PMID- 29176495
OWN - NLM
STAT- MEDLINE
DCOM- 20210611
LR  - 20210611
IS  - 1550-5030 (Electronic)
IS  - 0361-6274 (Linking)
VI  - 45
IP  - 1
DP  - 2020 Jan/Mar
TI  - Soft Factors, Smooth Transport? The role of safety climate and team processes in 
      reducing adverse events during intrahospital transport in intensive care.
PG  - 32-40
LID - 10.1097/HMR.0000000000000188 [doi]
AB  - BACKGROUND: Intrahospital patient transports (IHTs) in intensive care involve an 
      appreciable risk of adverse events (AEs). Research on determinants of AE 
      occurrence during IHT has hitherto focused on patient, transport, and intensive 
      care unit (ICU) characteristics. By contrast, the role of "soft" factors, 
      although arguably relevant for IHTs and a topic of interest in general health 
      care settings, has not yet been explored. PURPOSE: The study aims at examining 
      the effect of safety climate and team processes on the occurrence of AE during 
      IHT and whether team processes mediate the effect of safety climate. 
      METHODOLOGY/APPROACH: Data stem from a noninterventional, observational 
      multicenter study in 33 ICUs (from 12 European countries), with 858 transports 
      overall recorded during 28 days. AEs include medication errors, dislodgments, 
      equipment failures, and delays. Safety climate scales were taken from the 
      "Patient Safety Climate in Healthcare Organizations" (short version), team 
      processes scales from the "Leiden Operating Theatre and Intensive Care Safety" 
      questionnaire. Patient condition was assessed with NEMS (Nine Equivalents of 
      Nursing Manpower Use Score). All other variables could be directly observed. 
      Hypothesis testing and assessment of effects rely on bivariate correlations and 
      binomial logistic multilevel models (with ICU as random effect). FINDINGS: Both 
      safety climate and team processes are comparatively important determinants of AE 
      occurrence, also when controlling for transport-, staff-, and ICU-related 
      variables. Team processes partially mediate the effect of safety climate. Patient 
      condition and transport duration are consistently related with AE occurrence, 
      too. PRACTICE IMPLICATIONS: Unlike most patient, transport, and ICU 
      characteristics, safety climate and team processes are basically amenable to 
      managerial interventions. Coupled with their considerable effect on AE 
      occurrence, this makes pertinent endeavors a potentially promising approach for 
      improving patient safety during IHT. Although literature suggests that safety 
      climate is slow and hard to change (also compared to team processes), efforts to 
      improve safety climate should not be forgone.
FAU - Latzke, Markus
AU  - Latzke M
AD  - Markus Latzke, PhD, is Assistant Professor, Interdisciplinary Institute for 
      Management and Organisational Behaviour, Vienna University of Economics and 
      Business, Austria. E-mail: markus.latzke@wu.ac.at. Michael Schiffinger, PhD, is 
      Senior Scientist, Interdisciplinary Institute for Management and Organisational 
      Behaviour and Competence Center for Empirical Research Methods, Vienna University 
      of Economics and Business, Austria. Dominik Zellhofer, MSc, is Teaching and 
      Research Associate, Interdisciplinary Institute for Management and Organisational 
      Behaviour, Vienna University of Economics and Business, Austria. Johannes 
      Steyrer, PhD, is Associate Professor, Interdisciplinary Institute for Management 
      and Organisational Behaviour, Vienna University of Economics and Business, 
      Austria.
FAU - Schiffinger, Michael
AU  - Schiffinger M
FAU - Zellhofer, Dominik
AU  - Zellhofer D
FAU - Steyrer, Johannes
AU  - Steyrer J
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PL  - United States
TA  - Health Care Manage Rev
JT  - Health care management review
JID - 7611530
SB  - IM
MH  - Adult
MH  - Equipment Failure/statistics & numerical data
MH  - Humans
MH  - Intensive Care Units/*statistics & numerical data
MH  - Medication Errors/statistics & numerical data
MH  - *Organizational Culture
MH  - *Patient Safety
MH  - *Patient Transfer
MH  - *Safety Management
EDAT- 2017/11/28 06:00
MHDA- 2021/06/12 06:00
CRDT- 2017/11/28 06:00
PHST- 2017/11/28 06:00 [pubmed]
PHST- 2021/06/12 06:00 [medline]
PHST- 2017/11/28 06:00 [entrez]
AID - 10.1097/HMR.0000000000000188 [doi]
PST - ppublish
SO  - Health Care Manage Rev. 2020 Jan/Mar;45(1):32-40. doi: 
      10.1097/HMR.0000000000000188.