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

BMJ Open Quality

article

Shiu Yee Wong¹  Allan Chak Lun Fu²  Jia Han³  Jianhua Lin²  Mun Cheung Lau⁵ 

[1] Physiotherapy Department , Shatin Hospital , Hospital Authority;Faculty of Medicine and Health , The University of Sydney;University of Canberra;Department of Rehabilitation Therapy , Tongji University School of Medicine;Sports Medicine and Rehabilitation Centre , Chinese University of Hong Kong;School of Health Sciences , Caritas Institute of Higher Education

关键词: healthcare quality improvement;    health policy;    patient safety;    safety culture;   

DOI  :  10.1136/bmjoq-2020-000962

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

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.healthcare quality improvementhealth policypatient safetysafety cultureData availability statementAll data relevant to the study are included in the article or uploaded as online supplemental information.http://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/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND