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

Authors
 Sang Mo Je  ;  Hyun Jong Kim  ;  Je Sung You  ;  Sung Phil Chung  ;  Junho Cho  ;  Jin Hee Lee  ;  Hahn Shick Lee  ;  Hyun Soo Chung 
Citation
 YONSEI MEDICAL JOURNAL, Vol.55(2) : 523-529, 2014 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2014
MeSH
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
Keywords
Cardiopulmonary resuscitation ; Safety Attitudes Questionnaire ; system improvement
Abstract
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.
Files in This Item:
T201400918.pdf Download
DOI
10.3349/ymj.2014.55.2.523
Appears in Collections:
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98470
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