Universität zu Köln

Kristensen, Solvejg, Hammer, Antje, Bartels, Paul, Sunol, Rosa, Groene, Oliver, Thompson, Caroline A., Arah, Onyebuchi A., Kutaj-Wasikowska, Halina, Michel, Philippe and Wagner, Cordula (2015). Quality management and perceptions of teamwork and safety climate in European hospitals. Int. J. Qual. Health Care, 27 (6). S. 499 - 507. OXFORD: OXFORD UNIV PRESS. ISSN 1464-3677

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Abstract

Objective: This study aimed to investigate the associations of quality management systems with teamwork and safety climate, and to describe and compare differences in perceptions of teamwork climate and safety climate among clinical leaders and frontline clinicians. Method: We used a multi-method, cross-sectional approach to collect survey data of quality management systems and perceived teamwork and safety climate. Our data analyses included descriptive and multilevel regression methods. Setting and Participants: Data on implementation of quality management system from seven European countries were evaluated including patient safety culture surveys from 3622 clinical leaders and 4903 frontline clinicians. Main Outcome Measures: Perceived teamwork and safety climate. Results: Teamwork climate was reported as positive by 67% of clinical leaders and 43% of frontline clinicians. Safety climate was perceived as positive by 54% of clinical leaders and 32% of frontline clinicians. We found positive associations between implementation of quality management systems and teamwork and safety climate. Conclusions: Our findings, which should be placed in a broader clinical quality improvement context, point to the importance of quality management systems as a supportive structural feature for promoting teamwork and safety climate. To gain a deeper understanding of this association, further qualitative and quantitative studies using longitudinally collected data are recommended. The study also confirms that more clinical leaders than frontline clinicians have a positive perception of teamwork and safety climate. Such differences should be accounted for in daily clinical practice and when tailoring initiatives to improve teamwork and safety climate.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kristensen, Solvejg UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammer, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Bartels, Paul UNSPECIFIED UNSPECIFIED UNSPECIFIED Sunol, Rosa UNSPECIFIED UNSPECIFIED UNSPECIFIED Groene, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Thompson, Caroline A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Arah, Onyebuchi A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kutaj-Wasikowska, Halina UNSPECIFIED UNSPECIFIED UNSPECIFIED Michel, Philippe UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Cordula UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-384759
DOI:	10.1093/intqhc/mzv079
Journal or Publication Title:	Int. J. Qual. Health Care
Volume:	27
Number:	6
Page Range:	S. 499 - 507
Date:	2015
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1464-3677
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CULTURE; IMPLEMENTATION; ORGANIZATIONS; INITIATIVES; IMPROVEMENT; SYSTEM; STAFF; UNITS; US Multiple languages Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38475