A rapid assessment of barriers and facilitators to safety culture in an intensive care unit

Abstract

The Hospital Survey on Patient Safety was used to identify opportunities for safety culture improvement in a 30‐bed intensive care unit. Based on the survey results, a core team decided to focus on three safety domains: reporting errors, approachability of authority figures and handovers. The project team subsequently interviewed 39 intensive care unit staff members, gathering information on these three domains that will inform future safety efforts. Numerous barriers and facilitators to improvement were described. This mixed‐methods approach could be applied in other hospitals seeking to quickly yet thoroughly understand how their safety culture can be improved. Developing local strategies to reduce these barriers may promote a safer patient experience at our hospital.

An exploration of patient safety culture in Kuwait hospitals: a qualitative study of healthcare professionals' perspectives

“…As a result, incident reporting in cases of error was affected and HCPs were afraid of the punitive response to errors and often did not report them. This was found to be an issue in many countries and was reported in previous studies 9,35,36. This latter result confirmed the findings of previous studies in Kuwait, which found that only minor errors were reported and hence highlighted the need for improvement in reporting errors7,8 Not only ‘fear of punishment' was a cause of underreporting of incidents, but additional factors were found to have played a role including misunderstanding of the purpose of error reporting (i.e.…”

The level of collaboration amongst nurses in Turkey

“…While those duties are carried out, miscommunication and insufficient coordination between health professionals may negatively affect patient care (Livorsi et al. ). According to a study conducted by Greenberg et al.…”

Patient safety culture in care homes for older people: a scoping review

“…There is an abundance of available evidence supporting the assessment and measurement of safety culture within mainstream healthcare settings [ 21 – 27 ], which includes frequent use of this as a quality and regulatory measure [ 28 ]. The most adopted assessment tool across hospital settings is the Agency for Healthcare Research and Quality- Hospital Survey on Patient Safety Culture (HSOPSC) [ 29 ], which aims to evaluate and improve safety culture.…”