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. 2014 Mar;55(2):523-9.
doi: 10.3349/ymj.2014.55.2.523.

Assessing safety attitudes among healthcare providers after a hospital-wide high-risk patient care program

Sang Mo Je  1 , Hyun Jong Kim, Je Sung You, Sung Phil Chung, Junho Cho, Jin Hee Lee, Hahn Shick Lee, Hyun Soo Chung
Affiliations

Assessing safety attitudes among healthcare providers after a hospital-wide high-risk patient care program

Sang Mo Je et al. Yonsei Med J. 2014 Mar.

Abstract

Purpose: Cardiopulmonary resuscitation (CPR) is commonly performed in high-risk, high intensity situations and is therefore a good procedure around which to develop and implement safety culture strategies in the hospital. The purpose of this study was to evaluate the impact of a hospital-wide quality improvement program on the management of sudden cardiac arrests by assessing healthcare providers' attitudes towards patient safety.

Materials and methods: This study was designed as a prospective cohort study at a single academic medical center. The comprehensive hospital-based safety program included steps to identify areas of hazard, partner units with the Resuscitation Committee, and to conduct a Safety Attitudes Questionnaire (SAQ). The SAQ evaluated 35 questions in seven domains to assess changes in patient safety culture by comparing the results before and after the hospital- wide high risk patient care improvement program.

Results: The response rates of the pre- and post-SAQ survey were 489 out of 1121 (43.6%) and 575 out of 1270 (45.3%), respectively. SAQ survey responses revealed significant improvement in all seven domains of the questionnaire (p-values of 0.006 and lower). In a subgroup analysis, doctors and nurses showed improvement in five domains. Both doctors and nurses did not show improvement in the "sharing information" domain.

Conclusion: A hospital-wide quality improvement program for high-risk, high reliability patient care involving CPR care was shown to be associated with a change in healthcare providers' attitudes towards patient safety. Through an immersive and active program on CPR care, change in healthcare providers' attitudes towards patient safety was initiated.

Keywords: Cardiopulmonary resuscitation; Safety Attitudes Questionnaire; system improvement.

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Conflict of interest statement

The authors have no financial conflicts of interest.

References

    1. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17:216–223. - PMC - PubMed
    1. Kohn LT, Corrigan JM, Donaldson MS America. Institute of Medicine, editors. To err is human: building a safer health system. Washington, DC: Committee on Quality, National Academic Press; 2000. - PubMed
    1. Graf J, Mühlhoff C, Doig GS, Reinartz S, Bode K, Dujardin R, et al. Health care costs, long-term survival, and quality of life following intensive care unit admission after cardiac arrest. Crit Care. 2008;12:R92. - PMC - PubMed
    1. Singer SJ, Gaba DM, Geppert JJ, Sinaiko AD, Howard SK, Park KC. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care. 2003;12:112–118. - PMC - PubMed
    1. Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006;6:44. - PMC - PubMed