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The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care

Key validated clinical metrics are being used individually and in aggregate (Baby-MONITOR) to monitor the performance of neonatal intensive care units (NICUs). The degree to which perceptions of key components of safety culture, safety climate, and teamwork are related to aspects of NICU quality of...

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Autores principales: Profit, Jochen, Sharek, Paul J., Cui, Xin, Nisbet, Courtney C., Thomas, Eric J., Tawfik, Daniel S., Lee, Henry C., Draper, David, Sexton, J. Bryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504623/
https://www.ncbi.nlm.nih.gov/pubmed/30407963
http://dx.doi.org/10.1097/PTS.0000000000000546
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author Profit, Jochen
Sharek, Paul J.
Cui, Xin
Nisbet, Courtney C.
Thomas, Eric J.
Tawfik, Daniel S.
Lee, Henry C.
Draper, David
Sexton, J. Bryan
author_facet Profit, Jochen
Sharek, Paul J.
Cui, Xin
Nisbet, Courtney C.
Thomas, Eric J.
Tawfik, Daniel S.
Lee, Henry C.
Draper, David
Sexton, J. Bryan
author_sort Profit, Jochen
collection PubMed
description Key validated clinical metrics are being used individually and in aggregate (Baby-MONITOR) to monitor the performance of neonatal intensive care units (NICUs). The degree to which perceptions of key components of safety culture, safety climate, and teamwork are related to aspects of NICU quality of care is poorly understood. The objective of this study was to test whether NICU performance on key clinical metrics correlates with caregiver perceptions of safety culture. STUDY DESIGN: Cross-sectional study of 6253 very low-birth-weight infants in 44 NICUs. We measured clinical quality via the Baby-MONITOR and its nine risk-adjusted and standardized subcomponents (antenatal corticosteroids, hypothermia, pneumothorax, healthcare-associated infection, chronic lung disease, retinopathy screen, discharge on any human milk, growth velocity, and mortality). A voluntary sample of 2073 of 3294 eligible professional caregivers provided ratings of safety and teamwork climate using the Safety Attitudes Questionnaire. We examined NICU-level variation across clinical and safety culture ratings and conducted correlation analysis of these dimensions. RESULTS: We found significant variation in clinical and safety culture metrics across NICUs. Neonatal intensive care unit teamwork and safety climate ratings were correlated with absence of healthcare-associated infection (r = 0.39 [P = 0.01] and r = 0.29 [P = 0.05], respectively). None of the other clinical metrics, individual or composite, were significantly correlated with teamwork or safety climate. CONCLUSIONS: Neonatal intensive care unit teamwork and safety climate were correlated with healthcare-associated infections but not with other quality metrics. Linkages to clinical measures of quality require additional research.
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spelling pubmed-65046232020-11-23 The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care Profit, Jochen Sharek, Paul J. Cui, Xin Nisbet, Courtney C. Thomas, Eric J. Tawfik, Daniel S. Lee, Henry C. Draper, David Sexton, J. Bryan J Patient Saf Original Articles Key validated clinical metrics are being used individually and in aggregate (Baby-MONITOR) to monitor the performance of neonatal intensive care units (NICUs). The degree to which perceptions of key components of safety culture, safety climate, and teamwork are related to aspects of NICU quality of care is poorly understood. The objective of this study was to test whether NICU performance on key clinical metrics correlates with caregiver perceptions of safety culture. STUDY DESIGN: Cross-sectional study of 6253 very low-birth-weight infants in 44 NICUs. We measured clinical quality via the Baby-MONITOR and its nine risk-adjusted and standardized subcomponents (antenatal corticosteroids, hypothermia, pneumothorax, healthcare-associated infection, chronic lung disease, retinopathy screen, discharge on any human milk, growth velocity, and mortality). A voluntary sample of 2073 of 3294 eligible professional caregivers provided ratings of safety and teamwork climate using the Safety Attitudes Questionnaire. We examined NICU-level variation across clinical and safety culture ratings and conducted correlation analysis of these dimensions. RESULTS: We found significant variation in clinical and safety culture metrics across NICUs. Neonatal intensive care unit teamwork and safety climate ratings were correlated with absence of healthcare-associated infection (r = 0.39 [P = 0.01] and r = 0.29 [P = 0.05], respectively). None of the other clinical metrics, individual or composite, were significantly correlated with teamwork or safety climate. CONCLUSIONS: Neonatal intensive care unit teamwork and safety climate were correlated with healthcare-associated infections but not with other quality metrics. Linkages to clinical measures of quality require additional research. Lippincott Williams & Wilkins 2020-12 2018-11-08 /pmc/articles/PMC6504623/ /pubmed/30407963 http://dx.doi.org/10.1097/PTS.0000000000000546 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Profit, Jochen
Sharek, Paul J.
Cui, Xin
Nisbet, Courtney C.
Thomas, Eric J.
Tawfik, Daniel S.
Lee, Henry C.
Draper, David
Sexton, J. Bryan
The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care
title The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care
title_full The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care
title_fullStr The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care
title_full_unstemmed The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care
title_short The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care
title_sort correlation between neonatal intensive care unit safety culture and quality of care
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504623/
https://www.ncbi.nlm.nih.gov/pubmed/30407963
http://dx.doi.org/10.1097/PTS.0000000000000546
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