Verbeek-Van Noord I, Wagner C, Van Dyck C, Twisk JWR, De Bruijne MC. Is culture associated with patient safety in the emergency department? A study of staff perspectives.
Int J Qual Health Care 2013;
26:64-70. [PMID:
24334232 DOI:
10.1093/intqhc/mzt087]
[Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE
To describe the patient safety culture of Dutch emergency departments (EDs), to examine associations between safety culture dimensions and patient safety grades as reported by ED staff and to compare these associations between nurses and physicians.
DESIGN
Cross-sectional survey conducted in 2007.
SETTING
Thirty-three non-academic EDs in the Netherlands.
PARTICIPANTS
Four hundred and eighty nurses, 159 physicians and 91 other professionals.
MAIN OUTCOME MEASURE
Self-reported level of patient safety.
RESULTS
In unadjusted analyses, all dimensions of safety culture were positively associated with the reported level of patient safety and six of these associations with patient safety were statistically significant after adjustment ('teamwork across units', 'frequency of event reporting', communication openness', 'feedback about and learning from errors', 'hospital management support for patient safety'). Differences between nurses and physicians were found on two dimensions ('frequency of event reporting' and ' hospital management support for patient safety'). Physicians tended to grade patient safety higher than nurses whilst having equal judgements on these two dimensions.
CONCLUSIONS
Staff identified several dimensions of safety culture that are associated with staff-reported safety in the ED. Physicians and nurses identified distinct dimensions of safety culture as associated with reported level of patient safety.
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