The relationship between surgical intensive care unit nurses' patient safety culture and adverse events

2021 ◽  
Author(s):  
Tugce Yesilyaprak ◽  
Fatma Demir Korkmaz
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Intensive Care Unit Nurses ◽  
The Relationship

scholarly journals Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

2017 ◽  
Vol 3 (1) ◽  
pp. 110
Author(s):  
Safaa M. El-Demerdash ◽  
Heba K. Obied
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Safety Culture ◽  
Negative Correlation ◽  
Patient Safety Culture ◽  
Significant Negative Correlation ◽  
Team Work ◽  
High Level ◽  
Intensive Care Unit Nurses

Intensive care unit (ICU) nurses face many uncertain situations that may affect their patient care decisions and jeopardize patients’ safety.Aim: This study aimed to explore the relationship between uncertainty and patient safety culture among intensive care unit nurses at Tanta Main University Hospital.Study subject: included (155) nurses worked in intensive care units at Tanta University Main Hospital. Two tools were used Tool (I): Nurses’ Uncertainty Questionnaire. Tool (II): Patient Safety Culture Questionnaire.Results: 74.2% of participant ICU nurses’ experienced high levels of uncertainty. Above half (56.1% and 56.1%) of them always experienced being uncomfortable and confused& loss of control when facing uncertain situations in ICUs. 84.5% and 76.8% of them always used team work; and learn from past experience to deal with uncertainty. 47.1% of them evaluated patient safety in their ICUs as acceptable and bad. There was a high statistical negative correlation between the levels of patient safety culture and experiencing uncertainty by ICU nurses at p= 0.000.Conclusions: ICU nurses experienced high level of uncertainty; they rely on experience and teamwork rather than evidence-based practices to manage clinical uncertainty. High statistical significant negative correlation was found between patient safety culture and experiencing uncertainty by ICU nurses.

scholarly journals Assessment of patient safety culture in intensive care units and factors affecting it

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Tlili ◽  
W Aouicha ◽  
H Lamine ◽  
E Taghouti ◽  
M B e n Dhiab ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Adverse Events ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Healthcare Quality ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Learning From Errors

Abstract Background The intensive care units are a high-risk environments for the occurrence of adverse events with serious consequences. The development of patient safety culture is a strategic focus to prevent these adverse events and improve patient safety and healthcare quality. This study aimed to assess patient safety culture in Tunisian intensive care units and to determine its associated factors. Methods It is a multicenter, descriptive cross-sectional study, among healthcare professionals of the intensive care units in the Tunisian center. The data collection was spread over a period of 2 months (October-November 2017). The measuring instrument used is the validated French version of the Hospital Survey On Patient Safety Culture questionnaire. Data entry and analysis was carried out by the Statistical Package for Social Sciences (SPSS 20.0) and Epi Info 6.04. Chi-square test was used to explore factors associated with patient safety culture. Results A total of 404 professionals participated in the study with a participation rate of 81.94%, spread over 10 hospitals and 18 units. All dimensions were to be improved. The overall perception of safety was 32.35%. The most developed dimension was teamwork within units with a score of 47.87% and the least developed dimension was the non-punitive response to error (18.6%). The patient safety culture was significantly more developed in private hospitals in seven of the 10 dimensions. Participants working in small units had a significantly higher patient safety culture. It has been shown that when workload is reduced the patient safety culture was significantly increased. Conclusions This study has shown that the patient safety culture still needs to be improved and allowed a clearer view of the safety aspects requiring special attention. Thus, improving patient safety culture. by implementing the quality management and error reporting systems could contribute to enhance the quality of healthcare provided to patients. Key messages The culture of culpability is the main weakness in the study. Encouraging event reporting and learning from errors s should be priorities in hospitals to enhance patient safety and healthcare quality.

SBAR Tool Implementation to Advance Communication, Teamwork, and the Perception of Patient Safety Culture

2018 ◽  
Vol 24 (2) ◽  
pp. 116-123 ◽  
Author(s):  
Raymond L. Bonds
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Military Training ◽  
Patient Safety Culture ◽  
Medication Administration ◽  
Healthcare Research ◽  
Current Evidence ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Anesthesia Providers

Current evidence reveals that surgical patients are more prone to adverse events when compared to any other population in the acute care setting. In a military training hospital, handoff communication between surgical intensive care unit (SICU) nurses, physicians, and anesthesia providers (certified registered nurse anesthetists and anesthesiologists) about patients being prepared for surgery was identified as a problem by an initial inquiry of the staff. This article discusses an evidence-based project (EBP) that utilized a standardized multidisciplinary Situation, Background, Assessment, Recommendation (SBAR) tool to improve communication, teamwork, and the perception of a patient safety culture between the SICU nurses and physicians and the anesthesia providers in preparation for surgery. The SICU and anesthesia departments received training on the SBAR tool, followed by a 7-week implementation period. Standardized handoff communication utilizing the SBAR method increased by 100%, and documentation of intraoperative antibiotics on the electronic medication administration record increased by 43%. Postimplementation results from the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture surpassed database benchmarks for handoffs and transitions, overall perception of patient safety culture, and teamwork across units. This project reinforced current evidence supporting the use of standardized handoff communication.

Applying an ecological restoration approach to study patient safety culture in an intensive care unit

2016 ◽  
Vol 25 (7-8) ◽  
pp. 1073-1085 ◽  
Author(s):  
Fernanda Raphael Escobar Gimenes ◽  
Mayara Carvalho Godinho Rigobello Torrieri ◽  
Carmen Silvia Gabriel ◽  
Fernanda Ludmilla Rossi Rocha ◽  
Ana Elisa Bauer de Camargo Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Ecological Restoration ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Study Patient
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