|
|
Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- Purpose: The purpose of this study was to examine the influence of a comprehensive patient safety program on one hospital’s culture of safety. Specific hypotheses tested were the patient safety program would have a positive effect on the organization’s culture of safety, number of reported medication errors and frequency of patient safety liaison rounds. Theoretical Framework: The conceptual framework for this study uses James Reason’s Human Factors Theory. According to the theory, work environment and work systems designs can negatively influence human behavior and create error prone situations. The manner of system design can negatively impact human performance and cause adverse outcomes. An organization with a positive culture of safety will review systems’ factors as an initial response to errors and identify weak systems to redesign and prevent error reoccurrence. Methods: A retrospective, explanatory design was used to analyze secondary data collected over a four-year period. The dependent variables of patient safety culture, liaison rounds and reported medication errors were examined over three different time periods. Statistical analysis of the data was performed using one-way ANOVA, t-tests, planned comparisons and Chi Square. Results: All three hypotheses were found to be supported with statistical analysis of the data. Reported medication errors and the number of liaison rounds both increased significantly over time (p=0.00). The overall survey means also increased significantly between Time 1 and Time 2 (p=0.00). Planned comparisons of five questions’ response means from each time period found the means increased significantly only between Time 1 and Time 2 and actually decreased between Baseline and Time 1. Conclusions: Implementing a comprehensive patient safety program can improve both the perceptions and patient safety behaviors of nurses. However, changing the organization’s culture required several years to demonstrate positive results. Therefore, even with multiple patient safety program components, a sufficient period of time is needed before evaluating the effectiveness.
- Thesis:
- Thesis (Ph.D.)--Barry University, 2008.
- Bibliography:
- Includes bibliographical references (leaves 99-109).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Mary Elizabeth Geary. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- RA399.A3 G43 2008_GearyMary ( BU-Local )
- Classification:
- RA399.A3 G43 2008 ( lcc )
|
|
