Barbara I Braun, Michele R Bozikis, Megan L Casey, David N Weissman, Katherine J Orze, Annette Riehle, David M DeJoy
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引用次数: 0
Abstract
Background: Despite recognition of the integral relationship between healthcare worker (HCW) safety and patient safety, few studies have evaluated practices that improve safety for both groups. We undertook a scoping meta-review including only systematic reviews (SRs) to determine the extent to which existing literature identifies practices likely to benefit both HCW safety/well-being and patient safety and remaining research questions.
Methods: Literature searches were conducted for SRs and meta-analyses from 2011 to 2020 that reported outcome measures related to improving HCW safety/well-being or organizational safety culture as well as patient safety. After multi-stage screening, studies were classified as relationship/association or focused on a specific practice. Among practice-focused, those that found positive outcomes for both HCW/organizations and patients were considered potentially promising practices. Information was extracted on topic area, interventions, care settings, HCW type, outcomes measured and improvements.
Findings: Of 1,619 abstracts, 114 reviews met all inclusion criteria. Major topic groups were Worker Safety/Well-being (n = 33), Operational Practices (n = 34), Organization Safety Culture (n = 24), and Patient Safety/Quality (n = 23). Of 78 reviews addressing specific practices, 48 described practices likely to benefit both groups. Practices/interventions targeting how work is organized were most promising (subtopics staffing/human resources; structure, policies/procedures; human factors engineering). Practices addressing teamwork and engagement suggest opportunities to enhance safety climate.
Conclusions/application to practice: A wide range of practices and topic areas may directly and/or indirectly improve safety for both HCWs/organizations and patients, suggesting an integrated approach to examining interventions and operational practices. Occupational health/safety and patient safety leaders should consider collaborating to implement promising practices.
期刊介绍：
Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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