Strategies to improving patient safety in hospitals


Published: 9 February 2023
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Introduction: Patient safety is the initial foundation of quality healthcare that shared responsibility between policymakers as well as healthcare delivery, especially nurses, who aim for improvement. Interventions in patient safety culture reduce safety incidents, thereby, lowering the disability rates and deaths due to side effects of healthcare delivery. Therefore, this research aims to provide an overview of strategies to improve patient safety culture, which involves nurses in hospital settings.

Design and Methods: In this research, a Scoping review was carried out using online database searches at ProQuest, Ebsco, and Sciencedirect. The selected article was experimental research, using English, published between 2011-2021, and fulfilled the criteria for inclusion and exclusion set.

Result: In the initial disbursement, 480 articles were obtained with 13 studies that meet the inclusion criteria. The articles obtained used quasi-experimental research methods (2 articles), pre-post intervention design (4 articles), intervention time series (2 articles), randomized controlled trial (1 article), prospective cohort intervention (1 article), repeated cross-sectional experimental research (1 article), Mix quasi-experimental method non-randomized design and qualitative (1 article), and control groups (4 articles). Based on the articles obtained, the strategies to increase the patient safety culture in hospitals can be categorized into 4, which include educational, simulation, team, and comprehensive programs.

Conclusions: All interventions implemented possess a positive impact on patient safety culture.

 


Yalçın Akgül G, Aksoy N. The Relationship Between Organizational Stress Levels and Patient Safety Attitudes in Operating Room Staff. J Perianesth Nurs 2021;36:499–506. DOI: https://doi.org/10.1016/j.jopan.2020.11.002

Svitlica BB, Šajnović M, Simin D, et al. Patient safety: Knowledge and attitudes of medical and nursing students: Cross-sectional study. Nurse Educ Pract 2021;53:103089. DOI: https://doi.org/10.1016/j.nepr.2021.103089

Al-Mugheed K, Bayraktar N. Patient safety attitudes among critical care nurses: A case study in North Cyprus. Int J Health Plann Manage 2020;35:910–21. DOI: https://doi.org/10.1002/hpm.2976

Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, editors. Textbook of Patient Safety and Clinical Risk Management [Internet]. Cham (CH): Springer; 2021. DOI: https://doi.org/10.1007/978-3-030-59403-9

World Bank. Indonesia Data [Internet]. 2021 [cited 2021 May 2]. Available from: https://data.worldbank.org/country/ID.

Auraaen A, Slawomirski L, Klazinga N. The economics of patient safety in primary and ambulatory care: Flying blind. Paris: OECD; 2018. Available from: https://www.oecd-ilibrary.org/social-issues-migration-health/the-economics-of-patient-safety-in-primary-and-ambulatory-care_baf425ad-en

Ramdan IM, Setyowati DL. Implementation of Patient Safety Program By Nurse at Hospital in Samarinda and Factors Influence. Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 2015;9:145–50.

Edgar HSE. The Role of the Nurse in Patient Safety: Moving to Level II Relationships. JOJ Nurs Heal Care 2017;1:3–5. DOI: https://doi.org/10.19080/JOJNHC.2017.01.555563

Xie JF, Ding SQ, Zhong ZQ, et al. A safety culture training program enhanced the perceptions of patient safety culture of nurse managers. Nurse Educ Pract 2017;27:128–33. DOI: https://doi.org/10.1016/j.nepr.2017.08.003

Fabre J. Smart nursing: nurse retention & patient safety improvement strategies. 2nd ed. New York: Springer Pub. Co; 2009. 215 p.

Basuni EM, Bayoumi MM. Improvement critical care patient safety: using nursing staff development strategies, at Saudi Arabia. Glob J Health Sci 2015;7:335–43. DOI: https://doi.org/10.5539/gjhs.v7n2p335

Merrill KC. Leadership Style and Patient Safety: Implications for Nurse Managers. J Nurs Adm 2015;45:319–24. DOI: https://doi.org/10.1097/NNA.0000000000000207

Salih SA, Abdelkader Reshia FA, Bashir WAH, et al. Patient safety attitude and associated factors among nurses at Mansoura University Hospital: A cross sectional study. Int J Africa Nurs Sci 2021;14:100287. DOI: https://doi.org/10.1016/j.ijans.2021.100287

Bilal H, Sari HY. Relationship between burnout and patient safety attitudes in pediatric nurses in a hospital in Turkey. Enfermería Clínica (English Ed) 2020;30:37–41. DOI: https://doi.org/10.1016/j.enfcle.2019.08.004

Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: A randomized controlled trial. BMC Med Educ 2018;18:1–9. DOI: https://doi.org/10.1186/s12909-018-1255-6

Hanifi N, Namadian Z, Namadian M, et al. The Effect of Patient Safety Educational Program on Nurses’ Patient Safety Culture and Patient Safety Indicators. Asian/Pacific Isl Nurs J 2018;3:21–9. DOI: https://doi.org/10.31372/20180301.1089

Schmidt J, Gambashidze N, Manser T, et al. Does interprofessional team-training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Serv Res 2021;21:1–11. DOI: https://doi.org/10.1186/s12913-021-06137-5

Soliman MA, Hegazy AA, Bazaraa HM, et al. Intervention study to upgrade patient safety practices in pediatric intensive care units of cairo university children hospital. Open Access Maced J Med Sci 2020;8:65–73. DOI: https://doi.org/10.3889/oamjms.2020.3806

Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res 2021;21:1–14. DOI: https://doi.org/10.1186/s12913-021-06071-6

Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf 2013;22:394–404. DOI: https://doi.org/10.1136/bmjqs-2012-000939

Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: A Microsystem Approach to Improving Outcomes on Inpatient Units. J Gen Intern Med 2015;30:425–33. DOI: https://doi.org/10.1007/s11606-014-3067-7

Muething SE, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics 2012;130:423–31. DOI: https://doi.org/10.1542/peds.2011-3566

Storm M, Schulz J, Aase K. Patient safety in transitional care of the elderly: Effects of a quasi-experimental interorganisational educational intervention. BMJ Open 2018;8:1–18. DOI: https://doi.org/10.1136/bmjopen-2017-017852

World Health Organization. Patient Safety Incident Reporting and Learning Systems [Internet]. 2020. 51 p. Available from: https://apps.who.int/iris/rest/bitstreams/1303416/retrieve

Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: A repeated cross-sectional intervention study at two hospital sites. BMJ Open Qual 2021;10:1–9. DOI: https://doi.org/10.1136/bmjoq-2020-001183

Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol 2011;204:216.e1-216.e6. DOI: https://doi.org/10.1016/j.ajog.2010.11.004

Brilli RJ, McClead RE, Crandall WV, S et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. J Pediatr 2013;163:1638–45. DOI: https://doi.org/10.1016/j.jpeds.2013.06.031

Carlesi KC, Padilha KG, Toffoletto MC, et al. Patient Safety Incidents and Nursing Workload. Rev Lat Am Enfermagem 2017;25:e2841. DOI: https://doi.org/10.1590/1518-8345.1280.2841

Taji, M., Putra, K. R., & Ismail, D. D. S. L. (2023). Strategies to improving patient safety in hospitals. Healthcare in Low-Resource Settings, 11(s1). https://doi.org/10.4081/hls.2023.11181

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