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Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff

The aim of this study was to investigate the effectiveness of customised safety interventions in improving the safety cultures of both clinical and non-clinical hospital staff. This was assessed using the Safety Attitude Questionnaire-Chinese at baseline, 2 years and 4 years after the implementation...

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Autores principales: Wong, Shiu Yee, Fu, Allan Chak Lun, Han, Jia, Lin, Jianhua, Lau, Mun Cheung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504354/
https://www.ncbi.nlm.nih.gov/pubmed/34625426
http://dx.doi.org/10.1136/bmjoq-2020-000962
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author Wong, Shiu Yee
Fu, Allan Chak Lun
Han, Jia
Lin, Jianhua
Lau, Mun Cheung
author_facet Wong, Shiu Yee
Fu, Allan Chak Lun
Han, Jia
Lin, Jianhua
Lau, Mun Cheung
author_sort Wong, Shiu Yee
collection PubMed
description The aim of this study was to investigate the effectiveness of customised safety interventions in improving the safety cultures of both clinical and non-clinical hospital staff. This was assessed using the Safety Attitude Questionnaire-Chinese at baseline, 2 years and 4 years after the implementation of safety interventions with a high response rate ranging from 80.5% to 87.2% and excellent internal consistency (Cronbach’s alpha=0.93). The baseline survey revealed a relatively low positive attitude response in the Safety Climate (SC) domain. Both SC and Working Conditions (WC) domains were shown to have increased positive attitude responses in the second survey, while only the Management Perception domain had gained 3.8% in the last survey. In addition, safety dimensions related to collaboration with doctors and service delays due to communication breakdown were significantly improved after customised intervention was applied. Safety dimensions related to safety training, reporting and safety awareness had a high positive response in the initial survey; however, the effect was difficult to sustain subsequently. Multilevel analysis further illustrated that non-clinical staff were shown to have a more positive attitude than clinical staff, while female staff had a higher positive attitude percentage in job satisfaction than male staff. The results showed some improvements in various safety domains and dimensions, but also revealed inconsistent changes in subsequent surveys. The change in positive safety culture over the years and its sustainability need to be further explored. It is suggested that hospital management should continuously monitor and evaluate their strategies while delivering multifaceted interventions to be more specifically focused and to motivate staff to be enthusiastic in sustaining patient safety culture.
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spelling pubmed-85043542021-10-22 Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff Wong, Shiu Yee Fu, Allan Chak Lun Han, Jia Lin, Jianhua Lau, Mun Cheung BMJ Open Qual Original Research The aim of this study was to investigate the effectiveness of customised safety interventions in improving the safety cultures of both clinical and non-clinical hospital staff. This was assessed using the Safety Attitude Questionnaire-Chinese at baseline, 2 years and 4 years after the implementation of safety interventions with a high response rate ranging from 80.5% to 87.2% and excellent internal consistency (Cronbach’s alpha=0.93). The baseline survey revealed a relatively low positive attitude response in the Safety Climate (SC) domain. Both SC and Working Conditions (WC) domains were shown to have increased positive attitude responses in the second survey, while only the Management Perception domain had gained 3.8% in the last survey. In addition, safety dimensions related to collaboration with doctors and service delays due to communication breakdown were significantly improved after customised intervention was applied. Safety dimensions related to safety training, reporting and safety awareness had a high positive response in the initial survey; however, the effect was difficult to sustain subsequently. Multilevel analysis further illustrated that non-clinical staff were shown to have a more positive attitude than clinical staff, while female staff had a higher positive attitude percentage in job satisfaction than male staff. The results showed some improvements in various safety domains and dimensions, but also revealed inconsistent changes in subsequent surveys. The change in positive safety culture over the years and its sustainability need to be further explored. It is suggested that hospital management should continuously monitor and evaluate their strategies while delivering multifaceted interventions to be more specifically focused and to motivate staff to be enthusiastic in sustaining patient safety culture. BMJ Publishing Group 2021-10-08 /pmc/articles/PMC8504354/ /pubmed/34625426 http://dx.doi.org/10.1136/bmjoq-2020-000962 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Wong, Shiu Yee
Fu, Allan Chak Lun
Han, Jia
Lin, Jianhua
Lau, Mun Cheung
Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
title Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
title_full Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
title_fullStr Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
title_full_unstemmed Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
title_short Effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
title_sort effectiveness of customised safety intervention programmes to increase the safety culture of hospital staff
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504354/
https://www.ncbi.nlm.nih.gov/pubmed/34625426
http://dx.doi.org/10.1136/bmjoq-2020-000962
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