Measuring patient safety culture in pediatric long-term care

Abstract

PURPOSE The purpose of this study was to test the reliability, feasibility and utility of a modified patient safety survey for use in pediatric long term care (pLTC) settings and describe patient safety culture in a sample of providers from pLTC facilities. METHODS A survey was adapted from the Agency for Healthcare Research and Quality Nursing Home Survey on Patient Safety Culture (PSC-pLTC) and administered to a convenience sample of providers who work in pLTC during an educational workshop in November 2015. RESULTS Forty-nine respondents from 32 facilities across all 4 U.S. census regions completed the survey. The adapted survey demonstrated excellent face validity, usability, feasibility and internal consistency reliability (Cronbach alpha = 0.94). Highest ratings were given to overall perceptions of safety, feedback and incident communication, supervisors’ expectations and actions and management support. Lower ratings were given to dimensions of teamwork, communication, handoffs and transitions, with the lowest ratings given to staffing and organizational learning. Ratings were associated with population and geographic region served. CONCLUSION This survey to measure patient safety culture adapted for pLTC demonstrated components of reliability and validity, was useable and group discussants were eager for such a measure.

<p>Assessing Building Blocks for Patient Safety Culture—a Quantitative Assessment of Saudi Arabia</p>

“…Several challenges might be faced by nursing practice associated with the integration of a safety culture and the conflict in the work environment. In addition, several other challenges have been unaddressed, such as inadequate management of patient care errors, lack of mutual trust among healthcare workers, overstressed feelings, lack of evidence of collaboration and teamwork, lack of clear communication, and conflict contribution to job satisfaction of nurses 14,15. Consequently, this impedes the ability to offer quality, humane, and safer care.…”

Organisational context of hospitals that participated in a multi-site mentored medication reconciliation quality improvement project (MARQUIS2): a cross-sectional observational study

“…The internal consistency of the Perceived Cohesion Scale (PCS) in this study was good (Cronbach’s alpha 0.78). Organisational climate was measured by 10 items from the AHRQ Hospital Survey on Patient Safety (HSPS) 16 20 29. The domains include organisational learning (three items), management support for patient safety (three items) and an overall perception of safety (four items).…”

“…Evidence further indicates that teaching and large hospitals may not be as effective in programme implementation due to complex organisational structures and programme oversight that is spread out across multiple organisational units 27–29. On the other hand, smaller and rural hospitals may have fewer resources compared with larger, urban hospitals.…”

Perception of Patient Safety Culture in Pediatric Long-Term Care Settings

“…The original tool has demonstrated construct and content validity and internal reliability (Cronbach alpha 0.71–0.86 per dimension) in adult nursing home settings. 11,12 These 12 dimensions were previously established by confirmatory factor analysis for the pLTC setting. 11…”

“…In recent work, we tested the Agency for Healthcare Research and Quality (AHRQ) Nursing Home of PSC survey slightly modified for use in pLTC and found the instrument to be reliable and valid in this setting using data from a one-time survey administration. 10–12 Now with access to additional data collected from the same sites 2 years later we aim to expand our understanding of PSC in pLTC.…”