Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital

Wagner, Anke; Michaelis, Martina; Luntz, Edwin; Wittich, Andrea; Schrappe, Matthias; Lessing, Constanze

doi:10.3390/ijerph15122625

Cited by 8 publications

(8 citation statements)

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“…The two single-item outcomes were answered on a 5-point Likert frequency scale ranging from “1 = excellent” to “5 = failing”, where high values imply a rather low perception of these two outcomes. Based on findings from a former study [60], self-developed items of the HSPSC-D measuring aspects of supervisor and management support regarding patient safety was used to capture the interaction of supervisors and management from the participants´ perspective. Hereby, the original HSPSC-D scale “management support for patient safety” was worded analogously to cover the specific aspects with regard to the supervisor’s support (new scale “supervisor’s support for patient safety” – the original scale was omitted) and a set of items covering both the role of supervisors and the management were developed.…”

Section: Methodsmentioning

confidence: 99%

Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study

Wagner

Rieger

Manser

et al. 2019

BMC Health Serv Res

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BackgroundPromoting patient and occupational safety are two key challenges for hospitals. When aiming to improve these two outcomes synergistically, psychosocial working conditions, leadership by hospital management and supervisors, and perceptions of patient and occupational safety climate have to be considered. Recent studies have shown that these key topics are interrelated and form a critical foundation for promoting patient and occupational safety in hospitals. So far, these topics have mainly been studied independently from each other. The present study investigated hospital staffs’ perceptions of four different topics: (1) psychosocial working conditions, (2) leadership, (3) patient safety climate, and (4) occupational safety climate. We present results from a survey in two German university hospitals aiming to detect differences between nurses and physicians.MethodsWe performed a cross-sectional study using a standardized paper-based questionnaire. The survey was conducted with nurses and physicians to assess the four topics. The instruments mainly consisted of scales of the German version of the COPSOQ (Copenhagen Psychosocial Questionnaire), one scale of the Copenhagen Burnout Inventory (CBI), scales to assess leadership and transformational leadership, scales to assess patient safety climate using the Hospital Survey on Patient Safety Culture (HSPSC), and analogous items to assess occupational safety climate.ResultsA total of 995 completed questionnaires out of 2512 distributed questionnaires were returned anonymously. The overall response rate was 39.6%. The sample consisted of 381 physicians and 567 nurses. We found various differences with regard to the four topics. In most of the COPSOQ and the HSPSC-scales, physicians rated psychosocial working conditions and patient safety climate more positively than nurses. With regard to occupational safety, nurses indicated higher occupational risks than physicians.ConclusionsThe WorkSafeMed study combined the assessment of the four topics psychosocial working conditions, leadership, patient safety climate, and occupational safety climate in hospitals. Looking at the four topics provides an overview of where improvements in hospitals may be needed for nurses and physicians. Based on these results, improvements in working conditions, patient safety climate, and occupational safety climate are required for health care professionals in German university hospitals – especially for nurses.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3862-7) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study

Wagner

Rieger

Manser

et al. 2019

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

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“…In a study by Anne Vifladt and Okuyama, it was explained that the 12 dimensions of HSOPSC were divided into three measurement areas, namely dimensions that measure patient safety culture related to work units in the hospital, dimensions to explore aspects of patient safety culture in institutions and outcome dimensions of patient safety culture in hospital (Vifladt et al, 2016). The use of the HSOPSC instrument can be done with other measurement instruments or it can be modified as needed, for example in research by Anke Wagner, conducting an assessment of patient safety culture at Germany University Hospital by developing a questionnaire on the required dimensions according to local conditions (Wagner et al, 2018). Similar to Patrick A. Palmieri's research in 2020, which modified HSOPSC in terms of language according to his research objectives (Palmieri et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Instrument for Measuring Patient Safety Culture: Literature Review

Hanifa

Dhamanti

2021

JMMR

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The implementation of safe and quality care with attention to patient safety, requires organization’s effort to create and cultivating patient safety culture. The purpose of this article was to map the instruments used in measuring patient safety culture in healthcare organizations. The method used integrated literature review from various sources of research articles published from 2015 to 2020. The article included if it was available in full text and open access as well as articles described the instruments of patient safety culture or measurement of patient safety culture using one of the instruments of measurement of patient safety culture. The results of the literature review unravel the findings of three instruments such as HSOPSC (Hospital Survey on Patient Safety Culture), MaPSaF (Manchester Patient Safety Assessment Framework) and SAQ (Safety Attitudes Questionnaire). We concluded all three instruments contained four dimensions of patient safety culture, namely open culture, just culture, reporting culture and learning culture and were widely used to measure patient safety culture in hospitals, primary health facilities and other health facilities.

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“…Instruments for specific care units were for high-risk hospital areas (12), operating rooms (13), obstetrics care units (14), intensive care units (17,24), acute geriatric units (22), and for any phases of perianesthesia (29). Of all instruments, eighteen might be utilized by all healthcare professionals within the hospital setting and three instruments are suitable for use by nurses (21,26,29), one by physicians, nurses and pharmacists (11), and two by physicians and nurses (22,27).…”

Section: Survey Characteristicsmentioning

confidence: 99%

How to Measure Patient Safety Culture? a Literature Review of Instruments

Bartoníčková

Kalánková

Žiaková

2021

Acta Medica Martiniana

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Introduction: Patient safety culture is described as employees’ shared values, attitudes, and behaviours in a healthcare organization. Its main goal is to improve patient safety. Assessment of patient safety culture in the hospital environment is most often carried out using self-assessment tools. Although several of these tools have been developed, their comprehensive overview is lacking in literature. Aim: To provide an overview of instruments measuring patient safety culture in a hospital setting. Methods: The study has a character of a narrative literature review. The search was performed in the scientific databases Scopus, ProQuest, and PubMed in January 2021. The search produced a total of 1,767 studies and was limited to language (English). The search and the retrieval process reflected PRISMA’s recommendations. The content analysis method was used in the data synthesis. Results: We identified 24 tools for assessing the patient safety culture in a hospital setting, of which seven were developed for specific workplaces; others are considered general. Eighteen tools might be utilized by all healthcare professionals within the hospital setting and only three were designated explicitly for nurses. The most commonly used instruments were the Hospital Survey on Patient Culture and the Safety Attitudes Questionnaire. Conclusion: Assessing a patient safety culture is considered one of the strategies for improving patient safety while increasing care quality. An appropriate tool’s choice depends on the target population, the instrument’s validity and reliability, and other aspects. Awareness of the various assessment tools can help hospitals choose the one that best suits their circumstances.

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Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital

Cited by 8 publications

References 50 publications

Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study

Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study

Instrument for Measuring Patient Safety Culture: Literature Review

How to Measure Patient Safety Culture? a Literature Review of Instruments

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