Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/26322
Full metadata record
DC FieldValueLanguage
dc.contributor.authorPiper, Donellaen
dc.contributor.authorLea, Jackieen
dc.contributor.authorWoods, Cindyen
dc.contributor.authorParker, Vickien
dc.date.accessioned2019-02-14T05:30:41Z-
dc.date.available2019-02-14T05:30:41Z-
dc.date.issued2018-
dc.identifier.citationBMS Health Services Research, 18(889), p. 1-13en
dc.identifier.issn1472-6963en
dc.identifier.urihttps://hdl.handle.net/1959.11/26322-
dc.description.abstractBackground Effective handover is crucial for patient safety. Rural health care organisations have particular challenges in relation to handover of information, placing them at higher risk of adverse events. Few studies have examined the relationship between handover and patient safety in rural contexts, particularly in Australia. This study aimed to explore the effect of handover on overall perceptions of patient safety and the effect of other patient safety dimensions on handover in a rural Australian setting. Methods A cross-sectional online survey using The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was implemented across six rural Local Health Districts in NSW, Australia and resulted in 1587 respondents. Hierarchical multiple linear regression analysis was conducted to account for the nested nature of the data. Models were developed to assess the effect of handover on patient safety perceptions, and the effect of other patient safety culture composites on handover variables. Open-ended questions about patient safety were inductively analyzed for themes. Quotes from the handover theme are presented. Results All models were significant overall (p<.001), with explanatory powers ranging from 29 to 48%. Within rural health settings, effective handover is significantly related to patient safety perceptions (R2=.29). A strong teamwork culture and management support culture was found to enhance effective handover of patient information (R2=.47), and effective handover of personal responsibility (R2=.37). A strong teamwork, management support, and open communication culture enhances handover of department accountability (R2=.41). Despite the implementation of standardised communication tools and frameworks for handover, patient safety is compromised by inadequate coordination, poor or absent documentation between departments, between other health care agencies and in transfer of care from acute facilities to primary/community care. Conclusion Approaches to handover need to consider the particular challenges associated with rurality and strengthening elements found to be associated with increased safety, such as a strong teamwork and management culture and good reporting practices. Research is required to examine how communication at transition of care, particularly between facilities, is conducted and ways in which to enhance patients’ and families’ participation.en
dc.languageenen
dc.publisherBioMed Central Ltden
dc.relation.ispartofBMC Health Services Researchen
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleThe impact of patient safety culture on handover in rural health facilitiesen
dc.typeJournal Articleen
dc.identifier.doi10.1186/s12913-018-3708-3en
dcterms.accessRightsGolden
local.contributor.firstnameDonellaen
local.contributor.firstnameJackieen
local.contributor.firstnameCindyen
local.contributor.firstnameVickien
local.subject.for2008111709 Health Care Administrationen
local.subject.for2008150313 Quality Managementen
local.subject.seo2008920299 Health and Support Services not elsewhere classifieden
local.profile.schoolUNE Business Schoolen
local.profile.schoolSchool of Healthen
local.profile.schoolSchool of Healthen
local.profile.schoolSchool of Healthen
local.profile.emaildpiper@une.edu.auen
local.profile.emailjlea2@une.edu.auen
local.profile.emailcwood30@une.edu.auen
local.profile.emailvparker3@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.publisher.placeUnited Kingdomen
local.format.startpage1en
local.format.endpage13en
local.identifier.scopusid85057182823en
local.peerreviewedYesen
local.identifier.volume18en
local.identifier.issue889en
local.access.fulltextYesen
local.contributor.lastnamePiperen
local.contributor.lastnameLeaen
local.contributor.lastnameWoodsen
local.contributor.lastnameParkeren
dc.identifier.staffune-id:dpiperen
dc.identifier.staffune-id:jlea2en
dc.identifier.staffune-id:cwood30en
dc.identifier.staffune-id:vparker3en
local.profile.orcid0000-0002-5802-6380en
local.profile.orcid0000-0003-3189-0950en
local.profile.orcid0000-0001-5790-069Xen
local.profile.orcid0000-0002-0834-9528en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:1959.11/26322en
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleThe impact of patient safety culture on handover in rural health facilitiesen
local.relation.fundingsourcenoteUniversity of New England internal granten
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorPiper, Donellaen
local.search.authorLea, Jackieen
local.search.authorWoods, Cindyen
local.search.authorParker, Vickien
local.istranslatedNoen
local.uneassociationUnknownen
local.identifier.wosid000451266600005en
local.year.published2018-
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/f76d17ee-e9d8-42cd-930b-965017a19acden
local.subject.for2020420306 Health care administrationen
local.subject.for2020350715 Quality managementen
local.subject.seo2020200206 Health system performance (incl. effectiveness of programs)en
Appears in Collections:Journal Article
School of Health
UNE Business School
Files in This Item:
3 files
File Description SizeFormat 
Show simple item record

SCOPUSTM   
Citations

11
checked on Jul 6, 2024

Page view(s)

2,554
checked on May 19, 2024

Download(s)

8
checked on May 19, 2024
Google Media

Google ScholarTM

Check

Altmetric


This item is licensed under a Creative Commons License Creative Commons