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Current activities Research The proposed research is an optional addition to the current activities. It evaluates the current activities.

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Presentation on theme: "Current activities Research The proposed research is an optional addition to the current activities. It evaluates the current activities."— Presentation transcript:

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2 Current activities Research The proposed research is an optional addition to the current activities. It evaluates the current activities.

3  Safety culture = shared beliefs and patterns of behaviour that determine how we work together to achieve quality care.  Safety culture affects patient outcomes. Communication breakdown  patient harm.  Safety culture is also important for its effects on provider experience.

4  To be part of new research that looks at the role of culture in BC (The aggregate findings from all sites will be published)  To receive your own results. Quantify the effects of culture at your hospital  Answer the question ‘Is it worth investing in culture interventions?’  Identifies ingredients for successful culture change.  Novel contribution to the academic literature.

5 1. Is safety culture in surgical departments in BC correlated with clinical outcomes, rates of adverse event reporting, overtime, sick time and/or staff turnover? 2. Can a conscious effort to change safety culture lead to culture change?

6 VariableMeasured byFormat Time frame for data collection Safety Culture Safety Attitudes Questionnaire (SAQ) and OR collaboration question Average of each domain on SAQ + total culture score. Provincial averages of OR collaboration question. Spring 2012 Wave 2 pending Clinical Outcomes NSQIP data (11 variables) Aggregate rates of each post- operative outcome July 2011 onwards Adverse event reporting rate Patient Safety Learning System Number of adverse events reported at each severity level (0-5) in each unit July 2011 onwards Staff OvertimeHealth Authority HR Total overtime hours and total hours worked in each surgical unit July 2011 onwards Staff Sick timeHealth Authority HR Total sick time hours and total hours worked in each surgical unit July 2011 onwards Staff TurnoverHealth Authority HR Rate of staff turnover in surgical units July 2011 onwards Culture Improvement 10 questions completed by surgical unit leads. Record of culture improvement activity Fall 2013

7  Is safety culture in surgical departments in BC correlated with clinical outcomes, rates of adverse event reporting, overtime, sick time and/or staff turnover? ◦ Is culture correlated with clinical outcomes? ◦ Is culture correlated with the rate of adverse event reporting? ◦ Is culture correlated with the level of overtime? ◦ Is culture correlated with the level of sick time? ◦ Is culture correlated with staff turnover? ◦ Do correlations exist among any of these five elements of health services (clinical outcomes, rate of adverse event reporting, overtime, sick time, and staff turnover)?

8  We would be able to provide evidence whether culture matters in BC and in your hospital with YOUR data.  3 way association between safety culture, patient outcomes and provider experience.  Culture distribution across units and hospitals. Is culture local or is it more/less similar across the province?  Identify disconnect in perception of teamwork between surgeons, nurses and anesthesiologists.

9 Makary et al Our study

10 Safety Culture Patient Outcomes Provider Experience 2010 Our Study

11 Our Study Units % who agree or strongly agree that “disagreements are handled appropriately”

12  Can a conscious effort to change safety culture lead to culture change? ◦ Are there changes in culture and the five elements of health services over time? ◦ Are changes in culture associated with culture improvement efforts? ◦ What elements of the improvement process, or the process of implementing culture interventions, are the causal factors in observed changes in culture?

13  Will provide evidence on the effectiveness of culture interventions.  Identifies the mechanisms and causal ingredients of successful culture initiatives.  Will provide powerful insight when designing future culture improvement initiatives in the health care sector.

14 Neily et al.

15  Health authorities and physicians are invited to enrol and agree to submit data starting in Spring  Health authorities and physicians are invited to be co-investigators.  Identify one individual to act as a research liaison.

16  Return the Research Enrolment Form to  Ethics ◦ UBC BREB approved ◦ BCPSQC will be responsible for all HA Ethics applications  Data Submission – March 2013

17  More Information:  Contact: Rebecca Brooke Tel: (604)

18  Hospital level vs. Unit level? ◦ This study is a multi-hospital study performed at the unit level. We have taken into account the fact that different data is available at different levels and appropriate tools will be used to make data comparisons possible.  Aligning time frames? ◦ NSQIP data  monthly (annual year), HR data  biweekly (fiscal year), SAQ  cross-sectional. Appropriate tools will be used to align time frames for comparisons/ correlational analysis.  Privacy? ◦ We will be using aggregate data to see trends at a provincial level, so individual hospitals will not be singled out.


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