Perceptions of safety

Safety evaluation does not cease being an essential element in the success of the pharmaceutical industry once a product is on the market. It is also essential to support marketed products and ensure that their use is not only effective but also safe and unclouded by unfounded perceptions of safety problems. This requires not only that clinical trials be monitored during development (Spector et al., 1988), but also that experience in the marketplace be monitored. 

Huang, D.T., Clermont, G., Sexton, J.B., Karlo, C.A., Miller, R.G., Weissfeld, L.A., Rowan, K.M. and Angus, D.C. 2007. Perceptions of safety culture vary across the intensive care units of a single institution. Critical Care Medicine, 35(1), 165-76. 

Griffin, M.A. and Neal, A. 2006. Perceptions of safety at work A framework for linking safety chmate to safety performance, knowledge, and motivatioa Journal of Occupational Health Psychology, 5, 347-58. 

O Toole, M. 2002. The relationship between employees perceptions of safety and organizational cnltuie. Journal of Safety Research, 33, 231 3. 

Switzerland (Pfeiffer and Manser 2010) Subset of n = 568 Based on 39 of the original items CMlN/df= 2.271 GFI =. 878 NFI =. 859 TLI =. 901 RMSEA =.047 8 out of 12 factors emerged in the EFA based on 39 items Commimication opermess and Feedback and communication about error were combined into one factor the same emerged for Teamwork across hospital units and Hospital handofifr and transitions Organisational leaning and Overall perceptions of safety showed multiple cross-loadings and did not establish one factor each the 8 factors jointly explained 59.8% of the variance in the responses Intercorrelations between. 17 (9 md 11) and. 65 (3 and 6)... 

Notes Safety Culture Dimension 1 Hospital management support for patient safety 2 Supervisor/manager expectations/actions 3 Teamwork across hospital units 4 Teamwork within units 5 Communication openness 6 Hospital handoffs and transitions 7 Nonpunitive response to error 8 Feedback and communication about error 9 Staffing 10 Organizational learning Outcome dimensions 11 Overall perceptions of safety 12 Frequency of event reporting. 

Olsen, E. 2007. [Workers perceptions of safety culture at a hospital]. TidsskrNor Laegeforen, 127(20), 2656-60. 

In the newest report, patient safety culture was included as one of the safe practices that were reviewed for its evidence, both as a practice and in terms of the context sensitivity of the practice and its adoption. In reviewing the evidence on patient safety culture as a practice. Weaver et al. (2013) suggest that developing a culture of safety is a core element of many efforts to improve patient safety and healthcare quality. Their systematic review identified and assessed interventions used to promote safety culture or climate in acute care settings. Based on this review the authors indicate that there is evidence suggesting that interventions can improve perceptions of safety culture and potentially reduce patient harm. 

Thomas et al. (2005) and Frankel et al. (2005) have examined the impact of EWRs on perceptions of safety chmate. While hospitals typically implement EWRs differently, EWRs share some common features - 1) they are led by hospital executives, 2) executives solicit input from frontline staff about improvement opportunities on the unit, 3) executives ask frontline staff about methods to improve unit safety and 4) executive leaders reiterate their focus on improving... 

Benn et al. (2009) Safer Patients Initiative Unclear though the Initiative ran for a total of five years Acute care organisations Compared perceptions of safety climate to 18 performance dimensions Safety climate improvement attributed to Safer Patients Initiative... 

Carney, B.T., West, R, Neily, J., Mills, P.D. and Bagian, J.P. 2011. Changing perceptions of safety climate in the operating room with the Veterans Health Administration medical team training program. American Journal of Medical Quality, 26, 181M. 

Gill, G.K. and Shergill, G.S. 2004. Perceptions of safety management and safety culture in the aviation industry in New Zealand. Journal of Air Transport Management, 10, 231-7. 

Wolosin, R. J., Vercler, L., Matthews, J. L., Am I Safe Here Improving Patients Perceptions of Safety in Hospitals, Journal of Nursing Care Quality, Vol. 21, No. 1,2005, pp. 30-38. 

McElrath K, O Neill C. Experience with mephedrone pre- and post- legislative controls perceptions of safety and source of supply. Int J Drug Policy 2011 22 120-7. 

Enhance the public perception of safety Reduce the need for operator action Maximise system reliability and maintainability Make maximum use of existing technology Reduce the time needed for construction Competitive cost... 

Organizations must develop and maintain healthy process safety communications both vertically and horizontally for business and safety. Natmally effective vertical communications must be bi-directional as managers must listen, absorb the issues as well as speak to the safety issues and perception of safety. An ideal safety culture must include provisions to encourage a secure means for employees to anonymously share their concerns and report nonstandard conditions, which could be weak signals of impending troubles [11]. 

Griffin MA, Neal A (2000) Perceptions of safety at wotIc a framework for linking safety climate to safety performance, knowledge, and motivation. J Occup Health Psychol 5(3) 347-358 Greimas AJ (1987) On meaning selected writings in semiotic theory. University of Minnesota Press, Minneapolis... 

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