title: A rapid assessment of barriers and facilitators to safety culture in an intensive care unit.
abstract: The Hospital Survey on Patient Safety was used to identify opportunities for safety culture improvement in a 30-bed intensive care unit. Based on the survey results, a core team decided to focus on three safety domains: reporting errors, approachability of authority figures and handovers. The project team subsequently interviewed 39 intensive care unit staff members, gathering information on these three domains that will inform future safety efforts. Numerous barriers and facilitators to improvement were described. This mixed-methods approach could be applied in other hospitals seeking to quickly yet thoroughly understand how their safety culture can be improved. Developing local strategies to reduce these barriers may promote a safer patient experience at our hospital.
authors.affiliation: Division of Infectious Diseases, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
authors.forename: D
authors.initials: D
authors.lastname: Livorsi
authors.affiliation: University of Wisconsin School of Medicine, Madison, WI, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Knobloch
authors.affiliation: Sidney and Lois Eskenazi Hospital, Indianapolis, IN, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Blue
authors.affiliation: Sidney and Lois Eskenazi Hospital, Indianapolis, IN, USA.
authors.forename: K
authors.initials: K
authors.lastname: Swafford
authors.affiliation: Sidney and Lois Eskenazi Hospital, Indianapolis, IN, USA.
authors.forename: L
authors.initials: L
authors.lastname: Maze
authors.affiliation: Sidney and Lois Eskenazi Hospital, Indianapolis, IN, USA.
authors.forename: K
authors.initials: K
authors.lastname: Riggins
authors.affiliation: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: T
authors.initials: T
authors.lastname: Hayward
authors.affiliation: University of Wisconsin School of Medicine and the William S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
authors.forename: N
authors.initials: N
authors.lastname: Safdar
mesh_terms: D003422:Critical Care; D006801:Humans; D007362:Intensive Care Units; D061214:Patient Safety; D017751:Safety Management; D011795:Surveys and Questionnaires
keywords: ICU; Safety Culture