Übersichtsartikel: Patientensicherheit als nationales Gesundheitsziel: Status und notwendige Handlungsfelder für die Gesundheitsversorgung in Deutschland

Hölscher, Uvo; Gausmann, Peter; Haindl, H.; Heidecke, Claus–Dieter; Hübner, Nils–Olaf; Lauer, Wolfgang; Lauterberg, Jörg; Skorning, Max; Thürmann, Petra A.

doi:10.1016/j.zefq.2014.01.009

Cited by 14 publications

(5 citation statements)

References 30 publications

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“…Given the background that shortcomings in patient and occupational safety issues are already detectable among medical and nursing students [58,59], and to summarize our findings, it seems necessary to intensify the relevant issues from the beginning of vocational training [50,60], as well as later during continuing education and further training of professionals [60,61]. A helpful basis might be the recommendations of the German Coalition for Patient Safety, which has published the “Pathways to Patient Safety” providing knowledge and skills on patient safety for health professions [61].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital

Wagner

Michaelis

Luntz

et al. 2018

IJERPH

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(1) Background: Both patient and occupational safety cultures should be considered when promoting safety culture. To our knowledge, there are no studies that capture patient safety culture (PSC) and occupational safety culture (OSC) in hospitals while using a common questionnaire. The aim of this feasibility study in a German university hospital was to develop a questionnaire to assess both issues analogously. In addition to feasibility outcomes, we report results of PSC-OSC comparisons. (2) Methods: To assess PSC, we used the existing Hospital Survey on Patient Safety Culture (HSPSC) questionnaire. Developing new OSC “twin items” for certain parts of the HSPSC was supported by a previous literature review. Additionally, we developed multiple choice questions to examine knowledge and competencies regarding specific PS/OS aspects. (3) Results: Developing and implementing a combined PSC and OSC assessment instrument was feasible. The overall response rate was 33% (407 nurses, 140 physicians). In general, the statistical reliability of almost all scales was sufficient. Positive PSC perceptions (agreement rates 46–87%) were found in 16 out of 18 scales. Of the four twin scales, the PSC values were significantly better. Individual PS- and OS-related knowledge and competencies were lower than expected. (4) Conclusion: The comparative investigation of patient and occupational safety in a large hospital is a promising approach and can be recommended for further studies. We used our experiences that are presented here in an ongoing bicentric study on the associations between working conditions, occupational safety culture, patient safety culture, and patient safety outcomes (WorkSafeMed).

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Section: Discussionmentioning

confidence: 99%

Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital

Wagner

Michaelis

Luntz

et al. 2018

IJERPH

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“…Studies showed that inter-professional teamwork may result in improved employee wellbeing [15], and employee satisfaction [16]. Furthermore, inter-professional teamwork fosters patient satisfaction [17,18], and can lead to decreased length of stay [19], medical errors [20], and mortality [21] as well as to improved patient safety [5,[22][23][24][25][26][27], which is one of the national health goals in Germany [28], and one of the key issues of health care systems worldwide [25,29]. Despite this relevance, studies found that inter-professional teamwork in inpatient care is still suboptimal and needs to be improved in order to ensure safe patient care [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study

et al. 2020

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BackgroundInter-professional teamwork is a prominent factor in quality of care and may lead to improved patient safety. Although team members' points of view are highly relevant when trying to improve inpatient procedures, there is a lack of systematic assessment of their perceptions. Therefore, study aims were to explore inter-professional teamwork, safety-related behavior, and patient safety in German hospitals from team members' point of view. Furthermore, we wanted to examine the association between inter-professional teamwork and safety-related behavior as well as the association between inter-professional teamwork and patient safety. MethodsWe used cross-sectional pre-intervention data of a multicenter longitudinal study (German KOMPAS project). We gathered descriptive statistics for sample characteristics and to describe the current state of inter-professional teamwork, safety-related behavior, and patient safety. We used one-way variance analyses to assess differences between groups, and linear regression analyses to examine the association between inter-professional teamwork and the outcomes safety-related behavior, and patient safety. Results326 inpatient care team members participated in the study. Participants perceived a moderate to high level of inter-professional teamwork, and a moderate level of patient safety. Moreover, they reached rather high values in safety-related behavior. Professional group, work experience, and period of employment had an impact on the perceptions of inter-professional teamwork, and patient safety. Higher inter-professional teamwork was associated

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“…This concerns prevention or early identification and adequate treatment of nosocomial infections (20), cardiac events (21), kidney injury (22), and other conditions. In addition, the results of our study suggest that there are further aspects of patient safety in which action is required in German healthcare (23). For example, the frequency of coded surgical complications and blood transfusions in patients who died indicates that it may be possible to improve safety in surgery still further.…”

Section: Discussionmentioning

confidence: 72%

Deaths Following Cholecystectomy and Herniotomy

Nimptsch

Mansk²

2015

Deutsches Ärzteblatt International

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Übersichtsartikel: Patientensicherheit als nationales Gesundheitsziel: Status und notwendige Handlungsfelder für die Gesundheitsversorgung in Deutschland

Cited by 14 publications

References 30 publications

Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital

Assessment of Patient and Occupational Safety Culture in Hospitals: Development of a Questionnaire with Comparable Dimensions and Results of a Feasibility Study in a German University Hospital

Inter-professional teamwork and its association with patient safety in German hospitals—A cross sectional study

Deaths Following Cholecystectomy and Herniotomy

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