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  • 1
    Online-Ressource
    Online-Ressource
    Applying the Global Trigger Tool in German Hospitals: A Pilot in Surgery and Neurosurgery
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Journal of Patient Safety Vol. 16, No. 4 ( 2020-12), p. e340-e351
    Details
    In: Journal of Patient Safety, Ovid Technologies (Wolters Kluwer Health), Vol. 16, No. 4 ( 2020-12), p. e340-e351
    Kurzfassung: The aim of the study was to assess the feasibility and potential of the Global Trigger Tool (GTT) for identifying adverse events (AEs) in different specialties in German hospitals. Methods A total of 120 patient records were randomly selected from two surgical and one neurosurgery departments of three university hospitals in Germany for a period of 2 months per department between January and July 2017. The records were reviewed using an adaptation of the German version of the Institute for Healthcare Improvement GTT. Results Thirty-nine records (32.5%) contained at least one AE. A total of 53 AEs were found in these 39 records. The incidences of AEs were 18.9% and 35.9% in the two surgical departments and 45.3% in neurosurgery. This corresponded to AE rates of 25.5 to 72.1 per 1000 patient-days and from 25.0 to 60.0 per 100 admissions across the three departments. A total of 71.7% of all identified AEs resulted in temporary harm (category E), 26.4% in temporary harm, requiring prolonged hospitalization (category F), and 1.9% in permanent patient harm. We also identified practical challenges, such as the necessary adaptation of the GTT relative to the respective department. Conclusions The application of the GTT is feasible and represents an effective instrument for quality measurement when adapted to the departmental specifics. The trigger detection with the GTT is a valuable addition for proactive analyses of high-risk processes.
    Materialart: Online-Ressource
    ISSN: 1549-8425 , 1549-8417
    URL: Article
    DOI: 10.1097/PTS.0000000000000576
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2020
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 2
    Online-Ressource
    Online-Ressource
    Evaluation of psychometric properties of the German Hospital Survey on Patient Safety Culture and its potential for cross-cultural comparisons: a cross-sectional study
    BMJ ; 2017
    In:  BMJ Open Vol. 7, No. 11 ( 2017-11), p. e018366-
    Details
    In: BMJ Open, BMJ, Vol. 7, No. 11 ( 2017-11), p. e018366-
    Kurzfassung: To study the psychometric characteristics of German version of the Hospital Survey on Patient Safety Culture and to compare its dimensionality to other language versions in order to understand the instrument’s potential for cross-national studies. Design Cross-sectional multicentre study to establish psychometric properties of German version of the survey instrument. Setting 73 units from 37 departments of two German university hospitals. Participants Clinical personnel (n=995 responses, response rate 39.6%). Primary and secondary outcome measures Psychometric properties (eg, model fit, internal consistency, construct validity) of the instrument and comparison of dimensionality across different language translations. Results The instrument demonstrated acceptable to good internal consistency (Cronbach’s alpha 0.64–0.88). Confirmatory factor analysis of the original 12-factor model resulted in marginally satisfactory model fit (root mean square error of approximation (RMSEA)=0.05; standardised root mean residual (SRMR)=0.05; comparative fit index (CFI)=0.90; goodness of fit index (GFI)=0.88; Tucker-Lewis Index (TLI)=0.88). Exploratory factor analysis resulted in an alternative eight-factor model with good model fit (RMSEA=0.05; SRMR=0.05; CFI=0.95; GFI=0.91; TLI=0.94) and good internal consistency (Cronbach’s alpha 0.73–0.87) and construct validity. Analysis of the dimensionality compared with models from 10 other language versions revealed eight dimensions with relatively stable composition and appearance across different versions and four dimensions requiring further improvement. Conclusions The German version of Hospital Survey on Patient Safety Culture demonstrated satisfactory psychometric properties for use in German hospitals. However, our comparison of instrument dimensionality across different language versions indicates limitations concerning cross-national studies. Results of this study can be considered in interpreting findings across national contexts, in further refinement of the instrument for cross-national studies and in better understanding the various facets and dimensions of patient safety culture.
    Materialart: Online-Ressource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    URL: Article
    DOI: 10.1136/bmjopen-2017-018366
    DOI: 10.1136/bmjopen-2017-018366.supp1
    Sprache: Englisch
    Verlag: BMJ
    Publikationsdatum: 2017
    ZDB Id: 2599832-8
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 3
    Online-Ressource
    Online-Ressource
    You can’t improve what you don’t measure: Safety climate measures available in the German-speaking countries to support safety culture development in healthcare
    Elsevier BV ; 2016
    In:  Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen Vol. 114 ( 2016), p. 58-71
    Details
    In: Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, Elsevier BV, Vol. 114 ( 2016), p. 58-71
    Materialart: Online-Ressource
    ISSN: 1865-9217
    URL: Article
    DOI: 10.1016/j.zefq.2016.07.003
    RVK:
    XC 1600
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2016
    ZDB Id: 2413601-3
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 4
    Online-Ressource
    Online-Ressource
    Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
    Public Library of Science (PLoS) ; 2022
    In:  PLOS ONE Vol. 17, No. 8 ( 2022-8-16), p. e0272853-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 8 ( 2022-8-16), p. e0272853-
    Kurzfassung: The Global Trigger Tool (GTT) has become a worldwide used method for estimating adverse events through a retrospective patient record review. However, little is known about the facilitators and the challenges in the GTT-implementation process. Thus, this study followed two aims: First, to apply a comprehensive set of feasibility criteria to qualitatively and systematically assess the GTT-implementation process in three departments of German university hospitals. Second, to identify the facilitators and the obstacles met in the GTT-implementation process and to derive recommendations for supporting other hospitals in implementing the GTT in clinical practice. Methods The study used a qualitative documentary method based on process documentation, with written and verbal feedback from the reviewer, as well as evaluating the study sites during the implementation process. The study was conducted in three departments, each in a different German university hospital. The authors applied a comprehensive set of 22 feasibility criteria assessing the level of challenge in GTT implementation. The results were synthesized and they focused on the facilitators and the challenges. Results Of these 22 feasibility criteria, nine were assessed as a low-level challenge, eleven regarded as a moderate-level challenge, and two with a problematic level of challenge. In particular, the lack of time and staff resources, the quality of the information in the patient records, organizational procedures, and local issues, posed major challenges in the implementation process. By contrast, the use of local coordinators and an external expert made important contributions to the GTT implementation. Conclusions Considering the facilitators and the obstacles beforehand may help with the implementation of the GTT in routine practice. In particular, early and effective planning can reduce or prevent critical challenges in terms of time, staff resources, and organizational aspects.
    Materialart: Online-Ressource
    ISSN: 1932-6203
    URL: Article
    URL: Article
    URL: Article
    URL: Article
    URL: Article
    DOI: 10.1371/journal.pone.0272853
    DOI: 10.1371/journal.pone.0272853.t001
    DOI: 10.1371/journal.pone.0272853.t002
    DOI: 10.1371/journal.pone.0272853.t003
    DOI: 10.1371/journal.pone.0272853.t004
    Sprache: Englisch
    Verlag: Public Library of Science (PLoS)
    Publikationsdatum: 2022
    ZDB Id: 2267670-3
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
  • 5
    Online-Ressource
    Online-Ressource
    Influence of Gender, Profession, and Managerial Function on Clinicians’ Perceptions of Patient Safety Culture: A Cross-National Cross-Sectional Study
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Journal of Patient Safety Vol. 17, No. 4 ( 2021-6), p. e280-e287
    Details
    In: Journal of Patient Safety, Ovid Technologies (Wolters Kluwer Health), Vol. 17, No. 4 ( 2021-6), p. e280-e287
    Kurzfassung: In recent years, several instruments for measuring patient safety culture (PSC) have been developed and implemented. Correct interpretation of survey findings is crucial for understanding PSC locally, for comparisons across settings or time, as well as for planning effective interventions. We aimed to evaluate the influence of gender, profession, and managerial function on perceptions of PSC and on the interplay between various dimensions and perceptions of PSC. Methods We used German and Swiss survey data of frontline physicians and nurses (n = 1786). Data analysis was performed for the two samples separately using multivariate analysis of variance, comparisons of adjusted means, and series of multiple regressions. Results Participants’ profession and managerial function had significant direct effect on perceptions of PSC. Although there was no significant direct effect of gender for most of the PSC dimensions, it had an indirect effect on PSC dimensions through statistically significant direct effects on profession and managerial function. We identified similarities and differences across participant groups concerning the impact of various PSC dimensions on Overall Perception of Patient Safety . Staffing and Organizational Learning had positive influence in most groups without managerial function, whereas Teamwork Within Unit , Feedback & Communication About Error , and Communication Openness had no significant effect. For female participants without managerial functions, Management Support for Patient Safety had a significant positive effect. Conclusions Participant characteristics have significant effects on perceptions of PSC and thus should be accounted for in reporting, interpreting, and comparing results from different samples.
    Materialart: Online-Ressource
    ISSN: 1549-8425 , 1549-8417
    URL: Article
    DOI: 10.1097/PTS.0000000000000585
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2021
    Standort Signatur Einschränkungen Verfügbarkeit
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    Online-Ressource
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