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Assessing safety attitudes among healthcare providers after a hospital-wide high-risk patient care program

 Sang Mo Je  ;  Hyun Jong Kim  ;  Je Sung You  ;  Sung Phil Chung  ;  Junho Cho  ;  Jin Hee Lee  ;  Hahn Shick Lee  ;  Hyun Soo Chung 
 YONSEI MEDICAL JOURNAL, Vol.55(2) : 523-529, 2014 
Journal Title
Issue Date
Adult ; Attitude of Health Personnel* ; Cardiopulmonary Resuscitation* ; Cohort Studies ; Death, Sudden, Cardiac ; Health Personnel* ; Hospitals ; Humans ; Nurses ; Physicians ; Prospective Studies ; Republic of Korea ; Safety Management* ; Surveys and Questionnaires
Cardiopulmonary resuscitation ; Safety Attitudes Questionnaire ; system improvement
PURPOSE: Cardiopulmonary resuscitation (CPR) is commonly performed in high-risk, high intensity situations and is therefore a good procedure around which to develop and implement safety culture strategies in the hospital. The purpose of this study was to evaluate the impact of a hospital-wide quality improvement program on the management of sudden cardiac arrests by assessing healthcare providers' attitudes towards patient safety. MATERIALS AND METHODS: This study was designed as a prospective cohort study at a single academic medical center. The comprehensive hospital-based safety program included steps to identify areas of hazard, partner units with the Resuscitation Committee, and to conduct a Safety Attitudes Questionnaire (SAQ). The SAQ evaluated 35 questions in seven domains to assess changes in patient safety culture by comparing the results before and after the hospital- wide high risk patient care improvement program. RESULTS: The response rates of the pre- and post-SAQ survey were 489 out of 1121 (43.6%) and 575 out of 1270 (45.3%), respectively. SAQ survey responses revealed significant improvement in all seven domains of the questionnaire (p-values of 0.006 and lower). In a subgroup analysis, doctors and nurses showed improvement in five domains. Both doctors and nurses did not show improvement in the "sharing information" domain. CONCLUSION: A hospital-wide quality improvement program for high-risk, high reliability patient care involving CPR care was shown to be associated with a change in healthcare providers' attitudes towards patient safety. Through an immersive and active program on CPR care, change in healthcare providers' attitudes towards patient safety was initiated.
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1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
Lee, Hahn Shick(이한식)
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
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