Impact of Work Unit and Organization Support on Hospital Patient Safety

2.50
Hdl Handle:
http://hdl.handle.net/10755/149448
Type:
Presentation
Title:
Impact of Work Unit and Organization Support on Hospital Patient Safety
Abstract:
Impact of Work Unit and Organization Support on Hospital Patient Safety
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Kemper, Carol, RN, PhD
P.I. Institution Name:Children's Mercy Hospitals and Clinics
Title:Senior Director, Quality and Safety
[Scientific Session Presentation] Background: Based on the construct of a culture of safety, the study purpose of the study was to discern the relationships between Organization Support (OS) and Work Unit Support (WS) on Hospital Patient Safety.  Framework: High Reliability Organization Theory was used as a framework for the study.  HROT originated from studies conducted in non-healthcare settings identified as high risk but relatively error-free.  Helathcare leaders have suggested HROT may provide a useful framework for evaluating healthcare settings.Methodology: OS and WS were operationalized using the National Database for Nursing Quality Indicators? (NDNQI?) RN Survey with Job Satisfaction Scales.  Patient Safety was operationalized using four Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators: Decubitus Ulcer, Selected Infections due to Medical Care, Failure to Rescue (FTR), and Deep Vein Thrombosis.  A structural equation model was developed with adequate fit indices (?2 = 40.811, df= 27, p= 0.234; CFI=  0.930; RMSEA= 0.065; SRMR= 0.074).  Results: Unexpectedly, increased OS was associated significantly (p= .030) with increase Patient Safety events.  A promising, though non-significant finding, was increased WS and OS were associated with decreased Patient Safety events and FTR rates.  Increased Teamwork, a component of WS was associated with decreased rates of FTR and Patient Safety events.Discussion: Nurses perceptions of care were used to operationalize the consturct of a culture of safety and the relationships between work unit and organization support and  occurence of adverse outcomes was evaluated.  Continued study is needed particularly of the impact of teamwork on adverse patient outcomes and overall work unit support.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of Work Unit and Organization Support on Hospital Patient Safetyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149448-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of Work Unit and Organization Support on Hospital Patient Safety</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kemper, Carol, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Children's Mercy Hospitals and Clinics</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Senior Director, Quality and Safety</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ckemper@cmh.edu</td></tr><tr><td colspan="2" class="item-abstract">[Scientific Session Presentation] Background: Based on the construct of a culture of safety, the study purpose of the study was to discern the relationships between Organization Support (OS) and Work Unit Support (WS) on Hospital Patient Safety.&nbsp; Framework: High Reliability Organization Theory was used as a framework for the study.&nbsp; HROT originated from studies conducted in non-healthcare settings identified as high risk but relatively error-free.&nbsp;&nbsp;Helathcare&nbsp;leaders have suggested HROT may provide a useful framework for&nbsp;evaluating&nbsp;healthcare settings.Methodology:&nbsp;OS and WS were operationalized using the National Database for Nursing Quality Indicators? (NDNQI?) RN Survey with Job Satisfaction Scales.&nbsp; Patient Safety was operationalized using four Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators: Decubitus Ulcer, Selected Infections due to Medical Care, Failure to Rescue (FTR), and Deep Vein Thrombosis.&nbsp; A structural equation model was developed with adequate fit indices (?2 = 40.811, df= 27, p= 0.234; CFI=&nbsp; 0.930; RMSEA= 0.065; SRMR= 0.074).&nbsp; Results: Unexpectedly, increased OS was associated significantly (p= .030) with increase Patient Safety events.&nbsp; A promising, though non-significant finding, was increased WS and OS were associated with decreased Patient Safety events and FTR rates.&nbsp; Increased Teamwork, a component of WS was associated with decreased rates of FTR and Patient Safety events.Discussion: Nurses perceptions of care were used to operationalize the consturct of a culture of safety and the&nbsp;relationships between work unit and organization support and&nbsp; occurence of adverse outcomes was evaluated.&nbsp; Continued study is needed particularly of the impact of teamwork on adverse patient outcomes and overall work unit support.</td></tr></table>en_GB
dc.date.available2011-10-26T10:02:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:02:38Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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