OBJECTIVES: To assess the safety culture in an acute medical admissions unit (AMAU) of a teaching hospital in order to benchmark results against international data and guide a unit-based, integrated, risk management strategy. METHODS: The safety attitudes questionnaire (SAQ), a validated instrument for the measurement of safety culture was applied to an AMAU. All AMAU healthcare staff (n = 92) were surveyed: doctors, nurses, healthcare assistants (HCAs) and allied healthcare professionals (AHPs). Safety attitude scores for the overall unit and individual caregiver types were assessed across six domains of safety culture. RESULTS: When compared against an international benchmark, the AMAU scored significantly higher for four of the six safety domains: p < 0.01 for 'teamwork climate', 'safety climate' and 'stress recognition' and p < 0.05 for 'job satisfaction'. The difference between nurse manager scores and the overall mean for the study group was statistically significant for the domains of 'teamwork climate' (p < 0.05) and 'safety climate' (p < 0.01). HCAs scored significantly lower relative to staff overall with regard to 'working conditions' (p < 0.05) and 'perceptions of management' (p < 0.01). CONCLUSIONS: The SAQ was successfully applied to an AMAU setting giving a valuable insight into staff issues of concern across the safety spectrum: employee and environmental safety, clinical risk management and medication safety.
OBJECTIVES: To assess the safety culture in an acute medical admissions unit (AMAU) of a teaching hospital in order to benchmark results against international data and guide a unit-based, integrated, risk management strategy. METHODS: The safety attitudes questionnaire (SAQ), a validated instrument for the measurement of safety culture was applied to an AMAU. All AMAU healthcare staff (n = 92) were surveyed: doctors, nurses, healthcare assistants (HCAs) and allied healthcare professionals (AHPs). Safety attitude scores for the overall unit and individual caregiver types were assessed across six domains of safety culture. RESULTS: When compared against an international benchmark, the AMAU scored significantly higher for four of the six safety domains: p < 0.01 for 'teamwork climate', 'safety climate' and 'stress recognition' and p < 0.05 for 'job satisfaction'. The difference between nurse manager scores and the overall mean for the study group was statistically significant for the domains of 'teamwork climate' (p < 0.05) and 'safety climate' (p < 0.01). HCAs scored significantly lower relative to staff overall with regard to 'working conditions' (p < 0.05) and 'perceptions of management' (p < 0.01). CONCLUSIONS: The SAQ was successfully applied to an AMAU setting giving a valuable insight into staff issues of concern across the safety spectrum: employee and environmental safety, clinical risk management and medication safety.
Authors: John B Sexton; Robert L Helmreich; Torsten B Neilands; Kathy Rowan; Keryn Vella; James Boyden; Peter R Roberts; Eric J Thomas Journal: BMC Health Serv Res Date: 2006-04-03 Impact factor: 2.655
Authors: Paloma Aparecida Carvalho; Leila Bernarda Donato Göttems; Maria Raquel Gomes Maia Pires; Maria Liz Cunha de Oliveira Journal: Rev Lat Am Enfermagem Date: 2015 Nov-Dec
Authors: Natalie Zimmermann; Kaspar Küng; Susan M Sereika; Sandra Engberg; Bryan Sexton; René Schwendimann Journal: BMC Health Serv Res Date: 2013-09-10 Impact factor: 2.655
Authors: Rhanna Emanuela Fontenele Lima de Carvalho; Lidyane Parente Arruda; Nayanne Karen Pinheiro do Nascimento; Renata Lopes Sampaio; Maria Lígia Silva Nunes Cavalcante; Ana Carolina Pinto Costa Journal: Rev Lat Am Enfermagem Date: 2017-03-02