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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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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. |
format | Online Article Text |
id | pubmed-6504623 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
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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