The Relationship Between Hospital Systems Load and Patient Harm

Pedroja, Alberta T.; Blegen, Mary A.; Abravanel, Rebecca; Stromberg, Arnold J.; Spurlock, Bruce

doi:10.1097/pts.0b013e31829e4f82

Journal of Patient Safety

2014

DOI: 10.1097/pts.0b013e31829e4f82

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The Relationship Between Hospital Systems Load and Patient Harm

Alberta T. Pedroja

Mary A. Blegen

Rebecca Abravanel

et al.

Abstract: The results of this analysis are highly suggestive of a relationship between Hospital Systems Load and patient harm.

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Cited by 5 publications

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“…53 It is impossible to determine the ideal number of employees in any given case without simultaneously looking at the quality of the work environment and workload, 54 and patients' need for care. However, it has been shown that workplace culture, especially the overarching factor of stress, correlates with the use of supplemental nursing staff and patients´ length of stay, 55 and also with the relationship between hospital system load and patient harm, 56…”

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confidence: 99%

Nurses’ Views Highlight a Need for the Systematic Development of Patient Safety Culture in Forensic Psychiatry Nursing

Kuosmanen¹,

Tiihonen²,

Repo-Tiihonen

et al. 2017

J Patient Saf

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Background: Although forensic nurses work with the most challenging psychiatric patients and manifest a safety culture in their interactions with patients there have been few studies on patient safety culture in forensic psychiatric nursing. Objectives: The aim of this qualitative study was to describe nurses' views of patient safety culture in their working unit and daily hospital work in two forensic hospitals in Finland. Methods: Data were collected over a period of one month by inviting nurses to answer an openended question in an anonymous web-based questionnaire. A qualitative inductive analysis was performed on nurses' (N=72) written descriptions of patient safety culture in state-owned forensic hospitals where most Finnish forensic patients are treated. Results: Six main themes were identified: 'Systematization of an open and trusting communication culture', 'Visible and close interaction between managers and staff', 'Non-punitive responses to errors, learning and developing', 'Balancing staff and patient perspectives on safety culture', 'Operational safety guidelines', and 'Adequate human resources to ensure safety'. Conclusions: The findings highlight the influence of the prevailing culture on safety behaviors and outcomes for both healthcare workers and patients. Additionally, they underline the importance of an open culture with open communication and protocols.

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mentioning

confidence: 99%

Nurses’ Views Highlight a Need for the Systematic Development of Patient Safety Culture in Forensic Psychiatry Nursing

Kuosmanen¹,

Tiihonen²,

Repo-Tiihonen

et al. 2017

J Patient Saf

View full text Add to dashboard Cite

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Description of In Situ Simulation Activities in Critical Care Units of Québec (Canada)

Blais,

Marceau,

Lavoie

et al. 2023

Clinical Simulation in Nursing

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Individual and hospital-related determinants of potentially inappropriate admissions emerging from administrative records

et al. 2016

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The Relationship Between Hospital Systems Load and Patient Harm

Abstract: The results of this analysis are highly suggestive of a relationship between Hospital Systems Load and patient harm.

Cited by 5 publications

References 24 publications

Nurses’ Views Highlight a Need for the Systematic Development of Patient Safety Culture in Forensic Psychiatry Nursing

Nurses’ Views Highlight a Need for the Systematic Development of Patient Safety Culture in Forensic Psychiatry Nursing

Description of In Situ Simulation Activities in Critical Care Units of Québec (Canada)

Individual and hospital-related determinants of potentially inappropriate admissions emerging from administrative records

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