research on safety culture in surgical departments of bc hospitals
DESCRIPTION
Research on Safety Culture in Surgical Departments of BC Hospitals . Background. Safety culture = shared beliefs and patterns of behaviour that determine how we work together to achieve quality care. - PowerPoint PPT PresentationTRANSCRIPT
PowerPoint Presentation
Research on Safety Culture in Surgical Departments of BC Hospitals
BackgroundSafety culture = shared beliefs and patterns of behaviour that determine how we work together to achieve quality care.
Safety culture affects patient outcomes. Communication breakdown leads to compromise in the point of care, resulting in patient harm. (Maxfield, Grenny et al. 2005)
Safety culture is also important for its effects on provider experience. There is strong evidence for the connection between culture and items such as staff turnover and job satisfaction. (Huang, Clermont et al. 2007)
Promotes the work of the BC surgical community.Assesses the impact of culture on patient and provider experience in BC by answering the question 'Does culture matter?'Evaluates the potential improvements in patient and provider experience as a result of culture interventions; in other words, 'Is it worth investing in culture interventions?'Identifies the mechanisms and causal ingredients of successful culture initiatives.Provides an opportunity to make a novel contribution to the academic literature.
Benefits of the Research
Is safety culture in surgical departments in BC correlated with clinical outcomes, rates of adverse event reporting, overtime, sick time and/or staff turnover?
Can a conscious effort to change safety culture lead to culture change?
Research Questions
Data Requested
VariableMeasured byFormatTime frame for data collectionSafety CultureSafety Attitudes Questionnaire (SAQ) and OR collaboration questionAverage of each domain on SAQ + total culture score. Provincial averages of OR collaboration question. Spring 2012 Wave 2 pendingClinical OutcomesNSQIP data (11 variables)Aggregate rates of each post-operative outcomeJuly 2011 onwardsAdverse event reporting ratePatient Safety Learning SystemNumber of adverse events reported at each severity level (0-5) in each unitJuly 2011 onwardsStaff OvertimeHealth Authority HRTotal overtime hours and total hours worked in each surgical unit July 2011 onwardsStaff Sick timeHealth Authority HRTotal sick time hours and total hours worked in each surgical unitJuly 2011 onwardsStaff TurnoverHealth Authority HRRate of staff turnover in surgical unitsJuly 2011 onwardsCulture Improvement10 questions completed by surgical unit leads.Record of culture improvement activityFall 2013Health Authorities and Surgeon Leads are invited to enrol and agree to submit data starting in Spring 2013.Identify one individual to act as a research liaison who will assist with the collection and release of data. Data provision will require less than 5 hours of staff time.Health authorities and physicians that wish to be co-investigators in this research are invited to participate to a greater degree, although this is not required.
How can I be involved?
Friday Feb 22, 201309.00 10.00 PSTTo join the online session, click hereTo join by teleconference only: 1-877-668-4490Access Code: 629 430 051Thursday Mar 7, 201307.00 08.00 PSTTo join the online session, click hereTo join by teleconference only:1-877-668-4490Access Code: 624 197 333
We will review the proposed research and answer your questions. We will also go over the next steps and how to enrol.Note: Both sessions will cover the same content. For more information:Visit http://bcpsqc.ca/clinical-improvement/sqan/research/-OR- Contact:Rebecca BrookeEmail: [email protected]: 604 668 8227Information Webinars!Huang, D. T., G. Clermont, J. B. Sexton, C. A. Karlo, R. G. Miller, L. A. Weissfeld, K. M. Rowan and D. C. Angus (2007). "Perceptions of safety culture vary across the intensive care units of a single institution *." Critical Care Medicine 35(1): 165-176 110.1097/1001.CCM.0000251505.0000276026.CF.Makary, M. A., et al. (2006). "Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder." Journal of the American College of Surgeons 202(5): 746-752.Maxfield, D., J. Grenny, R. McMillan, K. Patterson and A. Switzler (2005). Silence Kills: The Seven Crucial Conversations in Healthcare. Provo, Utah, VitalSmarts LC.Mazzocco, K., D. B. Petitti, K. T. Fong, D. Bonacum, J. Brookey, S. Graham, R. E. Lasky, J. B. Sexton and E. J. Thomas (2009). "Surgical team behaviors and patient outcomes." American journal of surgery 197(5): 678-685.
References