Abstract
This paper aims to assess how patient safety culture and incident reporting differs across different professional groups and between long-term and acute care. The Hospital Survey On Patient Safety Culture (HSPOSC) questionnaire was used to assess patient safety culture. Data from the organizations' incident reporting system was also used to determine the number of reported patient safety incidents. Patient safety culture is part of the organizational culture and is associated for example to rate of pressure ulcers, hospital-acquired infections and falls. Managers in health-care organizations have the important and challenging responsibility of promoting patient safety culture. Managers generally think that patient safety culture is better than it is. Based on statistical analysis, acute care professionals' views were significantly positive in 8 out of 12 composites. Managers assessed patient safety culture at a higher level than other professional groups. There were statistically significant differences (p = 0.021) in frequency of events reported between professional groups and between long-term and acute care (p = 0.050). Staff felt they did not get enough feedback about reported incidents. The study reveals differences in safety culture between acute care and long-term care settings, and between professionals and managers. The staff felt that they did not get enough feedback about reported incidents. In the future, education should take these factors into consideration.
Highlights
Patient safety (PS) is an important concern for health-care organizations where both managers and health-care professionals have the important and challenging responsibility of promoting it
Creating a safety culture can be described as a circle that begins with managers defining clear PS targets with their staff
Questionnaire We used the Hospital Survey on Patient Safety Culture (HSPOSC) 1.0 questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ) to assess the safety culture at the studied health-care organization
Summary
Patient safety (PS) is an important concern for health-care organizations where both managers and health-care professionals have the important and challenging responsibility of promoting it. For managers to achieve this goal, they are tasked with clearly communicating safety priorities to staff and implementing PS procedures (Mattson et al, 2015). If managers do not constantly communicate about safety, the staff might consider that the organization is not sufficiently interested in incidents or errors (Mattson et al, 2015). Creating a safety culture can be described as a circle that begins with managers defining clear PS targets with their staff. This action will improve the safety practices in a unit and lead to the manager setting additional, more ambitious PS targets (Phipps and Ashcroft, 2014). Proficient managers can motivate and empower staff to constantly achieve better results in PS outcomes (Doody and Doody, 2012)
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