Teamwork across hospital units

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. 

The procedure of psychometric testing varies between the different studies included in this chapter. While many conducted no psychometric tests at all, two studies conducted a confirmatoiy factor analysis (CFA), two performed an exploratory factor analysis (EFA), and 10 studies did both. Despite this difficulty, we found only one study (Piyseley 2008) out of 10 which performed a CFA in order to test the original factor stracture of the HSPSC questionnaire, with several unacceptable thresholds for both absolute and incremental fit indices. With regards to the EFAs, the dimensions Staffing , Communication openness , Organisational learning and Teamwork across hospital units , appeared to be less stable. 

Teamwork across units Hospital units cooperate and coordinate with one another to provide the best care for patients... 

Teamwork across units Mapping and improving transfer processes examination for all hospital units of which information is needed implementation and evaluation of electronic medical records exchanging hospital staff across units if necessary... 

Based on the literature review, key dimensions of hospital patient safety culture were identified and items drafted to measure those dimensions. Items were written to obtain a staff-level perspeetive of the extent to which a hospital organisation s culture supports patient safety and event reporting. In addition, most of the items were foeused on the respondent s own work area or unit beeause unit-level eulture is more salient and relevant and has the most immediate influenee on staff attitudes and behaviors. Sinee eulture varies aeross units, it was important to foeus respondents on their own unit s eulture by asking them to identify and seleet their unit first and then answer the questions in the survey about that unit. However, some patient safety eulture issues cut across units, so the last part of the survey foeused specifically on hospital-wide patient safety eulture, ineluding handoffs and transitions, pereeptions of management support and teamwork aeross units. 

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