A comprehensive obstetrics patient safety program improves safety climate and culture.
Am J Obstet Gynecol
; 204(3): 216.e1-6, 2011 Mar.
Article
em En
| MEDLINE
| ID: mdl-21376160
ABSTRACT
OBJECTIVE:
The purpose of this study was to determine the effect of an obstetrics patient safety program on staff safety culture. STUDYDESIGN:
We implemented (1) obstetrics patient safety nurse, (2) protocol-based standardization of practice, (3) crew resource management training, (4) oversight by a patient safety committee, (5) 24-hour obstetrics hospitalist, and (6) an anonymous event reporting system. We administered the Safety Attitude Questionnaire on 4 occasions over 5 years (2004-2009) to all staff members that assessed teamwork and safety cultures, job satisfaction, working conditions, stress recognition, and perceptions of management.RESULTS:
We observed significant improvements in the proportion of staff members with favorable perceptions of teamwork culture (39% in 2004 to 63% in 2009), safety culture (33% to 63%), job satisfaction (39% to 53%), and management (10% to 37%). Individual roles (obstetrics providers, residents, and nurses) also experienced improvements in safety and teamwork, with significantly better congruence between doctors and nurses.CONCLUSION:
Safety programs can improve workforce perceptions of safety and an improved safety climate.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Segurança
/
Gestão da Segurança
/
Obstetrícia
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
En
Revista:
Am J Obstet Gynecol
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos