Engaging Employees

Etchegaray, Jason Michel; Thomas, Eric J.

doi:10.1097/pts.0000000000000076

Cited by 13 publications

(12 citation statements)

References 49 publications

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“…In contrast to safety culture, safety climate [18] is an aggregation of the ‘shared perceptions of employees about safety relevant aspects’ of their clinical workplaces. By measuring HPWSs, findings supported the association between HPWSs most strongly associated with safety climate [5], e.g. the relationship between HPWSs and higher patient safety scores, lower rates of patient mortality and medication errors [2, 4, 20].…”

Section: Introductionmentioning

confidence: 72%

“…Despite challenges such as construct underrepresentation or construct-irrelevant variance [2], measurement of HPWSs in health care is gaining attention. One promising barometer of HPWS success is Etchegaray et al’s [5] US-developed and tested 10-item HPWS questionnaire. Based on a literature review and hospital senior executive ratings, this instrument assesses HPWS practice elements such as rewards, employee surveys or job security.…”

Section: Introductionmentioning

confidence: 99%

“…Based on a literature review and hospital senior executive ratings, this instrument assesses HPWS practice elements such as rewards, employee surveys or job security. The scale showed good psychometric properties (Cronbach’s α = .92); confirmatory factor analysis yielded good construct validity (GFI = .92; CFI = .94 ; RMSEA = .06) [5]. The HPWS questionnaire allows measurements in health care organisations, while developing or selecting HPWS target practices that promote patient safety outcomes via safety culture.…”

Section: Introductionmentioning

confidence: 99%

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The German version of the high-performance work systems questionnaire (HPWS-G) in the context of patient safety: a validation study in a Swiss university hospital

Mielke

Geest

Beckmann

et al. 2019

BMC Health Serv Res

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Background High performance work systems (HPWSs) are successful work systems in the context of safety climate and patient safety. The 10-item HPWS questionnaire is a validated instrument developed to assess existing HPWS structures in hospitals. The objectives of this cross-sectional study were to translate the English HPWS questionnaire into German (HPWS-G), to rate its content validity, and to examine its psychometric properties. Methods Content validity was examined by a panel of 12 physicians and nurses, and I-CVI and S-CVI calculated. For internal consistency, Cronbach’s α and item-scale correlations were determined. Construct validity was measured via confirmatory factor analysis. A convenience sample of 782 nurses and physicians in a University hospital setting in Switzerland’s German-speaking region was surveyed. Four inclusion criteria were applied: working in intensive care, emergency department or operating room; having daily patient contact; having worked in the current clinical area for more than three months; and more than 40% employment. Results A total of 281 questionnaires were completed (response rate: 35.9%). Overall, the 10-item HPWS-G questionnaire showed good content validity (I-CVI = .83–1; S-CVI = .86) and internal consistency (Cronbach’s α = .853). HPWS-G scores correlated significantly with safety climate ( r s = .657, p < .01) and teamwork climate ( r s = .615, p < .01). The proposed 1-factor model was accepted considering results of applied minimum rank factor analysis; a confirmatory factor analysis indicated an acceptable to good model fit (GFI = .968; CFI = .902; RMSEA = .043). Conclusions The HPWS-G showed good psychometric properties. In clinical practice it can be used to assess HPWS practices and for intra- and inter-hospital benchmarking. Some minor adaptions to the wording could be made as well as reassessing the psychometric properties at other clinical sites.

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Section: Introductionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The German version of the high-performance work systems questionnaire (HPWS-G) in the context of patient safety: a validation study in a Swiss university hospital

Mielke

Geest

Beckmann

et al. 2019

BMC Health Serv Res

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“…The safety culture of a health center offers an indirect means for its involvement in quality [4,8]. Poor involvement of professionals in safety has negative consequences for patients [9]. …”

Section: Introductionmentioning

confidence: 99%

Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis

Manzanera¹,

Moya²,

Guilabert

et al. 2018

IJERPH

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Objective: To analyze whether the results on quality assurance and safety culture in a healthcare organization are related to and affected by the actions implemented. Setting: Health Insurance of Work-related Accidents and Occupational Diseases. Methods: The study was conducted as a longitudinal observational study that analyzed the relationship of the Safety Culture and Quality Assurance measurements. Participants who were involved came from small centers with less than eight workers (N = 52), big centers (eight and more workers) (N = 707), and those centers with quality coordinators (N = 91). Data were collected during the years 2015 and 2016. Results: A total of 595 healthcare professionals responded in 2015 and 491 in 2016. The scores showed a positive progression both in Quality Assurance (T-test = 3.5, p = 0.001) and in Safety Culture (T-test = 5.6, p < 0.0001). Hence, the gradient of improvement in quality (average 5.5%) was greater compared to that of the safety culture (2.1%). Conclusions: The assessments of the quality assurance goals were consistent with the safety culture assessment. Hence, the results on Safety Culture were observed to be more stable over time.

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“…When it occurs, healthcare professionals should seek: first, that the same patient does not suffer more than 1 adverse event over the course of treatment; and second, that the same adverse event is not repeated. To achieve this, the health manager’s role is crucial, although the organizations must count on involvement by all their professionals [10]. Root cause analysis, critical incident analysis, and incident simulations are the most useful techniques for investigating what happened [11-13].…”

Section: Introductionmentioning

confidence: 99%

Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers’ Patient Safety Responsibilities

Mira¹,

Carrillo²,

Fernández³

et al. 2016

JMIR Mhealth Uhealth

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BackgroundAdverse events are a reality in clinical practice. Reducing the prevalence of preventable adverse events by stemming their causes requires health managers’ engagement.ObjectiveThe objective of our study was to develop an app for mobile phones and tablets that would provide managers with an overview of their responsibilities in matters of patient safety and would help them manage interventions that are expected to be carried out throughout the year.MethodsThe Safety Agenda Mobile App (SAMA) was designed based on standardized regulations and reviews of studies about health managers’ roles in patient safety. A total of 7 managers used a beta version of SAMA for 2 months and then they assessed and proposed improvements in its design. Their experience permitted redesigning SAMA, improving functions and navigation. A total of 74 Spanish health managers tried out the revised version of SAMA. After 4 months, their assessment was requested in a voluntary and anonymous manner.ResultsSAMA is an iOS app that includes 37 predefined tasks that are the responsibility of health managers. Health managers can adapt these tasks to their schedule, add new ones, and share them with their team. SAMA menus are structured in 4 main areas: information, registry, task list, and settings. Of the 74 users who tested SAMA, 64 (86%) users provided a positive assessment of SAMA characteristics and utility. Over an 11-month period, 238 users downloaded SAMA. This mobile app has obtained the AppSaludable (HealthyApp) Quality Seal.ConclusionsSAMA includes a set of activities that are expected to be carried out by health managers in matters of patient safety and contributes toward improving the awareness of their responsibilities in matters of safety.

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Engaging Employees

Abstract: We used information from a literature review and executive input to create a reliable and valid HPWSs survey. Future research needs to examine whether HPWSs is associated with additional safety and quality outcomes.

Cited by 13 publications

References 49 publications

The German version of the high-performance work systems questionnaire (HPWS-G) in the context of patient safety: a validation study in a Swiss university hospital

The German version of the high-performance work systems questionnaire (HPWS-G) in the context of patient safety: a validation study in a Swiss university hospital

Quality Assurance and Patient Safety Measures: A Comparative Longitudinal Analysis

Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers’ Patient Safety Responsibilities

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