The Association between the Participation of Quality Control Circle and Patient Safety Culture

Ni-Hu Tang, Shang-Feng Tsai, Jaw-Horng Liou, Yuan-Hui Lai, Shih-An Liu, Wayne Huey-Herng Sheu and Chieh Liang Wu
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Ni-Hu Tang: Pharmacy Division, Taichung Veterans General Hospital Chiayi Branch, Chiayi 60090, Taiwan
Shang-Feng Tsai: School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
Jaw-Horng Liou: Department of Pharmacy, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Yuan-Hui Lai: Center for Quality Management, Taichung Veterans General Hospital, Taichung 406040, Taiwan
Shih-An Liu: School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
Wayne Huey-Herng Sheu: Division of Endocrinology and Metabolism, Department of Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Chieh Liang Wu: Department of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan

IJERPH, 2020, vol. 17, issue 23, 1-14

Abstract: Promoting patient safety culture (PSC) is a critical issue for healthcare providers. Quality control circles program (QCCP) can be used as an effective tool to foster long-lasting improvements on the quality of medical institution. The effect of QCCP on PSC is still unknown. This was a retrospective study conducted with matching data. A safety attitudes questionnaire (SAQ) was used for the evaluation of PSC. The association between all scores of six subscales of SAQ and the participation QCCP were analyzed with both the Mann–Whitney and Kruskal–Wallis tests. A total of 2718 valid questionnaires were collected. Most participants of QCCP were females (78.9%), nurses (52.6%), non-supervisors (92.2%), aged <40 years old (64.8%), degree of specialist or university graduates (78%), and with work experience of <10 years (61.6%). Of all participants, the highest scores were in the dimension of safety climate (74.11 ± 17.91) and the lowest scores in the dimension of working conditions (68.90 ± 18.84). The participation of QCCP was associated with higher scores in four dimensions, namely: teamwork climate ( p = 0.006), safety climate ( p = 0.037), perception of management ( p = 0.009), and working conditions ( p = 0.015). The participation or not of QCCP had similar results in the dimension of job satisfaction and stress recognition. QCCP was associated with SAQ in subjects with the following characteristics: female, nurse, non-supervisor, aged >50 years old, higher education degrees and with longer working experiences in the hospital. In this first study on the association between each dimension of SAQ and the implementation of QCCP, we found that QCCP interventions were associated with better PSC. QCCP had no benefits in the dimensions of job satisfaction and stress recognition.

Keywords: quality control circle; patient safety culture; safety attitudes questionnaire; healthcare (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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