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Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Publication ,  Journal Article
Paine, LA; Rosenstein, BJ; Sexton, JB; Kent, P; Holzmueller, CG; Pronovost, PJ
Published in: Qual Saf Health Care
December 2010

OBJECTIVES: To describe the authors' hospital-wide efforts to improve safety climate at a large academic medical centre. DESIGN AND SETTING: A prospective cohort study used multiple interventions to improve hospital-wide safety climate. 144 clinical units in an urban academic medical centre are included in this analysis. INTERVENTIONS: The comprehensive unit-based safety programme included steps to identify hazards, partner units with a senior executive to fix hazards, learn from defects, and implement communication and teamwork tools. Hospital-level interventions were also implemented. MAIN OUTCOME MEASURES: Safety climate was assessed annually using the safety attitudes questionnaire. The safety culture goal was to meet or exceed the 60% minimum positive score or improve the score by ≥10 points. RESULTS: Response rates were 77% (2006) and 79% (2008). For safety climate, 55% of units in 2006 and 82% in 2008 achieved the culture goal. For teamwork climate, 61% of units in 2006 and 83% in 2008 achieved the culture goal. The mean safety climate improvement (difference score) for 79 units at or above 60% in 2006 was 0.201 in 2008; the mean improvement for the 65 units below the threshold was 18.278. The mean teamwork climate improvement (difference score) for the 89 units at or above 60% in 2006 was 0.452 in 2008; the mean improvement for the 55 units below the threshold was 16.176. Climate scores improved significantly from 2006 to 2008 in every domain except stress recognition. CONCLUSIONS: Hospital-wide interventions were associated with improvements in safety climate at a large academic medical centre.

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Published In

Qual Saf Health Care

DOI

EISSN

1475-3901

Publication Date

December 2010

Volume

19

Issue

6

Start / End Page

547 / 554

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Safety Management
  • Quality Assurance, Health Care
  • Prospective Studies
  • Organizational Culture
  • Male
  • Humans
  • Health Policy & Services
  • Female
  • Cohort Studies
 

Citation

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ICMJE
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Paine, L. A., Rosenstein, B. J., Sexton, J. B., Kent, P., Holzmueller, C. G., & Pronovost, P. J. (2010). Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf Health Care, 19(6), 547–554. https://doi.org/10.1136/qshc.2009.039347
Paine, Lori A., Beryl J. Rosenstein, J Bryan Sexton, Paula Kent, Christine G. Holzmueller, and Peter J. Pronovost. “Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.Qual Saf Health Care 19, no. 6 (December 2010): 547–54. https://doi.org/10.1136/qshc.2009.039347.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf Health Care. 2010 Dec;19(6):547–54.
Paine, Lori A., et al. “Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.Qual Saf Health Care, vol. 19, no. 6, Dec. 2010, pp. 547–54. Pubmed, doi:10.1136/qshc.2009.039347.
Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf Health Care. 2010 Dec;19(6):547–554.

Published In

Qual Saf Health Care

DOI

EISSN

1475-3901

Publication Date

December 2010

Volume

19

Issue

6

Start / End Page

547 / 554

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Safety Management
  • Quality Assurance, Health Care
  • Prospective Studies
  • Organizational Culture
  • Male
  • Humans
  • Health Policy & Services
  • Female
  • Cohort Studies