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Implementing a patient safety culture survey to identify and target process improvements in academic ambulatory urology practices: a multi-institutional collaborative.

Publication ,  Journal Article
Skokan, AJ; Dobbs, RW; Harris, AM; Tessier, CD; Sajadi, KP; Talwar, R; Berger, I; Guzzo, TJ; Ziemba, JB
Published in: The Canadian journal of urology
February 2020

A shared professional culture focused on patient safety is critical to delivering high-quality care. There is a need for objective metrics to help identify target areas for improvement in patient safety culture. The Medical Office Survey on Patient Safety Culture (SOPS) was developed and validated by the United States Agency for Healthcare Research and Quality to measure patient safety culture in the ambulatory setting. In this study we report on safety culture and practices in six academic urology clinics utilizing this validated questionnaire.The SOPS was administered to all staff in ambulatory urology practices affiliated with participating centers. Percent positive responses were calculated for each of 10 validated composite domains and were compared between sites and respondent roles. Nonparametric statistical analyses were performed to identify differences between groups.The survey was administered to 185 staff members, with an overall response rate of 66%. Within each domain there was substantial variability between sites, with significant differences observed in staff training (p = 0.034), office processes/standardization (p = 0.008), patient care tracking (p = 0.047), communication about errors (p = 0.001), and organizational learning (p = 0.015). Similar variation was seen between respondent roles with significant differences for patient care tracking (p = 0.002) and communication about errors (p = 0.014).The SOPS is a clinically useful tool to identify issues impacting a practice's safety culture. Substantial variability was observed within each composite domain at the levels of practice site and respondent role. Comparing composite domain results between clinics will allow leadership to identify gaps and evaluate policies and resources of higher performing peer sites.

Duke Scholars

Published In

The Canadian journal of urology

ISSN

1195-9479

Publication Date

February 2020

Volume

27

Issue

1

Start / End Page

10087 / 10092

Related Subject Headings

  • Urology
  • Safety Management
  • Quality Improvement
  • Patient Safety
  • Humans
  • Health Care Surveys
  • Ambulatory Care
  • Academic Medical Centers
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Skokan, A. J., Dobbs, R. W., Harris, A. M., Tessier, C. D., Sajadi, K. P., Talwar, R., … Ziemba, J. B. (2020). Implementing a patient safety culture survey to identify and target process improvements in academic ambulatory urology practices: a multi-institutional collaborative. The Canadian Journal of Urology, 27(1), 10087–10092.
Skokan, Alexander J., Ryan W. Dobbs, Andrew M. Harris, Christopher D. Tessier, Kamran P. Sajadi, Ruchika Talwar, Ian Berger, Thomas J. Guzzo, and Justin B. Ziemba. “Implementing a patient safety culture survey to identify and target process improvements in academic ambulatory urology practices: a multi-institutional collaborative.The Canadian Journal of Urology 27, no. 1 (February 2020): 10087–92.
Skokan AJ, Dobbs RW, Harris AM, Tessier CD, Sajadi KP, Talwar R, et al. Implementing a patient safety culture survey to identify and target process improvements in academic ambulatory urology practices: a multi-institutional collaborative. The Canadian journal of urology. 2020 Feb;27(1):10087–92.
Skokan AJ, Dobbs RW, Harris AM, Tessier CD, Sajadi KP, Talwar R, Berger I, Guzzo TJ, Ziemba JB. Implementing a patient safety culture survey to identify and target process improvements in academic ambulatory urology practices: a multi-institutional collaborative. The Canadian journal of urology. 2020 Feb;27(1):10087–10092.

Published In

The Canadian journal of urology

ISSN

1195-9479

Publication Date

February 2020

Volume

27

Issue

1

Start / End Page

10087 / 10092

Related Subject Headings

  • Urology
  • Safety Management
  • Quality Improvement
  • Patient Safety
  • Humans
  • Health Care Surveys
  • Ambulatory Care
  • Academic Medical Centers
  • 3202 Clinical sciences
  • 1103 Clinical Sciences