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The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands

PURPOSE: The Faroe Islands are formally part of the Kingdom of Denmark, but the islands enjoy extensive autonomy as home ruled. In Denmark, extensive quality management initiatives have been implemented throughout hospitals, this was not the case in the Faroese Islands in 2013. The purpose of this s...

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Autores principales: Kristensen, Solvejg, Túgvustein, Naina, Zachariassen, Hjørdis, Sabroe, Svend, Bartels, Paul, Mainz, Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853140/
https://www.ncbi.nlm.nih.gov/pubmed/27217800
http://dx.doi.org/10.2147/DHPS.S100575
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author Kristensen, Solvejg
Túgvustein, Naina
Zachariassen, Hjørdis
Sabroe, Svend
Bartels, Paul
Mainz, Jan
author_facet Kristensen, Solvejg
Túgvustein, Naina
Zachariassen, Hjørdis
Sabroe, Svend
Bartels, Paul
Mainz, Jan
author_sort Kristensen, Solvejg
collection PubMed
description PURPOSE: The Faroe Islands are formally part of the Kingdom of Denmark, but the islands enjoy extensive autonomy as home ruled. In Denmark, extensive quality management initiatives have been implemented throughout hospitals, this was not the case in the Faroese Islands in 2013. The purpose of this study is to investigate the patient safety culture in the National Hospital of the Faroe Islands prior to implementation of quality management initiatives. METHODS: The Danish version of the Safety Attitudes Questionnaire (SAQ-DK) was distributed electronically to 557 staff members from five medical centers of the hospital, and one administrative unit. SAQ-DK has six cultural dimensions. The proportion of respondents with positive attitudes and mean scale scores were described, and comparison between medical specialties, and between clinical leaders and frontline staff was made using analysis of variance and chi-square test, respectively. RESULTS: The response rate was 65.8% (N=367). Job satisfaction was rated most favorable, and the perceived culture of the top management least favorable. Safety climate was the dimension with the greatest variability across the 28 units. The diagnostic center had the most favorable culture of all centers. More leaders than frontline staff had positive attitudes toward teamwork and safety climate, and working conditions, respectively. Also, the leaders perceived these dimensions more positive than the frontline staff, P<0.05. Among three management levels, the unit management was perceived most favorable and the top management least favorable. CONCLUSION: The management group is recommended to raise awareness of their role in supporting a safe and caring environment for patients and staff, moreover the leaders should ensure that every day work achieves its objectives; keeping the patients safe. Furthermore, following the development in patient safety culture over time is recommended.
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spelling pubmed-48531402016-05-23 The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands Kristensen, Solvejg Túgvustein, Naina Zachariassen, Hjørdis Sabroe, Svend Bartels, Paul Mainz, Jan Drug Healthc Patient Saf Original Research PURPOSE: The Faroe Islands are formally part of the Kingdom of Denmark, but the islands enjoy extensive autonomy as home ruled. In Denmark, extensive quality management initiatives have been implemented throughout hospitals, this was not the case in the Faroese Islands in 2013. The purpose of this study is to investigate the patient safety culture in the National Hospital of the Faroe Islands prior to implementation of quality management initiatives. METHODS: The Danish version of the Safety Attitudes Questionnaire (SAQ-DK) was distributed electronically to 557 staff members from five medical centers of the hospital, and one administrative unit. SAQ-DK has six cultural dimensions. The proportion of respondents with positive attitudes and mean scale scores were described, and comparison between medical specialties, and between clinical leaders and frontline staff was made using analysis of variance and chi-square test, respectively. RESULTS: The response rate was 65.8% (N=367). Job satisfaction was rated most favorable, and the perceived culture of the top management least favorable. Safety climate was the dimension with the greatest variability across the 28 units. The diagnostic center had the most favorable culture of all centers. More leaders than frontline staff had positive attitudes toward teamwork and safety climate, and working conditions, respectively. Also, the leaders perceived these dimensions more positive than the frontline staff, P<0.05. Among three management levels, the unit management was perceived most favorable and the top management least favorable. CONCLUSION: The management group is recommended to raise awareness of their role in supporting a safe and caring environment for patients and staff, moreover the leaders should ensure that every day work achieves its objectives; keeping the patients safe. Furthermore, following the development in patient safety culture over time is recommended. Dove Medical Press 2016-04-26 /pmc/articles/PMC4853140/ /pubmed/27217800 http://dx.doi.org/10.2147/DHPS.S100575 Text en © 2016 Kristensen et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Kristensen, Solvejg
Túgvustein, Naina
Zachariassen, Hjørdis
Sabroe, Svend
Bartels, Paul
Mainz, Jan
The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands
title The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands
title_full The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands
title_fullStr The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands
title_full_unstemmed The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands
title_short The virgin land of quality management: a first measure of patient safety climate at the National Hospital of the Faroe Islands
title_sort virgin land of quality management: a first measure of patient safety climate at the national hospital of the faroe islands
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853140/
https://www.ncbi.nlm.nih.gov/pubmed/27217800
http://dx.doi.org/10.2147/DHPS.S100575
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