Is culture associated with patient safety in the emergency department? A study of staff perspectives

Noord, Inge Verbeek-van; Wagner, Cordula; Dyck, Cathy van; Twisk, Jos W. R.; Bruijne, M.C. de

doi:10.1093/intqhc/mzt087

Cited by 46 publications

(60 citation statements)

References 33 publications

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“…[28] The authors argued that an incident reporting system not only leads to changes in care processes, but also leads to modifying staff attitudes and knowledge, while having an overall positive effect on safety practice. [28] This finding is also consistent with a crosssectional survey [34] that found associations, such as "teamwork across units", "frequency of event reporting", "communication openness", "feedback about and learning from errors", "hospital management support for patient safety", were statistically significant, and concluded that these factors are important predictors of staff-reported safety in the Emergency Department (ED). This is also supported by Clarke, [27] who concluded that the reporting of near-miss and unsafe conditions was considered an important component of hospitalbased safety initiatives.…”

Section: Reportingsupporting

confidence: 82%

A critical appraisal of what organisational approaches are pivotal to improve patient safety

Kim

Terry

Jang

et al. 2020

JHA

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Background: Patient safety remains a priority for healthcare organisations globally. There remains little consensus regarding the extent of this issue and the resultant impact on both individuals and communities. Aim: Our study aims to provide healthcare organisations and decision makers with increased information regarding predictive risk factors to enhance patient safety, and develop an organisational culture of safety. Methods: This paper reviews current literature regarding patient safety and presents predictive risk factors and recommendations for healthcare organisations globally to measure and monitor patient safety. Results: Three categories of organisational factors promoting safety culture were identified – Focusing on system/culture, management support and team work and event reporting. Conclusions: This review strove to identify and discuss the predictive risk factors for patient safety and support the importance of a positive organisational culture and strong leadership in monitoring and reducing patient care errors and improving patient care in healthcare setting.

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Section: Reportingsupporting

confidence: 82%

A critical appraisal of what organisational approaches are pivotal to improve patient safety

Kim

Terry

Jang

et al. 2020

JHA

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“…Different perceptions of safety culture exist among health care professionals at different levels. One example of this is that nurses are more likely than doctors or managers to report barriers to patient safety (Braithwaite et al, ; Buerhaus et al, ; Makary et al, ; Singer, Gaba, et al, ; Singer, Lin, Falwell, Gaba, & Baker, ; Verbakel et al, ; Verbeek‐Van Noord, Wagner, Van Dyck, Twisk, & De Bruijne, ). These differences indicate that those at higher levels of the system may be unaware of the factors impacting patient safety, as a result, they are less likely to allocate resources to improve them (Buerhaus et al, ; Singer, Falwell, Gaba, & Baker, ).…”

Section: Resultsmentioning

confidence: 99%

“…Studies have called for clarification of the relationship between safety culture and patient safety outcomes (Clarke, ; Sorra & Dyer, ). In this review, studies found that safety culture improved safety outcomes including accident prevention and safety compliance as well as less adverse events (Clarke, ; Halligan & Zecevic, ; Jackson, Sarac, & Flin, ; Neal & Griffin, ; Singer, Gaba, et al, ; Verbeek‐Van Noord et al, ; Wang et al, ) . However, other studies did not support this relationship (Ausserhofer et al, ).…”

Section: Resultsmentioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

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Aim Explore the recent literature to examine the factors that affect safety culture within health care teams. Background Health care organisations must understand and improve their safety culture. However, safety culture is a complex phenomenon which interacts with a myriad of factors, making it difficult to define, measure and improve. Evaluation A comprehensive search strategy was used to search four major databases. Peer‐reviewed which were published in English between 2006 and 2017 and presented research studies related to safety culture in health care teams were included. A narrative analysis was undertaken. Key issues Issues relevant to the definition, measurement and improvement of safety culture, the impact of teamwork and communication on safety culture, the role of leaders and accountability are explored. Conclusion The above themes inform our understanding of developing, measuring and sustaining safety culture in health care teams. However, further research is warranted to accurately understand how to measure and improve safety culture. Implications for nursing management To support a safety culture, initiatives to facilitate effective communication between nurse practitioners and other health care professionals must be introduced. Nurse managers should adopt leadership strategies that will support nurses’ psychological safety and create a just culture.

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“…Estudo realizado em unidades de urgência e emergência da Holanda identificou dimensões positivas da cultura associadas com a segurança do paciente (21) . Outro, realizado em 68 hospitais libaneses, com 6.807 profissionais de saúde, encontrou indícios significativos da relação da cultura positiva com a segurança do paciente (22) .…”

Section: Discussionunclassified

Cultura De Segurança Entre Profissionais De Saúde Em Hospital De Ensino

et al. 2018

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RESUMO:Objetivo: avaliar a cultura de segurança organizacional entre os profissionais de um hospital de Ensino. Método: estudo tipo survey com 645 profissionais de um hospital de ensino no Estado do Paraná, de outubro de 2014 a julho de 2015, utilizando instrumento autoaplicável da Agency for Health care Research and Quality. Variáveis quantitativas foram representadas em percentuais; quando ≥75% das respostas foram positivas, cultura de segurança satisfatória; 74 a 51% neutra; e ≤50% frágil. A confiabilidade foi mensurada pelo coeficiente Alfa de Cronbach. Resultados: maior índice foi obtido na dimensão "Expectativas sobre o seu supervisor/chefe e ações promotoras da segurança", com 70,8% (n=455) de respostas positivas e "Respostas não punitivas ao erro" o menor, com 25,6% (n=164). O coeficiente Alfa de Cronbach obteve média de 0,62, mostrando baixa confiabilidade. Conclusão: resultados mostram cultura de segurança insatisfatória e relevância de ações de promoção, com destaque à abordagem coletiva e não punitiva de erros. DESCRITORES: Cultura organizacional; Pessoal de saúde; Segurança do paciente; Gestão da qualidade; Indicadores de qualidade em assistência à saúde. CULTURA DE SEGURANÇA ENTRE PROFISSIONAIS DE SAÚDE EM HOSPITAL DE ENSINOElaine The results reveal an unsatisfactory safety culture and stress the importance of actions targeted to the promotion of a safety culture, with emphasis to a collective and non-punitive approach to errors.

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Is culture associated with patient safety in the emergency department? A study of staff perspectives

Abstract: Staff identified several dimensions of safety culture that are associated with staff-reported safety in the ED. Physicians and nurses identified distinct dimensions of safety culture as associated with reported level of patient safety.

Cited by 46 publications

References 33 publications

A critical appraisal of what organisational approaches are pivotal to improve patient safety

A critical appraisal of what organisational approaches are pivotal to improve patient safety

Safety culture in health care teams: A narrative review of the literature

Cultura De Segurança Entre Profissionais De Saúde Em Hospital De Ensino

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