Patient safety culture in Norwegian primary care: A study in out-of-hours casualty clinics and GP practices

Bondevik, Gunnar Tschudi; Hofoss, Dag; Hansen, Elisabeth Holm; Deilkås, Ellen Catharina Tveter

doi:10.3109/02813432.2014.962791

Cited by 50 publications

(88 citation statements)

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“…A summary independent sample t test was performed in order to test differences in mean scores between our sample and benchmark data from other settings, including Norwegian out-of-hours casualty clinics and general practitioner (GP) practices [39], Dutch nursing/residential homes [34], acute care hospitals in seven European countries [40], Swedish surgical inpatient units [41], and Norwegian nursing homes [32]. We considered these studies appropriate for comparison to our HHN data because they included SAQ mean scores for frontline nurses (i.e., registered nurse, nurse assistant, health worker, The response category "Not applicable" was set as "missing" in the analyses c Positive answers was defined as score ≥ 75…”

Section: Discussionmentioning

confidence: 99%

“…In Table 3, the mean scores for teamwork and safety climate in HHN are compared to benchmark data from six other settings: Norwegian out-of-hours casualty clinics and GP practices [39], Dutch nursing/residential homes [34], acute hospitals in seven European countries [40], Swedish inpatient surgery units [41], and Norwegian nursing homes [32]. For teamwork climate, HHN scores were significantly higher than in three of the benchmark settings: nursing homes and residential homes in the Netherlands, acute hospitals in Europe, and nursing homes in Norway.…”

Section: Teamwork and Safety Climate In Home Health Nursing Compared mentioning

confidence: 99%

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Patient safety culture in Norwegian home health nursing: a cross-sectional study of healthcare provider’s perceptions of the teamwork and safety climates

Olsen

Bjerkan

2017

Saf Health

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Background: The threefold aim of this study was to (1) describe attitudes to patient safety among healthcare providers in home health nursing (HHN), (2) investigate differences in attitudes due to age, education level, years of healthcare work experience, and years at current workplace, and (3) compare attitudes of these HHN healthcare providers with available benchmark data from other healthcare settings. Methods: One hundred sixty HHN healthcare providers in Mid-Norway answered a survey covering the teamwork climate and safety climate in the Safety Attitudes Questionnaire (SAQ). Data were analyzed by descriptive statistics, t test, and ANOVA.Results: The overall mean score was 79.1 for teamwork climate and 72.3 for safety climate. The proportion of positive responses (i.e., scale scores ≥ 75) was 73% on teamwork climate and 53% on safety climate. For teamwork and safety climates, employees with the longest employment at the current workplace had significantly higher mean scores than those with shorter employment. No significant differences were found in mean scores for age, education level, and length of experience in healthcare. Compared to benchmark data from other studies, the mean HHN scores for both safety and teamwork climates were higher than in the vast majority of other healthcare settings and significant differences were found for both dimensions.Conclusion: HHN has higher scores for both safety climate and teamwork climate compared to the vast majority of other healthcare settings, but there is room for improvement in the patient safety culture within the Norwegian HHN. Further research on patient safety culture in HHN is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Teamwork and Safety Climate In Home Health Nursing Compared mentioning

confidence: 99%

Patient safety culture in Norwegian home health nursing: a cross-sectional study of healthcare provider’s perceptions of the teamwork and safety climates

Olsen

Bjerkan

2017

Saf Health

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“…An OOHC centre in Slovenia has thus a unified leadership and can be seen as a “natural social unit”; which is a validation criteria for organizational climate measurements [2]. Patient safety in OOHC has been studied only in few European countries [9, 13–16]. These studies dealt with several aspects of patient safety, i.e.…”

Section: Introductionmentioning

confidence: 99%

The safety attitudes questionnaire – ambulatory version: psychometric properties of the Slovenian version for the out-of-hours primary care setting

Klemenc–Ketiš

Maletič

Stropnik

et al. 2017

BMC Health Serv Res

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BackgroundSeveral tools have been developed to measure safety attitudes of health care providers, out of which the Safety Attitudes Questionnaire (SAQ) is regarded as one of the most appropriate ones. In 2007, it was adapted to outpatient (primary health care) settings and in 2014 it was tested in out-of-hours health care settings in Norway. The purpose of this study was to translate the English version of the SAQ-Ambulatory Version (SAQ-AV) to Slovenian language; to test its reliability; and to explore its factor structure.MethodsThis was a cross-sectional study that took place in Slovenian out-of-hours primary care clinics in March-May 2015 as a part of an international study entitled Patient Safety Culture in European Out-of-hours services. The questionnaire consisted of the Slovenian version of the SAQ-AV. The link to the questionnaire was emailed to health care workers in the out-of-hours clinics. A total of 438 participants were invited. We performed exploratory factor analysis.ResultsOut of 438 invited participants, 250 answered the questionnaire (response rate 57.1%). Exploratory factor analysis put forward five factors: 1) Perceptions of management, 2) Job satisfaction, 3) Safety climate, 4) Teamwork climate, and 5) Communication. Cronbach’s alpha of the whole SAQ-AV was 0.922. Cronbach’s alpha of the five factors ranged from 0.587 to 0.791. Mean total score of the SAQ-AV was 56.6 ± 16.0 points. The factor with the highest average score was Teamwork climate and the factor with the lowest average was Job satisfaction.ConclusionsBased on the results in our study, we cannot state that the SAQ-AV is a reliable tool for measuring safety culture in the Slovenian out-of-hours care setting. Our study also showed that there might be other safety culture factors in out-of-hours care not recognised before. We therefore recommend larger studies aiming to identify an alternative factor structure.

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“…Faktorskårene skiller seg heller ikke saerlig ut fra det som er rapportert ved helseforetakene (Helsedirektoratet, 2016a), ved europeiske sykehus (Kristensen et al, 2015) og for legevakt og legekontor her i landet (Bondevik et al, 2014b). Tabell 3.…”

Section: Individuell Skår På Sikkerhetsklima Teamarbeidsklima Og Oppunclassified

Sikkert nok? - En kvantitativ studie av holdninger til pasientsikkerhet blant ansatte i hjemmesykepleien

Olsen¹,

Bjerkan²

2017

TFO

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Sikkert nok? En kvantitativ studie av helsepersonell sine holdninger til pasientsikkerhet i hjemmesykepleien. 1 Vitenskapelig artikkel Tittel:Sikkert nok? En kvantitativ studie av holdninger til pasientsikkerhet blant ansatte i hjemmesykepleien Resultat: Andel enheter med modent sikkerhetsklima (modent= 60 % av medarbeiderne gir skår ≥75) var 31,3 %, mens 68,8 % hadde et modent teamarbeidsklima. Gjennomsnittskår (på en skala fra 1−100) på sikkerhetsklima var 72,3, på teamarbeidsklima 79,1 og på oppfatning av ledelsens fokus på pasientsikkerhet 62,0. Gruppen med lengst erfaring fra arbeidsplassen skåret signifikant høyere på både sikkerhetsklima og teamarbeidsklima enn de med kortere ansettelsesforhold. På oppfatning av ledelsens fokus på pasientsikkerhet skåret gruppen med lav utdanning høyere enn den med høy utdanning, og gruppen med lengst erfaring fra arbeidsplassen skåret høyere enn den med kortere erfaring.Konklusjon: Studien indikerer at en betydelig andel av hjemmesykepleien kan ha en forhøyet risiko for uønskede hendelser grunnet «umodent» sikkerhets-og/eller teamarbeidsklima. Det er behov for mer forskning på pasientsikkerhetskultur og holdninger til pasientsikkerhet blant helsepersonell i hjemmesykepleien.Nøkkelord: Hjemmesykepleie, sikkerhetsklima, teamarbeidsklima, pasientsikkerhetskultur, Safety Attitudes QuestionnaireSikkert nok? En kvantitativ studie av helsepersonell sine holdninger til pasientsikkerhet i hjemmesykepleien. 3 SummaryTitle: Safe enough? A quantitative study of health care providers' attitudes towards patient safety in home health care.Background: The importance of patient safety and quality improvements in health care is given considerable attention in both research and policy. The aim of his study was to investigate patient safety attitudes amongst health care providers in home health care.Method: 160 home health care providers (28 %) from six municipalities (16 units in total) in On Perception of management, the providers with lower education scored significantly higher than providers with higher education, and providers with longest experience at the work place scored significantly higher than providers with shorter experience. Sikkert nok? En kvantitativ studie av helsepersonell sine holdninger til pasientsikkerhet i hjemmesykepleien. Conclusion 4 IntroduksjonDenne studien handler om holdninger til pasientsikkerhet i hjemmesykepleien. Oversikt over forekomst av uønskede hendelser i norsk helsevesen begrenser seg til tall fra meldeordningen for spesialisthelsetjenesten. Meldeordningen mottok 9 707 meldinger i 2015, og av disse omhandlet 14,6 % betydelig skade, og 4,6 % gjaldt dødsfall (Helsedirektoratet, 2016b). Ettersom det ikke er innført varslings-og meldeplikt i kommunene, finnes det ingen tilsvarende oversikt for den kommunale omsorgstjenesten her til lands (NOU 2015(NOU :11, 2011. Betydningen av lederansvar for pasientsikkerhetskultur er fremhevet både i Norge og internasjonalt (Meld. St. 10 (2012St. 10 ( −2013St. 10 ( ), 2012 NPSF, 2015; NOU 2015:11). Pasientsikkerhet ...

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Patient safety culture in Norwegian primary care: A study in out-of-hours casualty clinics and GP practices

Cited by 50 publications

References 24 publications

Patient safety culture in Norwegian home health nursing: a cross-sectional study of healthcare provider’s perceptions of the teamwork and safety climates

Patient safety culture in Norwegian home health nursing: a cross-sectional study of healthcare provider’s perceptions of the teamwork and safety climates

The safety attitudes questionnaire – ambulatory version: psychometric properties of the Slovenian version for the out-of-hours primary care setting

Sikkert nok? - En kvantitativ studie av holdninger til pasientsikkerhet blant ansatte i hjemmesykepleien

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