A Safety Program in a Tertiary Care Center Emergency Department: An Evidence-Based Project to Increase Safety Event Reporting and Improve Frontline Staff Perceptions of Hospital Management’s Response to Safety Events
Date of Award
Doctor of Nursing Practice (DNP)
Jennifer Mensik Kennedy, PhD, RN, NEA-BC, FAAN
Deborah Saber, PhD, RN, CCRN-K
Practice Problem: The lack of a non-punitive safety culture with a healthcare organization is associated with decreased safety event reporting, reimbursement rates, and staff satisfaction.
PICOT: The PICOT question that guided this project was: In emergency department frontline staff, does hospital management involvement in a safety event program, contrasted with no safety event program, improve frontline staff’s reporting of safety events and perceptions of hospital management’s response to safety events management involvement over four weeks?
Evidence: Three overlapping themes that guided this project included: improving organizational culture, open communication, and leadership support in promoting patient safety.
Intervention: A safety event program, Safety STOP, was utilized as an evidence-based intervention to improve employee reporting of safety events and perceptions.
Outcome: The intervention did not significantly impact frontline staff perceptions of hospital management’s response to safety events; however, the proportion of safety events reported during the implementation phase was significantly higher than the proportion of safety events reported before the intervention.
Conclusion: Safety STOP had a significant impact on the organization. After initial implementation, Safety STOP was implemented hospital-wide, reduced the total number of sentinel events required to be reported to the state, and reduced the total time from safety event to root cause analysis.
McMaster, E. A. (2021). A Safety Program in a Tertiary Care Center Emergency Department: An Evidence-Based Project to Increase Safety Event Reporting and Improve Frontline Staff Perceptions of Hospital Management’s Response to Safety Events. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.FKMN3659
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