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Research on Safety Culture & NSQIP

Research on Safety Culture & NSQIP. Context. Current activities. The proposed research is an optional addition to the current activities. It evaluates the current activities. . Research. Background.

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Research on Safety Culture & NSQIP

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  1. Research on Safety Culture & NSQIP

  2. Context Current activities The proposed research is an optional addition to the current activities. It evaluates the current activities. Research

  3. Background • Safety culture = shared beliefs and patterns of behaviour that determine how we work together to achieve quality care. • Safety culture affects patient outcomes. Communication breakdown patient harm. • Safety culture is also important for its effects on provider experience.

  4. Why Participate? • To be part of new research that looks at the role of culture in BC (The aggregate findings from all sites will be published) • To receive your own results. Quantify the effects of culture at your hospital • Answer the question  ‘Is it worth investing in culture interventions?’ • Identifies ingredients for successful culture change. • Novel contribution to the academic literature.

  5. Research Questions • Is safety culture in surgical departments in BC correlated with clinical outcomes, rates of adverse event reporting, overtime, sick time and/or staff turnover? • Can a conscious effort to change safety culture lead to culture change?

  6. Data Requested

  7. Data Analysis – Q1 (2012 & 2013) • Is safety culture in surgical departments in BC correlated with clinical outcomes, rates of adverse event reporting, overtime, sick time and/or staff turnover? • Is culture correlated with clinical outcomes? • Is culture correlated with the rate of adverse event reporting? • Is culture correlated with the level of overtime? • Is culture correlated with the level of sick time? • Is culture correlated with staff turnover? • Do correlations exist among any of these five elements of health services (clinical outcomes, rate of adverse event reporting, overtime, sick time, and staff turnover)?

  8. Value of Q1 • We would be able to provide evidence whether culture matters in BC and in your hospital with YOUR data. • 3 way association between safety culture, patient outcomes and provider experience. • Culture distribution across units and hospitals. Is culture local or is it more/less similar across the province? • Identify disconnect in perception of teamwork between surgeons, nurses and anesthesiologists.

  9. What Q1 adds to literature? Makary et al. 2006 Our study

  10. What Q1 adds to literature? Safety Culture Our Study Provider Experience Patient Outcomes 2010

  11. What Q1 adds to literature? Our Study 2006 2008 Units % who agree or strongly agree that “disagreements are handled appropriately”

  12. Data Analysis – Q2 (2013) • Can a conscious effort to change safety culture lead to culture change? • Are there changes in culture and the five elements of health services over time? • Are changes in culture associated with culture improvement efforts? • What elements of the improvement process, or the process of implementing culture interventions, are the causal factors in observed changes in culture?

  13. Value of Q2 • Will provide evidence on the effectiveness of culture interventions. • Identifies the mechanisms and causal ingredients of successful culture initiatives. • Will provide powerful insight when designing future culture improvement initiatives in the health care sector.

  14. What Q2 adds to literature? Neily et al. 2010 2013

  15. How can I be involved? • Health authorities and physicians are invited to enrol and agree to submit data starting in Spring 2013. • Health authorities and physicians are invited to be co-investigators. • Identify one individual to act as a research liaison.

  16. Next steps… • Return the Research Enrolment Form to RBrooke@BCPSQC.ca • Ethics • UBC BREB approved • BCPSQC will be responsible for all HA Ethics applications • Data Submission – March 2013

  17. THANK YOU! • More Information: http://bcpsqc.ca/clinical-improvement/sqan/research/ • Contact: Rebecca Brooke Email: rbrooke@bcpsqc.ca Tel: (604) 668-8227

  18. FAQ • Hospital level vs. Unit level? • This study is a multi-hospital study performed at the unit level. We have taken into account the fact that different data is available at different levels and appropriate tools will be used to make data comparisons possible. • Aligning time frames? • NSQIP data  monthly (annual year), HR data  biweekly (fiscal year), SAQ  cross-sectional. Appropriate tools will be used to align time frames for comparisons/ correlational analysis. • Privacy? • We will be using aggregate data to see trends at a provincial level, so individual hospitals will not be singled out.

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