Comparing Trainee and Staff Perceptions of Patient Safety Culture

Bump, Gregory M.; Coots, Nordisha; Liberi, Cindy A.; Minnier, Tamra E.; Phrampus, Paul; Gosman, Gabriella G.; Metro, David G.; McCausland, Julie B.; Buchert, Andrew R.

doi:10.1097/acm.0000000000001255

Cited by 12 publications

(23 citation statements)

References 18 publications

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“…Of these, 157 studies were excluded for various reasons, such as mismatch with the inclusion criteria, wrong study design (e.g., validation study, quasi-experimental design), mixed population, wrong focus of the study, or full text not available (see Supplementary File 3 ). Finally, 31 studies meeting the inclusion criteria were included [ 13 , 20 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 ] (see Supplementary File 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen studies fulfilled at least four of the five quality appraisal criteria [ 22 , 24 , 25 , 26 , 27 , 28 , 30 , 31 , 33 , 35 , 37 , 38 , 39 , 40 , 43 , 45 , 48 ], and five studies met all criteria [ 28 , 35 , 37 , 39 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

“…Consequently, mean scores of domains assessed by a 7-point Likert scale reflect a more positive/desired attitude if >4, while mean scores measured by a 5-point Likert scale point to a more positive/desired attitude if >3. For the articles using the HSOPSC, for two of the three studies [ 27 , 28 ] the percentages of respondents answering positively were estimated on the basis of the tables presented, which did not show the exact value of the percentages. …”

Section: Methodsmentioning

confidence: 99%

“…For the articles using the HSOPSC, for two of the three studies [ 27 , 28 ] the percentages of respondents answering positively were estimated on the basis of the tables presented, which did not show the exact value of the percentages.…”

Section: Methodsmentioning

confidence: 99%

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Patient Safety in the Eyes of Aspiring Healthcare Professionals: A Systematic Review of Their Attitudes

Tussardi

Benoni

Moretti

et al. 2021

IJERPH

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A culture of safety is important for the delivery of safe, high-quality care, as well as for healthcare providers’ wellbeing. This systematic review aimed to describe and synthesize the literature on patient safety attitudes of the next generation of healthcare workers (health professional students, new graduates, newly registered health professionals, resident trainees) and assess potential differences in this population related to years of study, specialties, and gender. We screened four electronic databases up to 20 February 2020 and additional sources, including weekly e-mailed search alerts up to 18 October 2020. Two independent reviewers conducted the search, study selection, quality rating, data extraction, and formal narrative synthesis, involving a third reviewer in case of dissent. We retrieved 6606 records, assessed 188 full-texts, and included 31 studies. Across articles, healthcare students and young professionals showed overwhelmingly positive patient safety attitudes in some areas (e.g., teamwork climate, error inevitability) but more negative perceptions in other domains (e.g., safety climate, disclosure responsibility). Women tend to report more positive attitudes. To improve safety culture in medical settings, health professions educators and institutions should ensure education and training on patient safety.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Patient Safety in the Eyes of Aspiring Healthcare Professionals: A Systematic Review of Their Attitudes

Tussardi

Benoni

Moretti

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…It would be reasonable to think that they would be involved or witness several patient safety events, either directly or indirectly. Schectman, et al, and Bump, et al, found trainees to have a more favorable perception of patient safety culture and higher reporting than senior physicians [8,9]. However, multiple studies have shown that residents are not frequent event reporters either.…”

Section: Introductionmentioning

confidence: 99%

Assessment of knowledge and attitudes towards safety events reporting among residents in a community health system

Singal

Zafar

Tbakhi

et al. 2018

Journal of Community Hospital Internal Medicine Perspectives

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Background: Resident physicians are known to be infrequent reporters of patient safety events (PSE). Previous studies assessing barriers to resident PSE reporting have not considered possible cultural barriers faced by international medical graduates (IMG). This study aimed to assess the knowledge and attitudes of residents regarding PSE and possible barriers contributing to poor resident reporting.Methods: A cross sectional survey of all house staff undergoing post-graduate residency training at two independent community hospital based academic medical centers was conducted through an online questionnaire. Sample case vignettes were created to assess the residents’ ability to identify safety events and classify them as near miss, adverse events or sentinel events and decide whether they were reportable.Results: The Reporting of PSE increased significantly by year of residency training (p < 0.005), with time taken to file a PSE being the strongest perceived barrier. There was no difference in PSE reporting between IMG’s and non- IMG’s. We identified major knowledge gaps with only 73.9%, 79.6% and 94.3% of respondents correctly identifying sentinel events, adverse events, and near misses, respectively. 58.1% of respondents did not think near misses were reportable.Conclusions: A lack of knowledge is the most important barrier towards PSE reporting. A different cultural background and lack of previous exposure to patient safety report by IMGs is not a significant barrier towards safety event reporting. In the short-term, it appears that focusing limited institutional resources on education rather than acculturation issues would have the greatest benefit.

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‘Everyone is trying to outcompete each other’: a qualitative study of medical student attitudes to a novel peer‐assessed undergraduate teamwork module

et al. 2022

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The centrality of teamwork in ensuring the effective functioning of institutions across all sectors is undeniable. However, embedding teamwork into higher education has been hampered due to a range of deeply entrenched practices associated broadly with the foregrounding of knowledge, beliefs about the place of skill training and routines of assessment. As a result, despite an urgent need to address teamwork, little progress has been made with respect to progressing teamwork education. We have designed and evaluated a novel teamwork module delivered to fourth‐year undergraduate medical students involving placements, a cocreated piece of work, reflection and summative peer assessment. This paper aimed to investigate whether the module increased students’ insight into teamwork, including their own skill development, and whether their perceptions of teamwork changed. Throughout the evaluation, students played a key role, with four final‐year medical students working alongside others in the multidisciplinary project team. Five distinct themes emerged from our in‐depth, semi‐structured interviews: (a) importance and meaning; (b) insight into skill development; (c) transferability; (d) peer assessment; and (e) resistance to teamwork education. Themes had positive and negative components, and student perceptions changed in multiple ways after experiencing a longitudinal educational opportunity to develop their teamwork skills. Before practice, students focused on superficial explanations and on where they might improve. In contrast, after practice, students conveyed deeper insights, contextualisation, focus on how they might improve, and shared structured reflection.

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Comparing Trainee and Staff Perceptions of Patient Safety Culture

Abstract: Generally, trainees had comparable to more favorable perceptions of patient safety culture compared with staff. They did identify opportunities for improvement though. Hospitals can use perceptions of patient safety culture to complement CLER visit reports to improve patient safety.

Cited by 12 publications

References 18 publications

Patient Safety in the Eyes of Aspiring Healthcare Professionals: A Systematic Review of Their Attitudes

Patient Safety in the Eyes of Aspiring Healthcare Professionals: A Systematic Review of Their Attitudes

Assessment of knowledge and attitudes towards safety events reporting among residents in a community health system

‘Everyone is trying to outcompete each other’: a qualitative study of medical student attitudes to a novel peer‐assessed undergraduate teamwork module

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