ArticleBMJ quality & safety2017
Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives.
Article in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Prevention Strategies for All Hospital-Onset Urinary Tract Infections: Best Practice Consensus Recommendations.Open forum infectious diseases · 2026Article
- Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure.BMC health services research · 2024Article
- Article
- How Safety Culture Surveys Influence the Quality and Safety of Healthcare Organisations.Cureus · 2023Article
- Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.BMC health services research · 2022Article
- Adoption of a Data-Driven Bayesian Belief Network Investigating Organizational Factors that Influence Patient Safety.Risk analysis : an official publication of the Society for Risk Analysis · 2022Article
- Development of the German version of the patient safety climate inventory to the Austrian context.BMJ open · 2022Article
- Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes.Current infectious disease reports · 2020Review
- Association between organizational citizenship behavior and patient safety culture from nurses' perspectives: a descriptive correlational study.BMC nursing · 2020Article
- Article
- Safety climate, safety climate strength, and length of stay in the NICU.BMC health services research · 2019Observational
- The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project.BMC health services research · 2019Article
- Development of a patient safety culture scale for maternal and child health institutions in China: a cross-sectional validation study.BMJ open · 2019Article
- Reducing Infections "Together": A Review of Socioadaptive Approaches.Open forum infectious diseases · 2019Review
- Does a hospital culture influence adherence to infection prevention and control and rates of healthcare associated infection? A literature review.Journal of infection prevention · 2019Review
- Patient safety culture in a university hospital.Revista latino-americana de enfermagem · 2018Article
- Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.BMJ quality & safety · 2018Article
- The Hospital: Still the Doctors' Workplace(s)-A Cautionary Note for Approaches to Safety and Value Improvement.Health services research · 2018Article
- Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe Agency for Healthcare Research and Quality (AHRQ) has funded national collaboratives using the Comprehensive Unit-based Safety Program to reduce rates of two catheter-associated infections-central-line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI), using evidence-based intervention bundles to improve technical aspects of care and socioadaptive approaches to foster a culture of safety.
objectiveExamine the association between hospital units' results for the Hospital Survey on Patient Safety Culture (HSOPS) and catheter-associated infection rates.
methodsWe analysed data from two prospective cohort studies from acute-care intensive care units (ICUs) and non-ICUs participating in the AHRQ CLABSI and CAUTI collaboratives. National Healthcare Safety Network catheter-associated infections per 1000 catheter-days were collected at baseline and quarterly postimplementation. The HSOPS was collected at baseline and again 1 year later. Infection rates were modelled using multilevel negative binomial models as a function of HSOPS components over time, adjusted for hospital-level characteristics.
results1821 units from 1079 hospitals (CLABSI) and 1576 units from 949 hospitals (CAUTI) were included. Among responding units, infection rates declined over the project periods (by 47% for CLABSI, by 23% for CAUTI, unadjusted). No significant associations were found between CLABSI or CAUTI rates and HSOPS measures at baseline or over time.
conclusionsWe found no association between results of the HSOPS and catheter-associated infection rates when measured at baseline and postintervention in two successful large national collaboratives focused on prevention of CLABSI and CAUTI. These results suggest that it may be possible to improve CLABSI and CAUTI rates without making significant changes in safety culture, particularly as measured by instruments like HSOPS.
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