Exploring the Relationship Between Hospital Patient Safety Culture and Performance on Measures of Hospital-Acquired Conditions.

Autor:	Noghrehchi P; From the The Division of Health Services Management and Policy, College of Public Health, Ohio State University, Columbus, Ohio., Hefner JL; From the The Division of Health Services Management and Policy, College of Public Health, Ohio State University, Columbus, Ohio., Stegall H; Division of Family & Preventative Medicine, School of Medicine, University of Utah, Salt Lake City, Utah., Walker DM
Jazyk:	angličtina
Zdroj:	Journal of patient safety [J Patient Saf] 2024 Dec 01; Vol. 20 (8), pp. 549-555.
DOI:	10.1097/PTS.0000000000001281
Abstrakt:	Objective: The aim of the study is to examine the relationship between hospital perceptions of patient safety culture and the incidence of hospital-acquired conditions (HACs) included in Medicare's HAC Reduction Program utilizing updated and standardized metrics. Methods: The pooled cross-sectional study design utilized the 2018 and 2021 datasets from (1) the Agency for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture (HSOPS), (2) the American Hospital Association's annual survey, and (3) the Center for Medicare and Medicaid's Hospital Compare dataset. The final analytic sample included 131 acute care, nonfederal, U.S. facilities. Multivariable linear regression models were used to compare the HSOPS domains of patient safety culture to CMS's HAC metrics. Results: Controlling for hospital structural and patient-mix characteristics, hospitals with higher staff-reported ratings of overall patient safety culture ('overall perceptions of patient safety' and 'patient safety grade') had significantly lower rates of HACs, including total HAC rate, catheter-associated urinary tract infections, and central line-associated blood stream infections (P's < 0.000-0.044). Higher HSOPS domain scores were variably associated with lower HAC rates, with consistently significant associations found for domains related to nonpunitive, open communication (P's < 0.05). Conclusions: Our relatively robust results suggest that while patient safety culture may not be the only strategy necessary to improve HAC rates, it needs to be aligned with other efforts to improve quality and safety. This underscores the importance of cultivating a culture of psychological safety that promotes open feedback and communication about errors. Competing Interests: Acknowledgments and Declaration of Conflicting Interests: The Surveys on Patient SafetyCultureTM (SOPS®) Hospital Survey data used in this analysis was provided by the SOPS Hospital Database. The SOPS Hospital Database is funded by the U.S. Agency for Healthcare Research and Quality (AHRQ) and administered by Westat under contract no. HHSP233201500026I / HHSP23337004T. Data and findings were presented at the AcademyHealth Annual Research Meeting on June 24–27, 2023, in Seattle, Washington. There are no potential conflicts of interest for any of the authors for the past three years. The authors disclose no conflict of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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