Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 25
Safety Culture
ОглавлениеA non‐punitive approach to patient harm is built on the engagement and commitment of everyone, from the boardroom to all staff, to accountability, honesty, integrity, and mutual respect in a culture of safety (Dempsey and Assi, 2018). Accountability is a critical aspect of a culture of safety; recognizing and acknowledging one’s actions is a trademark of professional behavior. All staff are trained and empowered to participate in an error‐reporting system without fear of punitive action. Near misses are treated as opportunities to improve by examining gaps and correcting design flaws. Safety principles to eliminate hazards guide job design, management of equipment, and working conditions. Reis, Pavia, and Souza (2018) reported teamwork within units and organizational learning–continuous improvement were the strongest dimensions of safety culture, while non‐punitive response to error, staffing, handoffs and transition, and teamwork across units were weaker dimensions. Lin et al. (2017) reported a concept analysis of health care providers’ perceptions of safety climate with three attributes: (a) senior management creates a safe working environment; (b) health care providers share perceptions of safety in their work environment; and (c) effectively disseminating information about safety.