Assessing Safety Attitudes among Healthcare Providers after a Hospital-Wide High-Risk Patient Care Program.
10.3349/ymj.2014.55.2.523
- Author:
Sang Mo JE
1
;
Hyun Jong KIM
;
Je Sung YOU
;
Sung Phil CHUNG
;
Junho CHO
;
Jin Hee LEE
;
Hahn Shick LEE
;
Hyun Soo CHUNG
Author Information
1. Department of Pediatrics, Pediatric Emergency Center, CHA University Bundang Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Cardiopulmonary resuscitation;
Safety Attitudes Questionnaire;
system improvement
- MeSH:
Academic Medical Centers;
Cardiopulmonary Resuscitation;
Cohort Studies;
Death, Sudden, Cardiac;
Delivery of Health Care*;
Health Personnel*;
Humans;
Methods;
Patient Care*;
Patient Safety;
Prospective Studies;
Quality Improvement;
Questionnaires;
Resuscitation
- From:Yonsei Medical Journal
2014;55(2):523-529
- CountryRepublic of Korea
- Language:English
-
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.
