Crisis management for Patient Safety Officers: lessons learned from the Covid-19 pandemic.

Covid-19 Initiative Pandemic Patient Safety Officer Patient safety Risk management Uncertainty

Journal

Israel journal of health policy research
ISSN: 2045-4015
Titre abrégé: Isr J Health Policy Res
Pays: England
ID NLM: 101584158

Informations de publication

Date de publication:
01 09 2023
Historique:
received: 04 04 2023
accepted: 25 08 2023
medline: 4 9 2023
pubmed: 2 9 2023
entrez: 1 9 2023
Statut: epublish

Résumé

There is no consensus for the role definition for Patient Safety Officers (PSOs) in healthcare during pandemics or other crises as opposed to their routine activities. This study aimed to examine the contribution of personality traits and systemic factors on the performance of PSOs during the pandemic, and to compare these variables during the first and third waves of the Covid-19 pandemic in Israel. This cross-sectional study invited 117 PSOs to complete a questionnaire addressing their role during the Covid-19 pandemic. The questionnaire included items concerning: Personal and socio-demographic characteristics; Uncertainty; Personal initiative; Burnout; Professional functioning; Patient Safety and Risk Management policies and practices; Organizational functioning; and Personal Involvement in risk management activities. Qualitative data was collected by two open-ended questions. A total of 78 PSOs (67%) completed the questionnaire. The results revealed that many PSOs reduced their involvement in risk management processes or even left their position temporarily in order to return to their primary specialization as clinicians. Only 51.3% and 57.7% reported practicing risk management in the first and third waves, respectively. The three main factors that kept PSOs functioning were managerial support, mobilization of their team, and the belief in the importance of their position. A crisis generates uncertainty, a plethora of frequent and urgent tasks, and the need to adapt policy to changing circumstances and to the increased risks. The risk manager must be a member of the crisis management team and participate in every important discussion in order to represent essential staff and patient safety issues and ensure that these are fully addressed already in the early stages of planning.

Sections du résumé

BACKGROUND
There is no consensus for the role definition for Patient Safety Officers (PSOs) in healthcare during pandemics or other crises as opposed to their routine activities. This study aimed to examine the contribution of personality traits and systemic factors on the performance of PSOs during the pandemic, and to compare these variables during the first and third waves of the Covid-19 pandemic in Israel.
METHODS
This cross-sectional study invited 117 PSOs to complete a questionnaire addressing their role during the Covid-19 pandemic. The questionnaire included items concerning: Personal and socio-demographic characteristics; Uncertainty; Personal initiative; Burnout; Professional functioning; Patient Safety and Risk Management policies and practices; Organizational functioning; and Personal Involvement in risk management activities. Qualitative data was collected by two open-ended questions.
RESULTS
A total of 78 PSOs (67%) completed the questionnaire. The results revealed that many PSOs reduced their involvement in risk management processes or even left their position temporarily in order to return to their primary specialization as clinicians. Only 51.3% and 57.7% reported practicing risk management in the first and third waves, respectively. The three main factors that kept PSOs functioning were managerial support, mobilization of their team, and the belief in the importance of their position.
CONCLUSIONS
A crisis generates uncertainty, a plethora of frequent and urgent tasks, and the need to adapt policy to changing circumstances and to the increased risks. The risk manager must be a member of the crisis management team and participate in every important discussion in order to represent essential staff and patient safety issues and ensure that these are fully addressed already in the early stages of planning.

Identifiants

pubmed: 37658462
doi: 10.1186/s13584-023-00577-6
pii: 10.1186/s13584-023-00577-6
pmc: PMC10472639
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

29

Informations de copyright

© 2023. The Israel National Institute for Health.

Références

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pubmed: 32738468
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pubmed: 15778417
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pubmed: 35101141
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pubmed: 34334657
Perspect Psychiatr Care. 2013 Apr;49(2):103-9
pubmed: 23557453
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pubmed: 15175475
J Nurs Scholarsh. 2022 Nov;54(6):787-798
pubmed: 35752928
Int J Qual Health Care. 2021 Mar 5;33(1):
pubmed: 32400870
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pubmed: 32584373
Isr J Health Policy Res. 2022 May 31;11(1):24
pubmed: 35642003
Int J Qual Health Care. 2021 Jan 12;33(Supplement_1):1-3
pubmed: 33432980

Auteurs

Ilya Kagan (I)

Nursing Department, School of Health Professions, Ashkelon Academic College, Ben Tzvi 12, 78211, Ashkelon, Israel. kagani@gmail.com.

Dana Arad (D)

Patient Safety Division, Ministry of Health, Jerusalem, Israel.

Riki Aharoni (R)

Patient Safety Division, Ministry of Health, Jerusalem, Israel.

Yossi Tal (Y)

Risk Management and Patient Safety Advising Services, Raanana, Israel.

Yaron Niv (Y)

Adelson Faculty of Medicine, Ariel University, Ariel, Israel.

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