Patient Safety Culture Patient Safety Article Review

Length: 9 pages Sources: 30 Subject: Healthcare Type: Article Review Paper: #91905507 Related Topics: Organisational Culture, Patient Care, Doctor Patient Relationship, Nurse To Patient Ratio
Excerpt from Article Review :

They added newer constructs to a PSC model developed earlier by Gershon and his colleagues (2000), which unveiled the relationship of safety and security aspects and linked it with work performance. They found that when hospital staff used the Gershon tool there was considerable increase in the patient safety culture. They concluded that the health care decision makers when using Gershon safety tools, which appear to have sufficient reliability and validity, can effectively analyze the perception of the employees about patient safety in their organization and can use the tool as an indicator of the employee satisfaction with current procedures adopted for patient safety (as cited in Turnberg and Daniell, 2008).

Another PSC quantitative model was developed by Leonard and Frankel (2010), who stated that the main goal of all health care systems is to bring safe and reliable healthcare services to the registered patients. The organizations are required to implement the systemic models that effectively tackle the both culture and processes of care in order to eliminate the performance gap in quality, care and safety. The model explained in a recent study conducted by Leonard and Frankel (2010) is a comprehensive and generalized design to improving the care which can be applied in any clinical field. Moreover, it provides a guideline to the workers to evaluate the weaknesses and strengths of their care system, which can help them to plan and organize their work. This evaluation is very important for the sustenance of success in patient safety culture structures. The quality and safety care delivered can be improved by applying the tools and concepts highlighted in their study (Leonard and Frankel.2010).

Leonard and Frankel (2010) in their study observed that different ways of thinking and learning are a necessity for the successful delivery of safe and reliable healthcare. They also acknowledge the fact that patient safety culture is engulfed in different challenges. Healthcare economists acknowledge these challenges as the "perfect storm." The perfect storm is the phenomenon that states aging workforce and the demands of ageing generates the requirement of complex care, which has caused an increase in the finances; these finances have over the years become more and more difficult to sustain due to limited government funding and private investments. These are the universal issues, found almost in every country. To be successful in this complex environment, healthcare organizations need to implement a systematic approach in order to improve the quality safety and operational efficiency (Leonard and Frankel, 2010).

Furthering, Leonard and Frankel's findings Carayon (2010) stated that in order to improve patient safety, the organizations and experts have advocated the use of Human Factors and Ergonomics methods, tools, concepts and theories. However, the experts propose that it is important to understand the HFE innovation's transmission, propagation, implementation and sustainability. This is important in order to spread and facilitate the knowledge and skills in the healthcare and patient safety amongst the practitioners i.e. doctors, nurses and other hospital staff members. In the spread of HFE innovation in the healthcare organizations, there are various factors identified by using Greenhalgh model of innovation that can become either barriers or facilitators. Limited knowledge about these benefits, limited system thinking, and complexity of HFE innovations are classified as the barriers. Moreover, HFE involvement has been reported to have a positive impact on the task performance for local champions, who in return facilitate its adoption, execution and sustainability. The results of the study assert the need for alternatives and improvements in the healthcare structure (Carayon, 2010).

Milligan (2006) has supported this argument and emphasized that one has to make some alterations in the healthcare educations in order to make significant moves towards the patient safety culture. Furthermore, in the process of caring and


Milligan's approach to highlighting the importance of patient safety culture included a brief descriptive agenda on the patient safety measures and analysis of human factor theory along with its utilization in the critical industries such as aviation. The relevance of human factor theory to the health care education was also identified when the frequent errors in drug administration occurred in the data collection process (Milligan, 2006).

In his Meta-analysis, Dalton (2008) extracted the literature from the ERR human publications by the Institute of Medicine (IOM) on the awareness of the injuries that patients suffer in the hospitals within the United States of America. Dalton (2008) asserted that execution of cultural safety in every health care facility should be included as a top priority in order to improve the patient safety structures and procedures that currently exist. This in turn will also reduce the incidences of medical errors. Another important approach highlighted by Dalton (2008) in order to prevent the medical errors is the requirement to characterize the safety culture through sincerity, clear error communication and a system analysis approach. Another effective and durable relief approach from dire and fatal medical malpractice crises can include the design and implementation of a medical culture focused on performance and delivery of quality. This can then serve as the basis for the continued betterment in the safety of the patients. For execution of these cultures, health policy makers need to design policies and principles that encourage and motivate the hospital staff and executives to implement the safety structures within their institutions (Dalton, Samaropoulos, Dalton, 2008)

While most researchers have been busy developing and testing PSC models and metrics, few have paid attention to the viewpoints of healthcare consumers, i.e. patients and how they are the driving force behind the paradigm shift taking place in healthcare education. For instance, Attree and his colleagues (2007) found that patients based in UK, have been prioritizing patient safety as one of the major keys of motivation towards choosing a healthcare plane and hospital. Furthermore, the researchers assert that the education structures are playing a critical role in the development of the knowledge, expertise and attitude that promote the concept of patient safety culture in healthcare institutions. They conclude that facts are inadequate on the subject of patient safety in healthcare professional curricula and organizational development of safety practices. (Attree, Cooke and Wakefield, 2007).

When considering other studies focusing on the patient safety structures adopted within the United States, research indicates that the U.S. hospitals are getting more responsible in matters related to the reduction of medical errors and patient safety. Furthermore, according to the published report of the Institute of Medicine, the patient's safety has become the main motive behind the numerous changes in the healthcare organizational structures currently being adopted within U.S. hospitals (Institute of Medicine, 2000, 2001).

As mentioned above problems in health care due to medical errors, and ways to recuperate from the health care delivery has been the main objective of quite a few researches in the past (Stelfox, Palmisani, Scurlock, Orav and Bates, 2006). Once such research includes the one conducted by Stocka and colleagues (2007) where in the 1st report they asserted that the ratio of approx 98,000 deaths per annum, in the hospitals of U.S., had been a steadily increasing number with every passing year. Moreover, researchers suggested that the amount of deaths could have been prevented by 58% if the patient safety culture was better implemented. However, these reports admit that the efforts for patient safety system improvement would have to be resolute involvement from patients to policy makers. Besides that new patient safety standards had also been put forward by Joint Commission on Accreditation of Healthcare Organization that had a condition for all unexpected medical results to be anticipated and notified as potential results before healthcare plans are executed for any and all patients (Stocka, McFaddena and Gowen III, 2007).


Attree, M., Hannah Cooke, H. And Wakefield, a. (2008). Patient safety in an English pre-registration nursing curriculum. Nurse Education in Practice 8, 239 -- 248.

Bonner, a.F. (2008). Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation. Graduate School of Nursing, University of Massachusetts Worcester. GSN Dissertations.

Carayon, P. (2010). Human factors in patient safety as an innovation. Applied Ergonomics 41, 657 -- 665.

Carroll J.S. And Quijada, M.A. (2004). Redirecting traditional professional values to support safety: changing organisational culture in health care. Qual Saf Health Care, 13: ii16-ii21.

Castle, J.E. (2003). Maximizing Research Opportunities: Secondary Data Analysis. Journal of Neuroscience Nursing, 35(5), 287-290. Taken from: Bonner, Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation. Graduate School of Nursing, University of Massachusetts Worcester. GSN Dissertations.

Castle, N.G., & Sonon, K.E. (2006). A culture of patient safety in nursing homes. Quality and Safety in Health Care, 15(6), 405-408. Taken from: Bonner, Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation. Graduate School of…

Sources Used in Documents:

Stocka, G.N., McFaddena, K.L. And Gowen III, C.R. (2007). Organizational culture, critical success factors, and the reduction of hospital errors. Int. J. Production Economics 106, 368 -- 392.

Turnberg, W. And Daniell, W. (2008). Evaluation of a healthcare safety climate measurement tool. Journal of Safety Research 39, 563 -- 568.

Vira, T., Colquhoun, M., & Etchells, E. (2006). Reconcilable differences: correcting medication errors at hospital admission and discharge. Quality & Safety in Health Care, 15(2), 122-126. Taken from: Bonner, Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation. Graduate School of Nursing, University of Massachusetts Worcester. GSN Dissertations.

Cite this Document:

"Patient Safety Culture Patient Safety" (2010, December 26) Retrieved June 29, 2022, from

"Patient Safety Culture Patient Safety" 26 December 2010. Web.29 June. 2022. <>

"Patient Safety Culture Patient Safety", 26 December 2010, Accessed.29 June. 2022,

Related Documents
Patient Falls and Nursing PICO Question --
Words: 1049 Length: 3 Pages Topic: Healthcare Paper #: 59053006

Patient Falls and Nursing PICO Question -- Among acute care patients on a Medical-Surgical Unit, does hourly rounding, as opposed to only setting the bed alarm, significantly reduce patient falls (at least by 50%)? Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant, and requires the understanding and application of a large toolbox to deal with many different situations within the

Cultures Work: That What Is
Words: 2258 Length: 9 Pages Topic: Family and Marriage Paper #: 21038446

E. according to American norms and conventions. Part of this, incidentally, was due too to the fault of government itself that failed to provide them with the land, which the Hmong could have fertilized. I realized that even thoguh America has gone a long way in attempting to appreciate other cultures and in refraining from foisting their own way of life on cultures other than they; they still do so to

Patient Specific Assessment and Alarm Fatigue
Words: 2771 Length: 10 Pages Topic: Nursing Paper #: 17727235

Alarm Fatigue Theories in nursing generally center on the relationship of four concepts -- nursing, environment, person and health. These concepts are interrelated and impact one another in diverse ways, often seen in issues of nursing when problems arise that require analysis. The issue of alarm fatigue is one problem in nursing that touches on each of these four concepts. Alarm fatigue can be defined as exhaustion that occurs for nurses

Patient Centered Care in Healthcare Nursing
Words: 4617 Length: 16 Pages Topic: Nursing Paper #: 92870872

Introduction Patient-centered care is the goal of many healthcare organizations, but the ability of an organization to deliver patient-centered care is influenced by a number of factors both internal and external. Business practices, regulatory requirements, and reimbursement all can impact patient-centered care in any healthcare organization. Promoting patient-centered care requires an organizational culture committed to this paradigm, which also needs to be embedded in the mission and values of the organization. Executives

Culture and Diversity at Ford an HR Overview
Words: 628 Length: 2 Pages Topic: Human Resources Paper #: 23716600

Ford HR I would ensure that Ford's HR is in alignment with the company's business strategy by identifying the aims of the firm and evaluating how well the HR's objectives, methods, and outcomes match the goals of the overall business. The is the responsibility of the HR Business Operations division (Human Resources, 2016). The HR job positions listed for Ford's HR department consist of the following categories: Global Occupational Health Services, Compensation

Leadership Culture in a Healthcare Organization
Words: 1345 Length: 4 Pages Topic: Culture Paper #: 22978131

Culture delineates the behavioral customs, mutual practices, common outlooks and beliefs that dictate any organization. The leadership culture of an organization is a distinctive and potent aspect of its organizational culture. Leaders can be considered to be the cultural designers and planners of any organization. In the end, an entity embraces and espouses the individualities and priorities of its leaders. Forming a culture of leadership is a fundamental constituent of