BACKGROUND: The worldwide rate of medical errors and the subsequent patient harm triggered the healthcare organizations to find solutions to transform their punitive culture to safety culture. AIM: The purpose of this study was to examine the impact of patient safety educational interventions among senior nurses on their perceptions of safety culture, and the rate of reported adverse events, pressure ulcers, and patients' falls. METHODS: The design of the study was a quasi-experimental without control group. Fifty-seven senior nurses received the educational program. The Hospital Survey on Patient Safety Culture (HSPSC) was administered pre and 4 months post the educational program, and the rate of reported adverse events, pressure ulcers, and patients' falls were collected 4 months pre and 4 months post the educational program. RESULTS: There were significant improvements of senior nurses' positive scores of two composites, "Frequency of event reporting" and "Non-punitive response to errors," and significant decline of the rate of adverse events. CLINICAL RELEVANCE: The findings of the study suggested that patient safety educational interventions could be used by nursing administrators to enhance subcultures of patient safety such as "reporting" and "blame free," and to decrease the rate of adverse events.
BACKGROUND: The worldwide rate of medical errors and the subsequent patient harm triggered the healthcare organizations to find solutions to transform their punitive culture to safety culture. AIM: The purpose of this study was to examine the impact of patient safety educational interventions among senior nurses on their perceptions of safety culture, and the rate of reported adverse events, pressure ulcers, and patients' falls. METHODS: The design of the study was a quasi-experimental without control group. Fifty-seven senior nurses received the educational program. The Hospital Survey on Patient Safety Culture (HSPSC) was administered pre and 4 months post the educational program, and the rate of reported adverse events, pressure ulcers, and patients' falls were collected 4 months pre and 4 months post the educational program. RESULTS: There were significant improvements of senior nurses' positive scores of two composites, "Frequency of event reporting" and "Non-punitive response to errors," and significant decline of the rate of adverse events. CLINICAL RELEVANCE: The findings of the study suggested that patient safety educational interventions could be used by nursing administrators to enhance subcultures of patient safety such as "reporting" and "blame free," and to decrease the rate of adverse events.
Authors: Raimunda Montejano-Lozoya; Isabel Miguel-Montoya; Vicente Gea-Caballero; María Isabel Mármol-López; Antonio Ruíz-Hontangas; Rafael Ortí-Lucas Journal: Int J Environ Res Public Health Date: 2020-08-20 Impact factor: 3.390