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INTRODUCTION: Effective communication in the operating room (OR) is crucial. Addressing a colleague by their name is respectful, humanising, entrusting and associated with improved clinical outcomes. We aimed to enhance team communication in the perioperative environment by offering personalised surgical caps labelled with name and provider role to all OR team members at a large academic medical centre. MATERIALS AND METHODS: This was a quasi-experimental, uncontrolled, before-and-after quality improvement study. A survey regarding perceptions of team communication, knowledge of names and roles, communication barriers, and culture was administered before and after cap delivery. Survey results were measured on a 5-point Likert Scale; descriptive statistics and mean scores were compared. All cause National Surgical Quality Improvement Project (NSQIP) morbidity and mortality outcomes for surgical specialties were examined. RESULTS: 1420 caps were delivered across the institution. Mean survey scores increased for knowing the names and roles of providers around the OR, feeling that people know my name and feeling comfortable communicating without barriers across disciplines. The mean score for team communication around the OR is excellent was unchanged. The highest score both before and after was knowing the name of an interdisciplinary team member is important for patient care. A total of 383 and 212 providers participated in the study before and after cap delivery, respectively. Participants agreed or strongly agreed that labelled surgical caps made it easier to talk to colleagues (64.9%) while improving communication (66.0%), team culture (60.5%) and patient care (56.8%). No significant differences were noted in NSQIP outcomes. CONCLUSIONS: Personalised labelled surgical caps are a simple, inexpensive tool that demonstrates promise in improving perioperative team communication. Creating highly reliable surgical teams with optimal communication channels requires a multifaceted approach with engaged leadership, empowered front-line providers and an institutional commitment to continuous process improvement.

Objectives. The research purpose of this article was to investigate the status of laboratory safety culture in universities, in order to carry out more targeted laboratory cultural construction activities in the later stage. Safety culture also can have a lasting impact on university students as future practitioners. Methods. With Southeast University as a case study, a sample of 8761 study participants completed the safety culture measurement questionnaire (SCMQ). The independent-sample t test, single-factor analysis of variance and multilevel logistic regression were used to analyze the general characteristic distribution of the safety culture level. Results. The overall average score of safety culture was 74.84. Among the 32 elements of safety culture, six elements scored less than 60 points. Multilevel logistic regression analysis showed that the distribution of safety culture scores varied across schools, work roles, genders, years of laboratory use and laboratory safety culture familiarity. Conclusions. University laboratories should strengthen the construction of safety culture, for the safety elements with low scores, and intervene from the organizational level (school level). The key focus groups were males, students and those who have used the laboratory for 2–4 years, and those with low awareness of safety culture. [ABSTRACT FROM AUTHOR]

Anesthesia-related studies have found that many adverse events are related to human factors including occupational burnout, safety culture, and production pressure. The purpose of this study was to explore the relationships between those factors to identify potential interventions to improve patient safety and anesthesia practice. This exploratory study used a cross-sectional design with a survey administered via e-mail to nurse anesthetists. The survey consisted of the Survey on Patient Safety, Maslach's Burnout Inventory, and the NASA task-load-index. Data analysis included linear mixed regression models, Spearman correlations, and Cronbach's alpha. Covariates included age, years of clinical experience, zip codes, and gender. We found that the best predictors of patient safety are hospitals' culture of safety and staffing patterns. Adequate staffing had the largest impact on reducing occupational burnout and nurse anesthetists' intentions to leave their jobs. Less experienced nurse anesthetists reported lower patient safety scores. Successful interventions to improve institutional factors need to be implemented and supported by management with an emphasis on open communication among all team members to elicit lasting changes. Additionally, interventions should focus on appropriate staffing, team training, and resilience training because these have the greatest impact. [ABSTRACT FROM AUTHOR]

Background: Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety culture and the psychological consequences of AEs. With a limited body of research on patient safety, adverse events, and second victims (SVs) in Romania, this study addresses a crucial gap, highlighting the need for enhanced safety culture and support mechanisms for SVs. Methods: A cross-sectional study in Romania targeted healthcare professionals, focusing on nurses. Utilizing online and onsite surveys facilitated by the Order of Nurses, Midwives, and Medical Assistants in Romania, data were collected between April and June 2022, exploring AEs and related experiences. Statistical analysis included chi-square tests, Student's t-tests, one-way ANOVA, and logistic regression, using SPSS version 29.0. Results: This study surveyed 995 nurses in Romania, primarily aged 31–50 (67.8%). Over half (57.9%) reported near-miss incidents, and 30.8% were aware of serious adverse events. Nurses over 50 scored higher on safety culture (20.98 vs. 20.45, p =.024) than younger nurses. Higher safety culture scores were associated with reduced negative emotional responses (e.g., guilt, anxiety, insomnia, tiredness) following AEs. Higher safety culture scores were associated with reduced negative emotional responses. Additionally, 88.9% of nurses showed interest in training for coping with adverse events, highlighting the need for supportive interventions in healthcare settings. Discussion: This study underscores the significant emotional and professional impact of AEs on nurses in Romania, highlighting ongoing challenges in healthcare environments. The positive perception of safety culture among nurses suggests a basis for improvement, while training needs underscore areas for intervention. Tackling the second victim phenomenon is crucial for maintaining patient safety. [ABSTRACT FROM AUTHOR]

The complexity of work environments demands a more proactive management of safety and the formation of a solid organizational culture that integrates safety culture as part of its fundamental values. A research process was developed from a mixed approach, with an explanatory level and quasi-experimental design with the objective of proposing teaching strategies to improve safety awareness and culture in technical and professional work environments in students of the Technical High School of “Unidad Educativa Central Técnico”, Educational Institution, located in the Quito-Pichincha province, Ecuador. The initial diagnosis showed a limited internalization and application of safety and occupational health norms, as well as deficiencies in the development of emergency procedures and the active promotion of a safety culture. To scientifically address this problem, strategies were designed to improve safety awareness and culture among students, focusing on participatory, interdisciplinary and practical teaching methods that encourage active learning and the commitment of the entire educational community. The expert validation process and the results of the post-test showed that the strategies implemented succeeded in raising the levels of safety awareness and safety culture, with emphasis on the application of safety rules and the correct use of protective equipment showed remarkable progress. [ABSTRACT FROM AUTHOR]

Background: Patient safety culture is crucial for improving health care quality, however, there is no consensus on its definition. Purpose: This study aimed to clarify and update the concept of patient safety culture. Methods: We employed Norris' 6-step concept clarification method. The content was organized through a scoping review of 4 databases. Twelve health professionals participated in focus groups and 10 experts participated in content validation. The content validity coefficient (CVC) was calculated for agreement between experts. Results: Three patient safety culture domains were identified: organizational, professional, and patient and family participation. The experts rated the definitions favorably, with high CVC scores (>0.87), indicating good agreement. The operational definitions were reduced from 76 to 54 items after expert evaluation. Conclusion: An updated definition of patient safety culture is provided, which can inform development of assessment instruments by managers and health care professionals. [ABSTRACT FROM AUTHOR]

Introduction: Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments. Methods: Staff members of a teaching hospital medical imaging department were invited to complete the generic short version of the Safety Attitude Questionnaire (SAQ). Internal consistency and reliability were evaluated using Cronbach’s α. Confirmatory factor analysis (CFA) was conducted to examine model fit. A cut‑off of 60% was used to define the percentage positive responses (PPR). PPR values were compared between occupational groups. Results: A total of 300 complete responses were received and the response rate was 75.4%. In reliability analysis, the Cronbach’s α for the original 32‑item SAQ was 0.941. Six subscales did not demonstrate good fit with CFA. A modified five‑subscale, 22‑item model (SAQ‑MI) showed better fit (goodness‑to‑fit index ≥0.9, comparative fit index ≥ 0.9, Tucker–Lewis index ≥0.9 and root mean square error of approximation ≤0.08). The Cronbach’s α for the 22 items was 0.921. The final five subscales were safety and teamwork climate, job satisfaction, stress recognition, perception of management and working condition, with PPR of 62%, 68%, 57%, 61% and 60%, respectively. Statistically significant differences in PPR were observed between radiographers, doctors and others occupational groups. Conclusion: The modified five‑factor, 22‑item SAQ‑MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies. [ABSTRACT FROM AUTHOR]

Introduction: Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments. Methods: Staff members of a teaching hospital medical imaging department were invited to complete the generic short version of the Safety Attitude Questionnaire (SAQ). Internal consistency and reliability were evaluated using Cronbach’s α. Confirmatory factor analysis (CFA) was conducted to examine model fit. A cut-off of 60% was used to define the percentage positive responses (PPR). PPR values were compared between occupational groups. Results: A total of 300 complete responses were received and the response rate was 75.4%. In reliability analysis, the Cronbach’s α for the original 32-item SAQ was 0.941. Six subscales did not demonstrate good fit with CFA. A modified five-subscale, 22-item model (SAQ-MI) showed better fit (goodness-to-fit index ≥0.9, comparative fit index ≥ 0.9, Tucker–Lewis index ≥0.9 and root mean square error of approximation ≤0.08). The Cronbach’s α for the 22 items was 0.921. The final five subscales were safety and teamwork climate, job satisfaction, stress recognition, perception of management and working condition, with PPR of 62%, 68%, 57%, 61% and 60%, respectively. Statistically significant differences in PPR were observed between radiographers, doctors and others occupational groups. Conclusion: The modified five-factor, 22-item SAQ-MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies.

Past studies have established the association between safety culture and workplace behavior, yet the possible effect of work-life balance on this association has not been explored. This study investigates the mediating effect of work-life balance in the link between safety culture and workplace safety behavior among brewery workers. A sample of 250 (F = 36.2%; mean age = 24.94, SD = 4.96) brewery workers responded to three scales viz: Safety Culture Scale (SCS), Work-Life Balance Scale (W-LBS), and Workplace Safety Behaviour Scale (WSBS). Correlational analyses showed that safety culture was negatively related to work-life balance but positively related to workplace safety behavior among brewery workers. From the mediation analyses, safety culture and work-life balance independently predicted workplace safety behavior while work-life balance had an indirect effect on the association between safety culture and workplace safety behavior. The study concludes that efforts at sustaining safety culture that supports employees’ capacity to attain work-life balance may enhance the safety behavior of brewery workers.

Abstract Objectives Although patient safety has received a lot of emphasis in medicine and nursing, data regarding patient safety perception in dentistry are limited, particularly among dental students. Given the increasing risk of safety hazards, curriculum developers need evidence to guide their implementation in undergraduate studies. This study aimed to determine patient safety culture among undergraduate dental students in Pakistan. Methods A cross-sectional analytical study was conducted among dental students (n = 281) of Sindh, Pakistan. The average positive response rate for each domain and frequency of each demographic variable were determined. The chi-square test was employed to compare the differences in perception between the various study groups. Statistical significance was set at p

Abstract Background Safety culture, as a component that improves the quality of safety and health care for neonates, serves as foundation for providing professional and high-quality care by creating positive insight among employees. This study aimed to explore the safety culture concept in neonatal intensive care units (NICUs). Methods This convergent parallel mixed-method study included Quantitative, Qualitative, and Integrated parts. In the Quantitative part, the psychometric properties of the Persian version of “Hospital Survey on Patient Safety Culture” were examined among physicians and nurses in NICUs. CFA was performed on the data obtained from 342 participants. The Qualitative section data were collected through in-depth and semi-structured interviews with 24 staff to understand the concept of safety culture. Data were analyzed through the Elo & Kyngäs approach. The interpretation of the results and the convergence of the data was done using the Onwuegbuzie and Teddlie method. Results The initial CFA showed that the 12-dimensional model did not align well with indices. Subsequently, based on T-values, six heterogeneous items were eliminated. The revised 11-dimensional model consisting of 36 items showed an acceptable fit during the second CFA. In the qualitative part, five main categories of “Constructive interactions”, “Management’s commitment to neonatal safety”, “Organizational supportive climate”, “Professional development”, and “Planning and implementation of neonatal developmental care” were obtained. The comparison of the results showed that the dimensions of the quantitative part, except for “Overall perceptions of patient safety”, were also present in the qualitative part, but they were different in some aspects. New findings in the qualitative study such as “Striving for mutual empowerment”, “Constructive criticism in teamwork”, “Efficient supervision procedures”, “Inexperienced staff’ leading” and “Provision of care assistance equipment and facilities” were not found in the dimensions of the quantitative part. The main categories “Acquiring professional competence” and “Planning and implementation of neonatal developmental care” were not align with the dimensions identified in the quantitative study. Conclusion The findings shed light on previously unexplored aspects of the safety culture concept within the nursing profession, leading to a better understanding and evolution of this concept in Iranian NICUs. The new definition obtained in this study can enhance nursing knowledge on safe care and improve patient safety culture in the NICUs in Iran and globally.

Abstract Background Patient safety incidents are unavoidable and nurses, as parties involved, become second victims due to the incident itself and the way it is handled. In China, reconstructing the course of events is a crucial step in the aftermath of the incident; however, its impact on the emotional well-being of the second victim remains unclear. Purpose The purpose of this study is to gain insight into the psychological experiences and current conditions of nurses who act as second victims during the process of reconstructing the sequence of events. Additionally, the study aims to provide justifications for supporting these individuals. Methods An exploratory mixed research method was adopted to understand the emotional experience of the second victim when reconstructing the passage of the incident through qualitative research. Fourteen nurses with experience as second victims were selected for semi-structured interviews using purposive sampling according to the maximum difference sampling strategy. Through quantitative research, we explored the negative psychology and support needs of the second victims when they reverted to the incident, and a self-developed questionnaire (the Cronbach’s alpha coefficient was 0.895) was used to survey 3,394 nurses with experiences as second victims in 11 tertiary hospitals in Shanxi Province. Results In the qualitative part of the study, the emotional experience of the second victim’s reconstruction of the course of events after a patient safety incident could be categorized into 3 themes: negative views as initial psychological impact, avoidance as part of psychological impact, and expectations and growth in overcoming negative psychological impact. The quantitative part of the study revealed that the emotions of guilt and self-blame accounted for the highest percentage after a patient safety incident. The second victim presented a high score of 39.58 ± 5.45 for support requirements. Conclusion This study provides a better understanding of the true emotional experiences and the need for support of the second victim in the process of reconstructing the course of events. Following a patient safety incident, nursing administrators and healthcare institutions should consider the adverse psychological effects on the second victim, prioritize their support needs during the incident’s reconstruction, create a positive safety culture, and reduce the risk of secondary victimization for these individuals.

This article highlights the importance of developing a sustainable safety culture as an important component of the long-term development of manufacturing companies, especially in SMEs. A sustainable safety culture combines principles in favor of protecting the health and lives of workers with sustainable development principles, while improving operational and environmental performance. The aim of this study was to identify best practices, challenges, and strategies for implementing this type of culture in manufacturing companies. A mixed-methods approach was used, including quantitative surveys, in-depth interviews, case study analysis, and field observations at selected companies. This research was conducted at two food companies from Poland. The findings indicate that the successful implementation of a sustainable safety culture relies on strong leadership, employee engagement, pro-active risk management, and continuous process improvement. Additionally, this article discusses major challenges, such as resistance to change, financial constraints, and regulatory complexity. Ultimately, this article provides practical recommendations for industry leaders developed from the research findings to support long-term efficiency and safety in manufacturing organizations. [ABSTRACT FROM AUTHOR]

Safe-by-Design (SbD) is a new concept that urges the developers of novel technologies to integrate safety early on in their design process. A SbD approach could—in theory—support the development of safer products and assist a responsible transition to the bioeconomy, via the deployment of safer bio-based and biotechnological alternatives. Despite its prominence in policy discourse, SbD is yet to gain traction in research and innovation practice. In this paper, we examine a frequently stated objection to the initiative of SbD, namely the position that SbD is already common practice in research and industry. We draw upon observations from two case studies: one, a study on the applicability of SbD in the context of bio-based circular materials and, two, a study on stakeholder perceptions of SbD in biotechnology. Interviewed practitioners in both case studies make claims to a strong safety culture in their respective fields and have difficulties differentiating a SbD approach from existing safety practices. Two variations of this argument are discussed: early attentiveness to safety as a strictly formalised practice and early attentiveness as implicit practice. We analyse these perceptions using the theoretical lens of safety culture and contrast them to the aims of SbD. Our analysis indicates that professional identity and professional pride may explain some of the resistance to the initiative of SbD. Nevertheless, SbD could still be advantageous by a) emphasising multidisciplinary approaches to safety and b) offering a (reflective) frame via which implicit attentiveness to safety becomes explicit. [ABSTRACT FROM AUTHOR]

Safety culture is a topic that has been debated for too little time in Romania. Especially in multinational companies, there are numerous programs implemented in order to develop the safety culture among employees. Since in Romania a framework, a culture, which favors the full understanding of the concept of safety at work is not developed, still, in most companies, the term safety at work is assimilated to the set of cumbersome laws and government decisions, instructions and procedures, inspections, helmet and boots. Romania is at the bottom of the list of countries in terms of the number of occupational accidents with incapacity for work, but it is at the top of the list of countries with the most fatal accidents. A paradox, a reality concealed by economic operators by not reporting work accidents with work incapacity, which means that an investigation of the root causes is not carried out, thus leading to accidents that result in death. Accident reporting shows the maturity of the safety culture. The following article discusses the steps taken by Port Operator CHIMPEX to make the transition from a company based on indicators, systems and profit to a company based on people, in this case during implementing and developing an organizational culture based on leadership. [ABSTRACT FROM AUTHOR]

In the construction industry, most safety culture studies are limited to a single country, with minimal attention to cross-country studies. This limits creating a foundation for a robust framework and reliable safety culture scale. This study addresses this gap by studying safety culture in 10 countries, including those without previous studies. The survey instrument, completed by 311 construction employees, identified seven key factors measuring safety culture, with content and construct validity ensuring the reliability and validity of survey findings. Results indicated that work experience, education level and employment status have significant impacts on employees' safety culture. Additionally, similarities and differences in these factors across countries were investigated, and the fatalism and optimism factor and the work pressure and priority factor are the most significant contributors to the weakening of safety culture in the construction industry. This research allows industry practitioners to systematically assess on-site safety culture, oversee practices and improve. [ABSTRACT FROM AUTHOR]

The construction industry is one of the largest sectors in Indonesia, playing a pivotal role in the country's economic growth. However, it faces significant challenges related to high occupational risks, as demonstrated by the persistently high rate of construction accidents. This ongoing issue reflects the low maturity of safety culture within construction companies, including subcontractors. Insufficient attention to safety culture is a major contributing factor to these accidents, highlighting the need for comprehensive solutions to create safer and more productive work environments. In response to this challenge, this study seeks to validate and analyze the factors influencing construction safety culture among subcontractors to improve safety performance. The validation process employed the Delphi Method, involving construction experts to reach a consensus on key factors. The study successfully identified 27 factors that significantly contribute to the development of construction safety culture. These findings provide a critical foundation for developing strategies to enhance safety culture, particularly in Indonesia. Furthermore, the identified factors cover various aspects, such as managerial roles, worker characteristics, work methods, and safety management, all of which play a crucial role in shaping safety culture on construction sites. The implications of this study are significant for improving subcontractor safety performance. By understanding these factors, construction management can implement more effective strategies to reduce occupational accident risks, enhance compliance with safety standards, and foster safer and more sustainable work environments. The results of this study are expected to serve as a valuable reference for improving subcontractor's construction safety performance in Indonesia. [ABSTRACT FROM AUTHOR]

This research is motivated by increased incidents in 2023 compared to 2022, an occurrence from the Airport Safety Performance Indicators where the highest criteria for incidents in 2019 - 2023 are Bird Strikes (bird attacks) with 3 (three) incidents. This research aims to determine the influence of the Safety Management System (SMS) and the role of organizations on aviation safety through the safety culture at XYZ Airport. The research method is quantitative. The sample used was 250 respondents who were PT Angkasa Pura II employees at XYZ Airport. The sampling technique uses a simple random sampling technique. The data collection technique is a questionnaire. The data analysis technique uses Structural Equation Modeling (SEM) based on Smart PLS 2024. The research results show that safety culture can be influenced by the implementation of the safety management system and the role of the organization, aviation safety is not influenced by the role of the organization but is influenced by the implementation of the safety management system and safety culture, the implementation of the safety management system does not affect aviation safety through safety culture, and the role of the organization can influence aviation safety through safety culture. Researchers hope that companies will continue to carry out evaluations and innovations to improve security system management. [ABSTRACT FROM AUTHOR]

This study aimed to identify the relationship between the safety leadership of safety and health managers, the safety climate of the organization, and the safety behavior of workers in the electronics industry in order to develop a sustainable industrial safety and health policy. The study included 842 individuals working at electronics industry cooperators. After analyzing the correlation between safety leadership of managers, safety climate, and safety behavior using SPSS 23.0, measurement model analysis and structural equation modeling (SEM) were performed using AMOS 26.0 to evaluate their relationships. We observed that the safety leadership of managers was associated with safety climate and safety behavior. Additionally, among the sub-dimensional variables of safety climate, the management's commitment to safety and health and the delivery and communication of safety and health information were related to safety behavior. Therefore, enhancing worker participation and behavior requires strengthening the safety leadership of managers, increasing management's commitment to safety and health, and improving the effectiveness of safety and health information delivery and communication. [ABSTRACT FROM AUTHOR]

Background: Incident reporting systems (IRSs) have become a central instrument for improving patient safety in hospitals. In Germany, hospitals are legally required to implement internal IRSs, while participation in cross-institutional IRSs is voluntary. Methods: In a retrospective, descriptive cross-sectional study, the structured quality reports of all German hospitals from 2017 to 2022 (2598–2408 hospitals (2017–2022)) were analysed. The participation of hospitals in internal and cross-institutional IRSs was examined, as was the frequency of training and evaluations of incident reports. Results: The rate of participation in internal IRSs increased from 94.0% in 2017 to 96.6% in 2019 and remained stable at 96.0% in 2022. About 85% of hospitals conducted internal evaluations of the incident reports, with monthly evaluations being the most common (33.9%). Training on how to use IRSs was mostly provided on an ad hoc basis (41.6% in 2022), with regular training being less common. Participation in cross-institutional IRSs increased significantly from 44.5% in 2017 to 55% in 2019 and remained stable until 2022. Participation in hospital IRSs showed significant increases, while specialised systems exhibited lower participation rates. Conclusions: Internal IRSs have been established in German hospitals; however, there is still room for improvement in conducting regular training sessions and evaluations. Although participation in cross-institutional IRSs has increased, it remains fragmented. Further centralisation and standardisation could enhance efficiency and contribute to an improvement in patient safety. [ABSTRACT FROM AUTHOR]

Background: Adverse events (AEs) are major causes of mortality. Identification of nurses' attitudes towards patient safety and their impact on AEs is critical in enhancing safe practices. Aim: To assess the relationship between attitudes towards patient safety and AEs as perceived by nurses working in Sultanate of Oman. Methods: A descriptive, cross-sectional study was conducted. Data to evaluate nurses' attitudes towards patient safety was collected using the Safety Attitude Questionnaire. The relationship between attitudes towards patient safety and the perceived incidence of adverse patient events was examined using logistic regression analysis. Results: A total of 184 questionnaires were administered from February to April 2022, with a response rate of 96.8%. The results revealed that nurses had a negative attitude towards patient safety. The highest reported adverse event was patient and family complaints. Findings showed a significant relationship between working conditions and patient and family verbal abuse (OR = 0.505, CI (0.283–0.901), p = 0.021). Job satisfaction was a significant predictor of patient fall (OR = 0.57, CI (0.353–0.932), p = 0.025) and medication error (OR = 0.58, CI (0.354–0.949), p = 0.030). Conclusion: Nurses' attitudes towards patient safety are a significant predictor contributing to the occurrence of AEs. This finding provides key insights about patient safety status that key stakeholders could use to improve safety culture, including raising patient safety awareness. [ABSTRACT FROM AUTHOR]

Background: There is a need for improved methodologies on how to longitudinally analyze, interpret and learn from the Surveys on Patient Safety Culture™ (SOPS), developed by the Agency for Healthcare Research and Quality (AHRQ). Typically, SOPS quantify results by the percentage of positive responses, but this approach may miss insights from neutral or negative feedback. Study design: The SOPS were distributed every two years from 2011 to 2022 to all hospital staff at one academic institution from perioperative services. Differences between rates of "positive" and "negative" scores ("Delta"), and "neutral" responses over time were calculated. The coefficient of determination (R 2) was used to assess the correlation strength of the positive scores as the primary outcomes provided by the SOPS and Delta values over time. Finally, we evaluated patterns (crossing and converging [indicating "worrisome" patterns] vs. diverging [suggesting "desirable" pattern] vs. stable [suggesting "neutral" pattern]) of the longitudinal scores. Results: A total of 1,035 responses were analyzed [51 and 40 survey items for SOPS v1 and v2 (2022 only), respectively]. Comparing the R 2 values of the positive only scores to the Delta scores demonstrated a change in effect size for "Nonpunitive Response to Error" (R 2 = 0.290 vs. 0.420). Of the 13 specific categories measured through SOPS, plotting negative vs. positive values elucidated 2 crossing, 2 converging and 2 diverging patterns indicating both a decrease in positive responses and an increase in negative responses rather than neutral. Conclusion: Longitudinal analysis of the SOPS using the directional measures, Delta and pattern trends can provide organizations with additional key insights regarding culture of patient safety. [ABSTRACT FROM AUTHOR]

Safety culture impacts the structure and style of health care and safety management in an organization. Bearing in mind the high risks in the health care industry, the implementation of safe procedures in medical care is key to patient safety, clinical outcome and patient satisfaction. Communication, as one of the crucial skills, is reflected in the patient safety, with studies showing that the overall perception and safety management significantly contribute to the level of patient safety. The quality of medical care, viewed with an awareness of the standards, becomes a challenge due to the increased complexity of services, longer life, and a rising number of non-infectious diseases. World Day of Patient Safety stresses the importance of including patients in the care process in order to reduce errors and improve safety. Safety culture is crucial for patient safety, and is related to the perception of the nurses and technicians. A lack of support, time, and human resources puts pressure on the medical staff which negatively affects the provision of safe medical care. The study aimed to investigate the participants' perception of the factors in the overall organization and unwanted events and procedures in medical care that affect patient safety. Results indicate a positive attitude of the managing staff regarding patient safety, but also show that errors in administering medical care are frequently caused by insufficient resources. The reported frequency of unwanted incidents varies depending on the hospital department, while the model of medical care is not significantly related to the frequency of reports. There is a need for further investigation in order to increase safety culture and create a working environment that encourages reporting errors, promotes a continuous education of medical staff and thus improves safer patient care. [ABSTRACT FROM AUTHOR]

Purpose. To establish the relationship between the development of a safety culture in an organisation and the fulfilment of occupational safety requirements. Methodology. To solve the tasks set, we use the method of scientific synthesis, which allows us to obtain new knowledge as a result of combining previously dismembered parts of the subject into a single whole, to determine mutual expectations in occupational health and safety (OHS) management systems (MS). Findings. It is proposed to determine the level of safety culture of an organisation on the basis of five stages: indifference, reaction, dependence, independence, interdependence, which characterises a change in the awareness of employees of the organization to fulfil the requirements for OHS of employees. A process for determining the level of safety culture is proposed by identifying the attitude to the fulfilment of OHS requirements by an OHS specialist, a manager of a unit (organisation), employees’ self awareness and mutual assistance of employees to fulfil OHS requirements. The coefficient of fulfilment of the requirements for OHS of employees in a conditional unit was calculated, which allows determining the stage of development of safety culture and the contribution of each employee to the development of safety culture. A distribution of preventive measures to improve OHS level, based on the level of development of safety culture, is proposed. Originality. The relationship is identified between the coefficient of compliance with occupational safety requirements and employee health and the stages of development of safety culture, taking into account the impact on employee compliance from managers of a units, OHS specialists, selfawareness and mutual assistance through weighting coefficients. Practical value. Recommendations are developed to increase the effectiveness of OHS MS by strengthening the implementation of OHS requirements by changing their attitude to OHS issues, by introducing preventive measures in accordance with the development of safety culture. [ABSTRACT FROM AUTHOR]

Background. Firefighter safety is a top priority in wildland fire response and management. Existing explanations emphasise how land management agency initiatives to change organisational culture, usually inspired by fatality incidents, contribute to changes both in formal safety policies and informal safety practices. Aims. This paper identifies external factors that lead to changes in wildland firefighter safety policies and practices. Methods. This paper uses qualitative data from a long-term ethnographic research project. Data include detailed fieldnotes, semi-structured interviews, and agency documents, which were systematically coded and thematically analysed. Key results. In addition to the triggering effects of fatality incidents and agency initiatives to change organisational culture, external factors also directly impact the development of firefighter safety policies and practices. These include socio-demographic, material, political, and social-environmental factors. Conclusions. Identifying and understanding the influence of multi-scalar external factors on firefighter safety is essential to improving safety outcomes and reducing firefighters' exposure to hazards. Implications. Attention to and recognition of external factors is valuable for fire managers and practitioners, whose work is influenced and constrained by meso- and macro-level factors. The framework presented in this paper would be useful in understanding other important aspects of wildland fire management. [ABSTRACT FROM AUTHOR]

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Over the past decade, internal crisis communication (ICC) has experienced significant advancements and transformations due to various factors, including technological developments, changing communication landscapes, and the increasing need for effective crisis management within organizations. Crises have impacted organizations differently worldwide, placing management under tremendous pressure to communicate their decisions to employees and provide encouraging messages amidst the uncertainty. Based on prior theoretical and empirical research, this paper explores the cause-and-effect relationships between the antecedents of internal crisis communication and their consequences from a managerial perspective in the workplace. This research proposes a new conceptual framework that integrates multiple key factors in internal crisis communication, offering a comprehensive approach to studying the interplay between antecedents and consequences. The framework specifically examines how three antecedents--safety culture, work engagement, and leadership effectiveness--influence and interact with two consequences: perceived organizational performance and employee commitment. By synthesizing these diverse elements into a cohesive model, this framework contributes to the literature on internal crisis communication in several ways. First, it enables the examination of both direct and indirect relationships between antecedents and consequences, potentially revealing new insights into the complexities of crisis communication dynamics. Second, it provides a structured approach for future empirical studies to test and validate these relationships in various organizational contexts. Lastly, it offers a research agenda to advance the study of internal crisis communication, aiding both academics and practicing managers in developing strategies to mitigate uncertainty during crises. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Data Sources Methods Results Conclusions Implications for Nursing Education and Management Reporting Method Patient or Public Contribution To examine and synthesise the current literature to gain insights into nursing students' experiences, their perceived learning effectiveness of patient safety and its influencing factors.Integrative review.CINAHL, Medline, Scopus, and Embase databases from January 2011 to October 2023.Of the 5940 papers initially retrieved, 33 were included after title, abstract, and full‐text screening. No papers were omitted through quality appraisal.Despite nursing students' generally positive attitude towards patient safety, their idealistic view did not translate into actual actions of upholding patient safety due to various factors. Moreover, their experiences and perceived effectiveness of learning patient safety were influenced by factors such as organisational safety culture and pedagogical contexts. Thematic analysis revealed four themes: ‘perception, attitudes, and evaluation towards patient safety’; ‘supportive organizational culture as impetus to promote patient safety’; ‘perceived confidence, knowledge, and competence toward patient safety’; and ‘educational contexts and pedagogies to promote learning of patient safety’.There is an inadequate focus on patient safety in clinical education compared to classroom education. Given that the clinical setting serves as an authentic learning environment of patient safety, nursing faculties play a crucial role in reforming existing nursing curricula to integrate patient safety education in both settings to ensure continuity of learning. Clinical nursing leaders should also proactively review and reform organisational culture and practices to enable nursing students' acquisition and internalisation of patient safety learning.This review highlighted the need for further collaboration between nursing faculties and healthcare institutions to advocate an environment conducive to nursing students' effective learning of patient safety.Reporting adheres to the Reporting items for systematic review and meta‐analyses (PRISMA) 2020 guidelines.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Copyright of Itobiad: Journal of the Human & Social Science Researches / İnsan ve Toplum Bilimleri Araştırmaları Dergisi is the property of Itobiad: Journal of the Human & Social Science Researches and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Patient safety incidents are unavoidable and nurses, as parties involved, become second victims due to the incident itself and the way it is handled. In China, reconstructing the course of events is a crucial step in the aftermath of the incident; however, its impact on the emotional well-being of the second victim remains unclear. Purpose: The purpose of this study is to gain insight into the psychological experiences and current conditions of nurses who act as second victims during the process of reconstructing the sequence of events. Additionally, the study aims to provide justifications for supporting these individuals. Methods: An exploratory mixed research method was adopted to understand the emotional experience of the second victim when reconstructing the passage of the incident through qualitative research. Fourteen nurses with experience as second victims were selected for semi-structured interviews using purposive sampling according to the maximum difference sampling strategy. Through quantitative research, we explored the negative psychology and support needs of the second victims when they reverted to the incident, and a self-developed questionnaire (the Cronbach's alpha coefficient was 0.895) was used to survey 3,394 nurses with experiences as second victims in 11 tertiary hospitals in Shanxi Province. Results: In the qualitative part of the study, the emotional experience of the second victim's reconstruction of the course of events after a patient safety incident could be categorized into 3 themes: negative views as initial psychological impact, avoidance as part of psychological impact, and expectations and growth in overcoming negative psychological impact. The quantitative part of the study revealed that the emotions of guilt and self-blame accounted for the highest percentage after a patient safety incident. The second victim presented a high score of 39.58 ± 5.45 for support requirements. Conclusion: This study provides a better understanding of the true emotional experiences and the need for support of the second victim in the process of reconstructing the course of events. Following a patient safety incident, nursing administrators and healthcare institutions should consider the adverse psychological effects on the second victim, prioritize their support needs during the incident's reconstruction, create a positive safety culture, and reduce the risk of secondary victimization for these individuals. [ABSTRACT FROM AUTHOR]