ISSN: 2642-6250
Authors: Niv Y* and Zetland R
Background: Since 1999, when the Institute of Medicine declared that “To err is human†and recommended to avoid “blaming and shamingâ€, our culture of safety changed tremendously. Nowadays we try to investigate errors and adverse events, to learn from mistakes, and prevent future sentinel events and patients’ suffering. Objective: The aim of our study is to assess the change in staff members’ attitude towards the hospital culture of safety in 2017 in comparison to 2015, and to associate this attitude to improvement in quality indicators and reports of “near miss†cases. Methods: A questionnaire was introduced to staff members in Rabin Medical Center in 2015, and in 2017 after an intervention. We compared the results looking for change in staff members’ attitude towards patient’s safety. We also compared the results of quality indicators and number of adverse events reported before and after the intervention. Results: Comparing the results of the questionnaires there is a significant improvement in 13 out of 15 items. The RR was 1.555 with 95%CI 1.370-1.766 (P<0.0001). The differences were statistically significant in 7 items and with a trend in 2 items. Comparing the performance of the quality indicators there is also a significant improvement in 18 out of 24 measures. The RR was 1.236 with 95%CI 1.220-1.253 (P<0.0001). The differences were statistically significant in 10 indicators and with a trend in 2 indicators. Conclusions: We believe that quality improvement plans will really change the staff approach and behavior towards a better safety culture in the hospital.
Keywords: Culture of Safety; Patient Safety; Risk Management; Quality Assurance; Hospital Safety
