| Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. | |
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MedLine Citation:
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PMID: 21127113 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVES: To describe the authors' hospital-wide efforts to improve safety climate at a large academic medical centre. DESIGN AND SETTING: A prospective cohort study used multiple interventions to improve hospital-wide safety climate. 144 clinical units in an urban academic medical centre are included in this analysis. INTERVENTIONS: The comprehensive unit-based safety programme included steps to identify hazards, partner units with a senior executive to fix hazards, learn from defects, and implement communication and teamwork tools. Hospital-level interventions were also implemented. MAIN OUTCOME MEASURES: Safety climate was assessed annually using the safety attitudes questionnaire. The safety culture goal was to meet or exceed the 60% minimum positive score or improve the score by ≥10 points. RESULTS: Response rates were 77% (2006) and 79% (2008). For safety climate, 55% of units in 2006 and 82% in 2008 achieved the culture goal. For teamwork climate, 61% of units in 2006 and 83% in 2008 achieved the culture goal. The mean safety climate improvement (difference score) for 79 units at or above 60% in 2006 was 0.201 in 2008; the mean improvement for the 65 units below the threshold was 18.278. The mean teamwork climate improvement (difference score) for the 89 units at or above 60% in 2006 was 0.452 in 2008; the mean improvement for the 55 units below the threshold was 16.176. Climate scores improved significantly from 2006 to 2008 in every domain except stress recognition. CONCLUSIONS: Hospital-wide interventions were associated with improvements in safety climate at a large academic medical centre. |
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Authors:
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Lori A Paine; Beryl J Rosenstein; J Bryan Sexton; Paula Kent; Christine G Holzmueller; Peter J Pronovost |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Quality & safety in health care Volume: 19 ISSN: 1475-3901 ISO Abbreviation: Qual Saf Health Care Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136980 Medline TA: Qual Saf Health Care Country: England |
Other Details:
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Languages: eng Pagination: 547-54 Citation Subset: H |
Affiliation:
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The Johns Hopkins Hospital, Baltimore, Maryland 21231, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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