Establishing the use of a safety attitudes questionnaire to assess the safety climate across a critical care network

Journal of the Intensive Care Society
Antony Thomas, John-Paul Lomas

Abstract

We aimed to measure the safety culture across a network of critical care units to compare units, track temporal changes and to present easy to interpret information back to staff. We provided adapted paper versions of the short ICU 'Safety attitude questionnaire' to 14 critical care units annually between 2015 and 2017. The responses were analysed to establish scores for individual safety domains. Feedback used colour conditional formatted tables to allow easy identification of high and low scores. There was an inverse relation between median unit score and standardised mortality (rs = 0.4). Rates of staff fatigue increased between 2016 and 2017 (two-point change on a 1-5 scale). A critical care network can usefully collect and feedback safety attitude questionnaires which show a relationship with patient outcome. Units should monitor overtime working.

References

Apr 29, 1998·BMJ : British Medical Journal·C VincentN Stanhope
Mar 11, 2003·Critical Care Medicine·Eric J ThomasRobert L Helmreich
Apr 6, 2006·BMC Health Services Research·John B SextonEric J Thomas
Nov 18, 2006·Critical Care Medicine·David T HuangDerek C Angus
Jan 31, 2009·Health Services Research·Sara SingerLaurence Baker
Feb 4, 2010·Medical Care·Daniel J FranceTheodore Speroff
Apr 13, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·David T HuangDerek C Angus
Feb 8, 2011·Critical Care Medicine·J Bryan SextonPeter J Pronovost

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Citations

Aug 16, 2018·World Journal of Surgery·Katherine SmileyMarta McCrum
Apr 30, 2020·Revista gaúcha de enfermagem·Adriane Cristina Bernat KolankiewiczElisiane Lorenzini
Dec 2, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Alessandra Suptitz CarneiroTatiele Soares Arrial

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