- Poster presentation
- Open Access
Safety culture in intensive care in france: is there a link with morbi-mortality conferences?
© Bretonnière et al.; 2015
- Published: 1 October 2015
- Private Sector
- Human Resource
- Patient Safety
- Participation Rate
- Secondary Objective
Improving the safety of care is a challenge for the health systems. Development of a safety culture (SC) is one of the objectives. SC can be defined as a coherent and integrated set of individual and organizational behavior, based on shared values and beliefs, which continually seeks to reduce damage to patients, which may be related to health care. By "coherent and integrated set of behaviors", it refers to ways of acting, common practices, but also ways of feeling and thinking shared by professionals about security of care.
Morbidity-mortality conferences (MMC) are one tool that could help for improving SC.
The main objective of the national multicenter REA-C-SUR project is to measure the SC in ICUs in France. The secondary objective is to establish a link between SC and the characteristics of MMR.
This project, was initiated by the national group ‘RMM, Qualité et Sécurité des Soins en Réanimation’. It is funded by a national grant AO PREPS 2012.
HPOSP (French version): Dimensions.
Overall Perceptions of Patient Safety
Frequency of Events Reported
Supervisor/Manager Expectations & Actions Promoting Patient Safety
Organizational Learning—Continuous Improvement
Teamwork Within Units
Non-punitive Response to Errors
Management Support for Patient Safety
Teamwork Across Units
For each unit, MMCs’ organizational characteristics were collected.
From September 2013 to September 2014, 64 units (adults or pediatric) were included from French hospitals as follow: 40 teaching, 23 non-teaching, 1 private sector. A total of 36 149 patients, in 2012, were admitted.
There is a statistical link between MMR and SC. The more MMR are structured, the better the scores for the overall perception of safety and support of management. There is also a link between nurses' involvement and reporting of adverse events, learning organization and human resources. Finally, the presence at MMCs, of an external participant, seems to improve communication openness.
This prospective, multicenter study is the first in ICUs, in Europe. It might help in improving SC that is to date really low.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.