Differences in Safety Climate Among Hospital Anesthesia Departments and the Effect of a Realistic Simulation-Based Training Program

Cooper, Jeffrey B.; Blum, Richard; Carroll, John S.; Dershwitz, Mark; Feinstein, David; Gaba, David M.; Morey, John C.; Singla, Aneesh K.

doi:10.1213/01.ane.0000296462.39953.d3

Cited by 42 publications

(33 citation statements)

References 20 publications

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“…They have been found to positively impact the quantity and quality of communication and teamwork behaviors as well as safety and teamwork climates. These team training programs, which aim to cultivate enhanced communication and coordination within teams, use a variety of intervention modalities, including simulation-based training (23). Training programs may have a single focus (64) or have a multidisciplinary focus.…”

Section: Interpersonal Processesmentioning

confidence: 99%

“…Education is frequently a component of multipronged interventions and has been used in combination with teamwork, leadership, frontline system improvement, technology, incident reporting, patient partnership, checklists, and measurement and feedback programs to improve safety culture (5,118). More specifically, simulation is becoming an increasingly popular mode for introducing practices and processes for shaping safety culture and reducing hospital errors, but current evidence of its effects is mixed (22,23,81). Studies have identified how safety and team-based training for medical students (70), frontline caregivers (125), and leaders (140) changes behavior (e.g., more learning oriented) and reinforces safety culture.…”

Section: Educationmentioning

confidence: 99%

See 1 more Smart Citation

Reducing Hospital Errors: Interventions that Build Safety Culture

Singer¹,

Vogus

2013

Annu. Rev. Public Health

152

145

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Hospital errors are a seemingly intractable problem and continuing threat to public health. Errors resist intervention because too often the interventions deployed fail to address the fundamental source of errors: weak organizational safety culture. This review applies and extends a theoretical model of safety culture that suggests it is a function of interrelated processes of enabling, enacting, and elaborating that can reduce hospital errors over time. In this model, enabling activities help shape perceptions of safety climate, which promotes enactment of safety culture. We then classify a broad array of interventions as enabling, enacting, or elaborating a culture of safety. Our analysis, which is intended to guide future attempts to both study and more effectively create and sustain a safety culture, emphasizes that isolated interventions are unlikely to reduce the underlying causes of hospital errors. Instead, reducing errors requires systemic interventions that address the interrelated processes of safety culture in a balanced manner.

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Section: Interpersonal Processesmentioning

confidence: 99%

Section: Educationmentioning

confidence: 99%

Reducing Hospital Errors: Interventions that Build Safety Culture

Singer¹,

Vogus

2013

Annu. Rev. Public Health

152

145

View full text Add to dashboard Cite

show abstract

“…A total of 46% (n = 18) (12,(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) of studies were conducted in the United States, with the remainder recruiting specialists practicing in Canada (n = 9) (41-49), Australia and New Zealand (n = 5) (50-54), the United Kingdom (rt = 3) (55-57), Germany (n -1) (58), Italy (n = 1) (59), the Neth erlands (n-1) (60), and the Asia Pacific region (n = 1) (61).…”

Section: Study Characteristics and Synthesismentioning

confidence: 99%

“…Of our target learners, anesthe siologists formed the overwhelming majority of participants (73%) ( Table 2). Outside the domain of assessment, only 10 studies intentionally recruited independent practitioners in the acute medical specialties as their sole intervention group (27,34,36,41,42,(45)(46)(47)59).…”

Section: Study Characteristics and Synthesismentioning

confidence: 99%

The Role of Simulation in Continuing Medical Education for Acute Care Physicians

Khanduja

Bould

Naik

et al. 2015

Critical Care Medicine

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“…[24] These strategies have included leadership walk around, structured educational programs, team-based strategies, simulation-based training programs, multi-faceted unit-based programs, multicomponent organizational interventions, and qualitative data and implementation lessons. [24][25][26][27][28][29][30][31] Such efforts illustrate the difficulty of cultural change and the challenge of creating high-reliability organizations related to patient safety. [32] Strategies that might improve teamwork, leadership, and patient safety should be flexible and multifaceted, and additional research is needed to identify specific strategies that consistently work to improve patient safety culture.…”

Section: Discussionmentioning

confidence: 99%

Examination of the relationship between management and clinician agreement on communication openness, teamwork, and patient satisfaction in the US hospitals

Mazurenko

Richter

Swanson-Kazley

et al. 2016

JHA

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Background: Patient satisfaction has always been an area of focus for hospitals, but gained particular importance due to the changes in the Centers for Medicare and Medicaid reimbursement policies. Hospital managers and clinicians interact with patients in different ways and have different perspectives on safety culture, yet little is known about how that impacts patient satisfaction. Objective: To examine how the agreement between clinicians and management perspectives on patient safety culture is related to patient satisfaction by employing cross-sectional design with linear regressions. Methods: Two data sets were used: 2012 Hospital Survey on Patient Safety Culture and 2012 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The dependent variables were: overall rating of the hospital experience and willingness to recommend a hospital. The independent variables were four safety culture domains: communication openness, feedback, and communication about errors, teamwork within units, and teamwork between units. Results: The results suggest that manager and clinician agreement on high levels of communication openness, feedback and communication about errors, teamwork between units, and teamwork across units were positively and significantly associated with overall patient satisfaction and willingness to recommend. Additionally, more favorable perceptions about patient safety culture by only clinicians yielded similar findings. Conclusions: For policymakers, measuring managers and clinicians' perceptions on patient safety culture may provide a valuable indicator of patient satisfaction throughout the country. While managers are more likely to have the power to devote resources to patient safety initiatives, they may not adequately judge culture in their unit and should take into account the perspectives of clinicians who have a more frontline perspective.

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Differences in Safety Climate Among Hospital Anesthesia Departments and the Effect of a Realistic Simulation-Based Training Program

Cited by 42 publications

References 20 publications

Reducing Hospital Errors: Interventions that Build Safety Culture

Reducing Hospital Errors: Interventions that Build Safety Culture

The Role of Simulation in Continuing Medical Education for Acute Care Physicians

Examination of the relationship between management and clinician agreement on communication openness, teamwork, and patient satisfaction in the US hospitals

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