sábado, 18 de agosto de 2012

Neonatal intensive care uni... [Arch Dis Child Fetal Neonatal Ed. 2012] - PubMed - NCBI

Neonatal intensive care uni... [Arch Dis Child Fetal Neonatal Ed. 2012] - PubMed - NCBI

2012 Mar;97(2):F120-6. Epub 2011 Sep 19.

Neonatal intensive care unit safety culture varies widely.


Houston Center for Quality of Care and Utilization Studies, VA HSR&D, 2002 Holcombe Boulevard, Houston, TX 77030, USA. profit@bcm.edu



Variation in healthcare delivery and outcomes in neonatal intensive care units (NICUs) may be partly explained by differences in safety culture.


To describe NICU care giver assessments of safety culture, explore variability within and between NICUs on safety culture domains, and test for association with care giver characteristics.


NICU care givers in 12 hospitals were surveyed using the Safety Attitudes Questionnaire (SAQ), which has six scales: teamwork climate, safety climate, job satisfaction, stress recognition, perception of management and working conditions. Scale means, SDs and percent positives (percent agreement) were calculated for each NICU.


There was substantial variation in safety culture domains among NICUs. Composite mean score across the six domains ranged from 56.3 to 77.8 on a 100-point scale and NICUs in the top four NICUs were significantly different from the bottom four (p<0 .001=".001" 33.3="33.3" 41.3="41.3" 8.2="8.2" 9.5="9.5" a="a" across="across" adult="adult" ancillary="ancillary" and="and" assessments="assessments" between="between" but="but" cohort="cohort" comparisons="comparisons" composite="composite" domains="domains" for="for" generally="generally" higher="higher" icu="icu" least="least" management="management" mean="mean" nicus.="nicus." nicus="nicus" nurses="nurses" of="of" on="on" p="0.02)" perceptions="perceptions" personnel.="personnel." physicians="physicians" points="points" positive="positive" previously="previously" published="published" recognition="recognition" respondent="respondent" revealed="revealed" saq="saq" scale="scale" scores="scores" six="six" stress="stress" than="than" the="the" varied="varied" were="were" widely="widely">


There is significant variation and scope for improvement in safety culture among these NICUs. The NICU variation was similar to variation in adult ICUs, but NICU scores were generally higher. Future studies should validate whether safety culture measured with the SAQ correlates with clinical and operational outcomes in NICUs.

[PubMed - indexed for MEDLINE]

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