Perception of Patient Safety Culture in Pediatric Long-Term Care Settings
Insights
A validated survey shows positive patient safety culture (PSC) perceptions in pediatric long-term care (pLTC) are linked to higher facility recommendations. This tool aids safety initiatives for vulnerable children.
Area of Science:
- Healthcare Management
- Patient Safety
- Pediatric Care
Background:
- Patient safety culture (PSC) is crucial in long-term care.
- No validated measures exist for PSC in pediatric long-term care (pLTC).
- Ensuring safety for vulnerable pediatric populations is paramount.
Purpose of the Study:
- Describe PSC within pLTC settings.
- Examine the link between PSC and facility recommendation/safety ratings.
- Evaluate the stability and reliability of a PSC survey over time.
Main Methods:
- A modified Nursing Home PSC (NHSPSC) survey was used.
- Data collected from employees across three pLTC facilities over three years.
- Survey data were summarized and compared longitudinally.
Main Results:
- 208 surveys were completed.
- Positive perceptions in "feedback and communication about incidents" and "overall perceptions of resident safety" were noted.
- These positive perceptions correlated with higher facility recommendation rates and overall child safety ratings (p < .05).
Conclusions:
- The modified NHSPSC survey demonstrated reliability (Cronbach alpha) and consistency over time.
- This tool can support safety initiatives in pLTC settings.
- Findings offer actionable insights for consumers, staff, and administrators in pLTC.
Introduction:
Patient safety culture (PSC) is an emerging construct in adult long-term care settings. No measures are validated to quantify PSC in pediatric long-term care (pLTC) settings despite the importance of safety for this vulnerable population. The study purposes are to (1) describe PSC in pLTC, (2) assess the relationship of PSC to facility recommendation and overall safety rating, and (3) test the stability and reliability of the PSC survey over time.
Methods:
A modified Nursing Home PSC (NHSPSC) survey was administered to employees at three pLTC facilities over 3 years; data were summarized and compared over time.
Results:
In all, 208 surveys were completed. Staff perceptions on "feedback and communication about incidents" and "overall perceptions of resident safety" were most positive and associated with responses of recommending the facility and high overall ratings for child safety (p < .05).
Conclusions:
The modified NHSPSC survey was reliable by Cronbach alpha and findings were consistent over time in these pLTC settings. This tool may be a useful adjunct to safety initiatives in pLTC. Knowledge derived from this survey can provide actionable information for consumers, pLTC employees, managers, and administrators.
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