Affiliations: [a] Columbia University, School of Nursing, New York, NY, USA | [b] Hackensack-Meridian Health, New York, NY, USA | [c] Columbia University Medical Center, New York, NY, USA
Corresponding author: Amanda J. Hessels, Columbia University, School of Nursing, 630 West 168th Street, New York, NY 10032, USA. Tel.: +1 212 305 3791/+1 732 481 8571; Fax: +1 212 305 6937; E-mail: [email protected]
Abstract: PURPOSE:The purpose of this study was to test the reliability, feasibility and utility of a modified patient safety survey for use in pediatric long term care (pLTC) settings and describe patient safety culture in a sample of providers from pLTC facilities. METHODS:A survey was adapted from the Agency for Healthcare Research and Quality Nursing Home Survey on Patient Safety Culture (PSC-pLTC) and administered to a convenience sample of providers who work in pLTC during an educational workshop in November 2015. RESULTS:Forty-nine respondents from 32 facilities across all 4 U.S. census regions completed the survey. The adapted survey demonstrated excellent face validity, usability, feasibility and internal consistency reliability (Cronbach alpha = 0.94). Highest ratings were given to overall perceptions of safety, feedback and incident communication, supervisors’ expectations and actions and management support. Lower ratings were given to dimensions of teamwork, communication, handoffs and transitions, with the lowest ratings given to staffing and organizational learning. Ratings were associated with population and geographic region served. CONCLUSION:This survey to measure patient safety culture adapted for pLTC demonstrated components of reliability and validity, was useable and group discussants were eager for such a measure.
Keywords: Safety culture, long-term care, pediatrics, patient safety, children with medical complexity, measurement, organizational learning