Improving patient safety at pediatric intensive care units: Exploring healthcare providers' perspective

Sabry, Hend Aly; Soliman, Mostafa; Bazaraa, Hafez; Hegazy, Amira Aly

doi:10.1080/20479700.2020.1726032

Cited by 6 publications

(6 citation statements)

References 13 publications

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“…Our result confirms the findings of Hayes et al (2015) and Buljac-Samardzic et al (2015), who stated that happy team members are more likely to have higher job satisfaction, leading to a better culture of patient safety (Huang et al, 2018a;Kristensen et al, 2015). Poor teamwork and communication among medical workers will directly affect the patient safety indicators such as morbidity, mortality, medication errors (Sabry et al, 2021;G€ urdal et al, 2021). Hence, hospital managers should improve the awareness of the importance of patient safety and encourage both cross-and interdepartmental cooperation to enhance safety climate.…”

Section: Discussionsupporting

confidence: 88%

Key drivers of promoting patient safety culture from the perspective of medical staff at a tertiary hospital in China

Huang

et al. 2022

TQM

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PurposeUnderstanding the antecedents of patient safety culture among medical staff is essential if hospital managers are to promote explicit patient safety policies and strategies. The factors that influence patient safety culture have received little attention. The authors aim to investigate the antecedents of patient safety culture (safety climate) in relation to medical staff to develop a comprehensive approach to improve patient safety and the quality of medical care in China.Design/methodology/approachThe Chinese version of the Safety Attitudes Questionnaire (CSAQ) was used to examine the attitudes toward patient safety among physicians and nurses. This medical staff was asked to submit the intra-organizational online survey via email. A total of 1780 questionnaires were issued. The final useable questionnaires were 256, yielding a response rate of 14.38%. One-way analysis of variance (ANOVA) was employed to test if different sex, supervisor/manager, age, working experience, and education result in different perceptions. Confirmatory factor analysis (CFA) was used to verify the structure of the data. Then linear regression with forward selection was performed to obtain the essential dimension(s) that affect the safety culture (safety climate).FindingsThe CFA results showed that 26 CSAQ items measured 6 safety-related dimensions. The linear regression results indicated that working conditions, teamwork climate, and job satisfaction had significant positive effects on safety culture (safety climate).Practical implicationsHospital managers should put increased effort into essential elements of patient-oriented safety culture, such as working conditions, teamwork climate, and job satisfaction to develop appropriate avenues to improve the quality of delivered medical services as well as the safety of patients.Originality/valueThis study focused on the contribution that the antecedents of patient safety culture (safety climate) make with reference to the perspective of medical staff in a tertiary hospital in China.

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Section: Discussionsupporting

confidence: 88%

Key drivers of promoting patient safety culture from the perspective of medical staff at a tertiary hospital in China

Huang

et al. 2022

TQM

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“…For example, understaffing has a direct impact on the occurrence of AEs and, consequently, on patient safety (Sabry et al , 2020). In terms of “communication openness”, “Non-punitive response for error” and “Management support for care safety”, respondents gave negative feed-back on these three dimensions that are considered essential for reducing AEs.…”

Section: Discussionmentioning

confidence: 99%

“…It started gaining the attention of healthcare leaders since the publication of the report “To Err is Human” by the Institute of Medicine in 1999 (Roney et al , 2017). This report initiated a patient safety movement that spanned over a period of two decades and continues to evolve to the present time (Sabry et al , 2020).…”

Section: Introductionmentioning

confidence: 99%

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Contribution of PCA/K-means methods to the mixed assessment of patient safety culture

Fourar

Djebabra

Benhassine

et al. 2021

IJHG

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PurposeThe assessment of patient safety culture (PSC) is a major priority for healthcare providers. It is often realized using quantitative approaches (questionnaires) separately from qualitative ones (patient safety culture maturity model (PSCMM)). These approaches suffer from certain major limits. Therefore, the aim of the present study is to overcome these limits and to propose a novel approach to PSC assessment.Design/methodology/approachThe proposed approach consists of evaluating PSC in a set of healthcare establishments (HEs) using the HSOPSC questionnaire. After that, principal component analysis (PCA) and K-means algorithm were applied on PSC dimensional scores in order to aggregate them into macro dimensions. The latter were used to overcome the limits of PSC dimensional assessment and to propose a quantitative PSCMM.FindingsPSC dimensions are grouped into three macro dimensions. Their capitalization permits their association with safety actors related to PSC promotion. Consequently, a quantitative PSC maturity matrix was proposed. Problematic PSC dimensions for the studied HEs are “Non-punitive response to error”, “Staffing”, “Communication openness”. Their PSC maturity level was found underdeveloped due to a managerial style that favors a “blame culture”.Originality/valueA combined quali-quantitative assessment framework for PSC was proposed in the present study as recommended by a number of researchers but, to the best of our knowledge, few or no studies were devoted to it. The results can be projected for improvement and accreditation purposes, where different PSC stakeholders can be implicated as suggested by international standards.

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“…The creation of a safety culture in healthcare is vital for patient safety. 2,54 It has been widely acknowledged that promoting patient safety culture is essential for continuous improvement of quality healthcare. 4,55 Numerous initiatives have aimed to improve the culture of safety in healthcare.…”

Section: Discussionmentioning

confidence: 99%

Strategies and interventions for improving safety culture in Australian Emergency Departments: A modified Delphi study

Alshyyab

FitzGerald²,

Albsoul

et al. 2021

Health Planning & Management

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Background: Patient safety and safety culture are critical for quality healthcare delivery in general and in Emergency Departments (EDs) in particular. The aim of this study is to identify strategies that may contribute to the improvement and maintenance of patient safety culture and which are considered most feasible in the ED environment.Methods: A two-step modified Delphi method with 11 experts' panel was performed to establish consensus. A list of potential expert participants with a background in patient safety culture in EDs was compiled through the professional networks of the supervisory team.

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Improving patient safety at pediatric intensive care units: Exploring healthcare providers' perspective

Cited by 6 publications

References 13 publications

Key drivers of promoting patient safety culture from the perspective of medical staff at a tertiary hospital in China

Key drivers of promoting patient safety culture from the perspective of medical staff at a tertiary hospital in China

Contribution of PCA/K-means methods to the mixed assessment of patient safety culture

Strategies and interventions for improving safety culture in Australian Emergency Departments: A modified Delphi study

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