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What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust

Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) wa...

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Autores principales: Denning, Max, Goh, Ee Teng, Scott, Alasdair, Martin, Guy, Markar, Sheraz, Flott, Kelsey, Mason, Sam, Przybylowicz, Jan, Almonte, Melanie, Clarke, Jonathan, Winter Beatty, Jasmine, Chidambaram, Swathikan, Yalamanchili, Seema, Tan, Benjamin Yong-Qiang, Kanneganti, Abhiram, Sounderajah, Viknesh, Wells, Mary, Purkayastha, Sanjay, Kinross, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579589/
https://www.ncbi.nlm.nih.gov/pubmed/32993013
http://dx.doi.org/10.3390/ijerph17197034
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author Denning, Max
Goh, Ee Teng
Scott, Alasdair
Martin, Guy
Markar, Sheraz
Flott, Kelsey
Mason, Sam
Przybylowicz, Jan
Almonte, Melanie
Clarke, Jonathan
Winter Beatty, Jasmine
Chidambaram, Swathikan
Yalamanchili, Seema
Tan, Benjamin Yong-Qiang
Kanneganti, Abhiram
Sounderajah, Viknesh
Wells, Mary
Purkayastha, Sanjay
Kinross, James
author_facet Denning, Max
Goh, Ee Teng
Scott, Alasdair
Martin, Guy
Markar, Sheraz
Flott, Kelsey
Mason, Sam
Przybylowicz, Jan
Almonte, Melanie
Clarke, Jonathan
Winter Beatty, Jasmine
Chidambaram, Swathikan
Yalamanchili, Seema
Tan, Benjamin Yong-Qiang
Kanneganti, Abhiram
Sounderajah, Viknesh
Wells, Mary
Purkayastha, Sanjay
Kinross, James
author_sort Denning, Max
collection PubMed
description Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) was used to investigate safety culture at a large UK healthcare trust during Covid-19. Findings were compared with baseline data from 2017. Incident reporting from the year preceding the pandemic was also examined. SAQ scores of doctors and “other clinical staff”, were relatively higher than the nursing group. During Covid-19, on univariate regression analysis, female gender, age 40–49 years, non-White ethnicity, and nursing job role were all associated with lower SAQ scores. Training and support for redeployment were associated with higher SAQ scores. On multivariate analysis, non-disclosed gender (−0.13), non-disclosed ethnicity (−0.11), nursing role (−0.15), and support (0.29) persisted to a level of significance. A significant decrease (p < 0.003) was seen in error reporting after the onset of the Covid-19 pandemic. This is the first study to investigate SAQ during Covid-19. Differences in SAQ scores were observed during Covid-19 between professional groups when compared to baseline. Reductions in incident reporting were also seen. These changes may reflect perception of risk, changes in volume or nature of work. High-quality support for redeployed staff may be associated with improved safety perception during future pandemics.
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spelling pubmed-75795892020-10-29 What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust Denning, Max Goh, Ee Teng Scott, Alasdair Martin, Guy Markar, Sheraz Flott, Kelsey Mason, Sam Przybylowicz, Jan Almonte, Melanie Clarke, Jonathan Winter Beatty, Jasmine Chidambaram, Swathikan Yalamanchili, Seema Tan, Benjamin Yong-Qiang Kanneganti, Abhiram Sounderajah, Viknesh Wells, Mary Purkayastha, Sanjay Kinross, James Int J Environ Res Public Health Article Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) was used to investigate safety culture at a large UK healthcare trust during Covid-19. Findings were compared with baseline data from 2017. Incident reporting from the year preceding the pandemic was also examined. SAQ scores of doctors and “other clinical staff”, were relatively higher than the nursing group. During Covid-19, on univariate regression analysis, female gender, age 40–49 years, non-White ethnicity, and nursing job role were all associated with lower SAQ scores. Training and support for redeployment were associated with higher SAQ scores. On multivariate analysis, non-disclosed gender (−0.13), non-disclosed ethnicity (−0.11), nursing role (−0.15), and support (0.29) persisted to a level of significance. A significant decrease (p < 0.003) was seen in error reporting after the onset of the Covid-19 pandemic. This is the first study to investigate SAQ during Covid-19. Differences in SAQ scores were observed during Covid-19 between professional groups when compared to baseline. Reductions in incident reporting were also seen. These changes may reflect perception of risk, changes in volume or nature of work. High-quality support for redeployed staff may be associated with improved safety perception during future pandemics. MDPI 2020-09-25 2020-10 /pmc/articles/PMC7579589/ /pubmed/32993013 http://dx.doi.org/10.3390/ijerph17197034 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Denning, Max
Goh, Ee Teng
Scott, Alasdair
Martin, Guy
Markar, Sheraz
Flott, Kelsey
Mason, Sam
Przybylowicz, Jan
Almonte, Melanie
Clarke, Jonathan
Winter Beatty, Jasmine
Chidambaram, Swathikan
Yalamanchili, Seema
Tan, Benjamin Yong-Qiang
Kanneganti, Abhiram
Sounderajah, Viknesh
Wells, Mary
Purkayastha, Sanjay
Kinross, James
What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
title What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
title_full What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
title_fullStr What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
title_full_unstemmed What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
title_short What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust
title_sort what has been the impact of covid-19 on safety culture? a case study from a large metropolitan healthcare trust
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579589/
https://www.ncbi.nlm.nih.gov/pubmed/32993013
http://dx.doi.org/10.3390/ijerph17197034
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