Questionnaire for assessing patient safety culture in emergency services: an integrative review

ABSTRACT Objective: to identify the instruments used to assess patient safety culture in emergency settings. Method: an integrative literature review conducted from 2000 to 2018. Results: 13 instruments were identified to assess patient safety culture in hospital and pre-hospital emergencies, comprising 12 to 50 questions, grouped from three to 12 dimensions, with dimensions related to teamwork, support, and management actions for patient safety and for continuous process improvement and continuing education. The Emergency Medical Service Safety Attitude Questionnaire, which is exclusive for pre-hospital care, stands out. Conclusions: the choice and the best decision regarding the instrument are linked to the objectives, the environment and the population to be investigated, as well as the instrument’s reliability.

Clima de segurança dos profissionais da saúde em um hospital universitário

Analisar os preditores e fatores associados à cultura de segurança do paciente no ambiente hospitalar. Estudo quantitativo com delineamento transversal, realizado com 263 profissionais selecionados aleatoriamente e submetidos à aplicação do Instrumento Safety Attitude Questionnaire. Realizou-se análise estatística descritiva, correlação de Pearson, análise de variância e regressão linear. Nesse contexto, o constructo que obteve a maior média foi o de Satisfação no trabalho, já a menor foi o da Percepção da atuação da gerência da unidade e da organização sob olhar do profissional. Quando comparadas as médias dos constructos, houve significância estatística entre o Clima de trabalho em equipe e a unidade de atuação, bem como o mesmo constructo com a atuação profissional; Percepção e influência do estresse na execução do trabalho e os cargos dos profissionais; Satisfação no trabalho e gênero. Na regressão linear o constructo que mais apresentou impacto foi o da Percepção da atuação da gerência da unidade e da organização sob olhar do profissional. Conclui-se que o fator preditor mais relevante foi a percepção da atuação da gerência da unidade e organização sob olhar do profissional. Tais resultados poderão servir de subsídio para novos estudos que levem em consideração a influência da cultura nas ações de segurança do paciente.

Factors associated with patient safety implementation based on safety attitudes questionnaire in accredited hospital Jambi City Indonesia

Background: The Nursing service are influenced by the behavior nurses in implementation of patient safety the Contributes to adverse event or incident patient safety in accredited public hospital. This study aims to analyses most dominant determinant factors associated with patient safety implementation based on safety attitudes questionnaire (SAQ) in accredited hospital. Methods: This study is a cross sectional study with quantitative method conducted on nurses who work in accredited hospital. Samples of 190 nurses were included in this study by using proportional random sampling technique. The data were analyzed by using multiple logistic regression with backward LR method. Results: Total 190 participant were (22.1%) males and 148 (77.9%) females. Most participant had completed Diploma of vocational education 157 (82.6%). The most dominan factors associated with implementation of patient safety base on Safety Attitude Questionnaire is the work environment factor (p 0.001; OR 3.187). Conclusion: It is proven that a good work environment factor will improve the behavior of nurses in implementing patient safety. This research recommends to develop policy toward evaluation effort of implementation patient safety, as well as evaluation of all nursing procedures in terms of patient safety consideration to external or internal work environment. Key Word: Accredited Hospital; Patient Safety; Safety Attitude Questionnaire (SAQ), Work Environment

GAMBARAN BUDAYA KESELAMATAN PROFESIONAL PEMBERI ASUHAN DI KAMAR OPERASI

Budaya keselamatan pasien di rumah sakit di Kota Jambi masih belum cukup baik seperti yang dapat dilihat dari jumlah insiden keselamatan pasien yang dilaporkan dari tim KPRS. Penelitian bertujuan untuk melihat gambaran budaya keselamatan profesional pemberi asuhan (PPA) di kamar operasi rumah sakit umumKota Jambi. Desain Penelitian kuantitatif deskriptif. Alat pengumpulan data menggunakan safety attitude questionnaire yang diadaptasi dalam bahasa Indonesia. Analisa data secara univariat dengan jumlah sampel 126 orang yang terdiri dari dokter spesialis, perawat bedah, penata anestesi, dan apoteker. Total skor budaya keselamatan (71,08), skor rata-rata iklim kerja tim (75,54), iklim keselamatan (74,83), kepuasan kerja (83,81), pengakuan stres (42,50), persepsi manajemen (69,56), dan kondisi kerja (64,28). Penelitian ini merekomendasikan perlu mengembangkan kebijakan terhadap upaya evaluasi penerapan budaya keselamatan pasien di rumah sakit, begitu juga evaluasi terhadap semua standar prosedur operasional ditinjau dari pertimbangan budaya keselamatan serta faktor yang mempengaruhinya. Kata kunci: Persepsi profesional pemberi asuhan, kamar operasi, budaya keselamatan pasien Abstract Professional safety culture description in operating rooms. The culture of patient safety in hospitals in Jambi City is still not good enough as can be seen from the number of patient safety incidents reported from the KPRS team. The aim of this study was to look at a picture of the culture of professional safety of care givers (PPA) in the operating room of the Jambi City General Hospital. Descriptive quantitative research design. The data collection tool uses a safety attitude questionnaire that was adapted in Indonesian. Univariate data analysis with a sample of 126 people consisting of specialist doctors, surgical nurses, anesthetists, and pharmacists. Total safety culture score (71.08), average score of team work climate (75.54), safety climate (74.83), job satisfaction (83.81), stres recognition (42.50), management perception ( 69.56), and working conditions (64.28). This study recommends that it is necessary to develop policies for evaluating the application of patient safety culture in hospitals, as well as evaluating all standard operating procedures in terms of safety culture considerations and the factors that influence them. Keywords: professional perceptions of caregiver, operating room, patient safety culture

Nurses’ perception about patient safety culture in neonatal intensive care units: A comparative study

Objectives: This study aimed to (1) verify whether the translated short form of the Safety Attitude Questionnaire gives consistent results when used to evaluate safety culture in the neonatal intensive care units; and (2) describe nurses’ perception about patient safety culture, comparing between both governmental and private neonatal intensive care units’ nurses.Methods: Research design: An exploratory, descriptive, comparative. Subjects: A purposive sample of 190 neonatal nurses. Setting: Six, level IV neonatal intensive care units (three private and three governmental) of hospitals affiliated to Mansoura City, and Mansoura University and Ministry of Health and Population, Egypt. Data collection tools were consisted of the demographic characteristics questionnaire sheet and the self-administered 4-type Likert scale Safety Attitude Questionnaire sheet with its six dimensions after it was translated into Arabic language.Results: The respondents' nurses differed in their rating on the Safety Attitude Questionnaire items; as well the percentages of positive and negative responses were showed significant differences among the Safety Attitude Questionnaire dimensions, within and between nurses of the governmental and private neonatal intensive care units. In addition, Cronbach’s total coefficient alpha of the six dimensions is considered strong, with Alpha coefficients were 0.86.Conclusions: The study findings affirmed the psychometric properties of the Arabic form of Safety Attitude Questionnaire and it turned out to be a successful tool to assess safety culture perceptions among neonatal intensive care units' nurses. Moreover, linked with their workplaces, significant variations in the neonatal nurses' responses toward safety culture related dimensions were detected.

Establishing the use of a safety attitudes questionnaire to assess the safety climate across a critical care network

Aims We aimed to measure the safety culture across a network of critical care units to compare units, track temporal changes and to present easy to interpret information back to staff. Methods We provided adapted paper versions of the short ICU ‘Safety attitude questionnaire’ to 14 critical care units annually between 2015 and 2017. The responses were analysed to establish scores for individual safety domains. Feedback used colour conditional formatted tables to allow easy identification of high and low scores. Results There was an inverse relation between median unit score and standardised mortality (rs = 0.4). Rates of staff fatigue increased between 2016 and 2017 (two-point change on a 1–5 scale). Conclusions A critical care network can usefully collect and feedback safety attitude questionnaires which show a relationship with patient outcome. Units should monitor overtime working.