Associations between patient safety culture and workplace safety culture in hospital settings.
Health care
Healthcare
Organizational culture
Patient safety
Safety culture
Survey
Workforce safety
Workplace safety
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
02 May 2024
02 May 2024
Historique:
received:
30
08
2023
accepted:
11
04
2024
medline:
3
5
2024
pubmed:
3
5
2024
entrez:
2
5
2024
Statut:
epublish
Résumé
Strong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and patients. However, there is currently minimal published empirical evidence about the relationship between the perceptions of providers and staff on workplace safety culture and patient safety culture. This study examined cross-sectional relationships between the core Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey 2.0 patient safety culture measures and supplemental workplace safety culture measures. We used data from a pilot test in 2021 of the Workplace Safety Supplemental Item Set, which consisted of 6,684 respondents from 28 hospitals in 16 states. We performed multiple regressions to examine the relationships between the 11 patient safety culture measures and the 10 workplace safety culture measures. Sixty-nine (69) of 110 associations were statistically significant (mean standardized β = 0.5; 0.58 < standardized β < 0.95). The largest number of associations for the workplace safety culture measures with the patient safety culture measures were: (1) overall support from hospital leaders to ensure workplace safety; (2) being able to report workplace safety problems without negative consequences; and, (3) overall rating on workplace safety. The two associations with the strongest magnitude were between the overall rating on workplace safety and hospital management support for patient safety (standardized β = 0.95) and hospital management support for workplace safety and hospital management support for patient safety (standardized β = 0.93). Study results provide evidence that workplace safety culture and patient safety culture are fundamentally linked and both are vital to a strong and healthy culture of safety.
Sections du résumé
BACKGROUND
BACKGROUND
Strong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and patients. However, there is currently minimal published empirical evidence about the relationship between the perceptions of providers and staff on workplace safety culture and patient safety culture.
METHODS
METHODS
This study examined cross-sectional relationships between the core Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey 2.0 patient safety culture measures and supplemental workplace safety culture measures. We used data from a pilot test in 2021 of the Workplace Safety Supplemental Item Set, which consisted of 6,684 respondents from 28 hospitals in 16 states. We performed multiple regressions to examine the relationships between the 11 patient safety culture measures and the 10 workplace safety culture measures.
RESULTS
RESULTS
Sixty-nine (69) of 110 associations were statistically significant (mean standardized β = 0.5; 0.58 < standardized β < 0.95). The largest number of associations for the workplace safety culture measures with the patient safety culture measures were: (1) overall support from hospital leaders to ensure workplace safety; (2) being able to report workplace safety problems without negative consequences; and, (3) overall rating on workplace safety. The two associations with the strongest magnitude were between the overall rating on workplace safety and hospital management support for patient safety (standardized β = 0.95) and hospital management support for workplace safety and hospital management support for patient safety (standardized β = 0.93).
CONCLUSIONS
CONCLUSIONS
Study results provide evidence that workplace safety culture and patient safety culture are fundamentally linked and both are vital to a strong and healthy culture of safety.
Identifiants
pubmed: 38698405
doi: 10.1186/s12913-024-10984-3
pii: 10.1186/s12913-024-10984-3
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
568Subventions
Organisme : Agency for Healthcare Research and Quality
ID : HHSP233201500026I/HHSP23337004T
Organisme : Agency for Healthcare Research and Quality
ID : HHSP233201500026I/HHSP23337004T
Organisme : Agency for Healthcare Research and Quality
ID : HHSP233201500026I/HHSP23337004T
Organisme : Agency for Healthcare Research and Quality
ID : HHSP233201500026I/HHSP23337004T
Informations de copyright
© 2024. The Author(s).
Références
De Vries E, Ramrattan M, Smorenburg S, Gouma D, Boermeester M. The incidence and nature of in-hospital adverse events: a systematic review. BMJ Qual Saf. 2008;17:216–23.
doi: 10.1136/qshc.2007.023622
JHA K, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates D. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013;22:809–15.
doi: 10.1136/bmjqs-2012-001748
pubmed: 24048616
Institute of Medicine. To err is human: building a Safer Health System. Washington, DC: National Academy; 1999.
Bonner A, Castle N, Men A, Handler S. Certified nursing assistants’ perceptions of nursing home patient safety culture: is there a relationship to clinical outcomes. J Am Med Dir Assoc. 2009;10:11–20.
doi: 10.1016/j.jamda.2008.06.004
pubmed: 19111848
Lawton R, O’Hara J, Sheard L, Reynolds C, Cocks K, Armitage G, Wright J. Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. BMJ Qual Saf. 2015;24:369–76.
doi: 10.1136/bmjqs-2014-003691
pubmed: 25862755
pmcid: 4453491
Mardon R, Khanna K, Sorra J, Dyer N, Famolaro T. Exploring relationships between hospital patient safety culture and adverse events. J Pat Saf. 2010;6:226–32.
doi: 10.1097/PTS.0b013e3181fd1a00
Vikan M, Haugen A, Bjørnnes A, Valeberg B, Deilkås E, Danielsen S. The association between patient safety culture and adverse events–a scoping review. BMC Health Serv Res. 2023;23:1–27.
doi: 10.1186/s12913-023-09332-8
de Bienassis K, Kristensen S, Burtscher M, Brownwood I, Klazinga N. Culture as a cure: Assessments of patient safety culture in OECD countries. 2020.
Health & Safety Commission. ACSNI Human Factors Study Group third report: organising for safety. 1993.
Morello R, Lowthian J, Barker A, McGinnes R, Dunt D, Brand C. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22:11–8.
doi: 10.1136/bmjqs-2011-000582
pubmed: 22849965
Hospital Survey on Patient Safety Culture. https://www.ahrq.gov/sops/surveys/hospital/index.html . Accessed on 3rd March 2023.
Health worker safety: a priority for patient safety. Available online: health-worker-safety-charter-wpsd-17-september-2020-3-1.pdf (who.int). Accessed on. 3rd March 2023.
National Steering Committee for Patient Safety. National Action Plan to Advance Patient Safety; Institute for Healthcare Improvement: Boston, MA, USA, 2020.
National Academy of Medicine. National Plan for Health Workforce Well-Being. Washington, DC: The National Academies. 2022. https://doi.org/10.17226/26744
U.S. Bureau of Labor Statistics. Injuries, illnesses, and fatalities, table R8 page. Survey of Occupational and Illness Data. Detailed Industry by Selected Events or Exposures (Rate).
Centers for Disease Control and Prevention. The National Institute for Occupational Safety and Health (NIOSH). Safe Patient Handling and Mobility (SPHM) Page.
Centers for Disease Control and Prevention. Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program.
Bahat H, Hasidov-Gafnim A, Youngster I, Goldman M, Levtzion-Korach O. The prevalence and underreporting of needlestick injuries among hospital workers: a cross-sectional study. Int J Qual Health Care. 2021:33, mzab009.
Boden L, Petrofsky Y, Hopcia K, Wagner G, Hashimoto D. Understanding the hospital sharps injury reporting pathway. Am J Ind Med. 2015;58:282–9.
doi: 10.1002/ajim.22392
pubmed: 25308763
Philips J. Workplace violence against health care workers in the United States. N Engl J Med. 2016;374:1661–9.
doi: 10.1056/NEJMra1501998
The Joint Commission. Physical and verbal violence against health care workers. Sentin Event Alert. 2018;59:1–7.
Rangachari P, Woods J. Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers. Int J Environ Res Public Health. 2020;17:42–67.
doi: 10.3390/ijerph17124267
De Kock J, Latham H, Leslie S, Grindle M, Munoz S, Ellis L, Polson R, O’Malley C. A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implicating for supporting psychological well-being. BMC Public Health. 2021;21:104.
doi: 10.1186/s12889-020-10070-3
pubmed: 33422039
pmcid: 7794640
Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, Shin J, Sullivan S, Brondino N, Solmi M, et al. Impact of coronavirus syndromes on physician and mental health of healthcare workers: systematic review and meta-analysis. J Affect Disord. 2020;275:48–57.
doi: 10.1016/j.jad.2020.06.022
pubmed: 32658823
pmcid: 7314697
Stericycle. Key insights to Safeguard the Environment and the Environment of Care. Healthcare Workplace Safety Trend Report.
Riehle A, Braun B, Hafiz H. Improving patient and worker safety: exploring opportunities for synergy. J Nurs Care Qual. 2013;28:99–102.
doi: 10.1097/NCQ.0b013e3182849f4a
pubmed: 23434642
Stone P, Harrison M, Feldman P, Linzer M, Peng T, Roblin D, Williams E. Organizational climate of staff working conditions and safety—an integrative model. Advances in patient safety: from research to implementation (volume 2: concepts and methodology). 2005.
Mossburg S, Himmelfarb C. The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. J Pat Saf. 2021;17:e1307–19.
doi: 10.1097/PTS.0000000000000519
Kim S, Kitzmiller R, Baernholdt M, Lynn M, Jones C. Patient safety culture: the impact on workplace violence and health worker burnout. Work Health Saf. 2022;71:78–88.
doi: 10.1177/21650799221126364
Zabin L, Zaitoun R, Sweity E, Tantillo L. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nurs. 2023;22:39.
doi: 10.1186/s12912-023-01198-9
pubmed: 36782195
pmcid: 9926568
SOPS Hospital Survey Version 2.0. https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
SOPS Workplace Safety Supplemental Item Set for the SOPS Hospital Survey. https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-ENGLISH_508.pdf . Accessed 31 January 2024.
Famolaro T, Yount N, Sorra J, Zebrak K, Gray L, Carpenter D, Caporaso A, Hare R, Fan L, Liu H. Pilot study results from the AHRQ surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental items for hospitals. 22 – 0008: AHRQ Publication No; 2021. Accessed 31 January 2024.
Sorra J, Famolaro T, Yount N, Zebrak K, Caporaso A, Behm J, Development. Pilot Test, and Psychometric Analysis of the AHRQ Surveys on Patient Safety Culture (SOPS™) Hospital Survey Version 2.0. AHRQ Publication. 2018.
Zebrak K, Yount N, Sorra J, Famolaro T, Gray L, Carpenter D, Caporaso A. Development, pilot study, and psychometric analysis of the AHRQ surveys on patient safety culture™(SOPS®) workplace safety supplemental items for hospitals. Int Journ Env Res Public Health. 2022;19:6815.
doi: 10.3390/ijerph19116815
SOPS Hospital Survey Items and Composite Measures. https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf . Accessed 31 January 2024.
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Hospital Survey on Patient Safety Culture: 2008 comparative database report. Agency for Healthcare Research and Quality. AHRQ Publication No; 2008. pp. 08–0039.
Menard S. Applied logistic regression analysis. Sage; 2002.
Benjamini Y, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Roy Stat Soc: Ser B (Methodol). 1995;57:289–300.
doi: 10.1111/j.2517-6161.1995.tb02031.x
Sexton B, Sharek P, Thomas E, Gould J, Nisbet C, Amspoker A, Kowalkowski M, Schwendimann R, Profit J. Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. BMJ Qual Saf. 2014;23:814–22.
doi: 10.1136/bmjqs-2013-002042
pubmed: 24825895
pmcid: 4167964
Halbesleben J, Wakefield B, Wakefield D, Cooper L. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30:560–77.
doi: 10.1177/0193945907311322
pubmed: 18187408
Profit J, Sharek P, Amspoker A, Kowalkowski M, Nisbet C, Thomas E, Chadwick W, Sexton B. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23:806–13.
doi: 10.1136/bmjqs-2014-002831
pubmed: 24742780
pmcid: 4167972
Kim S, Mary R, Baernholdt M, Kitzmiller R, Jones C. How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? Jour Nurse Care Qual. 2023;38:11–8.
doi: 10.1097/NCQ.0000000000000641