Learning from error: leading a culture of safety

Gibson, Russell; Armstrong, Alexander; Till, Alex; McKimm, Judy

doi:10.12968/hmed.2017.78.7.402

Cited by 4 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, a learning culture creates safety awareness among healthcare providers while promoting an environment of learning through additional educational opportunities, the positive results of which are evident when looking at safety quality training exposure (Singer and Vogus, 2013). Importantly, hospitals that maintain transparency in their reporting methods have opportunities to learn not only from failures but also from successes (Gibson et al., 2017). The skill items assessed using the NASUS instrument focus on competency when analysing errors through different methods (e.g.…”

Section: Discussionmentioning

confidence: 99%

Safety culture and systems thinking for predicting safety competence and safety performance among registered nurses in Saudi Arabia: a cross-sectional study

Mahsoon

Dolansky

2021

Journal of Research in Nursing

View full text Add to dashboard Cite

Background Medical errors are a worldwide concern and the contribution of nurses’ safety competence and performance to these errors is a high priority. It has been over 20 years since the first report of the need to address medical errors. New approaches are needed for enhancing safety competence and performance. Aims This study explored the relationships among systems thinking, educational level, safety culture, safety competence and safety performance among registered nurses working in medical and surgical units in Saudi Arabia. Methods A correlational cross-sectional design with a convenience sample of 84 registered nurses was used. Results Systems thinking predicted 16% of safety knowledge ( F[2, 81] = 7.61, P = 0.001), while safety culture, baccalaureate education and completion of safety training predicted 19% of safety skill ( F[3, 78] = 2.80, P = 0.001). A safety culture that promoted learning from mistakes predicted 15% of safety performance measured based on nurses’ self-report of the number of errors in the past 3 months ( F[3, 75] = 2.86, P = 0.008). Conclusions Professional development including systems thinking and safety training are the necessary next steps for nurses. In addition, policy changes facilitating organisations to support learning from mistakes will contribute to reducing medical errors.

show abstract

Section: Discussionmentioning

confidence: 99%

Safety culture and systems thinking for predicting safety competence and safety performance among registered nurses in Saudi Arabia: a cross-sectional study

Mahsoon

Dolansky

2021

Journal of Research in Nursing

View full text Add to dashboard Cite

show abstract

“…As such, patient safety culture, or safety culture, can be broadly described as the summative impact of activities such as individual and group values, attitudes, perceptions, competencies, and patterns of behavior in pursuit of this goal [ 22 ]. The leaders ultimately determine the organizational commitment to patient safety and proficiency for safety management as they orchestrate the opportunity to learn from mistakes [ 23 , 24 ]. For this reason, leaders seek to strengthen system resilience [ 25 ] to medical errors with targeted quality improvement strategies [ 26 ] to improve the hospital culture by supporting the patient safety practices of everyone.…”

Section: Introductionmentioning

confidence: 99%

Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study

Granel-Giménez

Palmieri

Watson

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the relationship between clinician perceptions about patient safety and their actual clinical practices has received little attention. Despite the need for mixed methods studies to achieve a deeper understanding of safety culture, there are few studies providing comparisons of hospitals in different countries. Purpose: This study compared the safety culture of hospitals from the perspective of nurses in four European countries, including Croatia, Hungary, Spain, and Sweden. Design: A comparative mixed methods study with a convergent parallel design. Methods: Data collection included a survey, participant interviews, and workplace observations. The sample was nurses working in the internal medicine, surgical, and emergency departments of two public hospitals from each country. Survey data (n = 538) was collected with the Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative date was collected through 24 in-depth interviews and 147 h of non-participant observation. Survey data was analyzed descriptively and inferentially, and content analysis was used to analyze the qualitative data. Results: The overall perception of safety culture for most dimensions was ‘adequate’ in Sweden and ‘adequate’ to ‘poor’ in the other countries with inconsistencies identified between survey and qualitative data. Although teamwork within units was the most positive dimension across countries, the qualitative data did not consistently demonstrate support, respect, and teamwork as normative attributes in Croatia and Hungary. Staffing and workload were identified as major areas for improvement across countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain, Hungary, and Croatia. Conclusions: Despite all countries being part of the European Union, most safety culture dimensions require improvement, with few measured as good, and most deemed to be adequate to poor. Dimension level perceptions were at times incongruent across countries, as observed patient safety practices or interview perspectives were inconsistent with a positive safety culture. Differences between countries may be related to national culture or variability in health system structures permitted by the prevailing European Union health policy.

show abstract

“…These factors are known to improve patient safety and HCW engagement. 28 The current study examined a novel measure specifically designed to assess LL behaviors related to coaching and feedback (for example, being available at predictable times, providing useful feedback, communicating clearly about expectations). Examining specific behaviors allows the measure to be highly actionable so that leaders can directly target improvement by adjusting their behavior based on results from different items.…”

Section: Discussionmentioning

confidence: 99%