Use of patient safety culture instruments in operating rooms: A systematic literature review

Zhao, Pujng; Li, Yaqin; Li, Zhi; Jia, Pengli; Zhang, Longhao; Zhang, Mingming

doi:10.1111/jebm.12255

Cited by 13 publications

(10 citation statements)

References 53 publications

(314 reference statements)

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“…Several instruments are available to assess safety culture [ 13 , 14 ]. One of them is the safety attitudes questionnaire (SAQ), which is the most commonly used instrument to measure patient safety culture in hospital operating rooms [ 15 ]. The instrument may identify possible weaknesses in a clinical setting and this can stimulate quality improvement interventions [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Patient safety culture in out-of-hours primary care services in the Netherlands: a cross-sectional survey

Smits

Keizer²,

Giesen³

et al. 2018

Scandinavian Journal of Primary Health Care

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ObjectiveTo examine patient safety culture in Dutch out-of-hours primary care using the safety attitudes questionnaire (SAQ) which includes five factors: teamwork climate, safety climate, job satisfaction, perceptions of management and communication openness.DesignCross-sectional observational study using an anonymous web-survey. Setting Sixteen out-of-hours general practitioner (GP) cooperatives and two call centers in the Netherlands. Subjects Primary healthcare providers in out-of-hours services. Main outcome measures Mean scores on patient safety culture factors; association between patient safety culture and profession, gender, age, and working experience.ResultsOverall response rate was 43%. A total of 784 respondents were included; mainly GPs (N = 470) and triage nurses (N = 189). The healthcare providers were most positive about teamwork climate and job satisfaction, and less about communication openness and safety climate. The largest variation between clinics was found on safety climate; the lowest on teamwork climate. Triage nurses scored significantly higher than GPs on each of the five patient safety factors. Older healthcare providers scored significantly higher than younger on safety climate and perceptions of management. More working experience was positively related to higher teamwork climate and communication openness. Gender was not associated with any of the patient safety factors.ConclusionsOur study showed that healthcare providers perceive patient safety culture in Dutch GP cooperatives positively, but there are differences related to the respondents’ profession, age and working experience. Recommendations for future studies are to examine reasons for these differences, to examine the effects of interventions to improve safety culture and to make international comparisons of safety culture.Key PointsCreating a positive patient safety culture is assumed to be a prerequisite for quality and safety. We found that:• healthcare providers in Dutch GP cooperatives perceive patient safety culture positively;• triage nurses scored higher than GPs, and older and more experienced healthcare professionals scored higher than younger and less experienced professionals – on several patient safety culture factors; and• within the GP cooperatives, safety climate and openness of communication had the largest potential for improvement.

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Section: Introductionmentioning

confidence: 99%

Patient safety culture in out-of-hours primary care services in the Netherlands: a cross-sectional survey

Smits

Keizer²,

Giesen³

et al. 2018

Scandinavian Journal of Primary Health Care

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“…A new study carried out by (Zhao et al, 2017) with an objective to identify and qualitatively describe, in a literature review, how the instruments were used to evaluate patient safety culture in the operating rooms and published studies. The authors identified 1025 references, of which 99 were obtained for fulltext assessment; 47 of these studies were deemed relevant and included in the literature review.…”

Section: Previous Studiesmentioning

confidence: 99%

Nurses’ Perceptions of Patient Safety Culture at King Khaled University Hospital, Saudi Arabia

Alamri

ALMendeil

2020

المجلة العربية للإدارة

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The aim of this study is to assess the perception of nurses towards patient safety culture at King Khalid University Hospital (KKUH) in Saudi Arabia. To achieve this aim, the study utilized a questionnaire developed by the Hospital Survey On Patient Safety Culture (HSOPSC) (2008) and includes (34) items that measures patient safety culture on the patient safety culture dimensions. This questionnaire has been distributed to a sample consists of (250) nurses. A total of (199) complete questionnaires has been received back at a response rate of (80%). After analyzing data and testing questions, the study revealed: (1) the dimension of highest positively is teamwork within units (2) the dimension of lowest positively is hospital hands-off and transitions (3) the study revealed that there are statistically significant differences in the response of the respondents on the differences between the nurses perception of patient safety culture due to some personal characteristics (age, educational qualification, and years of experience) and (4) the study found that (64%) of the study sample indicated the absence of any reports on medical errors. Based on these results, certain recommendations were suggested.

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“…Por isso, necessita de uma gestão adequada que conduza à melhor eficiência e eficácia, mantendo ou desejavelmente melhorando os atuais níveis de qualidade assistencial (6) . Numerosos estudos têm vindo a salientar a importância da utilização de indicadores de qualidade no centro cirúrgico, monitorizando a qualidade e segurança dos cuidados (7)(8)(9)(10) .…”

Section: Introductionunclassified

Avaliação Da Qualidade Do Centro Cirúrgico Na Estrutura, Processo E Resultados

Gomes

Martins

Tronchin³

et al. 2021

Cogit. Enferm.

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Objetivos: avaliar a qualidade dos centros cirúrgicos em hospitais portugueses no que se refere à estrutura, processo e resultado.Método: estudo quantitativo e transversal, realizado entre os meses de janeiro e maio de 2018. A amostra foi constituída por 1.019 profissionais, de 71 hospitais portugueses. Recorreu-se à utilização de três instrumentos distintos para medir a estrutura, o processo e os resultados da qualidade no centro cirúrgico: a Escala Indicadores de Estrutura no Bloco Operatório, a Escala de Processos de Qualidade Assistencial no Bloco Operatório e a Escala para medir os Resultados de Qualidade noBloco Operatório.Resultados: os fatores “especificidades dos grupos profissionais”, “fluxos de comunicação”, “controle para a segurança” e “trabalho em equipe” foram considerados de alta qualidade.Conclusão: a avaliação da qualidade do centro cirúrgico nas categorias de estrutura, processo e resultado permite identificar lacunas que podem ser melhoradas e que exigem maior atenção.

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Use of patient safety culture instruments in operating rooms: A systematic literature review

Abstract: Although patient safety culture is considered important in health care and patient safety, the number of studies in which patient safety culture has been estimated using the instruments in operating rooms, is fairly small.

Cited by 13 publications

References 53 publications

Patient safety culture in out-of-hours primary care services in the Netherlands: a cross-sectional survey

Patient safety culture in out-of-hours primary care services in the Netherlands: a cross-sectional survey

Nurses’ Perceptions of Patient Safety Culture at King Khaled University Hospital, Saudi Arabia

Avaliação Da Qualidade Do Centro Cirúrgico Na Estrutura, Processo E Resultados

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