A comprehensive obstetrics patient safety program improves safety climate and culture - 19/08/11
Résumé |
Objective |
The purpose of this study was to determine the effect of an obstetrics patient safety program on staff safety culture.
Study Design |
We implemented (1) obstetrics patient safety nurse, (2) protocol-based standardization of practice, (3) crew resource management training, (4) oversight by a patient safety committee, (5) 24-hour obstetrics hospitalist, and (6) an anonymous event reporting system. We administered the Safety Attitude Questionnaire on 4 occasions over 5 years (2004-2009) to all staff members that assessed teamwork and safety cultures, job satisfaction, working conditions, stress recognition, and perceptions of management.
Results |
We observed significant improvements in the proportion of staff members with favorable perceptions of teamwork culture (39% in 2004 to 63% in 2009), safety culture (33% to 63%), job satisfaction (39% to 53%), and management (10% to 37%). Individual roles (obstetrics providers, residents, and nurses) also experienced improvements in safety and teamwork, with significantly better congruence between doctors and nurses.
Conclusion |
Safety programs can improve workforce perceptions of safety and an improved safety climate.
Le texte complet de cet article est disponible en PDF.Key words : patient safety, quality improvement, safety attitude questionnaire, safety culture
Plan
| Supported in part by MCIC Vermont, Inc (New York, NY) as a quality assurance activity. |
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| Reprints not available from the authors. |
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| Cite this article as: Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol 2011;204:216.e1-6. |
Vol 204 - N° 3
P. 216.e1-216.e6 - mars 2011 Retour au numéro
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