Safety attitudes in hospital emergency departments: a systematic review.

IF 1 Q4 HEALTH POLICY & SERVICES INTERNATIONAL JOURNAL OF HEALTH CARE QUALITY ASSURANCE Pub Date : 2019-08-12 DOI:10.1108/IJHCQA-07-2018-0164
Naif Alzahrani, Russell Jones, Amir Rizwan, Mohamed E Abdel-Latif
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Abstract

Purpose: The purpose of this paper is to perform and report a systematic review of published research on patient safety attitudes of health staff employed in hospital emergency departments (EDs).

Design/methodology/approach: An electronic search was conducted of PsychINFO, ProQuest, MEDLINE, EMBASE, PubMed and CINAHL databases. The review included all studies that focussed on the safety attitudes of professional hospital staff employed in EDs.

Findings: Overall, the review revealed that the safety attitudes of ED health staff are generally low, especially on teamwork and management support and among nurses when compared to doctors. Conversely, two intervention studies showed the effectiveness of team building interventions on improving the safety attitudes of health staff employed in EDs.

Research limitations/implications: Six studies met the inclusion criteria, however, most of the studies demonstrated low to moderate methodological quality.

Originality/value: Teamwork, communication and management support are central to positive safety attitudes. Teamwork training can improve safety attitudes. Given that EDs are the "front-line" of hospital care and patients within EDs are especially vulnerable to medical errors, future research should focus on the safety attitudes of medical staff employed in EDs and its relationship to medical errors.

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医院急诊科的安全态度:系统回顾
目的本文的目的是对已发表的关于医院急诊科(ED)医护人员患者安全态度的研究进行系统综述。设计/方法/方法对PsychINFO、ProQuest、MEDLINE、EMBASE、PubMed和CINAHL数据库进行电子检索。该审查包括所有关注急诊科专业医院工作人员安全态度的研究。结果总体而言,审查显示,与医生相比,急诊科卫生人员的安全态度普遍较低,尤其是在团队合作和管理支持方面,以及在护士中。相反,两项干预研究表明,团队建设干预措施对改善急诊科医护人员的安全态度是有效的。研究局限性/影响。六项研究符合纳入标准,但大多数研究的方法学质量较低至中等。独创性/价值团队合作、沟通和管理支持是积极安全态度的核心。团队合作培训可以提高安全态度。鉴于急诊科是医院护理的“前线”,急诊科内的患者特别容易受到医疗错误的影响,未来的研究应重点关注急诊科医务人员的安全态度及其与医疗错误的关系。
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来源期刊
CiteScore
4.00
自引率
6.70%
发文量
6
期刊介绍: ■Successful quality/continuous improvement projects ■The use of quality tools and models in leadership management development such as the EFQM Excellence Model, Balanced Scorecard, Quality Standards, Managed Care ■Issues relating to process control such as Six Sigma, Leadership, Managing Change and Process Mapping ■Improving patient care through quality related programmes and/or research Articles that use quantitative and qualitative methods are encouraged.
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