Quality management and perceptions of teamwork and safety climate in European hospitals

Kristensen, Solvejg; Hammer, Antje; Bartels, Paul; Suñol, Rosa; Groene, Oliver; Thompson, Caroline A.; Arah, Onyebuchi A.; Kutaj–Wąsikowska, Halina; Michel, Philippe; Wagner, Cordula

doi:10.1093/intqhc/mzv079

Cited by 72 publications

(77 citation statements)

References 39 publications

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“…14 After completing the filtering process, 11 studies met the inclusion criteria and were included in the integrated review. [15][16][17][18][19][20][22][23][24][25][26] Saturation was reached at this point, with further articles being repetitive of those already gathered. The reporting used quantitative methodology ( Table 1).…”

Section: Search Strategymentioning

confidence: 85%

Health professionals’ perception of patient safety culture in acute hospitals: an integrative review

Willmott

Mould

2018

Aust. Health Review

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Globally, the degree of patient harm occurring in healthcare was first publicised in the 1990s. Although many factors affect patient safety, in the US the Institute of Medicine identified hospital organisational culture as one factor contributing to a reduction in errors. This led to the development of many tools for measuring the safety culture of hospital staff. The aim of the present study was to review the literature on patient safety culture in acute hospitals to identify: (1) how patient safety is viewed by health professionals; (2) whether patient safety culture is perceived differently at the hospital versus ward level; and (3) whether clinicians and managers place the same importance on patient safety. Following a search of electronic databases using OneSearch and a manual search of grey literature, an integrative review method identified 11 articles as being suitable to meet the review's aims. The search terms of patient safety culture, patient safety and safety climate were used. To ensure relevancy to current practice, the search was restricted to the period 2010-15. Hospital patient safety culture is not a shared vision, because health professional groups have different views. In the present study, 67% of articles examined found doctors to have a poorer perception of the patient safety culture than nurses and allied health professionals. All health professional groups reported a more positive view of their ward safety culture than that of the hospital safety culture. Furthermore, managers of the health professionals reported more positively on patient safety culture than bedside clinicians. This review provides an international understanding of health professionals' views of patient safety. From an Australian context, the review highlights the need for further investigation, because there is a lack of recent Australian literature in the acute hospital setting relating to patient safety culture. Globally, many research papers have reported upon the correlation between a positive patient safety culture and a reduction in healthcare errors. The present integrative review highlights that regardless of the country of origin, there are differences in the way that a hospital patient safety culture is perceived among different health professional groups, particularly between managers and bedside clinicians. Individual health professional groups, and managers and clinicians, have different views on the patient safety culture; therefore, training needs to involve everyone to create a shared vision for patient safety.

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Section: Search Strategymentioning

confidence: 85%

Health professionals’ perception of patient safety culture in acute hospitals: an integrative review

Willmott

Mould

2018

Aust. Health Review

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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%

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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“…Previous research has further proven that good teamwork leads to positive attitudes toward patient care and happy team members, which contribute to a positive job satisfaction 10,11 and the enhancement of a safety climate for patients. 12,13 Thirdly, physicians and nurses are normally challenged and under pressure in their working environments, 14,15 and thus a program of relaxation adoption is needed to relieve the pressures.…”

Section: Discussionmentioning

confidence: 99%

Creating a Better Patient Safety Culture in Taiwan: The Viewpoints of Physicians and Registered Nurses

Huang

Lee

et al. 2017

Hosp Pract Res

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Quality management and perceptions of teamwork and safety climate in European hospitals

Cited by 72 publications

References 39 publications

Health professionals’ perception of patient safety culture in acute hospitals: an integrative review

Health professionals’ perception of patient safety culture in acute hospitals: an integrative review

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

Creating a Better Patient Safety Culture in Taiwan: The Viewpoints of Physicians and Registered Nurses

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