Understanding the peer, manager, and system influence on patient safety

Abstract

he aim to achieve zero preventable harm in healthcare systems remains an important but elusive goal. 1 Recent reports suggest that medical error is the third leading cause of death in the US. 2 As healthcare organizations have increased their focus on implementing tactics to improve patient safety, there remains doubt about their effectiveness. 3 One intervention that has shown promise for decreasing errors in health systems is the assessment of organizational perceptions of patient safety culture and subsequent strategies to address findings.Perceptions of patient safety culture link the beliefs, values, and norms shared by staff in an organization with actual patient safety. 4 Measuring perceptions of safety culture can raise staff awareness about patient safety, assess the current status of patient safety culture, and support comparisons within and across organizations. 4 One of the primary tools used to measure safety culture in US healthcare organizations is the Hospital Survey on Patient Understanding the peer, manager, and system influence on patient safetyA unique view of the Hospital Survey on Patient Safety Culture

Events of harm

“…This supports researchers who found that manager expectations, feedback, and communication about events are important factors in promoting a safe patient culture 11-13. This finding informed a deeper investigation of the level of contribution peers and managers have in creating a nonpunitive response to error 14…”

“…[11][12][13] This finding informed a deeper investigation of the level of contribution peers and managers have in creating a nonpunitive response to error. 14…”

Patient Safety Culture: Nurses’ Perspective in the Hospital Setting

“…PSC should consider whether nurses receive information on AEs that have occurred in their unit and the measures adopted to prevent the detected risks [43][44][45][46][47]. Likewise, another factor to be taken into account is the availability of information related to what is considered a reportable situation and to good practices.…”