Improving the culture of safety among healthcare workers: Integration of different instruments to gain major insights and drive effective changes.
Manchester patient safety framework
Safety Attitude Questionnaire
healthcare quality
patient safety culture
safety climate
subcultures
Journal
The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
revised:
04
09
2021
received:
12
11
2020
accepted:
28
09
2021
pubmed:
15
10
2021
medline:
22
1
2022
entrez:
14
10
2021
Statut:
ppublish
Résumé
The Safety Attitude Questionnaire (SAQ) and Manchester Patient Safety Framework (MaPSaF) are known as effective tools to assess patient safety culture and climate and develop targeted strategies. However, they are seldom applied in an integrated way. The aim of this study was to conduct an implementation project through a novel use of both instruments to gain unique insights. The Italian version of MaPSaF and SAQ were administered to 1,759 healthcare workers from three Italian hospitals (response rate: MaPSaF 70.5%, SAQ 61.6%). MaPSaF evaluation proved an overall bureaucratic level of patient safety culture. SAQ scores showed a predominance of neutral scores (75.99%). The dimension perception of management gained the lowest mean score (53.32), while Stress recognition obtained the highest (75.17). Safety climate perception differed significantly among groups: working in a small hospital, in a medical department, and being a physician were associated with the most positive results. The majority (67.1%) of responders to both MaPSaF and SAQ considered the two instruments as providing with different and complementary information. Overall, results showed that an integrated approach in the evaluation of an organisation's safety culture may result useful for an in-depth analysis of the criticalities and the adoption of appropriate improvement strategies.
Identifiants
pubmed: 34647358
doi: 10.1002/hpm.3348
pmc: PMC9293423
doi:
Types de publication
Journal Article
Langues
eng
Pagination
429-451Informations de copyright
© 2021 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.
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