Back
 OJN  Vol.1 No.3 , December 2011
Views on patient safety by operations managers in somatic hospital care: a qualitative analysis
Abstract: Healthcare outcome is to achieve optimal health for each patient. It is a well-known phenomenon that patients suffer from care injuries. Operations managers have difficulties in seeing that the relationship between safety culture, values and attitudes affects the medical care to the detriment of the patient. The aim was to describe the views on patient safety by operations managers and the establishment of patient safety and safety culture in somatic hospital care. Four open questions were answered by 29 operations managers in somatic hospital care. Data analysis was carried out by deductive qualitative content analysis. Operations managers found production to be the most important goal, and patient safety was linked to this basic mission. Safety work meant to achieve optimal health outcomes for each patient in a continuous development of operations. This was accomplished by pursuing a high level of competence among employees, having a functioning report system and preventing medical errors. Safety culture was mentioned to a smaller extent. The primary target of patient safety work by the operations managers was improving care quality which resulted in fewer complications and shorter care time. A change in emphasis to primary safety work is necessary. To accomplish this increased knowledge of communication, teamwork and clinical decision making are required.
Cite this paper: nullKarlsson, G. , Hedman, K. and Fridlund, B. (2011) Views on patient safety by operations managers in somatic hospital care: a qualitative analysis. Open Journal of Nursing, 1, 33-42. doi: 10.4236/ojn.2011.13005.
References

[1]   Powell, S. (2004) Patient safety: It’s not just carefulness, it’s a culture. Lippincott’s Case Management, 9, 211-212. doi:10.1097/00129234-200409000-00001

[2]   Sandars, J. (2007) The scope of problem. ABC of Patient Safety. Blackwell Publishing Inc., Malden.

[3]   Kohn, L.T., Corrigan, J.M. and Donaldson, M.S. (1999) To err is human. Building a safer health system. Institute of Medicine. The National of Academic Press. www.iom.edu

[4]   Pace, W. (2007) Measuring a safety culture: Critical pathway or academic activity? Society of General Internal Medicine, 22, 155-156. doi:10.1007/s11606-006-0061-8

[5]   Soop, M., K?ster, M., Fryksmark, U. and Haglund, B. (2008) Health care injuries to hospital care are common—The majority can be avoided, shows study of journals. Swedish Medical Journal, 105, 1748-1752.

[6]   The Swedish National Board of Health and Welfare. (2009) Patient and client safety/Health care injuries. The Swedish National Board of Health and Welfare, Stockholm. www.socialstyrelsen.se

[7]   Rutberg, H. and Weeks, W. (2004) Massive effort to improve patient safety in the United States. Swedish Medical Journal, 101, 2276-2278.

[8]   ?hrn, A., Andersson, C., Elfstr?m, J., Liedgren, C. and Rutberg, H. (2007) Success requires managers’ support and resources. Swedish Medical Journal, 4, 224-228.

[9]   Denham, C.R. (2005) Patient safety practices: Managers can turn barriers into accelerators. Patient Safety, 1, 41-55. doi:10.1097/01209203-200503000-00009

[10]   The Swedish National Board of Health and Welfare. (2004) Patient and client safety. Publications/patient safety and patient safety work. The Swedish National Board of Health and Welfare, Stockholm. www.socialstyrelsen.se

[11]   Hsieh, H.F. and Shannon, S. (2005) Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277-1288. doi:10.1177/1049732305276687

[12]   Graneheim, U.H. and Lundman, B. (2004) Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. doi:10.1016/j.nedt.2003.10.001

[13]   Nystr?m, M. and Dahlberg, K. (2001) Pre-understanding and openness—A relationship without hope? Scandinavian Journal Caring Sciences, 15, 339-346. doi:10.1046/j.1471-6712.2001.00043.x

[14]   Bradley, E.H., Curry, L.A. and Devers, K. (2007) Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42, 1758-1772. doi:10.1111/j.1475-6773.2006.00684.x

[15]   World Medical Association Declaration of Helsinki, Seoul. (2008) Ethical principles for medical research involving human subjects. World Medical Association Declaration of Helsinki, Seoul. http://www.wma.net/en/30publications/10policies/b3/

[16]   Swedish Research Council/University of Uppsala. (2007) CODEX—rules and guidelines for research. Swedish Research Council and University of Uppsala, Uppsala. WWW.CODEX.uu.se

[17]   Lincoln, Y.S. and Guba, E.G. (1985) Naturalistic inquiry. Sage, Beverly Hills.

[18]   Pronovost, P., Miller, M. and Wachter, R. (2006) Tracking progress in patient safety. Journal of the American Medical Association, 296, 696-699. doi:10.1001/jama.296.6.696

[19]   Pronovost, P., Thompson, D., Holzmueller, C., Lubomski, L., Dorman, T., Dickman, F., Fahey, M., Steinwachs, D., Engineer, L., Sexton, J., et al. (2006) Toward learning from patient safety reporting systems. Journal of Critical Care, 21, 305-315. doi:10.1016/j.jcrc.2006.07.001

[20]   Sheikh, A., Baker, M. and Thomson, R. (2007) Future Directions. ABC of Patient Safety. Blackwell Publishing Inc., Malden.

[21]   Leape, L. and Berwick, D. (2005) Five years after to err is human: What have we learned? Journal of the American Medical Association, 293, 2384-2390. doi:10.1001/jama.293.19.2384

[22]   Rutberg, H. Sommer, A.H. and Skau, T. (2001) Quality in health care. What is it and how it is measured? Swedish Medical Journal, 98, 3044-3045.

[23]   Baker, D.P., Salas, E., King, H., Battles, J. and Barach, P. (2005) The role of teamwork in the professional education of physicians: Current status and assessment recommendations. Joint Commission Journal Quality Patient Safety, 31, 185-202.

[24]   Weingart, S.N. and Page, D. (2004) Implications for practice: Challenges for healthcare managers in fostering patient safety. Quality Safety Healthcare, 13, 52-56. doi:10.1136/qshc.2003.009621

[25]   ?vretveit, J. (2005) The managers role in quality and safety improvement. www.landstingsf?rbundet.se

[26]   Lewis, R.Q. and Fletcher, M. (2005) Implementing a national strategy for patient safety: Lessons from the National Health Service in England. Quality Safety Healthcare, 14, 135-139.

[27]   The Swedish National Board of Health and Welfare. (2008) Publications/social welfare board referral, response to the report Patient what has been done? What needs to be done? The Swedish National Board of Health and Welfare, Stockholm. www.socialstyrelsen.se.

[28]   Flin, R., Burns, C., Mearns, K., Yule, S. and Robertson, E. (2006) Measuring safety climate in healthcare. Quality Safety Healthcare, 15, 109-115. doi:10.1136/qshc.2005.014761

[29]   Rinder, L., Soop, M. and Steen, L. (2004) Patient safety and patient work. Knowledge overview. www.socialstyrelsen.se

[30]   Beyer, M., Rohe, J., Nicklin, P. and Haynes, K. (2007) Communication and patient safety. ABC of Patient Safety. Blackwell Publishing Inc., Malden.

[31]   Runciman, W., Edmonds, M. and Pradhan, M. (2002) Settings priorities for patient safety. Quality Safety Healthcare, 11, 224-229. doi:10.1136/qhc.11.3.224

[32]   Botwinick, L., Bisognano, M. and Haraden, C. (2006) Managership Guide to Patient Safety. www.IHI.org

[33]   Mannion, R., Konteh, F.H. and Davies, H.T.O. (2009) Assessing organisational culture for quality and safety improvement: A national survey of tools and tool use. Quality Safety Healthcare, 18, 153-156. doi:10.1136/qshc.2007.024075

[34]   Colla, J., Bracken, A., Kinney, L. and Weeks, W. (2005) Measuring patient safety climate: A review of surveys. Quality Safety Healthcare, 14, 364-366. doi:10.1136/qshc.2005.014217

 
 
Top