A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Culture in a Tertiary Maternity Unit
| Autor: | Jennifer E Jardine, Edward Prosser-Snelling, Malissa E Rayfield, Victoria A Wallis, Edward Morris, Sophia P Ansari |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Safety Management
Leadership and Management media_common.quotation_subject education Staffing Hospitals Maternity Cohort Studies Tertiary Care Centers 03 medical and health sciences Patient safety 0302 clinical medicine Nursing Pregnancy Conflict resolution patient safety Humans Prospective Studies 030212 general & internal medicine Safety culture Curriculum media_common Teamwork training 030503 health policy & services Public Health Environmental and Occupational Health Original Articles maternity Test (assessment) ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Female 0305 other medical science Psychology human factors Cohort study |
| Zdroj: | Journal of Patient Safety |
| ISSN: | 1549-8425 1549-8417 |
| DOI: | 10.1097/pts.0000000000000609 |
| Popis: | Supplemental digital content is available in the text. Background Human factors have risen to attention in maternity as key contributors to patient harm. Despite national recommendation for multidisciplinary human factors training, there is a lack of guidance and healthcare-orientated training. Objectives The aim of the study was to evaluate the impact of maternity-orientated human factors training program on safety culture in a tertiary maternity unit. Methods This prospective observational cohort study was conducted for 6 months in a tertiary maternity unit. Participants involved in high-risk intrapartum care completed the Hospital Survey of Patient Safety Culture before and after intervention. Statistical analysis was performed using the χ2 test with statistical significance at 5% (P = 0.05). Intervention The human factors curriculum included situational awareness, communication, decision-making, conflict resolution, teamwork, and leadership. A train-the-trainer approach generated a faculty to disseminate multidisciplinary training. Traditional classroom teaching, social media content, and cognitive activities provided theoretical foundations. Forum theater and behavioral simulation taught complex communication issues. Regular labor ward simulations helped embed training into clinical practice. Results The results demonstrated statistically significant improvement in safety culture domains of communication openness, handover, nonpunitive response to error, and overall safety perception. Participants felt more able to challenge decisions or actions of those in authority, 33% responded “most of the time or always” in August increasing to 42% in January with a reduction of 50% in those responding “never” (P = 0.02). No change was found relating to team working, staffing or manager expectations promoting patient safety. Conclusions This study is proof-of-concept that maternity-orientated human factors training can improve safety culture. |
| Databáze: | OpenAIRE |
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