IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i19p7034-d419912.html
   My bibliography  Save this article

What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust

Author

Listed:
  • Max Denning

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK
    Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK)

  • Ee Teng Goh

    (Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK)

  • Alasdair Scott

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Guy Martin

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Sheraz Markar

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Kelsey Flott

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Sam Mason

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Jan Przybylowicz

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Melanie Almonte

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK
    Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK)

  • Jonathan Clarke

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK
    Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK)

  • Jasmine Winter Beatty

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Swathikan Chidambaram

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Seema Yalamanchili

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Benjamin Yong-Qiang Tan

    (Department of Medicine, National University Health System, Singapore 119228, Singapore)

  • Abhiram Kanneganti

    (Department of Medicine, National University Health System, Singapore 119228, Singapore)

  • Viknesh Sounderajah

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

  • Mary Wells

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK
    Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK)

  • Sanjay Purkayastha

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK
    Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK)

  • James Kinross

    (Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK)

Abstract

Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) was used to investigate safety culture at a large UK healthcare trust during Covid-19. Findings were compared with baseline data from 2017. Incident reporting from the year preceding the pandemic was also examined. SAQ scores of doctors and “other clinical staff”, were relatively higher than the nursing group. During Covid-19, on univariate regression analysis, female gender, age 40–49 years, non-White ethnicity, and nursing job role were all associated with lower SAQ scores. Training and support for redeployment were associated with higher SAQ scores. On multivariate analysis, non-disclosed gender (−0.13), non-disclosed ethnicity (−0.11), nursing role (−0.15), and support (0.29) persisted to a level of significance. A significant decrease ( p < 0.003) was seen in error reporting after the onset of the Covid-19 pandemic. This is the first study to investigate SAQ during Covid-19. Differences in SAQ scores were observed during Covid-19 between professional groups when compared to baseline. Reductions in incident reporting were also seen. These changes may reflect perception of risk, changes in volume or nature of work. High-quality support for redeployed staff may be associated with improved safety perception during future pandemics.

Suggested Citation

  • Max Denning & Ee Teng Goh & Alasdair Scott & Guy Martin & Sheraz Markar & Kelsey Flott & Sam Mason & Jan Przybylowicz & Melanie Almonte & Jonathan Clarke & Jasmine Winter Beatty & Swathikan Chidambara, 2020. "What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust," IJERPH, MDPI, vol. 17(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7034-:d:419912
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/19/7034/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/19/7034/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Eitan Naveh & Tal Katz-Navon & Zvi Stern, 2005. "Treatment Errors in Healthcare: A Safety Climate Approach," Management Science, INFORMS, vol. 51(6), pages 948-960, June.
    2. Evi Ningrum & Sue Evans & Sze-Ee Soh, 2019. "Validation of the Indonesian version of the Safety Attitudes Questionnaire: A Rasch analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-11, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Melanie Lenger & Alexander Maget & Nina Dalkner & Jorgos N. Lang & Frederike T. Fellendorf & Michaela Ratzenhofer & Elena Schönthaler & Eva Fleischmann & Armin Birner & Susanne A. Bengesser & Robert Q, 2023. "Feeling Informed and Safe Are Important Factors in the Psychosomatic Health of Frontline Workers in the Health Sector during the COVID-19 Pandemic in Austria," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    2. Luo Lu & Yi-Ming Ko & Hsing-Yu Chen & Jui-Wen Chueh & Po-Ying Chen & Cary L. Cooper, 2022. "Patient Safety and Staff Well-Being: Organizational Culture as a Resource," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    3. Hsing Yu Chen & Luo Lu & Yi Ming Ko & Jui Wen Chueh & Shu Ya Hsiao & Pa Chun Wang & Cary L. Cooper, 2021. "Post-Pandemic Patient Safety Culture: A Case from a Large Metropolitan Hospital Group in Taiwan," IJERPH, MDPI, vol. 18(9), pages 1-18, April.
    4. Ognjen Brborović & Hana Brborović & Leonarda Hrain, 2022. "The COVID-19 Pandemic Crisis and Patient Safety Culture: A Mixed-Method Study," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    5. Qifei Wang & Yihan Zhao & Jian Wang & Haolin Liu & Hui Zhang, 2023. "Research on the Characteristics of Safety Culture and Obstacle Factors among Residents under the Influence of COVID-19 in China," IJERPH, MDPI, vol. 20(3), pages 1-17, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yu Tong & Sharon Swee-Lin Tan & Hock-Hai Teo, 2015. "The Road to Early Success: Impact of System Use in the Swift Response Phase," Information Systems Research, INFORMS, vol. 26(2), pages 418-436, June.
    2. Maureen L. Ambrose & Darryl B. Rice & David M. Mayer, 2021. "Justice Climate and Workgroup Outcomes: The Role of Coworker Fair Behavior and Workgroup Structure," Journal of Business Ethics, Springer, vol. 172(1), pages 79-99, August.
    3. Huakang Liang & Ken-Yu Lin & Shoujian Zhang, 2018. "Understanding the Social Contagion Effect of Safety Violations within a Construction Crew: A Hybrid Approach Using System Dynamics and Agent-Based Modeling," IJERPH, MDPI, vol. 15(12), pages 1-27, November.
    4. Paul S. Adler & Seok-Woo Kwon, 2013. "The Mutation of Professionalism as a Contested Diffusion Process: Clinical Guidelines as Carriers of Institutional Change in Medicine," Journal of Management Studies, Wiley Blackwell, vol. 50(5), pages 930-962, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7034-:d:419912. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.