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Perceptions of Culture of Safety in Hemodialysis Centers

Nephrol Nurs J. 2016 Mar-Apr;43(2):119-26, 182; quiz 127.

Abstract

Staff members, physicians, nurse practitioners, and physician assistants from a sample of hemodialysis facilities in Network 6 (North Carolina, South Carolina, and Georgia) and Network 11 (Michigan, Minnesota, North Dakota, South Dakota, and Wisconsin) completed a 10-item assessment with modified questions from the Hospital Survey on Patient Safety Culture, with an emphasis on safety culture related to vascular access infections. A composite score was constructed, which was the average of the percent-positive scores of the items. Overall, scores were high, indicating a positive patient safety culture. Composite scores varied by role type, with nurses, patient care technicians, and other technicians reporting the lowest composite scores. Network 6 participants reported higher scores on two of the survey items. Fewer staff within a facility were associated with higher composite scores.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Kidney Injury / therapy*
  • Adult
  • Attitude of Health Personnel*
  • Catheter-Related Infections / prevention & control*
  • Education, Nursing, Continuing
  • Female
  • Health Personnel / education
  • Health Personnel / psychology*
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Nephrology Nursing / organization & administration
  • Organizational Culture*
  • Patient Safety*
  • Renal Dialysis
  • United States
  • Vascular Access Devices / standards*
  • Workplace / psychology