Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study

BMJ Quality & Safety
Jonathan BennCharles Vincent

Abstract

The study had two specific objectives: (1) To analyse change in a survey measure of organisational patient safety climate and capability (SCC) resulting from participation in the UK Safer Patients Initiative and (2) To investigate the role of a range of programme and contextual factors in predicting change in SCC scores. Single group longitudinal design with repeated measurement at 12-month follow-up. Multiple service areas within NHS hospital sites across England, Wales, Scotland and Northern Ireland. Stratified sample of 284 respondents representing programme teams at 19 hospital sites. A complex intervention comprising a multi-component quality improvement collaborative focused upon patient safety and designed to impact upon hospital leadership, communication, organisation and safety climate. A survey including a 31-item SCC scale was administered at two time-points. Modest but significant positive movement in SCC score was observed between the study time-points. Individual programme responsibility, availability of early adopters, multi-professional collaboration and extent of process measurement were significant predictors of change in SCC. Hospital type and size, along with a range of programme preconditions, were not foun...Continue Reading

Citations

May 7, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Jeffrey BraithwaiteNatalie Taylor
Mar 12, 2016·International Journal of Clinical Pharmacy·Hanna M SeidlingWalter E Haefeli
Sep 1, 2015·The Journal of Hospital Infection·S CossinUNKNOWN ISO-RAISIN Steering Committee
Nov 26, 2015·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Amany A Farag, Mary K Anthony
Jun 6, 2015·Postgraduate Medical Journal·Margareth Crisóstomo PortelaMary Dixon-Woods
Mar 27, 2015·BMJ Quality & Safety·Margareth Crisóstomo PortelaMary Dixon-Woods
Apr 28, 2016·Journal of Health Organization and Management·Allan BestJohn Millar
Nov 8, 2014·BMJ Quality & Safety·Dmitry KhodyakovEric C Schneider
Aug 22, 2021·BMC Health Services Research·Emma D QuachChristine W Hartmann

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