Measuring Cultural Change - A Management Focused Approach To Improving The Safety Culture

Abstract

The purpose of this applied research project was to determine if implementing an eight step comprehensive patient safety program could positively impact staffs perception of safety culture. One 14-bed, surgical oncology intensive care unit was chosen as the focus of this effort. All eight steps of the program were completed on this unit. The first step was to obtain a baseline of staff s perception of safety culture using a ten-question survey tool. This was accomplished August 2001, n = 66. The survey tool was determined to be reliable, using the statistical package for the social sciences (SPSS), version 10.1, which measured the internal consistency of the tool (Chronbachs alpha = .7907) for all ten survey questions when analyzing response data collected from outside the test unit, n = 329. Steps two, staff education on the sciences related to safety, three, identifying staff s safety concerns, four, event analysis, five, implementation of identified opportunities, six, documentation of results and seven, the sharing of results, were then administered. Step eight; re-surveying staff s perception of safety culture was completed February 2002, n = 64. Using SPSS, a one-way analysis of variance test was conducted to determine if there was statistical significance in the pair-wise difference between means from time one to time two. There was positive movement for all ten questions, with five identified as having statistical significance (p < .05). The results of this effort have been shared with the Organization s Performance Improvement, Patient Safety, Management and Board of Trustees Performance Improvement committees.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2002
Accession Number
ADA421054

Entities

People

  • Brad Weast

Organizations

  • Academy of Health Sciences

Tags

Communities of Interest

  • Biomedical
  • Human Systems

DTIC Thesaurus Topics

  • Accidents
  • Analysis Of Variance
  • Delivery Of Health Care
  • Education
  • Health Care
  • Health Services
  • Hospitals
  • Information Science
  • Intensive Care Units
  • Medical Personnel
  • Organizational Structure
  • Patient Care
  • Personnel Management
  • Psychology
  • Social Sciences
  • Statistical Analysis
  • Surveys

Readers

  • Medical or Health Care Field.
  • Military Leadership and Professional Education.
  • Regression Analysis.