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Assessment of situational awareness: team resources brought in action to enhance patient safety at the ICU.
Kemper, P. Assessment of situational awareness: team resources brought in action to enhance patient safety at the ICU.: , 2013. 751-752 p. Abstract. In: G. Hertel, C. Binnewies, S. Krumm, H. Holling, M. Kleinmann (red.). Abstract proceedings of the 16th EAWOP Congress 2013: Imagine the future world: how do we want to work tomorrow? 22-25 mei 2013, Münster.
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Purpose: Situational Awareness (SA) relates to the team’s ability to perceive and anticipate threats in the care for patients. The present paper describes the development of a questionnaire that measures this SA gradient in the context of healthcare. The Resulting questionnaire (SafeTeam) consists of two components: attitudes (SafeTeam A) and behavior (Safeteam B). Methodology: A first version of the SafeTeam questionnaire was used to select items that reflect different levels of the SA gradient. Staff of six Intensive Care Units filled out the questionnaire (N=368). The data were analyzed using Item Response Theory. To asses convergent validity we additionally administrated validated questionnaires on error culture, patient safety culture, affective commitment and job satisfaction. Results: A two component questionnaire was developed. SafeTeamA scores show low to moderate correlations with error culture and affective commitment. SafeTeamB scores show moderate to substantial correlations with error culture, patient safety culture, affective commitment and job satisfaction. Limitations: As patient outcomes are not included (yet), the current data do not allow assessment of predictor validity. Practical/Research Implications: Adequate SA is essential for recognizing and preventing errors, or to mitigating their consequences. Originality/Value: No validated questionnaires exist to assess SA. The approach of SA as a gradient for attitude and behavior as two distinct components provide more insight in this role of SA in healthcare.
Purpose: Situational Awareness (SA) relates to the team’s ability to perceive and anticipate threats in the care for patients. The present paper describes the development of a questionnaire that measures this SA gradient in the context of healthcare. The Resulting questionnaire (SafeTeam) consists of two components: attitudes (SafeTeam A) and behavior (Safeteam B). Methodology: A first version of the SafeTeam questionnaire was used to select items that reflect different levels of the SA gradient. Staff of six Intensive Care Units filled out the questionnaire (N=368). The data were analyzed using Item Response Theory. To asses convergent validity we additionally administrated validated questionnaires on error culture, patient safety culture, affective commitment and job satisfaction. Results: A two component questionnaire was developed. SafeTeamA scores show low to moderate correlations with error culture and affective commitment. SafeTeamB scores show moderate to substantial correlations with error culture, patient safety culture, affective commitment and job satisfaction. Limitations: As patient outcomes are not included (yet), the current data do not allow assessment of predictor validity. Practical/Research Implications: Adequate SA is essential for recognizing and preventing errors, or to mitigating their consequences. Originality/Value: No validated questionnaires exist to assess SA. The approach of SA as a gradient for attitude and behavior as two distinct components provide more insight in this role of SA in healthcare.