Patient safety culture: factors that influence clinician involvement in patient safety behaviours

Wakefield, John; McLaws, Mary‐Louise; Whitby, Michael; Patton, Leanne

doi:10.1136/qshc.2008.030700

Cited by 60 publications

(97 citation statements)

References 44 publications

(28 reference statements)

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“…Als entscheidend für die Etablierung einer Sicherheitskultur und für die Umsetzung sicherer Handlungsweisen für Patienten wird die Vorbildfunktion erfahrener Ärzte gesehen[9,10].Bedingung der Bereitschaft, patientensichere Handlungen vorzunehmen, ist die Kenntnis solcher Handlungsweisen. Es konnte gezeigt werden, dass die Ausbildung neuer Ärztegenerationen in empfohlenen sicheren Methoden bspw.…”

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Patientensicherheitskultur – Wissen und Wissensbedarf bei Medizinstudenten

2011

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The establishment of a safety culture is described as a useful way to fewer patient injuries. This includes knowledge on recommendations for patient safety, which may contribute to the implementation of a safety culture to reduce medical errors. Our survey shows the necessity need for information on patient safety and the students desire to acquire this knowledge. Specific courses on patient safety in first-year student education and then continuing in the post-university training seems to be the right way for an improved safety culture and fewer patient injuries, which should be further evaluated.

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Patientensicherheitskultur – Wissen und Wissensbedarf bei Medizinstudenten

2011

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“…63 As a subset of organisational culture, safety culture comprises these attributes as they relate to patient safety. Facets of a positive safety culture include: ■ norms and rules for handling hazards, attitudes towards safety; reflexivity on safety practice 64 ■ positive attitudes to safety behaviours and role modelling of such behaviours to peers and juniors 65 ■ recognition of the inevitability of error and proactively seeking to identify latent threats 55,66 ■ non-punitive reporting systems, analysis of errors and near-misses, feedback to frontline staff, sharing learning 3,57,67 ■ openness, fairness and accountability at all organisational levels 68 ■ well-functioning teams 11,12,55,[69][70][71][72][73] ■ maintenance of situational awareness among team members 34,74,75 ■ non-hierarchical teams in which roles are flexible 76,77 and staff at all levels feel empowered 78 and ■ attention to staff development, 67,79 with consequent reduction in staff stress and burnout. 80,81 Wide variation in the framing of organisational and safety cultures and climates makes it inevitable that there will be little agreement on how they should be observed or measured.…”

Section: Organisational and Safety Cultures: Concepts And Definitionsmentioning

confidence: 99%

A methodological study to compare survey-based and observation-based evaluations of organisational and safety cultures and then compare both approaches with markers of the quality of care.

Freeth

Sandall²,

Allan³

et al. 2012

Health Technol Assess

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A methodological study to compare survey-based and observation-based evaluations of organisational and safety cultures and then compare both approaches with markers of the quality of care D Freeth, J Sandall, T Allan, F Warburton, EJ Berridge, N Mackintosh, M Rogers and S AbbottHow to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings al...

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“…communication openness, routine feedback, non-punitive culture) has a large influence on reporting by health practitioners. 165,166,173 Australian research found that the observed behaviour of professional peers and a belief that safety behaviours will make a difference, were the two factors most influential on the safety behaviours of health care workers. No reactions were reported to the TGA during the study period, including two reported reactions of extrapyramidal side effects from metoclopramide at standard doses and one case of extrapyramidal effects attributed to ondansetron.…”

Section: Discussionmentioning

confidence: 99%

“…These results correspond closely to the findings listed above with incident reporting and other health practitioners. 166 Despite these barriers, and the limitations of pharmacist intervention reporting, the combination of incident reports with health practitioner interventions into a single reporting system is considered a valuable method to identify faulty processes.…”

Section: Interventions (Pharmacist or Nursing)mentioning

confidence: 99%

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Advanced practice in paediatric pharmacy: What is it, how do you get there, and what does it mean for children?

Stacey¹

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The quality and safety of medicines use is as important in paediatrics as in adult medicine, and closely linked to the skills, knowledge, attitudes and behaviours of health professionals responsible for patient care. The aim of this research was to investigate advanced paediatric pharmacy practice; how to develop and assess advanced skills; and how these skills improve outcomes for children.Prevention of adverse medication events (AMEs) is the most researched pharmacy impact on patient outcomes. However, there is limited evidence in paediatrics. The first phase of this research investigated AMEs in children, with the hypothesis that: Voluntary reports of AMEs can be used to identify trends over time in response to safety improvement initiatives, and identify associated skills required of health practitioners.The first component of this phase reviewed six months of potential and actual AMEs identified from three databases: clinical incident reports, pharmacist intervention reports and administrative coding using the International Classification of Diseases 10 th Revision (ICD-10). Analysis identified 447 individual AMEs. Little duplication between data sources was found. ICD-10 coding identified the most cases of harm, and intervention and incident reports identified the most cases of error. ICD-10 events rarely involved error and were time-consuming to retrieve, hence this method was not used in subsequent research. The second phase of research tested the hypothesis that:iii Paediatric hospital pharmacists value formal recognition of advanced pharmacy practice, can describe the characteristics of advanced practitioners and identify preferred methods of assessment of advanced practice.Four focus groups, involving 31 Australian paediatric pharmacists, concluded that advanced practice should be formally recognised, and include a foundation in clinical practice, together with education, research and service improvement outside the institution. Multiple methods of assessment were recommended; most preferred were direct observation of practice, peer review and portfolio review. Knowledge of paediatric diseases and drug handling, and skills in communication with children and families, were important.The third phase of the project reviewed two existing datasets to test two hypotheses, the first of which was: Pharmacist interventions can document progression to advanced practice.Six hundred interventions recorded by four pharmacists from one paediatric hospital were retrospectively reviewed over three separate periods from 2005 to 2012. Skills demonstrated in these interventions were rated using a pilot scale from 1 to 5, representing skills typical of intern pharmacists through to advanced practice. Skills increased over time, with more Level 3-5 interventions recorded in the later time periods, and mean skill level increasing from 1.9 to 2.6 (p<0.01).The second hypothesis in this phase was: Training and development priorities in paediatric pharmacy can be identified by direct observation of pharmacists working ...

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Patient safety culture: factors that influence clinician involvement in patient safety behaviours

Cited by 60 publications

References 44 publications

Patientensicherheitskultur – Wissen und Wissensbedarf bei Medizinstudenten

Patientensicherheitskultur – Wissen und Wissensbedarf bei Medizinstudenten

A methodological study to compare survey-based and observation-based evaluations of organisational and safety cultures and then compare both approaches with markers of the quality of care.

Advanced practice in paediatric pharmacy: What is it, how do you get there, and what does it mean for children?

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