.

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Objectives: to investigate the association between the scores of the patient safety climate and socio-demographic and professional variables.Methods: an observational, sectional and quantitative study, conducted at a large public teaching hospital. The Safety Attitudes Questionnaire was used, translated and validated for Brazil. Data analysis used the software Statistical Package for Social Sciences. In the bivariate analysis, we used Student's t-test, analysis of variance and Spearman's correlation of (α=0.05). To identify predictors for the safety climate scores, multiple linear regression was used, having the safety climate domain as the main outcome (α=0.01).Results: most participants were women, nursing staff, who worked in direct care to adult patients in critical areas, without a graduate degree and without any other employment. The average and median total score of the instrument corresponded to 61.8 (SD=13.7) and 63.3, respectively. The variable professional performance was found as a factor associated with the safety environment for the domain perception of service management and hospital management (p=0.01).Conclusion: the identification of factors associated with the safety environment permits the construction of strategies for safe practices in the hospitals.
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50

Zaheer, Shahram, Liane R. Ginsburg, Hannah J. Wong, Kelly Thomson, and Lorna Bain. "Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety." BMJ Open Quality 7, no. 4 (November 2018): e000433. http://dx.doi.org/10.1136/bmjoq-2018-000433.

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BackgroundThere is growing evidence regarding the importance of contextual factors for patient/staff outcomes and the likelihood of successfully implementing safety improvement interventions such as checklists; however, certain literature gaps still remain—for example, lack of research examining the interactive effects of safety constructs on outcomes. This study has addressed some of these gaps, together with adding to our understanding of how context influences safety.PurposeThe impact of staff perceptions of safety climate (ie, senior and supervisory leadership support for safety) and teamwork climate on a self-reported safety outcome (ie, overall perceptions of patient safety (PS)) were examined at a hospital in Southern Ontario.MethodsCross-sectional survey data were collected from nurses, allied health professionals and unit clerks working on intensive care, general medicine, mental health or emergency department.ResultsHierarchical regression analyses showed that perceptions of senior leadership (p<0.001) and teamwork (p<0.001) were significantly associated with overall perceptions of PS. A non-significant association was found between perceptions of supervisory leadership and the outcome variable. However, when staff perceived poorer senior leadership support for safety, the positive effect of supervisory leadership on overall perceptions of PS became significantly stronger (p<0.05).Practice implicationsOur results suggest that leadership support at one level (ie, supervisory) can substitute for the absence of leadership support for safety at another level (ie, senior level). While healthcare organisations should recruit into leadership roles and retain individuals who prioritise safety and possess adequate relational competencies, the field would now benefit from evidence regarding how to build leadership support for PS. Also, it is important to provide on-site workshops on topics (eg, conflict management) that can strengthen working relationships across professional and unit boundaries.
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