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Am J Obstet Gynecol. 2011 Mar;204(3):216.e1-6. doi: 10.1016/j.ajog.2010.11.004.

A comprehensive obstetrics patient safety program improves safety climate and culture.

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  • 1Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.

Abstract

OBJECTIVE:

The purpose of this study was to determine the effect of an obstetrics patient safety program on staff safety culture.

STUDY DESIGN:

We implemented (1) obstetrics patient safety nurse, (2) protocol-based standardization of practice, (3) crew resource management training, (4) oversight by a patient safety committee, (5) 24-hour obstetrics hospitalist, and (6) an anonymous event reporting system. We administered the Safety Attitude Questionnaire on 4 occasions over 5 years (2004-2009) to all staff members that assessed teamwork and safety cultures, job satisfaction, working conditions, stress recognition, and perceptions of management.

RESULTS:

We observed significant improvements in the proportion of staff members with favorable perceptions of teamwork culture (39% in 2004 to 63% in 2009), safety culture (33% to 63%), job satisfaction (39% to 53%), and management (10% to 37%). Individual roles (obstetrics providers, residents, and nurses) also experienced improvements in safety and teamwork, with significantly better congruence between doctors and nurses.

CONCLUSION:

Safety programs can improve workforce perceptions of safety and an improved safety climate.

Copyright © 2011 Mosby, Inc. All rights reserved.

PMID:
21376160
[PubMed - indexed for MEDLINE]
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