Advancing Measurement of Patient Safety Culture

Ginsburg, Liane; Gilin, Debra; Tregunno, Deborah; Norton, Peter; Flemons, W. Ward; Fleming, Mark T.

doi:10.1111/j.1475-6773.2008.00908.x

Cited by 74 publications

(74 citation statements)

References 49 publications

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“…This is in contrast to the experience of physicians or other staff who may work across multiple units. Understanding safety climate at the unit or service level has been recommended, as safety climates are ‘local’ and analysing at the institution level may mask opportunities for improving safety 37 38…”

Section: Discussionmentioning

confidence: 99%

Parent perceptions of children's hospital safety climate

et al. 2013

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Background Because patients are at the frontline of care where safety climate is closely tied to safety events, understanding patient perceptions of safety climate is crucial. We sought to develop and evaluate a parent-reported version of the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture and to relate parent-reported responses to parental need to watch over their child’s care to ensure mistakes aren’t made. Methods Parents (n=172) were surveyed about perceptions of hospital safety climate (14 items representing 4 domains—overall perceptions of safety, openness of both staff and parent communication, and handoffs and transitions) and perceived need to watch over their child’s care. Confirmatory factor analysis (CFA) was used to validate safety climate domain measures. Logistic regression was used to relate need to watch over care to safety climate domains. Results CFA indices suggested good model fit for safety climate domains. Thirty-nine percent of parents agreed or strongly agreed they needed to watch over care. In adjusted models, need to watch over care was significantly related to overall perceptions of safety (odds ratio=0.20, 95% confidence interval 0.11–0.37) and to handoffs and transitions (0.25, 0.14–0.46), but not to openness of staff (0.67, 0.40–1.12) or parent (0.83, 0.48–1.45) communication. Conclusion Findings suggest parents can provide valuable data on specific safety climate domains. Opportunities exist to improve our safety climate’s impact on parent burden to watch over their child’s care, such as targeting overall perceptions of safety as well as handoffs and transitions.

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Section: Discussionmentioning

confidence: 99%

Parent perceptions of children's hospital safety climate

et al. 2013

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“…As discussed in the sections 'Motivation of co-design methodology -The complexity of treatment processes' and 'Architectural design', the patient safety culture and the practical treatment process constitute the informal level of integrated clinical pathway management. Patient safety culture is an important issue in health care and much research has been undertaken for promoting the culture and improving medical quality (Fleming & Wentzell, 2008;Ginsburg et al, 2009). For example, the National Patient Safety Agency has identified seven key steps to promote patient safety culture (NPSA, 2004).…”

Section: Resultsmentioning

confidence: 99%

Integrated clinical pathway management for medical quality improvement – based on a semiotically inspired systems architecture

Liu

Yang

et al. 2014

European Journal of Information Systems

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Clinical pathway is an approach to standardise care processes to support the implementations of clinical guidelines and protocols. It is designed to support the management of treatment processes including clinical and non-clinical activities, resources and also financial aspects. It provides detailed guidance for each stage in the management of a patient with the aim of improving the continuity and coordination of care across different disciplines and sectors. However, in the practical treatment process, the lack of knowledge sharing and information accuracy of paper-based clinical pathways burden health-care staff with a large amount of paper work. This will often result in medical errors, inefficient treatment process and thus poor quality medical services. This paper first presents a theoretical underpinning and a co-design research methodology for integrated pathway management by drawing input from organisational semiotics. An approach to integrated clinical pathway management is then proposed, which aims to embed pathway knowledge into treatment processes and existing hospital information systems. The capability of this approach has been demonstrated through the case study in one of the largest hospitals in China. The outcome reveals that medical quality can be improved significantly by the classified clinical pathway knowledge and seamless integration with hospital information systems.

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“…This review highlights a need for documentation to be developed in order to fully reflect how nurses integrate the philosophy of palliative care into their practice and for priority to be afforded to the documentation of nurses' work.In recent years the emphasis on quality has resulted in documentation being considered an important mechanism to evaluate care performance given by nurses [55]. It follows therefore that attention should be focused towards educating nurses in the area of documenting care so that nurses have the ability to describe on paper all elements of the holistic care they provide [29] and demonstrate how nursing interventions affects client outcomes [56].…”

Section: Discussionmentioning

confidence: 99%

Nursing documentation in palliative care: An integrative review

Doody¹,

Bailey²,

Moran³

et al. 2018

J Nurs

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Purpose: Nursing documentation is essential in ensuring communication between team members, continuity of care and evidence based practice. The purpose of this paper is to review and synthesise research pertaining to nursing documentation in specialist palliative care. Method: An Integrative review (IR) utilising Whittemore and Knafi's five stage process was employed. Electronic searches of: Scopus, Medline, Cinahl, Web of Science, Academic Search Complete databases (2010-2017) were conducted. 10,842 articles were retrieved which were reduced to five articles for review. Data extraction, quality assessment (Critical Appraisal Skills Programmes -CASP) and thematic analysis were conducted on the included articles. Results: Two overarching themes emerged in this review, symptom management and engagement. Symptom management focused on documentation of symptoms while engagement highlighted emotional care, information giving, providing support, coordinating care, supporting families and education. Conclusions: Clear, accurate, and complete documentation is crucial to the delivery of quality health care and pivotal to effective communication within the team. Although this is important in all aspects of care it is arguably even more so in end of life care. In order to audit the care provided, such care must be clearly identified and documented.

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Advancing Measurement of Patient Safety Culture

Cited by 74 publications

References 49 publications

Parent perceptions of children's hospital safety climate

Parent perceptions of children's hospital safety climate

Integrated clinical pathway management for medical quality improvement – based on a semiotically inspired systems architecture

Nursing documentation in palliative care: An integrative review

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