Development of a Measure of Patient Safety Event Learning Responses

Abstract

Eleven to 13 items can measure learning responses to PSEs of differing severity. The items are feasible, grounded in theory, and reflect expert opinion as well as practice setting realities. The items have the potential for use to assess current practice in organizations and set future improvement goals.

Factors influencing nurse managers' intent to stay or leave: a quantitative analysis

“…Previous studies have reported low Cronbach alpha scores for the Modified Stanford Instrument (MSI) Patient Safety Culture questionnaire and have noted problems with its psychometric cross‐validation, resulting in unstable factor analysis (Ginsburg et al . ,b). Therefore, given the length of the questionnaire (46 items), the QWEST team decided to use only 16 of the original 46 items scale; responses were on a 5‐point scale ranging from ‘strongly disagree’ to ‘strongly agree’.…”

The Relationship between Organizational Leadership for Safety and Learning from Patient Safety Events

“…Dependent variables—learning from PSEs is defined and operationalized as learning responses taken by organizations following PSEs related to (1) event identification, (2) event analysis, (3) implementation of changes, and (4) dissemination of learning (Ginsburg et al 2009b). As noted, this definition of learning is rooted in theoretical models of learning from failure from the broader organizational literature (Argote 1999; Sasou and Reason 1999) and is also consistent with definitions of double‐loop learning (Argyris and Schon 1978).…”

“…Finally, in this study we define and operationalize learning from PSEs as learning responses to PSEs (Ginsburg et al 2009b). That is, learning responses taken by organizations following PSEs related to the identification and analysis of events as well as change and dissemination activities designed to help reduce re‐occurrence of similar events in the future.…”

Opportunity, Motivation, and Ability to Learn from Failures and Errors: Review, Synthesis, and Ways to Move Forward

“…This definition is consistent with the definitions of learning in the organizational learning literature (Argote, 2012). The outcomes of error and failure learning can therefore include changes in understanding (Huber, 1991), behaviors (Chuang & Baum, 2003;Ginsburg et al, 2009;Shepherd, Patzelt, & Wolfe, 2011) or performance improvement (Cannon & Edmondson, 2001;Dahlin & Baum, 2007;Heimbeck, et al, 2003;Zhao, 2011).…”