Dataset Information

Safety climate, safety climate strength, and length of stay in the NICU.

ABSTRACT:

Background

Safety climate is an important marker of patient safety attitudes within health care units, but the significance of intra-unit variation of safety climate perceptions (safety climate strength) is poorly understood. This study sought to examine the standard safety climate measure (percent positive response (PPR)) and safety climate strength in relation to length of stay (LOS) of very low birth weight (VLBW) infants within California neonatal intensive care units (NICUs).

Methods

Observational study of safety climate from 2073 health care providers in 44 NICUs. Consistent perceptions among a NICU's respondents, i.e., safety climate strength, was determined via intra-unit standard deviation of safety climate scores. The relation between safety climate PPR, safety climate strength, and LOS among VLBW (ResultsNICUs had safety climate PPRs of 66?±?12%, intra-unit standard deviations 11 (strongest) to 23 (weakest), and median LOS 60?days. NICUs with stronger climates had LOS 4?days shorter than those with weaker climates. In interaction modeling, NICUs with weak climates and low PPR had the longest LOS, NICUs with strong climates and low PPR had the shortest LOS, and NICUs with high PPR (both strong and weak) had intermediate LOS. Stronger climates were associated with lower odds of infections, but not with other secondary outcomes.

Conclusions

Safety climate strength is independently associated with LOS and moderates the association between PPR and LOS among VLBW infants. Strength and PPR together provided better prediction than PPR alone, capturing variance in outcomes missed by PPR. Evaluations of NICU safety climate consider both positivity (PPR) and consistency of responses (strength) across individuals.

SUBMITTER: Tawfik DS

PROVIDER: S-EPMC6805564 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Publications

Safety climate, safety climate strength, and length of stay in the NICU.

Tawfik Daniel S DS Thomas Eric J EJ Vogus Timothy J TJ Liu Jessica B JB Sharek Paul J PJ Nisbet Courtney C CC Lee Henry C HC Sexton J Bryan JB Profit Jochen J

BMC health services research 20191022 1

<h4>Background</h4>Safety climate is an important marker of patient safety attitudes within health care units, but the significance of intra-unit variation of safety climate perceptions (safety climate strength) is poorly understood. This study sought to examine the standard safety climate measure (percent positive response (PPR)) and safety climate strength in relation to length of stay (LOS) of very low birth weight (VLBW) infants within California neonatal intensive care units (NICUs).<h4>Met ...[more]

PMID: 31640679

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Dataset Information

Safety climate, safety climate strength, and length of stay in the NICU.

Background

Methods

Conclusions

Publications

Safety climate, safety climate strength, and length of stay in the NICU.

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