SHM Converge Scientific Abstract ePoster Gallery-Improving Patient Safety Across International Borders: Cultural Transformation Using a Standardized Survey and Multifaceted Educational Interventions.

Improving Patient Safety Across International Borders: Cultural Transformation Using a Standardized Survey and Multifaceted Educational Interventions.

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This project describes a cross-border patient safety culture initiative led by Mount Sinai International in partnership with a 500-bed hospital in southern China (CPH). The team used the AHRQ Hospital Survey on Patient Safety Culture to assess baseline staff perceptions in 2019, then designed and implemented a multifaceted intervention and repeated the survey in 2020.<br /><br />More than half of hospital staff participated in both years, including physicians, nurses, technicians, and administrators. The intervention was tailored to baseline results and included leadership education on patient safety culture, multidisciplinary workshops, an anonymous event reporting system, nonpunitive safety event reviews, and efforts to recruit staff to address shortages.<br /><br />Survey results showed improvement in several domains after the intervention, especially teamwork, organizational learning, overall perception of patient safety, communication about errors, and teamwork across units. Some individual items also improved, such as staff support for one another, evaluation of safety changes, and cooperation between units. However, some areas were harder to change, including management support for patient safety, staffing, nonpunitive response to error, and frequency of event reporting. In fact, greater attention to reporting may have lowered perceived reporting frequency, possibly because staff became more aware of expected reporting practices.<br /><br />The study concludes that a validated anonymous safety culture survey can be an effective tool for identifying needs, engaging leadership, and guiding quality improvement in international settings. It also suggests that strategies for cultural transformation in patient safety can be shared across countries and healthcare systems, helping build safer, more collaborative care environments.

Asset Subtitle

Anne S. Linker

Meta Tag

Author List Amy Baker, Anne S. Linker, Tao Xu

Category Innovations

Concept AHRQ Hospital Survey on Patient Safety Culture

Concept Safety Culture

Concept Non-Punitive Response

Concept Quality Improvement Intervention

Concept Teamwork

Distinguished Non-Finalist

Presenter Organization Division of Hospital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai

Presenting Author Anne S. Linker

Track Quality Improvement

Keywords

patient safety culture

hospital survey

AHRQ

cross-border initiative

quality improvement

leadership education

anonymous event reporting

teamwork

organizational learning

China hospital

AHRQ Hospital Survey on Patient Safety Culture

Safety Culture

Non-Punitive Response

Quality Improvement Intervention

Teamwork