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Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene
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| Zeitschriftentitel: | Infection Control & Hospital Epidemiology |
|---|---|
| Personen und Körperschaften: | , , , , , |
| In: | Infection Control & Hospital Epidemiology, 38, 2017, 11, S. 1277-1283 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Cambridge University Press (CUP)
|
| Schlagwörter: |
| author_facet |
Caris, Martine G. Kamphuis, Pim G. A. Dekker, Mireille de Bruijne, Martine C. van Agtmael, Michiel A. Vandenbroucke-Grauls, Christina M. J. E. Caris, Martine G. Kamphuis, Pim G. A. Dekker, Mireille de Bruijne, Martine C. van Agtmael, Michiel A. Vandenbroucke-Grauls, Christina M. J. E. |
|---|---|
| author |
Caris, Martine G. Kamphuis, Pim G. A. Dekker, Mireille de Bruijne, Martine C. van Agtmael, Michiel A. Vandenbroucke-Grauls, Christina M. J. E. |
| spellingShingle |
Caris, Martine G. Kamphuis, Pim G. A. Dekker, Mireille de Bruijne, Martine C. van Agtmael, Michiel A. Vandenbroucke-Grauls, Christina M. J. E. Infection Control & Hospital Epidemiology Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene Infectious Diseases Microbiology (medical) Epidemiology |
| author_sort |
caris, martine g. |
| spelling |
Caris, Martine G. Kamphuis, Pim G. A. Dekker, Mireille de Bruijne, Martine C. van Agtmael, Michiel A. Vandenbroucke-Grauls, Christina M. J. E. 0899-823X 1559-6834 Cambridge University Press (CUP) Infectious Diseases Microbiology (medical) Epidemiology http://dx.doi.org/10.1017/ice.2017.209 <jats:sec id="S0899823X17002094_abs1" sec-type="general"><jats:title>OBJECTIVE</jats:title><jats:p>To investigate whether the safety culture of a hospital unit is associated with the ability to improve.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs2" sec-type="general"><jats:title>DESIGN</jats:title><jats:p>Qualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs3" sec-type="general"><jats:title>SETTING</jats:title><jats:p>VU University Medical Center, a tertiary-care hospital in the Netherlands.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs4" sec-type="methods"><jats:title>METHODS</jats:title><jats:p>With support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level).</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs5" sec-type="results"><jats:title>RESULTS</jats:title><jats:p>Overall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs6" sec-type="conclusions"><jats:title>CONCLUSIONS</jats:title><jats:p>Safety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions.</jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol</jats:italic>2017;38:1277–1283</jats:p></jats:sec> Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene Infection Control & Hospital Epidemiology |
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Cambridge University Press (CUP), 2017 |
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| title |
Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_unstemmed |
Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_full |
Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_fullStr |
Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_full_unstemmed |
Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_short |
Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_sort |
patient safety culture and the ability to improve: a proof of concept study on hand hygiene |
| topic |
Infectious Diseases Microbiology (medical) Epidemiology |
| url |
http://dx.doi.org/10.1017/ice.2017.209 |
| publishDate |
2017 |
| physical |
1277-1283 |
| description |
<jats:sec id="S0899823X17002094_abs1" sec-type="general"><jats:title>OBJECTIVE</jats:title><jats:p>To investigate whether the safety culture of a hospital unit is associated with the ability to improve.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs2" sec-type="general"><jats:title>DESIGN</jats:title><jats:p>Qualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs3" sec-type="general"><jats:title>SETTING</jats:title><jats:p>VU University Medical Center, a tertiary-care hospital in the Netherlands.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs4" sec-type="methods"><jats:title>METHODS</jats:title><jats:p>With support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level).</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs5" sec-type="results"><jats:title>RESULTS</jats:title><jats:p>Overall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs6" sec-type="conclusions"><jats:title>CONCLUSIONS</jats:title><jats:p>Safety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions.</jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol</jats:italic>2017;38:1277–1283</jats:p></jats:sec> |
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| author | Caris, Martine G., Kamphuis, Pim G. A., Dekker, Mireille, de Bruijne, Martine C., van Agtmael, Michiel A., Vandenbroucke-Grauls, Christina M. J. E. |
| author_facet | Caris, Martine G., Kamphuis, Pim G. A., Dekker, Mireille, de Bruijne, Martine C., van Agtmael, Michiel A., Vandenbroucke-Grauls, Christina M. J. E., Caris, Martine G., Kamphuis, Pim G. A., Dekker, Mireille, de Bruijne, Martine C., van Agtmael, Michiel A., Vandenbroucke-Grauls, Christina M. J. E. |
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| description | <jats:sec id="S0899823X17002094_abs1" sec-type="general"><jats:title>OBJECTIVE</jats:title><jats:p>To investigate whether the safety culture of a hospital unit is associated with the ability to improve.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs2" sec-type="general"><jats:title>DESIGN</jats:title><jats:p>Qualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs3" sec-type="general"><jats:title>SETTING</jats:title><jats:p>VU University Medical Center, a tertiary-care hospital in the Netherlands.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs4" sec-type="methods"><jats:title>METHODS</jats:title><jats:p>With support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level).</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs5" sec-type="results"><jats:title>RESULTS</jats:title><jats:p>Overall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs6" sec-type="conclusions"><jats:title>CONCLUSIONS</jats:title><jats:p>Safety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions.</jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol</jats:italic>2017;38:1277–1283</jats:p></jats:sec> |
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| spelling | Caris, Martine G. Kamphuis, Pim G. A. Dekker, Mireille de Bruijne, Martine C. van Agtmael, Michiel A. Vandenbroucke-Grauls, Christina M. J. E. 0899-823X 1559-6834 Cambridge University Press (CUP) Infectious Diseases Microbiology (medical) Epidemiology http://dx.doi.org/10.1017/ice.2017.209 <jats:sec id="S0899823X17002094_abs1" sec-type="general"><jats:title>OBJECTIVE</jats:title><jats:p>To investigate whether the safety culture of a hospital unit is associated with the ability to improve.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs2" sec-type="general"><jats:title>DESIGN</jats:title><jats:p>Qualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs3" sec-type="general"><jats:title>SETTING</jats:title><jats:p>VU University Medical Center, a tertiary-care hospital in the Netherlands.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs4" sec-type="methods"><jats:title>METHODS</jats:title><jats:p>With support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level).</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs5" sec-type="results"><jats:title>RESULTS</jats:title><jats:p>Overall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture.</jats:p></jats:sec><jats:sec id="S0899823X17002094_abs6" sec-type="conclusions"><jats:title>CONCLUSIONS</jats:title><jats:p>Safety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions.</jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol</jats:italic>2017;38:1277–1283</jats:p></jats:sec> Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene Infection Control & Hospital Epidemiology |
| spellingShingle | Caris, Martine G., Kamphuis, Pim G. A., Dekker, Mireille, de Bruijne, Martine C., van Agtmael, Michiel A., Vandenbroucke-Grauls, Christina M. J. E., Infection Control & Hospital Epidemiology, Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene, Infectious Diseases, Microbiology (medical), Epidemiology |
| title | Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_full | Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_fullStr | Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_full_unstemmed | Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_short | Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| title_sort | patient safety culture and the ability to improve: a proof of concept study on hand hygiene |
| title_unstemmed | Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene |
| topic | Infectious Diseases, Microbiology (medical), Epidemiology |
| url | http://dx.doi.org/10.1017/ice.2017.209 |