The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Residents' Patient Safety Behaviors

Academic Medicine : Journal of the Association of American Medical Colleges
Milou E W M SilkensKiki M J M H Lombarts

Abstract

Improving residents' patient safety behavior should be a priority in graduate medical education to ensure the safety of current and future patients. Supportive learning and patient safety climates may foster this behavior. This study examined the extent to which residents' self-reported patient safety behavior can be explained by the learning climate and patient safety climate of their clinical departments. The authors collected learning climate data from clinical departments in the Netherlands that used the web-based Dutch Residency Educational Climate Test between September 2015 and October 2016. They also gathered data on those departments' patient safety climate and on residents' self-reported patient safety behavior. They used generalized linear mixed models and multivariate general linear models to test for associations in the data. In total, 1,006 residents evaluated 143 departments in 31 teaching hospitals. Departments' patient safety climate was associated with residents' overall self-reported patient safety behavior (regression coefficient [b] = 0.33; 95% confidence interval [CI] = 0.14 to 0.52). Departments' learning climate was not associated with residents' patient safety behavior (b = 0.01; 95% CI = -0.17 to 0.19)...Continue Reading

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Citations

Oct 20, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Alina SmirnovaCees P M van der Vleuten
Jun 7, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Sinéad LydonPaul O'Connor
Apr 19, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Daniel J SchumacherEric Warm
Aug 29, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Daniel J SchumacherEric Warm
Feb 5, 2021·Medical Education·Iris JansenKiki M J M H Lombarts
Jun 3, 2021·International Journal of Environmental Research and Public Health·Isabel Saavedra RiondaMaría de la Villa Moral Jiménez

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