title: Assessing safety attitudes among healthcare providers after a hospital-wide high-risk patient care program.
abstract: OBJECTIVE
  Cardiopulmonary resuscitation (CPR) is commonly performed in high-risk, high intensity situations and is therefore a good procedure around which to develop and implement safety culture strategies in the hospital. The purpose of this study was to evaluate the impact of a hospital-wide quality improvement program on the management of sudden cardiac arrests by assessing healthcare providers' attitudes towards patient safety.
  
  
  METHODS
  This study was designed as a prospective cohort study at a single academic medical center. The comprehensive hospital-based safety program included steps to identify areas of hazard, partner units with the Resuscitation Committee, and to conduct a Safety Attitudes Questionnaire (SAQ). The SAQ evaluated 35 questions in seven domains to assess changes in patient safety culture by comparing the results before and after the hospital- wide high risk patient care improvement program.
  
  
  RESULTS
  The response rates of the pre- and post-SAQ survey were 489 out of 1121 (43.6%) and 575 out of 1270 (45.3%), respectively. SAQ survey responses revealed significant improvement in all seven domains of the questionnaire (p-values of 0.006 and lower). In a subgroup analysis, doctors and nurses showed improvement in five domains. Both doctors and nurses did not show improvement in the "sharing information" domain.
  
  
  CONCLUSIONS
  A hospital-wide quality improvement program for high-risk, high reliability patient care involving CPR care was shown to be associated with a change in healthcare providers' attitudes towards patient safety. Through an immersive and active program on CPR care, change in healthcare providers' attitudes towards patient safety was initiated.
authors.affiliation: Department of Emergency Medicine, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Korea. hsc104@yuhs.ac.
authors.forename: Sang Mo
authors.initials: SM
authors.lastname: Je
authors.forename: Hyun Jong
authors.initials: HJ
authors.lastname: Kim
authors.forename: Je Sung
authors.initials: JS
authors.lastname: You
authors.forename: Sung Phil
authors.initials: SP
authors.lastname: Chung
authors.forename: Junho
authors.initials: J
authors.lastname: Cho
authors.forename: Jin Hee
authors.initials: JH
authors.lastname: Lee
authors.forename: Hahn Shick
authors.initials: HS
authors.lastname: Lee
authors.forename: Hyun Soo
authors.initials: HS
authors.lastname: Chung
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D016887:Cardiopulmonary Resuscitation; D015331:Cohort Studies; D016757:Death, Sudden, Cardiac; D006282:Health Personnel; D006761:Hospitals; D006801:Humans; D009726:Nurses; D010820:Physicians; D011446:Prospective Studies; D056910:Republic of Korea; D017751:Safety Management; D011795:Surveys and Questionnaires
keywords: Cardiopulmonary resuscitation; Safety Attitudes Questionnaire; system improvement