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Comparing Trainee and Staff Perceptions of Patient Safety Culture.
Gregory M Bump1, Nordisha Coots, Cindy A Liberi
1G.M. Bump is associate professor of medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. N. Coots is administrative fellow, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. C.A. Liberi is director of patient safety, Wolff Center for Quality, Safety, and Innovation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. T.E. Minnier is chief quality officer, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. P.E. Phrampus is associate professor of emergency medicine and anesthesiology, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. G. Gosman is associate professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. D.G. Metro is professor of anesthesiology, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. J.B. McCausland is associate professor, Departments of Medicine and Emergency Medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. A. Buchert is assistant professor of pediatrics, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Trainees generally perceive patient safety culture favorably, comparable to or better than staff. These perceptions can enhance Clinical Learning Environment Review (CLER) reports for improved hospital patient safety.
Area of Science:
- Medical Education
- Patient Safety
- Healthcare Quality Improvement
Background:
- The Clinical Learning Environment Review (CLER) program assesses teaching hospital learning environments.
- CLER reports include patient safety observations, but their accuracy is unverified.
- Complementary measures of trainee patient safety experience are needed.
Purpose of the Study:
- To identify complementary measures of trainees' patient safety experience.
- To compare patient safety culture perceptions between trainees and staff.
Main Methods:
- Administered the Hospital Survey on Patient Safety Culture to residents, fellows, and general staff.
- Surveyed 10 hospitals within an integrated health system in 2014.
- Compared perceptions across 12 patient safety domains and two outcome measures.
Main Results:
- High response rates from 926 trainees and 12,015 staff.
- Trainees and staff agreed on 5 domains; trainees rated 4 domains higher (e.g., nonpunitive response to error).
- Trainees rated 3 domains lower than staff, including overall patient safety perception and feedback on errors.
Conclusions:
- Trainee perceptions of patient safety culture are generally comparable or more favorable than staff.
- Identified specific areas for improvement in patient safety culture.
- Hospital patient safety can be enhanced by using these perceptions alongside CLER reports.
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