BackgroundStudying safety attitudes of front-line workers can help hospital managers take initiatives to improve patient safety. The Safety Attitudes Questionnaire, a psychometric tool that measures safety attitudes in health facilities, has been used and validated in several languages worldwide but there is no Italian version available. Hence, the study is aimed at cross-culturally validating the questionnaire (short form 2006) in Italian at two hospitals in the Veneto region (northeastern Italy).MethodsThe translation and linguistic adaptation process of the questionnaire followed the World Health Organization guidelines. The questionnaire was delivered to staff working in four departments in two hospitals. Confirmatory factor analysis was used to assess the content validity of a pre-specified factor model that recognizes seven safety factors of the SAQ. Retest was performed to assess reliability. Internal consistency of items and safety factors was evaluated via Cronbach’s alpha.ResultsResponse rate was 60 % (n = 261/433). Test-retest correlation between items and factors showed a high degree of agreement. Goodness-of-fit indices demonstrated an acceptable hypothesis model with seven safety factors. Cronbach’s alpha of a whole questionnaire was 0.85, demonstrating a good internal consistency. Polychoric correlations showed that the factors are well correlated with each other. Stress recognition was found to have negative correlation with other safety factors.ConclusionsThe Safety Attitudes Questionnaire in Italian language has satisfactory psychometric characteristics and is a valid instrument to measure safety culture in Italian hospitals.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-015-0951-8) contains supplementary material, which is available to authorized users.
A major surgical emergency that is frequently found in the emergency unit is small bowel obstruction (SBO). The management of small bowel obstruction in adults was examined using systematic keyword searches in the Pubmed, Cochrane, and Google Scholar databases. The timely use of CT scans can have an impact on clinical outcomes in the management of SBO. Treatment for small bowel obstruction includes both surgical and non-surgical methods. SBO management is evolving along with the development of evidence-based guidelines and SBO management continues to change. Review will help Surgeons in treating SBO patients.
The development of clinical standards on patient safety, clinical risk management, health care quality management, incremental quality improvement, compliance to accreditation standards, improving clinical outcomes, achieving patient satisfaction, cost containment, and emerging new policy guidelines in new normal from governments and international health care agencies increases the demand for healthcare organizations accountability and quality improvement across healthcare institutes, which emphasize the need for hospital performance assessment to comply with national and international standards and benchmark the quality indicators. The measurement of hospital performance provides information on a hospital's quality indicators, improves the implementation of quality improvement, reduces the high cost of medical care, and allows hospitals to be compared with benchmark data to identify the gaps in their performance on quality indicators.
The core values of healthcare organizations can have a direct impact on patient outcomes. Values are important because they impact employee attitudes and behaviours. New rules and protocols, as well as the continual development of accrediting standards, developing technologies, and adherence to evidence-based principles, are all posing challenges to the healthcare Industry globally. Employees bring their personal beliefs and personal values into work environments, and the value system arises from individual interactions in which employees make choice, decisions, communicate and share concerns. The value systems of professional groups in healthcare companies are extremely diverse. Multiple values systems converge in the social world of the healthcare organizations, which contributes to the competing or conicting values within a unit or the entire healthcare organization. The goal of the present study is to analyze values diversity and values conict in health care teams and its inuence on their work
In recent decades, the clinical procedures surrounding informed consent in healthcare settings have experienced a revolution for the better. However, the method by which doctors get informed consent is still challenging. The causes of this ambiguity are numerous. Part of the doubt stems from the intellectual dullness of key foundational notions. The complexities of therapeutic communication, the importance of autonomy, and the changing nature of the doctor-patient relationship have all contributed to the ongoing uncertainty in many clinical settings. Many patients who face medical dilemmas are unsure of which therapy options to take. The informed consent helps in minimizing uncertainty and empowering patients’ in choosing clinical decisions.
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