Publication Date
2020
Document Type
Dissertation/Thesis
First Advisor
Chen, Jie
Second Advisor
Daniel, Manju
Degree Name
Ph.D. (Doctor of Philosophy)
Legacy Department
School of Health Studies
Abstract
Background: This study examined the association between patient safety culture and adverse event reporting in hospitals across the United States. Despite the known benefits of reporting, underreporting remains a pervasive problem. This study’s aims were to examine the associations between cultural dimensions and reporting, in terms of staff group, work area, and 2-year trends across hospitals.
Methods: This was a secondary analysis of national data from the 2018 Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPSC), which included 630 hospitals and 382,834 respondents. Logistic regression, generalized linear mixed model, and multiple linear regression analyses were conducted to examine the relationship between the 11 culture dimensions and reporting outcomes (number of events reported and frequency of events reported).
Results: There were variations in the associations between the culture dimensions and the frequency of events reported across staff groups and work areas. The culture dimensions of feedback and overall perceptions of patient safety demonstrated the strongest associations with the frequency of events reported across the majority of staff groups and work areas. The number of events reported variable did not demonstrate impressive odds ratios in the analyses of staff groups or work areas. A 2-year trend analysis (2016-2018) demonstrated that the number of events reported variable was positively and significantly associated with organizational learning, staffing, and nonpunitive response to errors and that the frequency of events reported was positively and significantly associated with the culture dimension of feedback.
Conclusion: The culture dimension of feedback has the greatest positive association with reporting outcomes. Future research should evaluate objective measures of event reporting, and prospective interventional studies are needed to establish causality and the direction of the association between culture dimensions and reporting outcomes.
Recommended Citation
Samuel, Sara R., "A National Study of Patient Safety Culture and Event Reporting – An individual-Level Analysis Stratified By Staff Group and Work Area and A Hospital-Level Trend Analysis" (2020). Graduate Research Theses & Dissertations. 7624.
https://huskiecommons.lib.niu.edu/allgraduate-thesesdissertations/7624
Extent
204 pages
Language
eng
Publisher
Northern Illinois University
Rights Statement
In Copyright
Rights Statement 2
NIU theses are protected by copyright. They may be viewed from Huskie Commons for any purpose, but reproduction or distribution in any format is prohibited without the written permission of the authors.
Media Type
Text
