Patient Safety Culture in EU Legislation

Pilarska, Anna; Zimmermann, Agnieszka; Piątkowska, Kamila; Jabłoński, Tomasz

doi:10.3390/healthcare8040410

Cited by 7 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reducing the impact of adverse events in European hospitals requires organizational strategies with a multidisciplinary approach in which nurses have an important role [ 8 ]. Despite an early record of robust legislative achievements in patient safety [ 9 ], the European Union has produced no new regulations for nearly a decade [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study

Granel-Giménez

Palmieri

Watson

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the relationship between clinician perceptions about patient safety and their actual clinical practices has received little attention. Despite the need for mixed methods studies to achieve a deeper understanding of safety culture, there are few studies providing comparisons of hospitals in different countries. Purpose: This study compared the safety culture of hospitals from the perspective of nurses in four European countries, including Croatia, Hungary, Spain, and Sweden. Design: A comparative mixed methods study with a convergent parallel design. Methods: Data collection included a survey, participant interviews, and workplace observations. The sample was nurses working in the internal medicine, surgical, and emergency departments of two public hospitals from each country. Survey data (n = 538) was collected with the Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative date was collected through 24 in-depth interviews and 147 h of non-participant observation. Survey data was analyzed descriptively and inferentially, and content analysis was used to analyze the qualitative data. Results: The overall perception of safety culture for most dimensions was ‘adequate’ in Sweden and ‘adequate’ to ‘poor’ in the other countries with inconsistencies identified between survey and qualitative data. Although teamwork within units was the most positive dimension across countries, the qualitative data did not consistently demonstrate support, respect, and teamwork as normative attributes in Croatia and Hungary. Staffing and workload were identified as major areas for improvement across countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain, Hungary, and Croatia. Conclusions: Despite all countries being part of the European Union, most safety culture dimensions require improvement, with few measured as good, and most deemed to be adequate to poor. Dimension level perceptions were at times incongruent across countries, as observed patient safety practices or interview perspectives were inconsistent with a positive safety culture. Differences between countries may be related to national culture or variability in health system structures permitted by the prevailing European Union health policy.

show abstract

Section: Introductionmentioning

confidence: 99%

Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study

Granel-Giménez

Palmieri

Watson

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Increasing patient safety is an important issue worldwide [ 49 , 50 ], and reducing human errors in the medication process was the goal of this study. However, enhancing medication and patient safety have never been the responsibilities of the medical staff or hospitals alone.…”

Section: Discussionmentioning

confidence: 99%

An Investigation of Human Errors in Medication Adverse Event Improvement Priority Using a Hybrid Approach

et al. 2021

View full text Add to dashboard Cite

The aim of this study was to analyze and provide an in-depth improvement priority for medication adverse events. Thus, the Human Factor Analysis and Classification System with subfactors was used in this study to analyze the adverse events. Subsequently, the improvement priority for the subfactors was determined using the hybrid approach in terms of the Analytical Hierarchy Process and the fuzzy Technique for Order of Preference by Similarity to Ideal Solution. In Of the 157 medical adverse events selected from the Taiwan Patient-safety Reporting system, 25 cases were identified as medication adverse events. The Human Factor Analysis and Classification System and root cause analysis were used to analyze the error factors and subfactors that existed in the medication adverse events. Following the analysis, the Analytical Hierarchy Process and the fuzzy Technique for Order of Preference by Similarity to Ideal Solution were used to determine the improvement priority for subfactors. The results showed that the decision errors, crew resource management, inadequate supervision, and organizational climate contained more types of subfactors than other error factors in each category. In the current study, 16 improvement priorities were identified. According to the results, the improvement priorities can assist medical staff, researchers, and decisionmakers in improving medication process deficiencies efficiently.

show abstract

“…This Communication regards the practical implementation of the provisions of the Health and Safety at Work Directives [ 11 ]. In [ 12 ], an examination of the European regulations on patient safety and, more generally, hospital safety is reported.…”

Section: Introductionmentioning

confidence: 99%

“…The intended use and certification as MD do not always seem aligned (for example when MDs used in rehabilitation are not certified for this) [ 20 ]. Cyber-attacks can have serious physical and/or psychological impacts [ 12 ], as described by means of a model in [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Information Security in Medical Robotics: A Survey on the Level of Training, Awareness and Use of the Physiotherapist

et al. 2022

View full text Add to dashboard Cite

Cybersecurity is becoming an increasingly important aspect to investigate for the adoption and use of care robots, in term of both patients’ safety, and the availability, integrity and privacy of their data. This study focuses on opinions about cybersecurity relevance and related skills for physiotherapists involved in rehabilitation and assistance thanks to the aid of robotics. The goal was to investigate the awareness among insiders about some facets of cybersecurity concerning human–robot interactions. We designed an electronic questionnaire and submitted it to a relevant sample of physiotherapists. The questionnaire allowed us to collect data related to: (i) use of robots and its relationship with cybersecurity in the context of physiotherapy; (ii) training in cybersecurity and robotics for the insiders; (iii) insiders’ self-assessment on cybersecurity and robotics in some usage scenarios, and (iv) their experiences of cyber-attacks in this area and proposals for improvement. Besides contributing some specific statistics, the study highlights the importance of both acculturation processes in this field and monitoring initiatives based on surveys. The study exposes direct suggestions for continuation of these types of investigations in the context of scientific societies operating in the rehabilitation and assistance robotics. The study also shows the need to stimulate similar initiatives in other sectors of medical robotics (robotic surgery, care and socially assistive robots, rehabilitation systems, training for health and care workers) involving insiders.

show abstract

Patient Safety Culture in EU Legislation

Cited by 7 publications

References 4 publications

Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study

Patient Safety Culture in European Hospitals: A Comparative Mixed Methods Study

An Investigation of Human Errors in Medication Adverse Event Improvement Priority Using a Hybrid Approach

Information Security in Medical Robotics: A Survey on the Level of Training, Awareness and Use of the Physiotherapist

Contact Info

Product

Resources

About