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What do surgical trainees think about patient safety culture, and is this different from their consultants?
Abstract
Introduction Little is
known about the patient safety culture within surgical departments in
UK hospitals. What has been done to date
is to survey only permanent senior staff opinion
of the safety culture in their institution. This study surveyed both
consultant
and trainee views on perceived patient safety
and compared the results between these two groups.
Material and methods
The previously validated Team Work and Safety Climate Questionnaire was
configured in Survey Monkey format and sent to all
surgical trainees and consultant surgeons in the
South West Strategic Health Authority. Two reminders were sent to
achieve
as high a return rate as possible.
Results Two hundred
and ninety-six replies were received. Forty-four percent of trainees and
30% of consultants responded to the
survey. Consultants consistently rated a higher
safety culture than surgical trainees. Only 2.9% of trainees believe
their
patient safety concerns would be acted upon by
hospital management. There is notable variation in perceived patient
safety
culture between hospitals.
Conclusion This study
has suggested that the patient safety culture in hospitals, within a
Strategic Health Authority, is variable and
sub-optimal when viewed by surgical trainees and
their consultants. This study also provides some evidence that the
perception
of patient safety in an organization varies
according to clinical experience. As trainees deliver a great deal of
clinical
care, surveys of safety culture should include
this group. As perceived patient safety culture is correlated to
clinical outcomes,
validated safety surveys might form part of the
assessment of a hospital's performance, along with outcome and patient
satisfaction.
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