INTRODUCTION: The psychosocial work environment has been recognised as a factor that contributes to the occurrence of errors and adverse events at hospitals. There has been a strong focus on stress factors at intensive care units and emergency departments. The purpose of this study was to investigate the occurrence of adverse events and to examine the relationship between work-related stressors, safety culture and adverse events at an emergency department. MATERIAL AND METHODS: A total of 98 nurses and 26 doctors working in an emergency department at a Danish regional hospital filled out a questionnaire on the occurrence and pattern of adverse events, psychosocial work environment factors, safety climate and learning culture. RESULTS: The participants had experienced 742 adverse events during the previous month. The most frequent event types were lack of documents, referrals not performed, blood tests not available and lack of documentation. Problems related to reporting and learning and insufficient follow-up and feedback after serious events were the most frequent complaints. A poor patient safety climate and increased cognitive demands were significantly correlated to adverse events. CONCLUSION: This study supports previous findings of severe underreporting to the mandatory national reporting system. The issue of reporting bias related to self-reported data should be born in mind. Among work environment issues, the patient safety climate and stress factors related to cognitive demands had the highest impact on the occurrence of adverse events. FUNDING: The project was funded by Trygfonden (grant no 7-10-0949). TRIAL REGISTRATION: not relevant.
INTRODUCTION: The psychosocial work environment has been recognised as a factor that contributes to the occurrence of errors and adverse events at hospitals. There has been a strong focus on stress factors at intensive care units and emergency departments. The purpose of this study was to investigate the occurrence of adverse events and to examine the relationship between work-related stressors, safety culture and adverse events at an emergency department. MATERIAL AND METHODS: A total of 98 nurses and 26 doctors working in an emergency department at a Danish regional hospital filled out a questionnaire on the occurrence and pattern of adverse events, psychosocial work environment factors, safety climate and learning culture. RESULTS: The participants had experienced 742 adverse events during the previous month. The most frequent event types were lack of documents, referrals not performed, blood tests not available and lack of documentation. Problems related to reporting and learning and insufficient follow-up and feedback after serious events were the most frequent complaints. A poor patient safety climate and increased cognitive demands were significantly correlated to adverse events. CONCLUSION: This study supports previous findings of severe underreporting to the mandatory national reporting system. The issue of reporting bias related to self-reported data should be born in mind. Among work environment issues, the patient safety climate and stress factors related to cognitive demands had the highest impact on the occurrence of adverse events. FUNDING: The project was funded by Trygfonden (grant no 7-10-0949). TRIAL REGISTRATION: not relevant.
Authors: Stephanie Archer; Louise Hull; Tayana Soukup; Erik Mayer; Thanos Athanasiou; Nick Sevdalis; Ara Darzi Journal: BMJ Open Date: 2017-12-27 Impact factor: 2.692
Authors: Justyna Kosydar-Bochenek; Sabina Krupa; Dorota Religa; Adriano Friganovic; Ber Oomen; Ged Williams; Kathleen M Vollman; Maria Isabelita C Rogado; Sandra Goldsworthy; Violeta Lopez; Elena Brioni; Wioletta Medrzycka-Dabrowska Journal: Front Public Health Date: 2022-09-21
Authors: Jakob Kjellberg; Rasmus Trap Wolf; Marie Kruse; Susanne R Rasmussen; Jesper Vestergaard; Kent J Nielsen; Kurt Rasmussen Journal: BMC Health Serv Res Date: 2017-09-13 Impact factor: 2.655