Patient safety climate in 92 US hospitals: differences by work area and discipline

Concern about patient safety has promoted efforts to improve safety climate. A better understanding of how patient safety climate differs among distinct work areas and disciplines in hospitals would facilitate the design and implementation of interventions. To understand workers' perceptions of...

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Veröffentlicht in:	Medical care Jg. 47; H. 1; S. 23
Hauptverfasser:	Singer, Sara J, Gaba, David M, Falwell, Alyson, Lin, Shoutzu, Hayes, Jennifer, Baker, Laurence
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States 01.01.2009
Schlagworte:	Adult Aged Attitude of Health Personnel Cross-Sectional Studies Female Health Care Surveys Health Facility Environment Hospital Administration - standards Hospital Administration - statistics & numerical data Hospital Administrators - psychology Hospital Bed Capacity Hospital Departments - classification Hospital Departments - standards Humans Male Medical Staff, Hospital - psychology Middle Aged Nursing Staff, Hospital - psychology Organizational Culture Patient Care - standards Personnel, Hospital - classification Personnel, Hospital - psychology Psychometrics Risk Safety Management - standards Security Measures United States Young Adult United States
ISSN:	1537-1948, 1537-1948
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Zusammenfassung:	Concern about patient safety has promoted efforts to improve safety climate. A better understanding of how patient safety climate differs among distinct work areas and disciplines in hospitals would facilitate the design and implementation of interventions. To understand workers' perceptions of safety climate and ways in which climate varies among hospitals and by work area and discipline. We administered the Patient Safety Climate in Healthcare Organizations survey in 2004-2005 to personnel in a stratified random sample of 92 US hospitals. We sampled 100% of senior managers and physicians and 10% of all other workers. We received 18,361 completed surveys (52% response). The survey measured safety climate perceptions and worker and job characteristics of hospital personnel. We calculated and compared the percent of responses inconsistent with a climate of safety among hospitals, work areas, and disciplines. Overall, 17% of responses were inconsistent with a safety climate. Patient safety climate differed by hospital and among and within work areas and disciplines. Emergency department personnel perceived worse safety climate and personnel in nonclinical areas perceived better safety climate than workers in other areas. Nurses were more negative than physicians regarding their work unit's support and recognition of safety efforts, and physicians showed marginally more fear of shame than nurses. For other dimensions of safety climate, physician-nurse differences depended on their work area. Differences among and within hospitals suggest that strategies for improving safety climate and patient safety should be tailored for work areas and disciplines.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1537-1948 1537-1948
DOI:	10.1097/MLR.0b013e31817e189d