Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events

Mardon, Russell E.; Khanna, Kabir; Sorra, Joann; Dyer, Naomi; Famolaro, Theresa

doi:10.1097/pts.0b013e3181fd1a00

Cited by 319 publications

(286 citation statements)

References 7 publications

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“…Therefore, by taking a daily diary approach to assess 'perceptions' of daily hassles, we are attempting to capture these differences at the individual level, albeit via self-report. We utilised self-report measures of safety as associations between measures of 'perceptions' of safety (i.e., safety culture) and more objective indicators of safety have been established previously [39][40][41].…”

Section: Contribution Of the Researchmentioning

confidence: 99%

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

et al. 2017

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Purpose 2Stress is a significant concern for individuals and organisations. Few studies have explored stress, burnout and patient safety in hospital nursing on a daily basis at the individual level. This study aimed to examine the effects of chronic stress and daily hassles on safety perceptions, the effect of chronic stress on daily hassles experienced, and chronic stress as a potential moderator. MethodsUtilising a daily diary design, 83 UK hospital nurses completed three end of shift diaries, yielding 324 person days. Hassles, safety perceptions and workplace cognitive failure were measured daily, and a baseline questionnaire included a measure of chronic stress. Hierarchical multivariate linear modelling was used to analyse the data. ResultsHigher chronic stress was associated with more daily hassles, poorer perceptions of safety, being less able to practise safely, but not more workplace cognitive failure. Reporting more daily hassles was associated with poorer perceptions of safety, being less able to practise safely and more workplace cognitive failure. Chronic stress did not moderate daily associations. The hassles reported illustrate the wide-ranging hassles nurses experienced. ConclusionThe findings demonstrate in addition to chronic stress, the importance of daily hassles for nurses' perceptions of safety, and the hassles experienced by hospital nurses on a daily basis. Nurses' perceive chronic stress and daily hassles to contribute to their perceptions of safety. Measuring the number of daily hassles experienced could proactively highlight when patient safety threats may arise, and as a result interventions could usefully focus on the management of daily hassles.

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Section: Contribution Of the Researchmentioning

confidence: 99%

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

et al. 2017

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“…Related to this is the need for a strong culture of safety, which is a driving force for quality care. Culture of safety has been linked to patient outcomes29 and has been specifically mentioned in the radiation oncology context 5, 24…”

Section: Discussionmentioning

confidence: 99%

A patient safety education program in a medical physics residency

Ford

Nyflot

Spraker

et al. 2017

J Applied Clin Med Phys

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Education in patient safety and quality of care is a requirement for radiation oncology residency programs according to accrediting agencies. However, recent surveys indicate that most programs lack a formal program to support this learning. The aim of this report was to address this gap and share experiences with a structured educational program on quality and safety designed specifically for medical physics therapy residencies. Five key topic areas were identified, drawn from published recommendations on safety and quality. A didactic component was developed, which includes an extensive reading list supported by a series of lectures. This was coupled with practice‐based learning which includes one project, for example, failure modes and effect analysis exercise, and also continued participation in the departmental incident learning system including a root‐cause analysis exercise. Performance was evaluated through quizzes, presentations, and reports. Over the period of 2014–2016, five medical physics residents successfully completed the program. Evaluations indicated that the residents had a positive experience. In addition to educating physics residents this program may be adapted for medical physics graduate programs or certificate programs, radiation oncology residencies, or as a self‐directed educational project for practicing physicists. Future directions might include a system that coordinates between medical training centers such as a resident exchange program.

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“…In line with previous research, the two burnout facets of Emotional Exhaustion and Depersonalisation were included (Halbesleben et al, 2008). Safety perceptions were used to measure patient safety, as previous research has suggested these are associated with objectively measured patient safety outcomes (Hansen et al, 2011, Hofmann and Mark, 2006, Mardon et al, 2010 and are useful for detecting variations in perceived safety between individual practitioners (Halbesleben et al, 2008, Louch et al, 2016. There were two hypotheses: Hypothesis 1: There will be a direct association between depressive symptoms and patient safety perceptions.…”

Section: The Study Aimsmentioning

confidence: 99%

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

Johnson

Louch

Dunning

et al. 2017

Journal of Advanced Nursing

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Aims The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions of patient safety. A mediation model was proposed whereby the association between symptoms of depression and patient safety perceptions was mediated by burnout. Background There is growing interest in the relationships between depressive symptoms and burnout in healthcare staff and the safety of patient care. Depressive symptoms are higher in healthcare staff than the general population and overlap conceptually with burnout. However, minimal research has investigated these variables in nurses. Given the conceptual overlap between depressive symptoms and burnout, there is also a need for an explanatory model outlining the relative contributions of these factors to patient safety. Design A cross‐sectional questionnaire was distributed at three acute NHS Trusts. Method Three‐hundred and twenty‐three hospital nursing staff completed measures of depressive symptoms, burnout and patient safety perceptions (including measures at the level of the individual and the work area/unit) between December 2015 ‐ February 2016. Results When tested in separate analyses, depressive symptoms and burnout facets were each associated with both patient safety measures. Furthermore, the proposed mediation model was supported, with associations between depressive symptoms and patient safety perceptions fully mediated by burnout. Conclusion These results suggest that symptoms of depression and burnout in hospital nurses may have implications for patient safety. However, interventions to improve patient safety may be best targeted at improving burnout in particular, with burnout interventions known to be most effective when focused at both the individual and the organisational level.

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Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events

Cited by 319 publications

References 7 publications

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

A patient safety education program in a medical physics residency

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

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