The importance of teamwork for the provision of patient safety
Radka Pokojová, Sylva Bártlová
University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic
Korespondenční autor: Radka Pokojová (radka.pokojova@centrum.cz)
ISSN 1804-7181 (On-line)
Full verze:
Submitted:4. 8. 2017
Accepted: 27. 10. 2017
Published online: 31. 12. 2017
Summary
Aim: The research aim was to find out how employees perceive patient safety in their workplace. We focused on the aspects of teamwork as the key factors in a security culture. Methods: The AHRQ standardized questionnaire: “The Hospital Survey on Patient Safety Culture” (HSOPSC), was used to find out the respondents’ opinions. 331 healthcare practicioners were included in the research. Results: The value of the composite score (37.37%) for the area of Team cooperation within hospital units was the second lowest in the total assessment. In the area of Teamwork within workplace, the composite score was 66.82% and in the Patient transfer dimension it was 75.20%. Our results confirm the trend of other studies, which show the results of the teamwork between hospital units to be one of the lowest. Conclusion: In the successful development of a patient safety programme it is important for the managers to know the views of first-line workers. The results of the survey, expressed by the value of the composite score, indicate opportunities for improvement, which especially means supported interdisciplinary teamwork in our research.
Keywords: patient safety; adverse event; safety culture; teamwork
Literatura
1. Adams-Pizarro I, Walker Z, Robinson J, Kelly S, Toth M (2008). Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives. In: Henriksen K et al. (Eds). Advances in patient safety: New directions and alternative approaches. Vol. 1. Assessment. AHRQ Publication No. 08–0034–1. Rockville, MD: Agency for Healthcare Research and Quality.
2. Agency for Healthcare Research and Quality – AHRQ (2015). Hospital Survey on Patient Safety Culture. [online] [cit. 2016–04–16]. Available from: https://www.ahrq.gov/…alitypatient- safety/patientsafetyculture/hospital/index.html
3. Amalberti R, Auroy Y, Berwick D, Barach P (2005). Five System Barriers to Achieving Ultrasafe Health Care. Ann Intern Med. 142: 756–764.
4. Castner J, Ceravolo DJ, Foltz-Ramos K, Wu YW (2013). Nursing control over practice and teamwork. The Online Journal of Issues in Nursing 18/2: 3.
5. Eiras M, Escoval A, Grillo IM, Silvia-Fortes C (2014). The hospital survey on patient safety culture in Portuguese hospitals Instrument validity and reliability. International Journal of Health Care Quality Assurance. 27/2: 111–122.
6. Halligan M, Zecevic A (2011). Safety culture in healthcare: a review of concepts, dimensions, measures and progress. Quality and Safety in Health Care. 20: 338–343.
7. Hayesová N (2005). Psychologie týmové práce [Managing Teams. A strategy for Access]. 190 p. Praha: Portál (Czech).
8. Hellings J, Schrooten W, Klazinga N, Vleugels A (2007). Challenging patient safety culture: survey results. International Journal of Health Care Quality Assurance. 20/7: 620–632.
9. Hughes RG (Ed.) (2008). Patient safety and quality: An evidence-based handbook for nurses. (Prepared with support from the Robert Wood Johnson Foundation). AHRQ Publication No. 08– 0043. Rockville, MD: Agency for Healthcare Research and Quality.
10. Lee S-H, Phan PH, Dorman T, Weaver SJ, Pronovost PJ (2016). Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Services Research. 16: 254.
11. Mijakoski D, Karadzinska-Bislimovska J, Basarovska V, Minov J, Stoleski S, Andeleska N, Atanasovska A (2015). Work Demands-Burnout and Job Engagement-Job Satisfaction Relationships: Teamwork as a Mediator and Moderator. Open Access Macedonian Journal of Medical Sciences. 3/1: 176–183.
12. Mikušová V, Rusnáková V, Naďová K, Boroňová J, Beťková M (2012). Patient Safety Assessment in Slovak Hospitals. International Journal of Collaborative Research on Internal Medicine and Public Health. 4/6. [online] [cit. 2017–06–02]. Available from: http://internalmedicine.imedpub.com/ patient-safety-assessment-in-slovak-hospitals.pdf
13. Perneger TV, Staines A, Kundig F (2014). Internal consistency, factor structure and construct validity of the French version of the Hospital Survey on Patient Safety Culture. BMJ Qual Saf. 23/5: 389–397.
14. Věstník Ministerstva Zdravotnictví České republiky (2015). Částka 16, pp. 2–30 [Bulletin of the Ministry of Health of the Czech Republic] (Czech).
15. Welp A, Meier LL, Manser T (2016). The interplay between teamwork, clinicians’ emotional exhaustion, and clinician-rated patient safety: a longitudinal study. Critical Care. 20: 110.
16. Zákon č. 372/2011 Sb., o zdravotních službách a podmínkách jejich poskytování. Sbírka zákonů 6. 11. 2011, roč. 2011, částka 131, p. 4730 [Act No. 372/2011 Coll., on Health services and condition of their provision] (Czech).
17. Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, Wagner C (2016). Healthcare professionals’ views on feedback of a patient safety culture assessment. BMC Health Serv Res. 16: 199.