SurveyJournal of pediatric rehabilitation medicine2017

Measuring patient safety culture in pediatric long-term care.

Amanda J Hessels, Mansi Agarwal, Lisa Saiman and 1 others

PMID 28582879

WHAT IT FOUND

An adapted patient safety culture survey was easy and quick for pediatric long-term care providers.

Discussions pointed to communication, hierarchy, staffing, and training as safety gaps. The study did not test whether these gaps affect patient outcomes.

Key findings

01The adapted patient safety culture survey showed excellent internal consistency for the combined scale (Cronbach alpha 0.94).

02Participants found the survey easy and wanted to use it in their facilities: 93% said it was easy to use, and 91% wanted to use it.

03Structured group discussion identified four themes: communication, benchmarking, internal structure and hierarchy, and training or continuous learning.

STILL TO COME

How it was doneWhat they found

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What it does not show

The data came from a voluntary professional development session, so self-selection bias may be problematic. The sample was small and convenience based; 49 of 59 session attendees completed surveys, representing 32 facilities. Most respondents were administrators or managers, and most did not provide direct care. Multiple respondents from the same facility may have answered, so facility-level views may not be independent. The study did not test whether safety culture perceptions are linked to patient outcomes.

Declared interests

The authors report no conflict of interest.

The easy way to misread this

Do not conclude that the survey improves patient safety. The study tested survey usability and described provider perceptions, not patient outcomes or an intervention effect.

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The study

Participants
49 of 59 session attendees completed surveys; 60 attended the workshop
Certainty of evidence
Low

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    Cite

    Amanda J Hessels, Mansi Agarwal, Lisa Saiman, et al. Measuring patient safety culture in pediatric long-term care. Journal of pediatric rehabilitation medicine. 2017.

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