Changes in patient safety culture: A patient safety intervention for Finnish forensic psychiatric hospital staff

2019 ◽  
Vol 27 (4) ◽  
pp. 848-857 ◽  
Author(s):  
Anssi Kuosmanen ◽  
Jari Tiihonen ◽  
Eila Repo‐Tiihonen ◽  
Markku Eronen ◽  
Hannele Turunen
Keyword(s):  
Patient Safety ◽  
Psychiatric Hospital ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Safety Intervention ◽  
Forensic Psychiatric

Applying importance-performance analysis to patient safety culture

2015 ◽  
Vol 28 (8) ◽  
pp. 826-840 ◽  
Author(s):  
Yii-Ching Lee ◽  
Hsin-Hung Wu ◽  
Wan-Lin Hsieh ◽  
Shao-Jen Weng ◽  
Liang-Po Hsieh ◽  
...  
Keyword(s):  
Patient Safety ◽  
Performance Analysis ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Healthcare Organizations ◽  
Content Type ◽  
Safety Attitudes ◽  
Upper Management

Purpose – The Sexton et al.’s (2006) safety attitudes questionnaire (SAQ) has been widely used to assess staff’s attitudes towards patient safety in healthcare organizations. However, to date there have been few studies that discuss the perceptions of patient safety both from hospital staff and upper management. The purpose of this paper is to improve and to develop better strategies regarding patient safety in healthcare organizations. Design/methodology/approach – The Chinese version of SAQ based on the Taiwan Joint Commission on Hospital Accreditation is used to evaluate the perceptions of hospital staff. The current study then lies in applying importance-performance analysis technique to identify the major strengths and weaknesses of the safety culture. Findings – The results show that teamwork climate, safety climate, job satisfaction, stress recognition and working conditions are major strengths and should be maintained in order to provide a better patient safety culture. On the contrary, perceptions of management and hospital handoffs and transitions are important weaknesses and should be improved immediately. Research limitations/implications – The research is restricted in generalizability. The assessment of hospital staff in patient safety culture is physicians and registered nurses. It would be interesting to further evaluate other staff’s (e.g. technicians, pharmacists and others) opinions regarding patient safety culture in the hospital. Originality/value – Few studies have clearly evaluated the perceptions of healthcare organization management regarding patient safety culture. Healthcare managers enable to take more effective actions to improve the level of patient safety by investigating key characteristics (either strengths or weaknesses) that healthcare organizations should focus on.

Patient Safety Culture in Two Finnish State-Run Forensic Psychiatric Hospitals

2013 ◽  
Vol 9 (4) ◽  
pp. 207-216 ◽  
Author(s):  
Anssi Kuosmanen ◽  
Jari Tiihonen ◽  
Eila Repo-Tiihonen ◽  
Markku Eronen ◽  
Hannele Turunen
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Psychiatric Hospitals ◽  
Patient Safety Culture ◽  
Forensic Psychiatric

scholarly journals Quality control circle: a tool for enhancing perceptions of patient safety culture among hospital staff in Chinese hospitals

2019 ◽  
Vol 32 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Dan Zhang ◽  
Meixia Liao ◽  
Yiping Zhou ◽  
Tingfang Liu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Public Hospital ◽  
Univariate Analysis ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Longitudinal Survey ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Objective To explore whether quality control circle (QCC) is associated with hospital staff’s perceptions of patient safety culture (PSC). Design A cross-sectional survey in 12 public hospitals from October to December 2018 and a longitudinal survey in one public hospital from November 2017 to November 2018. Setting In 12 public hospitals from six provinces located in eastern, central and western of China, and one public hospital in eastern China. Participants In total, 811 and 102 hospital staff participated in the cross-sectional survey and the longitudinal survey, respectively. These participants included doctors, nurses, medical technicians and administrative staff. Main Outcome Measures Hospital staff’s perceptions of PSC were measured by the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The association between QCC implementation and PSC was identified by univariate analysis and multiple linear regression analysis. Results Univariate analysis showed that the staff from hospitals that had implemented QCC received significantly higher HSOPSC scores than those from hospitals where QCC had not been implemented (3.73 ± 0.61 vs. 3.57 ± 0.41, P < 0.05). The QCC implementation was a significant predictor in the established multiple linear regression model. One year after QCC implementation, the hospital involved in the longitudinal survey scored higher in HSOPSC than before (3.75 ± 0.42 vs. 3.60 ± 0.36, P < 0.001). Conclusions QCC implementation was positively associated with PSC and the former could promote the establishment of the latter. It is suggested that QCC can play an active role in enhancing PSC so as to further improve patient safety management.

scholarly journals Perception of patient safety culture among hospital staff

2021 ◽  
Vol 60 (2) ◽  
pp. 97-104
Author(s):  
Rumyana Stoyanova ◽  
Rositsa Dimova ◽  
Bianka Tornyova ◽  
Momchil Mavrov ◽  
Harieta Elkova
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Group Differences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mean Values ◽  
The Mean ◽  
Health Organization

Abstract Introduction A patient safety culture (PSC) is a complex phenomenon, representing an essential part of the organizational culture and refers to the shared values, conceptions and beliefs which contribute to the formation and encouragement of safe behavioural models in a health organization. With this study, the authors wanted to delineate the attitude of hospital staff in Bulgaria regarding PSC and to document to whether attitudes differ between physicians and other healthcare professionals (HCPs). Methods A national cross-sectional survey among 384 HCPs was conducted using an online version of the Bulgarian version of Hospital Survey on Patient Safety Culture (B-HSOPSC). The data was analysed with descriptive statistics, non-parametric Mann-Whitney U and x 2 tests. Results The physicians represented 37.50% (144) of the sample and other HCPs 62.50% (240). Respondents from governmental/municipal hospitals prevailed (53.6%). The dimensions “Staffing” and “Non-punitive response to error” were most problematic, as their percentage of positive response rates (PRRs) were lowest. However, “Handoffs and transitions” and “Supervisor/manager expectations and actions promoting safety“ showed the highest mean values in both physicians and other HCPs. From all participants, 76.0% have never reported an adverse event or error. Conclusion The results of the study show that all respondents demonstrate a positive attitude regarding PSC. A comparison of the mean values and that of PRRs in the dimensions did not show any group differences, according to the type of staff position, i.e. physicians or other HCPs.

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.

scholarly journals Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study

2016 ◽  
Vol 32 (11) ◽  
Author(s):  
Cláudia Tartaglia Reis ◽  
Josué Laguardia ◽  
Ana Glória Godoi Vasconcelos ◽  
Mônica Martins
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Factor Model ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Brazilian Version ◽  
Confirmatory Factor ◽  
Different Dimensions

Abstract: The evaluation of the culture of patient safety in hospitals is nowadays considered as a management too, since it helps to identify problem areas and provide valuable information for planning improvements. This study explored the reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture, an instrument that evaluates characteristics of patient safety culture among hospital staff. The reliability of the instrument was evaluated by analyzing the internal consistency of each dimension. The validity of the tool was carried out by means of exploratory and confirmatory factor analysis. The sample was made up of 322 questionnaires that were collected in two Brazilian hospitals in 2012. Cronbach's alpha ranged from 0.52 to 0.91 for the different dimensions, with the exception of two, for which it was much lower. After excluding four items, the exploratory factor analysis presented adjusted indices that were appropriate for a 10 factor model.

scholarly journals Post-Pandemic Patient Safety Culture: A Case from a Large Metropolitan Hospital Group in Taiwan

2021 ◽  
Vol 18 (9) ◽  
pp. 4537
Author(s):  
Hsing Yu Chen ◽  
Luo Lu ◽  
Yi Ming Ko ◽  
Jui Wen Chueh ◽  
Shu Ya Hsiao ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Female Gender ◽  
Patient Safety Culture ◽  
Well Being ◽  
Hospital Staff ◽  
Future Research ◽  
Metropolitan Hospital ◽  
Hospital Group ◽  
Stress Recognition

Patient safety is the core goal of medical institutions. The present study focuses on the patient safety culture and staff well-being admit the COVID-19 pandemic. In a large metropolitan hospital group, 337 employees who had participated in the quality improvement interventions completed an anonymous questionnaire of patient safety culture and personal well-being. The multiple regression analyses indicated that managerial role, seniority, female gender and direct contact with a patient were significantly related to the positive attitude on overall or certain dimensions of safety culture. Multivariate analysis also found that dimensions of teamwork climate, safety climate, job satisfaction and stress recognition as patient safety culture predicted staff exhaustion. Finally, comparing with the available institutional historic data in 2018, the COVID group scored higher on the working condition dimension of patient safety culture, but lower on the stress recognition dimension. The COVID group also scored higher on exhaustion. In the post-pandemic era, there seems to be an improvement on certain aspect of the patient safety culture among hospital staff, and the improvement is more prevalent for managers. However, exhaustion is also a poignant problem for all employees. These findings can inform hospital decision-makers in planning and implementing future improvements of patient safety culture and promoting employee well-being and resilience. Our findings also reveal directions for future research.

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