Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible?
| Autor: | Jennifer L Hefner, Judy Bournique, John Lewis Sullivan, Eric J. Adkins, Amy M. Knupp, Susan D. Moffatt-Bruce, Brian Hilligoss |
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| Rok vydání: | 2016 |
| Předmět: |
Safety Management
Quality management Inservice Training Composite score Attitude of Health Personnel media_common.quotation_subject Organizational culture Crew resource management 03 medical and health sciences Patient safety 0302 clinical medicine Nursing Medicine Humans Operations management 030212 general & internal medicine Safety culture Implementation media_common Patient Care Team Teamwork Academic Medical Centers business.industry 030503 health policy & services Health Policy Communication Organizational Culture Quality Improvement Patient Safety 0305 other medical science business |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality. 32(4) |
| ISSN: | 1555-824X |
| Popis: | Crew resource management (CRM) has the potential to improve safety culture and reduce patient safety errors across different hospitals and inherent cultures, but hospital-wide implementations have not been studied. The authors examined the impact of a systematic CRM implementation across 8 departments spanning 3 hospitals and 2 campuses. The Hospital Survey on Patient Safety Culture (HSOPS) was administered electronically to all employees before CRM implementation and about 2 years after; changes in percent positive composite scores were compared in pre-post analyses. Across all respondents, there was a statistically significant increase in composite score for 10 of the 12 HSOPS dimensions ( P < .05). These significant results persisted across the 8 departments studied and among both practitioners and staff. Consideration of score changes across dimensions reveals that the teamwork and communication dimensions of patient safety culture may be more highly influenced by CRM training than supervisor and management dimensions. |
| Databáze: | OpenAIRE |
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