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THE IMPACT OF WORK UNIT AND ORGANIZATION SUPPORT ON HOSPITAL PATIENT SAFETY
Kemper, Carol Ann
Kemper, Carol Ann
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Abstract
Based on the construct of a culture of safety, the study purpose was to discern the relationships between Organization Support (OS) and Work Unit Support (WS)
on Hospital Patient Safety. OS and WS were operationalized using the National
Database for Nursing Quality Indicators® (NDNQI®) RN Survey with Job
Satisfaction Scales. Patient Safety was operationalized using four Agency for
Healthcare Research and Quality (AHRQ) Patient Safety Indicators: Decubitus
Ulcer, Selected Infections due to Medical Care, Failure to Rescue (FTR), and Deep
Vein Thrombosis. A structural equation model was developed with adequate fit
indices (χ2 = 40.811, df= 27, p= 0.234; CFI= 0.930; RMSEA= 0.065; SRMR=
0.074). Unexpectedly, increased OS was associated significantly (p= .030) with
increase Patient Safety events. A promising, though non-significant finding, was
increased WS and OS were associated with decreased FTR rates. Teamwork, a
component of WS was associated with decreased rates of FTR and Patient Safety
events.
Description
Date
2009-01-27
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University of Kansas
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Keywords
Health sciences, Nursing, Health care management, Ahrq patient safety indicators, Culture of safety, High reliability, Ndnqi®