Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care

Sammer, Christine; Hauck, Loran D.; Jones, Cason; Zaiback-Aldinger, Julie; Classen, David C.

doi:10.1097/pts.0000000000000468

Cited by 15 publications

(11 citation statements)

References 22 publications

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“…Early work on patient safety culture originates with the report To Err is Human [5] and the framework from the Agency for Healthcare Research and Quality (AHRQ) [6]. A relationship has been demonstrated between a positive patient safety culture and less patient harm [7,8]. The majority of previous research on patient safety culture has been conducted in hospitals [9][10][11] and in different types of care contexts, such as surgical care [12], medical care [13] and intensive care [14].…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care: a cross-sectional study

Skoogh

Bååth

Hall‐Lord

2022

BMC Health Serv Res

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Background In complex healthcare organizations, such as intrapartum care, both patient safety culture and teamwork are important aspects of patient safety. Patient safety culture is important for the values and norms shared by interprofessional teams in an organization, and such values are principles that guide team members’ behavior. The aim of this study was 1) to investigate differences in perceptions of patient safety culture and teamwork between professions (midwives, physicians, nursing assistants) and between labor wards in intrapartum care and 2) to explore the potential associations between teamwork and overall perceptions of patient safety and frequency of events reported. Methods The design was cross-sectional, using the Swedish version of the Hospital Survey on Patient Safety Culture (14 dimensions) and the TeamSTEPPS® Teamwork Perceptions Questionnaire (5 dimensions). Midwives, physicians, and nursing assistants in three labor wards in Sweden in 2018 were included. Descriptive statistics, the Kruskal–Wallis H test, two-way ANOVA, and standard multiple regression analysis were used. Results The questionnaires were completed by 184 of the 365 healthcare professionals, giving a response rate of 50.4%. Two-way ANOVA showed a significant main effect of profession on two patient safety culture dimensions and one teamwork dimension and a significant main effect of labor ward on four patient safety culture dimensions and four teamwork dimensions. A significant interaction effect of profession and labor ward was found on four patient safety culture dimensions and four teamwork dimensions. The regression analysis revealed that four out of the five teamwork dimensions explained 40% of the variance in the outcome dimension ´Overall perceptions of patient safety´. Conclusions The results of the study indicate that profession and labor ward are important for healthcare professionals' perceptions of patient safety culture and teamwork in intrapartum care. Teamwork perceptions are significant for overall patient safety.

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Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care: a cross-sectional study

Skoogh

Bååth

Hall‐Lord

2022

BMC Health Serv Res

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“…Safety and quality KPIs are well developed because they are more easily measured, attributable only to the organisation and can assess different activities in the production of care. 27,29 Quality improvement is often a strategic priority, clinical governance approaches, and tools -such as disease-specific quality improvement projects and clinical pathways 30 -are commonly used, and there is widespread awareness that clinical decision-making must be supported by protocols and guidelines. 31 Given the linkages of fundamental care to safety and quality metrics, efforts to build the evidence-based and knowledge that captures the impact of enacting fundamental care across the healthcare continuum and lifespan should include generating a routinely collected data set of relevant measures.…”

Section: Discussionmentioning

confidence: 99%

Dimensions of performance and related key performance indicators addressed in healthcare organisations: A literature review

Gartner

Lemaire

2022

Health Planning & Management

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Introduction: Performance measurement systems have become essential managerial tools for healthcare organisations in the last few decades. They allow hospital managers to pilot their institution and assess the development of the organisation in helping managers in decision-making and viewing the different impacts of these decisions. However, there is a need to investigate further the dimensions of performance those performance measurement systems address. Methods: A literature review was primarily conduced about performance measures in healthcare organisations. A comparative study was secondly made to identify the different performance dimensions that are present in the literature during the last decade. Forty-nine studies were considered and sixteen proposal frameworks were used to make the comparative analyses. Results: We classified dimensions depending on the frequency of mobilisation of their components in four categories: the stars, the first runners-up, the opportunists and the forgotten ones. For each of the dimensions presented in this classification, the main types of KPIs proposed in the theoretical frameworks are presented. A discussion on relevance and possible blind spots is then conducted. Conclusion: Although they were a lot of proposal frameworks of KPI proposed in the last decades to assess healthcare organisations, some dimensions remain underrepresented. There is still a need to develop structure KPI and

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“…Moreover, Tawfik et al (2018) found a direct relationship between patient safety performance and medical errors. Sammer et al (2020) suggested the significant relationship between safety culture, patient safety and medical errors. The relationships between safety culture and safety performance are not entirely obvious: some culture components will impact patient safety more than others (Mannion and Davies, 2018).…”

Section: Conceptsmentioning

confidence: 99%

Leadership for reducing medical errors via organizational culture: a literature review

Adams

2022

MBE

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Purpose Medical errors have become the third leading cause of death in the USA. Two million deaths from preventable medical errors will occur annually worldwide each year. The purpose of this paper is to find themes from the literature relating leadership styles – leadership approaches in practice – with success in reducing medical errors and patient safety. Design/methodology/approach This review analyzed primary and secondary sources based on a search for the terms leadership OR leadership style AND medical errors OR patient safety using five high-quality health-care-specific databases: Healthcare Administration Database from Proquest, LLC, Emerald Insight from Emerald Publishing Limited, ScienceDirect from Elsevier, Ovid from Ovid Technologies and MEDLINE with Full-Text from Elton B. Stevens Company. After narrowing, the review considered 21 sources that met the criteria. Findings The review found three leadership approaches and four leadership actions connected to successfully reducing medical errors and improving patient safety. Transformational, authentic and shared leadership produced successful outcomes. The review also found four leadership actions – regular checks on the front line and promoting teamwork, psychological safety and open communication – associated with successful outcomes. The review concluded that leadership appeared to be the preeminent factor in reducing medical errors and improving patient safety. It also found that positive leadership approaches, regardless of the safety intervention, led to improving results and outcomes. Research limitations/implications This review was limited in three ways. First, the review only included sources from the USA, the UK, Canada and Australia. While those countries have similar public-private health-care systems and similar socioeconomics, the problem of medical errors is global (Rodziewicz and Hipskind, 2019). Other leadership approaches or actions may have correlated to reducing medical errors by broadening the geographic selection parameters. Future research could remove geographic restrictions for selection. Second, the author has a bias toward leadership as distinctive from management. There may be additional insights gleaned from expanding the search terms to include management concepts. Third, the author is a management consultant to organizations seeking to improve health-care safety. The author’s bias against limited action as opposed to strategic leadership interventions is profound and significant. This bias may generalize the problem more than necessary. Practical implications There are three direct practical implications from this review. The limitations of this review bound these implications. First, organizations might assess strategic and operational leaders to determine their competencies for positive leadership. Second, organizations just beginning to frame or reframe a safety strategy can perhaps combine safety and leadership interventions for better outcomes. Third, organizations could screen applicants to assess team membership and team leadership orientation and competencies. Originality/value This review is valuable to practitioners who are interested in conceptual relationships between leadership approaches, safety culture and reducing medical errors. The originality of this research is limited to that of any literature review. It summarizes the main themes in the selected literature. The review provides a basis for future considerations centered on dual organizational interventions for leadership and safety.

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Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care

Cited by 15 publications

References 22 publications

Healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care: a cross-sectional study

Healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care: a cross-sectional study

Dimensions of performance and related key performance indicators addressed in healthcare organisations: A literature review

Leadership for reducing medical errors via organizational culture: a literature review

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