Provider Approachability: An All-Staff Survey Approach to Creating a Culture of Safety.
| Autor: | Deyo-Svendsen ME; From the Departments of Family Medicine., Palmer KB; Clinical Services, Allevant Solutions, LLC, Mechanicsburg, Pennsylvania., Albright JK; Quality and Utilization Resources, Mayo Clinic Health System-Red Cedar in Menomonie, Menomonie, Wisconsin., Phillips MR; From the Departments of Family Medicine., Schilling KA; Quality and Utilization Resources, Mayo Clinic Health System-Red Cedar in Menomonie, Menomonie, Wisconsin., Cabrera Svendsen ME; Sioux Falls Family Medicine Residency, Sioux Falls, South Dakota. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of patient safety [J Patient Saf] 2019 Dec; Vol. 15 (4), pp. e64-e69. |
| DOI: | 10.1097/PTS.0000000000000409 |
| Abstrakt: | Objectives: A culture-of-safety survey of our hospital staff revealed fear-based reluctance to question those in authority. We aimed to examine provider approachability (words and actions that promote trust and reduce or eliminate fear of interaction). Methods: Providers and staff completed an anonymous facility-wide survey (survey 1) regarding perceptions of provider approachability. Results were safely communicated to providers, and improvement resources were offered. A follow-up survey (survey 2 [S2]) was performed. Results: The survey participation rate was 59% (389/658). Eighty-four percent of providers had improved scores in S2. Mean top-box scores improved from 0.63 to 0.76 (P < .001). Providers deemed less approachable by nonprovider staff were also deemed less approachable by their peers (r = 0.82; survey 1). Forty-four percent reported improvement in the safety culture in S2. Twenty-eight percent of providers reported making efforts to improve how they were perceived by others. Conclusions: Provider approachability surveys are a safe, effective method of assessing and encouraging positive interactions that promote trust and influence positive communication. The process created an opportunity to identify and assist providers who were less approachable. |
| Databáze: | MEDLINE |
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