A Brief Assessment of Patient Safety Culture in Anesthesia and Intensive Care Departments

Author:

Kazamer Andrea12,Ilinca Radu3,Nitu Anda4,Iuonuț Ana-Maria5,Bubenek-Turconi Serban-Ion67,Sendlhofer Gerald8ORCID,Greabu Maria9,Stanescu-Spinu Iulia-Ioana9,Miricescu Daniela9,Ganea Ionela10,Ionescu Daniela211

Affiliation:

1. CREST Association, 48 Alexandru Odobescu Street, 440069 Satu Mare, Romania

2. Department of Anaesthesia and Intensive Care I, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400347 Cluj-Napoca, Romania

3. Discipline of Medical Informatics and Biostatistics, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Street, 050474 Bucharest, Romania

4. Department of Psychology, University of Wales, Bangor LL57 2DG, UK

5. Department of Nursing, Iuliu Hatieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400347 Cluj-Napoca, Romania

6. Department of Anaesthesia and Intensive Care, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Street, 050474 Bucharest, Romania

7. “Prof. Dr. C.C. Iliescu” Emergency Institute of Cardiovascular Diseases, 1st Department of Cardiovascular Anaesthesia and Intensive Care, 022322 Bucharest, Romania

8. Research Unit for Safety and Sustainability in Healthcare, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, 2, 8036 Graz, Austria

9. Discipline of Biochemistry, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Street, 050474 Bucharest, Romania

10. Department of Modern Languages, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 8 Eroii Sanitari Street, 050474 Bucharest, Romania

11. Outcome Research Consortium, Cleveland, OH 44195, USA

Abstract

Due to the nature of their activity, anesthesia and critical care have generally well-developed patient safety cultures, which are linked to a greater level of incident awareness and reporting during clinical activity. In order to determine the status quo and identify and adopt, where appropriate, techniques and instruments for further improving patient safety, it is necessary to evaluate the culture and barriers in these departments. The main objective of our study was to assess patient safety culture in Romanian anesthesia and intensive care departments (AICDs), to pinpoint the areas that may need improvement, and to examine the correlation between the prevalence of adverse event reporting, as well as the level of self-reported patient safety culture. To determine how anesthesia and intensive care department staff perceived patient safety, the Hospital Survey on Patient Safety Culture (HSOPSC) was used in a translated Romanian version. In total, 1200 employees from 36 anesthesiology and intensive care departments across 32 hospitals in Romania received the questionnaire, representing 42.66% of all anesthesia and intensive care departments in the country. In 7 of the 12 examined dimensions, significant differences between tertiary and secondary hospitals were observed. Among all dimensions, the highest positive score was for “organizational learning and continuous development”. In general, our study revealed a positive view on patient safety in anesthesia and intensive care departments. Further studies are required to determine a threshold of the level of culture development.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference27 articles.

1. European Society for Quality in Health Care (2022, November 12). EUNETPAS Report on Patient Safety Culture. Available online: http://ns208606.ovh.net/~extranet/images/EUNetPaS_Publications/wp1_patient_safety_culture_report_focusing_on_indicators_version2.pdf.

2. European Patients Forum (2022, September 27). Briefing Paper on Patient Safety with a Focus on the Role of Patients and Families. Available online: https://www.eupatient.eu/globalassets/policy/patientssafety/patient-safety-briefing-paper.pdf.

3. The Helsinki Declaration on Patient Safety in Anaesthesiology;Staender;Eur. J. Anaesthesiol.,2010

4. Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology: A European survey;Wu;Eur. J. Anaesthesiol.,2019

5. Ten years of the Helsinki Declaration on patient safety in anaesthesiology: An expert opinion on peri-operative safety aspects;Preckel;Eur. J. Anaesthesiol.,2020

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