Improving patient safety in intensive care units in Michigan

Pronovost, Peter J.; Berenholtz, Sean M.; Goeschel, Christine A.; Thom, Irie; Watson, Sam R.; Holzmueller, Christine G.; Lyon, Julie S.; Lubomski, Lisa H.; Thompson, David A.; Needham, Dale M.; Hyzy, Robert C.; Welsh, Robert J.; Roth, Gary; Bander, Joseph J.; Morlock, Laura L.; Sexton, J. Bryan

doi:10.1016/j.jcrc.2007.09.002

Cited by 284 publications

(216 citation statements)

References 41 publications

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“…The highest values of Pearson's correlation occurred between: Overall HSOPSC and SAQ Safety climate (r=0.69 and p<0.000), Overall HSOPSC and Overall SAQ (r=0.66 and p<0.000), HSOPSC Feedback and communication about error and Overall SAQ (r=0.58 and p<0.000), the HSOPSC (14)(15)(16) .…”

Section: Safety Climate Stress Recognition Perception Of Managementmentioning

confidence: 96%

Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva

Santiago

Turrini

2015

Rev. esc. enferm. USP

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RESUMO Objetivo Avaliar a percepção dos profissionais de saúde sobre o clima e a cultura de segurança do paciente em Unidades de Terapia Intensiva (UTI) e a relação entre os instrumentos Hospital Survey on Patient Safety Culture (HSOPSC) e o Safety Attitudes Questionnaire (SAQ). Método Estudo transversal realizado em hospital de ensino no interior do estado de São Paulo, Brasil, em março/abril de 2014. Aplicaram-se o HSOPSC, o SAQ e um instrumento para levantamento das informações sociodemográficas e profissionais aos funcionários das UTI adulto, pediátrica e neonatal. A análise utilizou a estatística descritiva. Resultados As escalas apresentaram boa confiabilidade. Maiores fragilidades para a segurança do paciente foram observadas nos domínios “condições de trabalho” e “percepções da gerência” do SAQ e “resposta não punitiva aos erros” do HSOPSC. As fortalezas no SAQ foram o “clima de trabalho em equipe” e a “satisfação no trabalho” e para o HSOPSC “expectativas e ações de promoção de segurança supervisores/gerentes” e “aprendizado organizacional e melhoria mútua”. Na UTI Neonatal houve maior satisfação no trabalho do que nas demais UTI. A UTI Adulto apresentou menores pontuações para a maioria dos domínios do SAQ e HSOPSC. A correlação entre as escalas foi de força moderada (r=0,66). Conclusão Há diferenças de percepções quanto à segurança do paciente entre as UTI, o que corrobora com a existência de microculturas locais. O estudo não demonstra que o SAQ e o HSOPSC sejam equivalentes.

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Section: Safety Climate Stress Recognition Perception Of Managementmentioning

confidence: 96%

Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva

Santiago

Turrini

2015

Rev. esc. enferm. USP

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“…Leonard and colleagues found that teamwork initiatives reduced wrong-site surgeries, improved continuity of care for patients transferred from the hospital to skilled nursing facilities, reduced nurse turnover and improved critical responses to perinatal emergencies (16) . Pronovost and colleagues documented research that links the increased use of teamwork principles in intensive care units to a reduction in error (17) .…”

Section: Nursing Teamworkmentioning

confidence: 99%

Nursing teamwork and time to respond to call lights: an exploratory study

Kalisch

Labelle²,

Xie³

2013

Rev. Latino-Am. Enfermagem

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AIM: The aim of this exploratory study was to determine whether the level of nursing teamwork is correlated to call light answering time in acute care hospital patient care units. Background: Teamwork has been shown to improve productivity. In this study, we examine the relationship between unit call light response time as a measure of productivity and the level of teamwork on the unit. METHOD: The Nursing Teamwork Survey was administered to nursing staff on 18 inpatient units in 3 hospitals. In addition to the overall teamwork score, the NTS has 5 subscales. Call light response times were collected from electronic systems which measures the time it takes for nursing staff on a given unit to respond to patient call lights. RESULTS: There was no significant relationship between call light response time and teamwork overall or on the five subscales. Shared mental models, which comprise the conceptual understanding of the roles and responsibilities of each team member, however was moderately correlated with call-light answering times. CONCLUSIONS: It is logical that shared mental models would be associated with call light response time since a common problem in patient units is the "it's not my job syndrome" where nursing staff do not answer call lights for patients assigned to someone else. More research with a larger number of patient units is needed to validate these findings.

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“…The last several years have seen an increased emphasis on health services research-studies that have often demonstrated how the systematic implementation of approaches that we already know or suspect can effectively reduce risks for transmission of healthcareassociated infections can beneficially influence patient outcomes. The statewide study of Pronovost and his colleagues, 8,9 for example, demonstrated conclusively that rigorously implementing a bundle of previously identified successful strategies can result in substantially improved outcomes. Whereas these approaches have been incredibly useful to healthcare institutions across the country, they can only optimize what we previously have learned from basic and epidemiological studies.…”

Section: S H E a E D I T O R I A Lmentioning

confidence: 99%

A Double-Edged Sword and a Golden Opportunity for Healthcare Epidemiology

2009

Infect. Control Hosp. Epidemiol.

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Improving patient safety in intensive care units in Michigan

Cited by 284 publications

References 41 publications

Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva

Cultura e clima organizacional para segurança do paciente em Unidades de Terapia Intensiva

Nursing teamwork and time to respond to call lights: an exploratory study

A Double-Edged Sword and a Golden Opportunity for Healthcare Epidemiology

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