Organisational culture: variation across hospitals and connection to patient safety climate

Speroff, Theodore; Nwosu, Sam; Greevy, Robert A.; Weinger, Matthew B.; Talbot, Thomas R.; Wall, Richard J.; Deshpande, Jayant K.; France, Daniel J.; Ely, E. W.; Burgess, Hayley; Englebright, Jane; Williams, Marion; Dittus, Robert S.

doi:10.1136/qshc.2009.039511

Cited by 79 publications

(90 citation statements)

References 29 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%

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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%

“…Furthermore, more bureaucratic organizational cultures are less inclined to carry out quality development than organizations with more equality regarding teamwork (16) .…”

Section: Safety Climate Stress Recognition Perception Of Managementmentioning

confidence: 99%

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

Santiago

Turrini

2015

Rev. esc. enferm. USP

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“…Job satisfaction, the way in which the institution deals with errors, and perception of the types of management by health workers are considered essential indicators of the presence of attitudes that favor a safety climate in health institutions (9)(10) . The current recommendations emphasizes the need for studies that address the individual's behavior within the organization and the indicators of care and quality of care together (11) . The complexity of health care can be even greater when it involves pediatric care units.…”

Section: Introductionmentioning

confidence: 99%

Ambiente de trabalho da enfermagem, segurança do paciente e qualidade do cuidado em hospital pediátrico

Alves

Guirardello

2016

Rev. Gaúcha Enferm.

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How to cite this article:Alves DFS, Guirardello EB. Nursing work environment, patient safety and quality of care in pediatric hospital. Rev Gaúcha Enferm. 2016 jun;37 (2) RESUMEN Objetivos:Describir las características del ambiente de trabajo, las actitudes hacia la seguridad, el cuidado de la calidad medida por el personal de enfermería de las unidades de pediatría, así como analizar la evolución de los indicadores de bienestar y desempeño de los hospitales. Métodos: Estudio descriptivo con 136 profesionales en un asilo de ancianos hospital pediátrico, realizado a través de la forma de caracterización personal y profesional, Enfermería Índice de Trabajo -Revisado, Actitudes Seguridad Cuestionario -Short Form 2006 y los indicadores de calidad. Resultados: Los profesionales perciben el ambiente tan favorable a la práctica profesional y de la buena calidad de la atención, una reducción de los eventos adversos y la estancia hospitalaria. Satisfacción en el trabajo se consideró favorable para la seguridad del paciente. Conclusiones: El ambiente de trabajo es propicio para la práctica de los profesionales de enfermería que aprueban la calidad de la atención y la reducción de puntos de indicadores de los eventos adversos y la estancia hospitalaria Palabras clave: Ambiente de instituciones de salud. Seguridad del paciente. Calidad de la atención de salud. Satisfacción en el trabajo. Evaluación del resultado de la atención al paciente.

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“…Although we asked a single question about team work, the level of agreement with the question was not incomparable to that found in other studies measuring teamwork via a series of questions. 2,3,7,24,25 Our finding could, therefore, be viewed as a good starting point. However, in the current context of emphasising teamwork, particularly given the increasing demands of chronic disease and multimorbidity, and of enhancing the patient experience, it also indicates room for improvement.…”

Section: Discussionmentioning

confidence: 99%

“…For example, a North American study found variations in the type of hospital organisational culture -some hierarchical and others more oriented towards teamwork -and that the latter culture was more germane to developing a robust patient safety climate. 7 An Australian study of professionals working in different service areas found that specific services had more positive safety cultures, as well as demographic differences in safety attitudes. 2 The most utilised survey tools, such as the 'safety climate survey' and derivatives of this 8 have been deployed in a range of contexts.…”

Section: Introductionmentioning

confidence: 99%

Healthcare professional perspectives on quality and safety in New Zealand public hospitals: findings from a national survey

Gauld

Horsburgh

2014

Aust. Health Review

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Background. Few studies have sought to measure health professional perceptions of quality and safety across an entire system of public hospitals. Therefore, three questions that gauge different aspects of quality and safety were included in a national New Zealand survey of clinical governance.Methods. Three previously used questions were adapted. A total of 41 040 registered health professionals employed in District Health Boards were invited to participate in an online survey. Analyses were performed using the R statistical environment. Proportional odds mixed models were used to quantify associations between demographic variables and responses on five-point scales. Relationships between other questions in the survey and the three quality and safety questions were quantified with the Pearson correlation coefficient.Results. A 25% response rate delivered 10 303 surveys. Fifty-seven percent of respondents (95% CI: 56-58%) agreed that health professionals in their District Health Board worked together as a team; 70% respondents (95% CI: 69-70%) agreed that health professionals involved patients and families in efforts to improve patient care; and 69% (95% CI: 68-70%) agreed that it was easy to speak up in their clinical area if they perceived a problem with patient care. Correlations showed links between perceptions of stronger clinical leadership and performances on the three questions, as well as with other survey items. The proportional mixed model also revealed response differences by respondent characteristics.Conclusions. The findings suggest positive commitment to quality and safety among New Zealand health professionals and their employers, albeit with variations by district, profession, gender and age, but also scope for improvement. The study also contributes to the literature indicating that clinical leadership is an important contributor to quality improvement.What is known about the topic? Various studies have explored aspects of healthcare quality and safety, generally within a hospital or group of hospitals, using a lengthy tool such as the 'safety climate survey'. What does this paper add? We used a simple three-question survey approach (derived from existing measures) to measuring healthcare professionals' perceptions of quality and safety in New Zealand's public hospitals. In doing so, we also collected the first such information on this. What are the implications for practitioners? New Zealand policy makers and health professionals can take some comfort in our findings, but also note that there is considerable scope for improvement. Our finding that more positive perceptions of quality and safety were related to perceptions of stronger clinical leadership adds to the international literature indicating the importance of this. Policy makers and hospital managers should support strong clinical leadership.

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Organisational culture: variation across hospitals and connection to patient safety climate

Cited by 79 publications

References 29 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

Ambiente de trabalho da enfermagem, segurança do paciente e qualidade do cuidado em hospital pediátrico

Healthcare professional perspectives on quality and safety in New Zealand public hospitals: findings from a national survey

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