Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors
Background. Healthcare-associated infections (HAIs) are an important patient safety issue, and safety climate is an important organizational factor. This study explores perceptions of infection preventionists (IPs) and quality directors (QDs) regarding two safety microclimates, Senior Management Eng...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Interdisciplinary Perspectives on Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2011/357121 |
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| _version_ | 1832552106553245696 |
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| author | Shanelle Nelson Patricia W. Stone Sarah Jordan Monika Pogorzelska Helen Halpin Megan Vanneman Elaine Larson |
| author_facet | Shanelle Nelson Patricia W. Stone Sarah Jordan Monika Pogorzelska Helen Halpin Megan Vanneman Elaine Larson |
| author_sort | Shanelle Nelson |
| collection | DOAJ |
| description | Background. Healthcare-associated infections (HAIs) are an important patient safety issue, and safety climate is an important organizational factor. This study explores perceptions of infection preventionists (IPs) and quality directors (QDs) regarding two safety microclimates, Senior Management Engagement (SME) and Leadership on Patient Safety (LOPS), across California hospitals. Methods. This was an analysis of two cross-sectional surveys. We conducted Wilcoxon signed-rank test, univariate analyses, and a multivariate ordinary least square regression. Results. There were 322 eligible hospitals; 149 hospitals (46.3%) responded to both surveys. The IP response rate was 59%, and the QD response rate was 79.5%. We found IPs perceived SME more positively than did QDs (21.4 vs. 20.4, 𝑃<0.01). No setting characteristics predicted variation in perceptions. Presence of an independent budget predicted more positive perceptions of microclimates across personnel types (𝑃<0.01). Conclusions. Differences in perceptions continue to exist between essential leaders in acute health care settings which could have critical effects on outcomes such as HAIs. Having an independent budget for the infection prevention and control department may enhance the overall safety climate and in turn patient care. |
| format | Article |
| id | doaj-art-fbc1a86853834be493e4edd84b58ce2d |
| institution | Kabale University |
| issn | 1687-708X 1687-7098 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Interdisciplinary Perspectives on Infectious Diseases |
| spelling | doaj-art-fbc1a86853834be493e4edd84b58ce2d2025-02-03T05:59:33ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-708X1687-70982011-01-01201110.1155/2011/357121357121Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality DirectorsShanelle Nelson0Patricia W. Stone1Sarah Jordan2Monika Pogorzelska3Helen Halpin4Megan Vanneman5Elaine Larson6Center for Health Policy, Columbia University School of Nursing, New York, NY 10032, USACenter for Health Policy, Columbia University School of Nursing, New York, NY 10032, USACenter for Health Policy, Columbia University School of Nursing, New York, NY 10032, USACenter for Health Policy, Columbia University School of Nursing, New York, NY 10032, USACenter for Health and Public Policy Studies, University of California Berkeley School of Public Health, 50 University Hall no. 7360, Berkeley, CA 94720, USACenter for Health and Public Policy Studies, University of California Berkeley School of Public Health, 50 University Hall no. 7360, Berkeley, CA 94720, USACenter for Health Policy, Columbia University School of Nursing, New York, NY 10032, USABackground. Healthcare-associated infections (HAIs) are an important patient safety issue, and safety climate is an important organizational factor. This study explores perceptions of infection preventionists (IPs) and quality directors (QDs) regarding two safety microclimates, Senior Management Engagement (SME) and Leadership on Patient Safety (LOPS), across California hospitals. Methods. This was an analysis of two cross-sectional surveys. We conducted Wilcoxon signed-rank test, univariate analyses, and a multivariate ordinary least square regression. Results. There were 322 eligible hospitals; 149 hospitals (46.3%) responded to both surveys. The IP response rate was 59%, and the QD response rate was 79.5%. We found IPs perceived SME more positively than did QDs (21.4 vs. 20.4, 𝑃<0.01). No setting characteristics predicted variation in perceptions. Presence of an independent budget predicted more positive perceptions of microclimates across personnel types (𝑃<0.01). Conclusions. Differences in perceptions continue to exist between essential leaders in acute health care settings which could have critical effects on outcomes such as HAIs. Having an independent budget for the infection prevention and control department may enhance the overall safety climate and in turn patient care.http://dx.doi.org/10.1155/2011/357121 |
| spellingShingle | Shanelle Nelson Patricia W. Stone Sarah Jordan Monika Pogorzelska Helen Halpin Megan Vanneman Elaine Larson Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors Interdisciplinary Perspectives on Infectious Diseases |
| title | Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors |
| title_full | Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors |
| title_fullStr | Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors |
| title_full_unstemmed | Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors |
| title_short | Patient Safety Climate: Variation in Perceptions by Infection Preventionists and Quality Directors |
| title_sort | patient safety climate variation in perceptions by infection preventionists and quality directors |
| url | http://dx.doi.org/10.1155/2011/357121 |
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