Table 4.
Dimension | Professional role | Duration in the hospital | Average work hours per week | ||||||||||
Management | Nurses and midwives | Physicians | Technologists | Hospital aides | Others | <1 year | 1–10 years | >10 years | <40 hours | 40–60 hours | >60 hours | ||
Teamwork within units | OR (95% CI) | * | 0.55 (0.26, 1.14) | 1.05 (0.44, 2.5) | 1.18 (0.51, 2.71) | 2.37 (0.96, 5.84) | 2.15 (0.81, 5.7) | * | 1.49 (0.96, 2.31) | 1.63 (0.9, 2.92) | * | 2.89 (1.72, 4.85) | 1.28 (0.72, 2.28) |
P value | 0.106 | 0.911 | 0.7 | 0.062 | 0.124 | 0.079 | 0.104 | <0.001 | 0.397 | ||||
Supervisor/manager expectations and actions promoting patient safety | OR (95% CI) | 1.39 (0.77, 2.51) | 1.23 (0.6, 2.51) | 1.5 (0.77, 2.94) | 1.45 (0.78, 2.7) | 1.44 (0.73, 2.82) | 0.44 (0.25, 0.8) | 0.64 (0.33, 1.26) | 1.52 (0.86, 2.69) | 1.16 (0.61, 2.22) | |||
P value | 0.271 | 0.578 | 0.233 | 0.237 | 0.293 | 0.007 | 0.196 | 0.152 | 0.657 | ||||
Organisational learning–continuous improvement | OR (95% CI) | 0.86 (0.53, 1.4) | 0.65 (0.38, 1.13) | 1.29 (0.75, 2.22) | 2.48 (1.4, 4.38) | 1.17 (0.67, 2.03) | 1.03 (0.73, 1.45) | 1.38 (0.9, 2.1) | 2.15 (1.45, 3.18) | 1.57 (1, 2.46) | |||
P value | 0.552 | 0.129 | 0.362 | 0.002 | 0.58 | 0.868 | 0.136 | <0.001 | 0.051 | ||||
Management support for patient safety | OR (95% CI) | 0.85 (0.53, 1.37) | 0.65 (0.38, 1.11) | 1.25 (0.73, 2.12) | 1.9 (1.11, 3.26) | 1.48 (0.84, 2.59) | 1.05 (0.75, 1.46) | 1.21 (0.81, 1.82) | 2.21 (1.5, 3.25) | 1.35 (0.87, 2.09) | |||
P value | 0.517 | 0.113 | 0.418 | 0.019 | 0.174 | 0.794 | 0.357 | <0.001 | 0.1728 | ||||
Overall perceptions of patient safety | OR (95% CI) | 1.5 (0.77, 2.92) | 0.55 (0.27, 1.12) | 2.31 (1.01, 5.28) | 1.34 (0.67, 2.67) | 0.94 (0.46, 1.9) | 0.6 (0.34, 1.05) | 1.02 (0.52, 2) | 1.24 (0.66, 2.35) | 0.85 (0.42, 1.69) | |||
P value | 0.232 | 0.101 | 0.048 | 0.411 | 0.855 | 0.074 | 0.956 | 0.504 | 0.634 | ||||
Feedback and communication about error | OR (95% CI) | 0.55 (0.27, 1.09) | 0.65 (0.29, 1.43) | 0.79 (0.37, 1.68) | 0.84 (0.4, 1.74) | 0.88 (0.4, 1.93) | 1.32 (0.9, 1.95) | 1.52 (0.93, 2.48) | 1.72 (1.06, 2.81) | 1.24 (0.7, 2.17) | |||
P value | 0.087 | 0.282 | 0.539 | 0.633 | 0.752 | 0.161 | 0.092 | 0.029 | 0.46 | ||||
Communication openness | OR (95% CI) | 0.87 (0.57, 1.34) | 0.79 (0.48, 1.31) | 0.78 (0.49, 1.23) | 0.93 (0.59, 1.44) | 0.85 (0.53, 1.37) | 0.92 (0.68, 1.24) | 0.92 (0.65, 1.29) | 1.43 (0.99, 2.08) | 1.02 (0.67, 1.55) | |||
P value | 0.539 | 0.362 | 0.29 | 0.731 | 0.515 | 0.57 | 0.621 | 0.056 | 0.921 | ||||
Frequency of events reported | OR (95% CI) | 1.17 (0.8, 1.72) | 1.14 (0.71, 1.81) | 1.13 (0.75, 1.72) | 0.88 (0.6, 1.3) | 1.02 (0.67, 1.55) | 1.14 (0.88, 1.49) | 1.31 (0.96, 1.8) | 1.3 (0.91, 1.85) | 1.08 (0.72, 1.62) | |||
P value | 0.412 | 0.591 | 0.557 | 0.524 | 0.937 | 0.327 | 0.09 | 0.146 | 0.711 | ||||
Teamwork across units | OR (95% CI) | 0.64 (0.33, 1.26) | 0.24 (0.12, 0.48) | 0.93 (0.44, 1.97) | 1.4 (0.66, 2.98) | 0.87 (0.41, 1.86) | 0.48 (0.27, 0.84) | 0.4 (0.22, 0.74) | 1.41 (0.83, 2.4) | 1.27 (0.7, 2.32) | |||
P value | 0.201 | <0.001 | 0.841 | 0.384 | 0.723 | 0.01 | 0.004 | 0.207 | 0.428 | ||||
Staffing | OR (95% CI) | 0.83 (0.55, 1.27) | 0.4 (0.25, 0.65) | 0.74 (0.47, 1.16) | 1.0095 (0.6489, 1.5704) | 0.75 (0.56, 1) | 1.18 (0.83, 1.67) | 1.04 (0.71, 1.52) | 0.7 (0.46, 1.07) | ||||
P value | 0.399 | <0.001 | 0.189 | 0.967 | 0.179 | 0.051 | 0.363 | 0.843 | 0.103 | ||||
Handoffs and transitions | OR (95% CI) | 0.84 (0.58, 1.22) | 0.64 (0.41, 0.99) | 0.87 (0.58, 1.3) | 1.17 (0.79, 1.73) | 1.76 (1.13, 2.74) | 0.76 (0.58, 1.01) | 0.68 (0.49, 0.93) | 1.25 (0.88, 1.77) | 1.29 (0.86, 1.92) | |||
P value | 0.359 | 0.043 | 0.506 | 0.426 | 0.013 | 0.062 | 0.018 | 0.205 | 0.213 | ||||
Non-punitive response to error | OR (95% CI) | 0.68 (0.49, 0.94) | 0.78 (0.53, 1.16) | 0.75 (0.53, 1.07) | 0.66 (0.47, 0.92) | 0.74 (0.52, 1.05) | 0.86 (0.68, 1.09) | 0.85 (0.65, 1.12) | 0.66 (0.48, 0.9) | 0.71 (0.5, 1.01) | |||
P value | 0.018 | 0.221 | 0.111 | 0.014 | 0.094 | 0.213 | 0.253 | 0.008 | 0.055 |
Bolded p-values indicates statistically significant findings (P<0.05).
*Reference category.