Patient safety culture in care homes for older people: a scoping review

Background: In recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to...

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Main Authors: Gartshore, Emily, Waring, Justin, Timmons, Stephen
Format: Article
Published: BioMed Central 2017
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Online Access:https://eprints.nottingham.ac.uk/48404/
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author Gartshore, Emily
Waring, Justin
Timmons, Stephen
author_facet Gartshore, Emily
Waring, Justin
Timmons, Stephen
author_sort Gartshore, Emily
building Nottingham Research Data Repository
collection Online Access
description Background: In recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes. Methods: A scoping review was undertaken to describe the availability of evidence related to care homes’ patient safety culture, what these studies focused on, and identify any knowledge gaps within the existing literature. Included papers were each reviewed by two authors for eligibility and to draw out information relevant to the scoping review. Results: Twenty-four empirical papers and one literature review were included within the scoping review. The collective evidence demonstrated that safety culture research is largely based in the USA, within Nursing Homes rather than Residential Home settings. Moreover, the scoping review revealed that empirical evidence has predominantly used quantitative measures, and therefore the deeper levels of culture have not been captured in the evidence base. Conclusions: Safety culture in care homes is a topic that has not been extensively researched. The review highlights a number of key gaps in the evidence base, which future research into safety culture in care home should attempt to address.
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spelling nottingham-484042020-05-04T19:19:09Z https://eprints.nottingham.ac.uk/48404/ Patient safety culture in care homes for older people: a scoping review Gartshore, Emily Waring, Justin Timmons, Stephen Background: In recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes. Methods: A scoping review was undertaken to describe the availability of evidence related to care homes’ patient safety culture, what these studies focused on, and identify any knowledge gaps within the existing literature. Included papers were each reviewed by two authors for eligibility and to draw out information relevant to the scoping review. Results: Twenty-four empirical papers and one literature review were included within the scoping review. The collective evidence demonstrated that safety culture research is largely based in the USA, within Nursing Homes rather than Residential Home settings. Moreover, the scoping review revealed that empirical evidence has predominantly used quantitative measures, and therefore the deeper levels of culture have not been captured in the evidence base. Conclusions: Safety culture in care homes is a topic that has not been extensively researched. The review highlights a number of key gaps in the evidence base, which future research into safety culture in care home should attempt to address. BioMed Central 2017-11-21 Article PeerReviewed Gartshore, Emily, Waring, Justin and Timmons, Stephen (2017) Patient safety culture in care homes for older people: a scoping review. BMC Health Services Research, 17 (1). p. 752. ISSN 1472-6963 Care home Residential home Nursing home Safety culture Organisational culture Scoping review Scoping study https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2713-2 doi:10.1186/s12913-017-2713-2 doi:10.1186/s12913-017-2713-2
spellingShingle Care home
Residential home
Nursing home
Safety culture
Organisational culture
Scoping review
Scoping study
Gartshore, Emily
Waring, Justin
Timmons, Stephen
Patient safety culture in care homes for older people: a scoping review
title Patient safety culture in care homes for older people: a scoping review
title_full Patient safety culture in care homes for older people: a scoping review
title_fullStr Patient safety culture in care homes for older people: a scoping review
title_full_unstemmed Patient safety culture in care homes for older people: a scoping review
title_short Patient safety culture in care homes for older people: a scoping review
title_sort patient safety culture in care homes for older people: a scoping review
topic Care home
Residential home
Nursing home
Safety culture
Organisational culture
Scoping review
Scoping study
url https://eprints.nottingham.ac.uk/48404/
https://eprints.nottingham.ac.uk/48404/
https://eprints.nottingham.ac.uk/48404/