"mapping The Journey-a Family Support Work Flow Tool To Assist Coordinators Determine The Right Support At The Right Time For The Right Reasons."

Title

"mapping The Journey-a Family Support Work Flow Tool To Assist Coordinators Determine The Right Support At The Right Time For The Right Reasons."

Creator

Rachel Landgren; Zeinab Alawadi; Caryn Douma; Eric J Thomas; Jason Etchegaray

Identifier

doi: 10.1542/hpeds.2016-0042

Publisher

Hospital Pediatrics

Date

2016

Description

BACKGROUND AND OBJECTIVES: Medical errors are a leading cause of death in the United States. Effective communication and speaking up are crucial factors in patient safety initiatives. We examined the reasons reported by pediatric residents for not speaking up about safety events when they are observed in practice. We also tested a priori hypotheses of associations between categories of barriers to speaking up with perceptions of safety and teamwork culture.

METHODS: Pediatric residents completed an anonymous electronic survey measuring safety and teamwork culture along with an open-ended question asking them to list the top 3 barriers to speaking up about patient safety concerns. Researchers independently coded the open-ended responses to identify themes, which were then categorized into a published framework. Data were collected in 2013 (response rate = 46%) and 2014 (response rate = 62%).

RESULTS: The most common reported barriers to speaking up were as follows: perceived personal safety of speaking up (consequences, intimidation, and hierarchy concerns), individual barriers (communication skills and confidence), perceived efficacy of speaking up (feeling powerless), and contextual factors (high workload). Residents who reported barriers relating to efficacy of speaking up reported lower safety culture scores in 2013 and 2014. Residents who reported barriers related to safety reported lower teamwork culture scores in 2013.

CONCLUSIONS: Pediatric residents reported individual barriers, personal safety concerns, lack of efficacy, and contextual factors as reasons to not speak up about patient safety. Concerns about the safety of speaking up and the efficacy of speaking up were correlated with teamwork and safety culture, respectively.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

November 2016 List

Citation

Rachel Landgren; Zeinab Alawadi; Caryn Douma; Eric J Thomas; Jason Etchegaray, “"mapping The Journey-a Family Support Work Flow Tool To Assist Coordinators Determine The Right Support At The Right Time For The Right Reasons.",” Pediatric Palliative Care Library, accessed September 18, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10624.

Social Bookmarking