Patient Safety Culture

Bishop, Alex; Fleming, Mark T.; Flin, Rhona

doi:10.1002/9781118979013.ch20

Cited by 2 publications

(2 citation statements)

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“…Currently, the three most commonly used questionnaires are the hospital survey on patient safety culture (Nieva & Sorra, ), the safety attitudes questionnaire (Sexton et al, ) developed, and the patient safety culture survey (Ginsburg et al, ). These instruments have been used globally and in a wide range of health‐care settings and have reasonable psychometric properties (Bishop, Fleming, & Flin, ).…”

Section: Resultsmentioning

confidence: 99%

“…The research has focused on the development and testing of perception surveys rather than on the deeper examination of the nature of patient safety culture. Only a few papers (Ginsburg, Norton, Casebeer, & Lewis, ; Hooper & Charney, ; Simons et al, ) have evaluated interventions designed to enhance patient safety culture, yet this is an area of great interest to practitioners (Bishop et al, ). It is likely that the relative lack of published research on interventions is due to the complex nature of culture change and the challenge of demonstrating meaningful change.…”

Section: Resultsmentioning

confidence: 99%

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Safety culture research and practice: A review of 30 years of research collaboration

Fleming

Harvey

Cregan

2018

J Appl Biobehavioral Res

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as a means of reinforcing rules and operational procedures upon employees (IAEA, 1986). The report describes "nuclear safety culture" as a "reinforcement process which should be used in conjunction with the necessary disciplinary measures (IAEA, 1986, p. 9)." From this perspective, the intent of having a safety culture was to "foster an atmosphere" where demanding practices were seen as a benefit (e.g., tedious quality checks) as opposed to a hindrance for employees.Although the INSAG-1 report used the term safety culture to describe a general issue of rule compliance that could be present in any nuclear power plant, the term was used by some governments to support the claim that a Chernobyl-type incident could not happen in their country. For example, Organization for Economic Cooperation and Development (OECD), headquartered in France, produced a report concerning Chernobyl (OECD, 1987) arguing that member states have a superior safety culture than that of the Soviet Union and that no action in this area was necessary. They argued that OECD member countries had a good safety culture due to their operator qualification systems, good control room design, effective control of operator behavior, and effective regulatory oversight. In short, they argued that safety culture was a Soviet problem and that no actions were required by OECD countries. It is interesting to note that neither the INSAG-1 nor OECD reports define safety culture, even though the OECD report contains a glossary of terms.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Safety culture research and practice: A review of 30 years of research collaboration

Fleming

Harvey

Cregan

2018

J Appl Biobehavioral Res

Self Cite

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Evaluation of a guided continuous quality improvement program in community pharmacies

Chinthammit

Rupp

Armstrong

et al. 2017

J of Pharm Policy and Pract

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Background: The importance of creating and sustaining a strong culture of patient safety has been recognized as a critical component of safe medication use. This study aims to assess changes in attitudes toward patient safety culture and frequency of quality-related event (QRE) reporting after guided implementation of a continuous quality improvement (CQI) program in a panel of community pharmacies in the United States (U.S.). Methods: Twenty-one community pharmacies volunteered to participate in the project and were randomly assigned to intervention or control groups. Pharmacy staff in the intervention group received guided training to ensure full implementation of a CQI program while those in the control group partially implemented the program. Pharmacy staff in both groups completed retrospective pre-post safety culture questionnaires and reported medication errors and near misses that occurred in their practices. Rasch analysis was applied to assess questionnaire validity and reliability and to confirm if the ordinal level data approximated interval level measures. Paired t-tests and repeated measure analysis of covariance tests were subsequently used to compare observed changes in the attitudes of subjects and frequency of QREs reporting in intervention and control groups. Results: Sixty-nine employees completed the questionnaire, a 43.9% response rate. Improvement in attitudes toward patient safety was statistically significant in the intervention group in six domains: staff, training, and skill (p = 0.017); patient counseling (p = 0.043); communication about mistakes (p < 0.001); response to mistakes (p < 0.001); organizational learning -continuous improvement (p < 0.001); and overall patient safety perceptions (p = 0.033). No significant differences were observed in QRE reporting rates between intervention and control groups. However, differences were observed in the types of QREs reported (e.g., incorrect safety cap) and the point in the prescription processing workflow where a QRE was detected (e.g., partner check station, and drug utilization review station) in the intervention group (p < 0.001). Conclusion: Guided CQI program implementation increased the self-reported patient safety culture attitudes among staff.

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Patient Safety Culture

Abstract: PATIENT SAFETY CULTURE Theory, Methods and Application• The first major collection to cover the theory and practice of safety culture.

Cited by 2 publications

References 88 publications

Safety culture research and practice: A review of 30 years of research collaboration

Safety culture research and practice: A review of 30 years of research collaboration

Evaluation of a guided continuous quality improvement program in community pharmacies

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