Organization Culture of Safety-Comparison of Two Periods, before and after Intervention
Journal Title: Journal of Quality in Health Care & Economics (JQHE) - Year 2020, Vol 3, Issue 2
Abstract
Background: Since 1999, when the Institute of Medicine declared that “To err is human” and recommended to avoid “blaming and shaming”, our culture of safety changed tremendously. Nowadays we try to investigate errors and adverse events, to learn from mistakes, and prevent future sentinel events and patients’ suffering. Objective: The aim of our study is to assess the change in staff members’ attitude towards the hospital culture of safety in 2017 in comparison to 2015, and to associate this attitude to improvement in quality indicators and reports of “near miss” cases. Methods: A questionnaire was introduced to staff members in Rabin Medical Center in 2015, and in 2017 after an intervention. We compared the results looking for change in staff members’ attitude towards patient’s safety. We also compared the results of quality indicators and number of adverse events reported before and after the intervention. Results: Comparing the results of the questionnaires there is a significant improvement in 13 out of 15 items. The RR was 1.555 with 95%CI 1.370-1.766 (P<0.0001). The differences were statistically significant in 7 items and with a trend in 2 items. Comparing the performance of the quality indicators there is also a significant improvement in 18 out of 24 measures. The RR was 1.236 with 95%CI 1.220-1.253 (P<0.0001). The differences were statistically significant in 10 indicators and with a trend in 2 indicators. Conclusions: We believe that quality improvement plans will really change the staff approach and behavior towards a better safety culture in the hospital.
Authors and Affiliations
Niv Y1* and Zetland R
Keywords
Related Articles
- EP ID EP748256
- DOI 10.23880/jqhe-16000154
- Views 50
- Downloads 0
And What Happens with the Garbage in Bolivia?
Garbage in Bolivia as well as in the entire world is a problem that is gradually increasing. The World Bank prepared a report in 2018 entitled “What a Waste 2.0”, where it indicates that the world generates 2010 million...
Investigating the Performance of Baharloo Hospital during 2004 to 2014 (Case Study)
Context: Today health care organizations are complex organizations that need strong support of management in the field of evaluating performance. Objectives: The purpose of this study was to investigate ten years perfo...
Polypharmacy is an Indicator of Bad Practice and Low Quality in General Medicine
Quality indicators are increasingly used as a tool to achieve safe and quality clinical care. A significant number of them focus on drug therapy, but few address the problem of polypharmacy in general medicine. All pati...
The Burden of Overweight and its Risk Factors in Urban Nepalese School Adolescents: A Cross-Sectional Study
Introduction: Adolescent’s overweight is rising in both developing and developed countries. Overweight and obese adolescents are more likely to become obese adults which stimulate the risk of non-communicable diseases s...
The Relationship between Organizational Culture and Employees’ Work Attitudes in Hospitals in Greece
Purpose: The volatile socioeconomic conditions that prevail in Greece, significantly affect the healthcare sector. The match of employees’ and organizational values is considered as the critical factor in determining the...