Culture of Blame—An Ongoing Burden for Doctors and Patient Safety
Autor: | Ognjen Brborović, Iskra Alexandra Nola, Hana Brborović, Milan Milošević |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Croatia Health Personnel Health Toxicology and Mutagenesis media_common.quotation_subject Staffing healthcare adverse events Economic shortage 010501 environmental sciences 01 natural sciences Article Blame 03 medical and health sciences Patient safety 0302 clinical medicine Physicians Surveys and Questionnaires Health care medicine Humans patient safety culture 030212 general & internal medicine 0105 earth and related environmental sciences media_common business.industry healthcare workers Public Health Environmental and Occupational Health Organizational Culture Hospitals 3. Good health Cross-Sectional Studies Family medicine Female Patient Safety business |
Zdroj: | International Journal of Environmental Research and Public Health Volume 16 Issue 23 |
ISSN: | 1660-4601 |
DOI: | 10.3390/ijerph16234826 |
Popis: | Introduction: Every procedure in healthcare carries a certain degree of inherent unsafety resulting from problems in practice, which might lead to a healthcare adverse event (HAE). It is very important, and even mandatory, to report HAE. The point of HAE reporting is not to blame the person, but to learn from the HAE in order to prevent future HAEs. Study question: Our aim was to examine the prevalence and the impact of culture of blame on health workers&rsquo health. Methods: A cross-sectional study on healthcare workers at two Croatian hospitals was conducted using the Hospital Survey on Patient Safety Culture (PSC). Results: The majority of PSC dimensions in both hospitals were high. Among the dimensions, Hospital Handoffs and Transitions and Overall Perceptions of Safety had the highest values. The Nonpunitive Response to Error dimension had low values, indicating the ongoing culture of blame. The Staffing dimension had low values, indicating the ongoing shortage of doctors and nurses. Discussion: We found inconsistencies between a single-item measure and PSC dimensions. It was expected that Frequency of Events Reported (PSC dimension) relates to Number of Events Reported (single-item measure). However, in our study, the relations between these pairs of measures were different between hospitals. Our results indicate the ongoing culture of blame. Healthcare workers do not report HAE because they fear they will be punished by management or by law. |
Databáze: | OpenAIRE |
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