Patient Safety Culture In Health Organizations: Scoping Review

Neto, Alcides Viana de Lima; Silva, Micheline da Fonseca; Medeiros, Suzane Gomes de; Barbosa, Mayara Lima; Salvado, Pétala Tuani Candido de Oliveira; Santos, Viviane Euzébia Pereira

doi:10.3823/2344

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…The institution's management is primarily responsible for planning, developing, and monitoring actions and strategies of the organizational culture aimed at promoting safety and, therefore, shall be able to sensitize workers in favor of these measures (20) . Studies show that the lack of management flexibility as responsible for the punitive culture of errors is capable of causing greater damage, because the punitive character oppresses and frightens workers, resulting in low error notification rates (24)(25) . To improve this situation, it is urgent to inform, organize, and articulate institutional mechanisms, where the presence of an adequate leadership is seen as an aspect capable of driving changes, aiming at the adoption of safe practices (26) .…”

Section: Discussionmentioning

confidence: 99%

Patient safety culture in critical and non-critical areas: a comparative study

Carneiro

Dalmolin

Magnago

et al. 2021

Rev. esc. enferm. USP

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Objective: to compare the perception of patient safety culture among health workers from critical and non-critical areas. Method: cross-sectional study with health workers from critical and non-critical areas of a large hospital. Data collection used a characterization instrument and the Safety Attitudes Questionnaire. The analysis was performed in the Predictive Analytics Software Statistic®. Results: a total of 393 workers participated, predominantly women, over 43 years old, nursing technicians, with a partner, and children. Results indicated that the areas have a negative perception of patient safety (66.5%, ±12.7 critical; 63.5%, ±14.4 non-critical). Only job satisfaction had a positive score (83.0%, ±15.9 critical; 80.1%, ±17.5 non-critical). There was a relationship between being a worker in critical areas and having a positive perception of the unit’s management (p = 0.041). Conclusion: both areas have a negative perception of the safety culture. Although critical areas have obtained more positive evaluations, the results did not show statistical significance when compared to non-critical areas.

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Section: Discussionmentioning

confidence: 99%

Patient safety culture in critical and non-critical areas: a comparative study

Carneiro

Dalmolin

Magnago

et al. 2021

Rev. esc. enferm. USP

View full text Add to dashboard Cite

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The role of organizational and professional cultures in medication safety: a scoping review of the literature

Machen¹,

Jani²,

Turner

et al. 2019

International Journal for Quality in Health Care

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Purpose This scoping review explores what is known about the role of organizational and professional cultures in medication safety. The aim is to increase our understanding of ‘cultures’ within medication safety and provide an evidence base to shape governance arrangements. Data sources Databases searched are ASSIA, CINAHL, EMBASE, HMIC, IPA, MEDLINE, PsycINFO and SCOPUS. Study selection Inclusion criteria were original research and grey literature articles written in English and reporting the role of culture in medication safety on either organizational or professional levels, with a focus on nursing, medical and pharmacy professions. Articles were excluded if they did not conceptualize what was meant by ‘culture’ or its impact was not discussed. Data extraction Data were extracted for the following characteristics: author(s), title, location, methods, medication safety focus, professional group and role of culture in medication safety. Results of data synthesis A total of 1272 citations were reviewed, of which, 42 full-text articles were included in the synthesis. Four key themes were identified which influenced medication safety: professional identity, fear of litigation and punishment, hierarchy and pressure to conform to established culture. At times, the term ‘culture’ was used in a non-specific and arbitrary way, for example, as a metaphor for improving medication safety, but with little focus on what this meant in practice. Conclusions Organizational and professional cultures influence aspects of medication safety. Understanding the role these cultures play can help shape both local governance arrangements and the development of interventions which take into account the impact of these aspects of culture.

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Staying ahead of the curve: Navigating changes and maintaining gains in patient safety culture - a mixed-methods study

et al. 2021

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ObjectivesThis study examines how the results of the Hospital Survey on Patient Safety Culture changed between 2012 and 2019 and identifies organisational factors affecting these changes.DesignThe study combined the use of quantitative surveys of staff and qualitative interviews with hospital leadership. Secondary data analysis was performed for previous surveys.SettingThis study was conducted in a tertiary care teaching multisite hospital in Riyadh, Saudi Arabia.ParticipantsOne thousand hospital staff participated in the survey. Thirty-one executive board members and directors and four focus groups of frontliners were qualitatively interviewed.Primary and secondary outcome measuresTwelve safety culture dimensions were assessed to study the patient safety culture as perceived by the healthcare professionals. An additional semi-structured interview was conducted to identify organisational factors, changes, and barriers affecting the patient safety culture. Furthermore, suggestions to improve patient safety were proposed.ResultsComparing the results revealed a general positive trend in scores from 2012 to 2019. The areas of strength included teamwork within and across units, organisational learning, managerial support, overall perception of safety and feedback and communication about error. Non-punitive response to error, staffing and communication and openness consistently remain the lowest-scoring composites. Interview results revealed that organisational changes may have influenced the answers of the participants on some survey composites.ConclusionsPatient safety is a moving target with areas for improvement that are continuously identified. Effective quality improvement initiatives can lead to visible changes in the patient safety culture in a hospital, and consistent leadership commitment and support can maintain these improvements.

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Patient Safety Culture In Health Organizations: Scoping Review

Cited by 5 publications

References 3 publications

Patient safety culture in critical and non-critical areas: a comparative study

Patient safety culture in critical and non-critical areas: a comparative study

The role of organizational and professional cultures in medication safety: a scoping review of the literature

Staying ahead of the curve: Navigating changes and maintaining gains in patient safety culture - a mixed-methods study

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