Safety culture in French nursing homes: A randomised controlled study to evaluate the effectiveness of a risk management intervention associated with care

Effect of nursing risk management on perioperative care in cardiovascular interventional catheterization rooms

OBJECTIVES

To investigate the effect of nursing risk management in cardiovascular interventional catheterization rooms, reduce perioperative complications and enhance treatment outcomes.

METHODS

This retrospective study included 60 patients who underwent cardiovascular interventional surgery at the Fourth Affiliated Hospital of Soochow University from January 2023 to January 2024. Patients were divided into two groups based on the nursing approach received. The observation group (n=32) received nursing risk management intervention, while the control group (n=28) received routine nursing care. Outcomes compared included psychological status, nursing satisfaction, postoperative complications, and general clinical information.

RESULTS

Both groups showed significant reductions in Self-Rating Anxiety Scale and Self-Rating Depression Scale scores, with the observation group achieving lower scores post-intervention (both P<0.05). Nursing satisfaction was higher in the observation group (93.75%) compared to the control group (78.57%) (P<0.05). The rate of postoperative complications was lower in the observation group (6.2% vs. 17.9%) (P=0.047). Multiple regression analysis identified urinary retention (P=0.007) and nursing risk management (P<0.001) as independent factors influencing patients' psychological status.

CONCLUSION

Nursing risk management in cardiovascular interventional catheterization rooms can reduce anxiety and depression, decrease postoperative complications, and improve nursing satisfaction.

[Evolution of the perception of the safety culture of healthcare professionals in a pediatric emergency department]

BACKGROUND AND AIM

Safety culture (SC) is a fundamental tool for minimizing adverse events and improving safety and quality of care. Our objective, therefore was to analyze the evolution of the SC of healthcare professionals in a pediatric emergency department (PED) after the implementation of a risk management system for patient safety based on the UNE:EN:ISO 179003 Standard and the execution of new safe practices for Joint Commission International accreditation. At the same time describe the current strengths and weaknesses.

METHODS

Quasi-experimental, single-center study. All PED professionals participated in the study. An initial measurement of SC was performed through the Hospital Survey on Patient Safety Culture (HSOPS) questionnaire of the Agency for Healthcare Research and Quality adapted to Spanish in 2014. Pro-patient safety strategies were implemented between 2015 and 2022. A subsequent measurement was performed in 2022.

RESULTS

The response rate in 2014 was 55% and 78% in 2022. On both occasions the group with the highest participation was nurses with 35.1% and 34.8%, respectively. Five dimensions improved after the interventions: frequency of adverse events (25.2%, p<0.001), organizational learning (25%, p<0.001), feedback and communication about errors (22.3%, p<0.001), non-punitive response to errors (6.5%, p = 0.176), and management support (4%, p = 0.333).

CONCLUSIONS

The actions carried out had a positive influence on organizational learning and the frequency of adverse events reported and communication within the team. In contrast, the perception of SC did not increase.