Culture of safety: Beyond the safety survey: A cross-sectional, mix-methods study
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Kim Whitney, RN, BSN, MS, PHN, CPHRM, CPHQ
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Assessing the safety climate of healthcare organizations is an important step in embarking on creating processes to improve overall patient safety. Nursing leadership considerations for improving safe practice must begin with a measurement of the current perception of safe practice in order to correct unsafe practice. If the present culture is not responding to interventions to improve unsafe practice, there is no point in measuring safety culture (Pronovost P., Sexton, B. 2006). The Agency for Health Research and Quality's (AHRQ), Culture of Safety Survey (COSS) poses questions in key areas affecting patient safety from frontline staff's lived experience and perceived sense of safety. In this study, we observed through a focus group that inviting feedback from healthcare staff (that had responded to the PICU COSS) created engagement of staff to contribute to safety improvement measures on their unit. Staffing, consistent communication, and supply access were themes identified for improvement.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 1519814; ProQuest document ID: 1112073447. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Thesis |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Cross-Sectional |
Research Approach | Mixed/Multi Method Research |
Keywords | Nursing Leadership; Workplace Safety; Safe Practices; Safety Culture |
Grantor | University of California, Davis |
Advisor | Ward, Deborah; Natale, Joanne; Apesoa-Varano, Ester |
Level | Master's |
Year | 2012 |
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