Safety culture in emergency medicine: An exploratory qualitative study

Alshyyab, Muhammad Ahmed; Borkoles, Erika; Albsoul, Rania Ali; Kinnear, Frances; FitzGerald, Gerard

doi:10.3233/jrs-210031

Cited by 5 publications

(5 citation statements)

References 45 publications

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“…Healthcare workers with high hierarchical levels were found to speak up more than those with low hierarchical levels. These results are consistent with those of the studies conducted in Asian countries, such as Japan, Hong Kong, South Korea, and Taiwan [ 15 , 26 , 31 ]. Healthcare workers with low hierarchies may perceive that their voices are not valued, leading to reluctance to speak up.…”

Section: Discussionsupporting

confidence: 93%

“…This was also supported by high levels of withholding voices, low levels of psychological safety, a less encouraging environment, and high resignation towards speaking up in emergency and intensive care departments. Healthcare workers in these departments may face barriers for speaking up due to heavy workloads and interdisciplinary collaboration [ 26 ]. These findings are of great concern because these two departments are at high risk of medical error due to their fast pace, frequent interruptions, and multiple handovers, which lead to severe patent harm [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare workers in these departments may face barriers for speaking up due to heavy workloads and interdisciplinary collaboration [ 26 ]. These findings are of great concern because these two departments are at high risk of medical error due to their fast pace, frequent interruptions, and multiple handovers, which lead to severe patent harm [ 26 ]. Therefore, establishing a culture of speaking up is crucial, and policies and procedures for expressing safety concerns should be strengthened in these departments [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

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What inhibits “speaking up” for patient safety among healthcare workers? A cross-sectional study in Malaysia

Kim,

Nishino,

Bujang

et al. 2024

Hum Resour Health

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Background In healthcare, “speaking up” refers to when healthcare workers raise concerns regarding patient safety through questions, sharing information, or expressing their opinion to prevent harmful incidents and ensure patient safety. Conversely, withholding voice is an act of not raising concerns, which could be beneficial in certain situations. Factors associated with speaking up and withholding voices are not fully understood, especially in strong authoritarian societies, such as Malaysia. This study aimed to examine the factors associated with speaking up and withholding the voices of healthcare workers in Malaysia, thus providing suggestions that can be used in other countries facing similar patient safety challenges. Methods This cross-sectional study was conducted in a tertiary hospital in Sarawak State, Malaysia. Data were collected from 474 healthcare workers from 43 departments using a self-administered questionnaire for speaking up and withholding voices measures in 4 weeks prior to data analysis as well as socio-demographic factors of healthcare workers (sex, age group, profession, department, weekly work hours for patient care, years of employment in the hospital, and the hierarchical level) and speaking up related climate of the working environment were recorded. Data were analyzed using descriptive statistics. Logistic regression was performed to find out (adjusted) odds ratio of frequent speaking up and withholding voices. Results Nurse compared to doctors and healthcare workers with short weekly working hours were more likely to speak up. Healthcare workers in emergency and intensive care department, those with short years of employment, and those who worked at low hierarchical levels were less likely to speak up. Healthcare workers in discouraging environment towards speaking up were more likely to withhold their voices. Conclusions This study demonstrates the characteristics of healthcare workers who speak up and those who withhold their voices in Malaysia. To ensure patient safety and prevent harm, it is essential to establish an encouraging environment that promotes speaking up and prevents withholding voices among healthcare worker, especially in circumstances where multiple types of healthcare workers with different socio-demographic backgrounds work together.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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What inhibits “speaking up” for patient safety among healthcare workers? A cross-sectional study in Malaysia

Kim,

Nishino,

Bujang

et al. 2024

Hum Resour Health

View full text Add to dashboard Cite

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“…The perceptions of PSC among hospital units may be different. While accomplishment of patient safety is paramount in the OR context given the vulnerability of this context, understanding perceptions of the surgical team toward PSC would be of significant importance (Alshyyab et al ., 2022). Therefore, the aim of this study was to explore the experiences of OR staff regarding PSC.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing patient safety culture in operating room in a teaching hospital in Jordan: a qualitative descriptive study

Alshyyab

Albsoul

FitzGerald

2022

TQM

Self Cite

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PurposeTo explore the perceptions of surgical team members in a tertiary hospital in Jordan toward the factors influencing patient safety culture (PSC).Design/methodology/approachThis was a qualitative descriptive study intended to characterize the factors that influence PSC. Interviews were conducted with health-care providers in the operation room (OR) in a tertiary Jordanian hospital. Participants included surgeons, anesthetists, nurses and senior surgical residents who had worked for three years minimum in the OR. Thematic analysis was used to analyze the data.FindingsA total of 33 interviews were conducted. Thematic analysis of the content yielded four major themes: (1) operational factors, (2) organizational factors, (3) health-care professionals factors and (4) patient factors. The respondents emphasized the role of the physical layout of the OR, implementing new techniques and new equipment, and management support to establish a safety culture in the operating room setting.Originality/valueThe present research study will have implications for hospitals and health-care providers in Jordan for developing organizational strategies to eliminate or decrease the occurrence of adverse events and improve patient safety in the OR.

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“…Patient safety remains a global healthcare concern that influences patients in developed and developing nations (Elmontsri et al. , 2017; Alshyyab et al ., 2022a, b; Kakemam et al. , 2022; Lawati et al.…”

Section: Introductionmentioning

confidence: 99%

Surgical team perceptions of the surgical safety checklist in a tertiary hospital in Jordan: a descriptive qualitative study

Albsoul

Alshyyab

Odat

et al. 2022

TQM

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PurposeThe purpose of this paper is to explore the perceptions of operating room staff towards the use of the World Health Organization Surgical Safety Checklist in a tertiary hospital in Jordan.Design/methodology/approachThis was a qualitative descriptive study. Semi-structured interviews were conducted with a purposeful sample of 21 healthcare staff employed in the operating room (nurses, residents, surgeons and anaesthesiologists). The interviews were conducted in the period from October to December 2021. Thematic analysis was used to analyse the data.FindingsThree main themes emerged from data analysis namely compliance with the surgical safety checklist, the impact of surgical safety checklist, and barriers and facilitators to the use of the surgical safety checklist. The use of the checklist was seen as enabling staff to communicate effectively and thus to accomplish patient safety and positive outcomes. The perceived barriers to compliance included excessive workload, congestion and lack of training and awareness. Enhanced training and education were thought to improve the utilization of the surgical safety checklist, and help enhance awareness about its importance.Originality/valueWhile steps to utilize the surgical safety checklist by the operation room personnel may seem simple, the quality of its administration is not necessarily robust. There are several challenges for consistent, complete and effective administration of the surgical safety checklist by the surgical team members. Healthcare managers must employ interventions to eliminate barriers to and offer facilitators of adherence to the application of the surgical safety checklist, therefore promoting quality healthcare and patient safety.

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Safety culture in emergency medicine: An exploratory qualitative study

Cited by 5 publications

References 45 publications

What inhibits “speaking up” for patient safety among healthcare workers? A cross-sectional study in Malaysia

What inhibits “speaking up” for patient safety among healthcare workers? A cross-sectional study in Malaysia

Factors influencing patient safety culture in operating room in a teaching hospital in Jordan: a qualitative descriptive study

Surgical team perceptions of the surgical safety checklist in a tertiary hospital in Jordan: a descriptive qualitative study

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