scholarly journals Examining the Importance of Hand Hygiene Policy and Patient Safety Culture on Improving Healthcare Workers’ Adherence to Hand Hygiene Practice in Critical Care Settings in the Sultanate of Oman: A Scoping Review

Cureus ◽  
2021 ◽  
Author(s):  
Khalid M Al Sawafi
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Hand Hygiene ◽  
Safety Culture ◽  
Scoping Review ◽  
Healthcare Workers ◽  
Patient Safety Culture ◽  
Hygiene Practice ◽  
Sultanate Of Oman

Perceived Patient Safety Culture in a Critical Care Transport Program

2013 ◽  
Vol 32 (4) ◽  
pp. 208-215 ◽  
Author(s):  
Cheryl Erler ◽  
Nancy E. Edwards ◽  
Steve Ritchey ◽  
Daniel J. Pesut ◽  
Laura Sands ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture

scholarly journals Patient Safety Culture Status and Its Predictors among Healthcare Workers

2018 ◽  
Vol 7 (2) ◽  
pp. 107
Author(s):  
Mengistu Mitiku ◽  
Alemseged Aregay ◽  
Tesfay Hailu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Health Care Professionals ◽  
Healthcare Workers ◽  
Strong Predictor ◽  
Statistical Significance ◽  
Patient Safety Culture ◽  
Current Status ◽  
Northern Ethiopia ◽  
Cross Sectional Survey

<p>Good patient safety culture of healthcare professionals brings about fine consequences for patients. This study, therefore, aimed in evaluating the current status and predictors of safety culture among healthcare workers in Mekelle Zone hospitals, Tigray, Northern Ethiopia. A cross-sectional survey was conducted among 325 healthcare workers in three hospitals of Mekelle city from February to May, 2017. Simple random sampling technique was employed to select study subjects. Data was analyzed using SPSS. Logistic regression was used to determine the predictors of patient safety culture among healthcare workers at 95% confidence level and 5% level of significance. Statistical significance was set at p &lt;0.05. Of the 325 Healthcare workers, 21.6% rated the culture of patient safety as satisfactory and 78.4% rated as unsatisfactory. Old aged healthcare workers (AOR=21.9, 95% of CI: 2.51-61.69) and ‘hospital management support for patient safety’ (AOR=2.68, 95% CI=1.06-6.79) were strong predictor of satisfactory patient safety culture. Satisfactory patient safety culture grade obtained was only 21.6%, indicating that health care professionals are not delivering patient centered service and there is a lot of work to be done in the hospitals to improve culture of patient safety among healthcare workers. </p>

Occupational stress, burnout and patient safety culture among workers from critical care and non critical care units in a hospital in Brazil

2020 ◽  
pp. 102978
Author(s):  
Alessandra Suptitz Carneiro ◽  
Rafaela Andolhe ◽  
Graziele de Lima Dalmolin ◽  
Ana Maria Müller de Magalhães ◽  
Tânia Solange Bosi de Souza Magnago ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Occupational Stress ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Critical Care Units

scholarly journals Negative Behaviors among Healthcare Professionals: Relationship with Patient Safety Culture

Healthcare ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 23 ◽  
Author(s):  
Diana Layne ◽  
Lynne Nemeth ◽  
Martina Mueller ◽  
Mary Martin
Keyword(s):  
Patient Safety ◽  
Employee Engagement ◽  
Patient Outcomes ◽  
Safety Culture ◽  
Healthcare Workers ◽  
Patient Safety Culture ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Negative Behaviors ◽  
Fear Of Retaliation

Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing of healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors adversely influence patient outcomes, employee satisfaction, retention, productivity, absenteeism, and employee engagement. Our objective was to examine the presence of negative behaviors within a healthcare system and the influence of negative behaviors among healthcare workers on perceptions of patient safety culture. Using a cross-sectional design, the negative behaviors in healthcare survey (NBHC) and selected composites of the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS) were combined within an electronic survey which was administered to physicians, clinical and managerial staff. Exposure to contributing factors of negative behaviors was moderately correlated with elements of HSOPS, including perceptions of teamwork within units, management response to error, and overall patient safety grade. Use of aggression and fear of retaliation were moderately correlated with HSOPS management response to error. Reducing healthcare worker exposure to contributing factors of negative behavior may result in increased perceptions of teamwork within a hospital unit, while addressing use of staff aggression and fear of retaliation potentially positively influences management response to error.

scholarly journals Implementation of the Comprehensive Unit-Based Safety Program to Improve Infection Prevention and Control Practices in Four Neonatal Intensive Care Units in Pune, India

2022 ◽  
Vol 9 ◽  
Author(s):  
Julia Johnson ◽  
Asad Latif ◽  
Bharat Randive ◽  
Abhay Kadam ◽  
Uday Rajput ◽  
...  
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Safety Culture ◽  
Neonatal Intensive Care ◽  
Hand Hygiene Compliance ◽  
Patient Safety Culture ◽  
Central Line ◽  
Infection Prevention And Control ◽  
Central Line Insertion ◽  
Hygiene Compliance

Objective: To implement the Comprehensive Unit-based Safety Program (CUSP) in four neonatal intensive care units (NICUs) in Pune, India, to improve infection prevention and control (IPC) practices.Design: In this quasi-experimental study, we implemented CUSP in four NICUs in Pune, India, to improve IPC practices in three focus areas: hand hygiene, aseptic technique for invasive procedures, and medication and intravenous fluid preparation and administration. Sites received training in CUSP methodology, formed multidisciplinary teams, and selected interventions for each focus area. Process measures included fidelity to CUSP, hand hygiene compliance, and central line insertion checklist completion. Outcome measures included the rate of healthcare-associated bloodstream infection (HA-BSI), all-cause mortality, patient safety culture, and workload.Results: A total of 144 healthcare workers and administrators completed CUSP training. All sites conducted at least 75% of monthly meetings. Hand hygiene compliance odds increased 6% per month [odds ratio (OR) 1.06 (95% CI 1.03–1.10)]. Providers completed insertion checklists for 68% of neonates with a central line; 83% of checklists were fully completed. All-cause mortality and HA-BSI rate did not change significantly after CUSP implementation. Patient safety culture domains with greatest improvement were management support for patient safety (+7.6%), teamwork within units (+5.3%), and organizational learning—continuous improvement (+4.7%). Overall workload increased from a mean score of 46.28 ± 16.97 at baseline to 65.07 ± 19.05 at follow-up (p &lt; 0.0001).Conclusion: CUSP implementation increased hand hygiene compliance, successful implementation of a central line insertion checklist, and improvements in safety culture in four Indian NICUs. This multimodal strategy is a promising framework for low- and middle-income country healthcare facilities to reduce HAI risk in neonates.

scholarly journals Assessment of patient safety culture perception among healthcare workers in intensive care units of Alexandria Main University Hospital, Egypt

2020 ◽  
Vol 56 (1) ◽  
pp. 173-180
Author(s):  
Eman Samy Ibrahim Foda ◽  
Afaf Gaber Ibrahim ◽  
Aida Mohey Mohamed Ali ◽  
Ahmed Moustafa El-Menshawy ◽  
Heba Mahmoud Taha Elweshahi
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Healthcare Workers ◽  
Patient Safety Culture ◽  
University Hospital

Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses

2020 ◽  
Vol 29 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Qasim AL Ma'mari ◽  
Loai Abu Sharour ◽  
Omar Al Omari
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Work Environment ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Critical Care Nurses ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Predictive Design

A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in Oman. A cross-sectional predictive design was used. A sample of 270 critical care nurses from the two main hospitals in the country's capital participated, with a response rate of 90%. The negative correlation between fatigue and patient safety culture (r= -0.240) indicates that fatigue has a detrimental effect on nurses' perceptions of safety. There was also a significant relationship between work environment, emotional exhaustion, depersonalisation, personal accomplishment and organisational patient safety culture. Regression analysis showed that fatigue, work environment, emotional exhaustion, depersonalisation and personal accomplishment were predictors for overall patient safety among critical care nurses (R2=0.322, F=6.117, P<0.0001). Working to correct these predictors and identifying other factors that affect the patient safety culture are important for improving and upgrading the patient safety culture in Omani hospitals.

Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene

2017 ◽  
Vol 38 (11) ◽  
pp. 1277-1283 ◽  
Author(s):  
Martine G. Caris ◽  
Pim G. A. Kamphuis ◽  
Mireille Dekker ◽  
Martine C. de Bruijne ◽  
Michiel A. van Agtmael ◽  
...  
Keyword(s):  
Patient Safety ◽  
Hand Hygiene ◽  
Safety Culture ◽  
Tertiary Care ◽  
Patient Safety Culture ◽  
Care Hospital ◽  
Independent Observer ◽  
Hospital Unit ◽  
High Performing ◽  
Low Levels

OBJECTIVETo investigate whether the safety culture of a hospital unit is associated with the ability to improve.DESIGNQualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene.SETTINGVU University Medical Center, a tertiary-care hospital in the Netherlands.METHODSWith support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level).RESULTSOverall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture.CONCLUSIONSSafety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions.Infect Control Hosp Epidemiol 2017;38:1277–1283

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