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Patient Safety Culture and the Association with Safe Resident Care in Nursing Homes

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Title: Patient Safety Culture and the Association with Safe Resident Care in Nursing Homes
Language: English
Authors: Thomas, Kali S., Hyer, Kathryn, Castle, Nicholas G.
Source: Gerontologist. Dec 2012 52(6):802-811.
Availability: Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org
Peer Reviewed: Y
Physical Description: PDF
Page Count: 10
Publication Date: 2012
Document Type: Journal Articles
Reports - Research
Descriptors: Safety, Incidence, Statistical Analysis, Nursing Homes, Patients, Injuries, Models, Correlation, Administration, Administrator Attitudes, Accidents
DOI: 10.1093/geront/gns007
ISSN: 0016-9013
Abstract: Purpose of the study: Studies have shown that patient safety culture (PSC) is poorly developed in nursing homes (NHs), and, therefore, residents of NHs may be at risk of harm. Using Donabedian's Structure-Process-Outcome (SPO) model, we examined the relationships among top management's ratings of NH PSC, a process of care, and safety outcomes. Design and Methods: Using top management's responses from a nationally representative sample of 3,557 NHs on the 2008 Nursing Home Survey on PSC, the Online Survey, Certification, and Reporting Database, and the Minimum Data Set, we examined the relationships among the three components of Donabedian's SPO model: structure (PSC), a process of care (physical restraints), and patient safety outcomes (residents who fell). Results: Results from generalized estimating equations indicated that higher ratings of PSC were significantly related to lower prevalence of physical restraints (odds ratio [OR] = 0.997, 95% confidence interval [CI] = 0.995-0.999) and residents who fell (OR = 0.999, 95% CI = 0.998-0.999). Physical restraint use was related to falls after controlling for structural characteristics and PSC (OR = 1.698, 95% CI = 1.619-1.781). Implications: These findings can contribute to the development of PSC in NHs and promote improvements in health care that can be measured by process of care and resident outcomes.
Abstractor: As Provided
Entry Date: 2012
Accession Number: EJ985250
Database: ERIC
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  Data: Patient Safety Culture and the Association with Safe Resident Care in Nursing Homes
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  Data: <searchLink fieldCode="AR" term="%22Thomas%2C+Kali+S%2E%22">Thomas, Kali S.</searchLink><br /><searchLink fieldCode="AR" term="%22Hyer%2C+Kathryn%22">Hyer, Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Castle%2C+Nicholas+G%2E%22">Castle, Nicholas G.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Gerontologist%22"><i>Gerontologist</i></searchLink>. Dec 2012 52(6):802-811.
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  Data: Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org
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  Data: <searchLink fieldCode="DE" term="%22Safety%22">Safety</searchLink><br /><searchLink fieldCode="DE" term="%22Incidence%22">Incidence</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+Analysis%22">Statistical Analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+Homes%22">Nursing Homes</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Injuries%22">Injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Models%22">Models</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Administration%22">Administration</searchLink><br /><searchLink fieldCode="DE" term="%22Administrator+Attitudes%22">Administrator Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Accidents%22">Accidents</searchLink>
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  Data: 10.1093/geront/gns007
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  Data: 0016-9013
– Name: Abstract
  Label: Abstract
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  Data: Purpose of the study: Studies have shown that patient safety culture (PSC) is poorly developed in nursing homes (NHs), and, therefore, residents of NHs may be at risk of harm. Using Donabedian's Structure-Process-Outcome (SPO) model, we examined the relationships among top management's ratings of NH PSC, a process of care, and safety outcomes. Design and Methods: Using top management's responses from a nationally representative sample of 3,557 NHs on the 2008 Nursing Home Survey on PSC, the Online Survey, Certification, and Reporting Database, and the Minimum Data Set, we examined the relationships among the three components of Donabedian's SPO model: structure (PSC), a process of care (physical restraints), and patient safety outcomes (residents who fell). Results: Results from generalized estimating equations indicated that higher ratings of PSC were significantly related to lower prevalence of physical restraints (odds ratio [OR] = 0.997, 95% confidence interval [CI] = 0.995-0.999) and residents who fell (OR = 0.999, 95% CI = 0.998-0.999). Physical restraint use was related to falls after controlling for structural characteristics and PSC (OR = 1.698, 95% CI = 1.619-1.781). Implications: These findings can contribute to the development of PSC in NHs and promote improvements in health care that can be measured by process of care and resident outcomes.
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        StartPage: 802
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        Type: general
      – SubjectFull: Incidence
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      – SubjectFull: Statistical Analysis
        Type: general
      – SubjectFull: Nursing Homes
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      – SubjectFull: Patients
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      – SubjectFull: Injuries
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      – SubjectFull: Correlation
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      – SubjectFull: Administrator Attitudes
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      – SubjectFull: Accidents
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      – TitleFull: Patient Safety Culture and the Association with Safe Resident Care in Nursing Homes
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