Strategies and interventions for improving safety culture in Australian Emergency Departments: A modified Delphi study

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

doi:10.1002/hpm.3314

Cited by 5 publications

(2 citation statements)

References 78 publications

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“…Health leadership is also essential to creating cultures of safety to improve quality patient and community outcomes, in EC specifically 12 , 23 and in emergency and disaster contexts generally. 24 This is important to note given the disproportionate number of natural emergencies and disasters that the Pacific Island region annually experiences compared to other global regions.…”

Section: Discussionmentioning

confidence: 99%

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Phillips

Kendino

Brolan

et al. 2022

The Lancet Regional Health - Western Pacific

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Section: Discussionmentioning

confidence: 99%

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Phillips

Kendino

Brolan

et al. 2022

The Lancet Regional Health - Western Pacific

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“…Patient safety culture is crucial to high-quality care, especially in the emergency department. 43 The emergency department nursing managers should pay attention to the culture of patient safety and formulate positive safety strategies. Nursing staff should establish a positive attitude toward patient safety culture to reduce the occurrence of adverse events and ensure patient safety.…”

Section: Discussionmentioning

confidence: 99%

Impact of Target Management Card on Patient Safety in the Emergency Department: A Mixed Methods Study

Chen,

Yang,

Cui

et al. 2023

RMHP

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This study aimed to investigate the potential impact of the Target Management Card on patient safety in the emergency department. Patients and Methods: A mixed method design was developed, combining a one-group pretest-posttest design with a qualitative study. Target Management Cards were formulated for 32 emergency nurse practitioners and focus group interviews were conducted after the intervention. Wilcoxon's signed rank test was used to compare pre-test and post-test scores. The interview data were subject to content analysis. Results: After developing the Target Management Card, there were significant improvements in safety behaviors (Z = 4.709, p < 0.01) and perception of patient safety (Z = 4.257, p < 0.01) among emergency nurse practitioners. The nurses in the focus group interviews agreed that the Target Management Card could improve patient safety by warning and supervising nursing work in the emergency department, promoting a positive change in nurses' attitudes and behaviors toward patient safety. Conclusion: Our study found that nurses and nursing managers jointly formulating Target Management Cards in emergency departments significantly enhances patient safety.

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Exploring safety culture within inpatient mental health units: The results from participant observation across three mental health services

Molloy,

Wilson,

O'Connor

et al. 2024

Int J Mental Health Nurs

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In Australia, acute inpatient units within public mental health services have become the last resort for mental health care. This research explored barriers and facilitators to safe, person‐centred, recovery‐oriented mental health care in these settings. It utilised participant observations conducted by mental health nurses in acute inpatient units. These units were located in three distinct facilities, each serving different areas: a large metropolitan suburban area in a State capital, a mid‐sized regional city, and a small city with a large rural catchment area. Our findings highlighted that, in the three inpatient settings, nurses tended to avoid common areas they shared with consumers, except for brief, task‐related visits. The prioritisation of administrative tasks seemed to arise in a situation where nurses lacked awareness of alternative practices and activities. Consumers spent prolonged periods of the day sitting in communal areas, where the main distraction was watching television. Boredom was a common issue across these environments. The nursing team structure in the inpatient units provided a mechanism for promoting a sense of psychological safety for staff and were a key element in how safety culture was sustained.

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Strategies and interventions for improving safety culture in Australian Emergency Departments: A modified Delphi study

Cited by 5 publications

References 78 publications

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region

Impact of Target Management Card on Patient Safety in the Emergency Department: A Mixed Methods Study

Exploring safety culture within inpatient mental health units: The results from participant observation across three mental health services

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