Patient Safety is the Need of the Hour: A Study in Nursing Department of a Tertiary Care Teaching Hospital
Vipin K Koushal, Vineet Goyal
Citation Information :
Koushal VK, Goyal V. Patient Safety is the Need of the Hour: A Study in Nursing Department of a Tertiary Care Teaching Hospital. Int J Res Foundation Hosp Healthc Adm 2017; 5 (2):55-59.
Introduction: Patient safety is an important aspect of health care and is an issue of high concern globally. It was aimed to study the patient safety behavior among the nursing personnel of a tertiary care teaching hospital of North India.
Materials and methods: A descriptive, cross-sectional study was conducted over a period of 6 months in a tertiary care teaching hospital of North India. Study population included the 200 nursing officers, both clinical and administrative (very few). The data were collected using structured questionnaire using Hospital Patient Safety Survey Questionnaire of Agency for Health Research and Quality, USA. The questions were predominantly close-ended with very few open-ended questions and used five-item Likert scale. It had approximately 45 items on various aspects of patient safety, viz., teamwork across hospital units, patient safety during handoffs and transition of care, staff perception about patient safety, reporting of adverse events, etc. Overall patient safety grade for hospital was taken as outcome variable. The questionnaires were distributed in sealed envelopes in the work areas of the study population and collected after a period of 2 weeks.
Results: The questionnaire yielded a response rate of only 66.5%. There was no patient safety committee in the hospital; however, two-thirds (63.9%) of respondents believed that the hospital provides a work environment that promotes patient safety. Almost half (54.83%) of the respondents agreed that their supervisor/managers’ actions/behavior promotes patient safety. Nursing department promotes continuous learning that was agreed by 82.6%. Majority (72.5%) of the nursing staff are afraid to ask questions or speak up if they see something that negatively affects patient care. Only 66% staff agreed that they communicate and discuss errors/adverse events. Most (80.4%) of the staff believe that punitive action would be taken against them if they commit any error. Majority (90%) of the staff believe that they do not have enough staff to handle workload. Two-thirds of the nursing staff think that actions of hospital management promote patient safety. Only 59.2% of staff agreed that there is good cooperation/teamwork across different hospital departments. Almost half of the nursing staff believe that patient safety is compromised during hospital handoffs and transition. Only 26% of the nursing staff rated overall hospital safety as very good and above. Only 9.1% reported any errors/adverse events happening in the unit. By analyzing the data, prevalence of patient safety behavior in the nursing department is found to be 52.6%.
Conclusion: Structured system for implementation of patient safety measures is missing and hospital has to work a lot when it comes to delivering the patient care services in a safe environment.
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