Endoscopy 2020; 52(S 01): S188
DOI: 10.1055/s-0040-1704585
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 14:30–15:00 Safety of endoscopy ePoster Podium 8
© Georg Thieme Verlag KG Stuttgart · New York

SAFETY ATTITUDES IN ENDOSCOPY: AN URBAN TERTIARY REFERRAL CENTRE VS. A RURAL SINGLE ROOM UNIT

CL Murphy
1   St. Vincent’s University Hospital, Gastroenterology, Dublin, Ireland
,
P Uppamuchikkal
1   St. Vincent’s University Hospital, Endoscopy, Dublin, Ireland
,
M Murray
1   Bantry General Hospital, Endoscopy, Cork, Ireland
,
P Wieneke
1   Bantry General Hospital, Cork, Ireland
,
J Sheridan
1   St. Vincent’s University Hospital, Gastroenterology, Dublin, Ireland
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
23. April 2020 (online)

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    Aims

    Tab. 1

    Results Table Urban vs Rural Endoscopy Units

    Domain

    Urban

    Rural (p Value)

    working conditions

    73%

    89.50% (0.01314)

    stress recognition

    73.25%

    88.88% (0.05118)

    perception of hospital management

    56%

    97.70% (< .00001)

    Evaluation of patient quality and safety in both urban and rural endoscopy units primarily focuses on technical aspects of endoscopy. Knowledge of staff culture towards patient safety is lacking. These non-technical skills such as leadership and communication are influenced by training. In aviation, this has led to major safety improvements. The aim of this study was to investigate if staff safety culture differed between a tertiary referral centre vs. a small rural endoscopy unit.

    Methods The validated Safety Attitudes Questionnaire (Sexton et al) was administered to 34 endoscopy staff. The questionnaire explores safety culture across; Teamwork Climate, Safety Climate, Perceptions of Management, Job Satisfaction, Working Conditions, and Stress Recognition.

    Results A high safety attitude (score = 75%) was seen across all domains in the rural centre and 4 domains in the urban unit ([Table 1]). There was no difference in job satisfaction and teamwork climate between both sites. When compared to the rural centre perception of management was significantly lower in the tertiary referral centre where hospital management rather than unit management were described as unsupportive.

    Conclusions Both institutions scored favourably however higher safety attitudes were demonstrated in the rural centre. Areas for improvements especially regarding relationships with management will be acted upon in the urban centre. These results should be interpreted in the context of vast differences in procedure number and case-mix in the units. Examination of safety attitudes is a worthwhile exercise as it gives a broader overview of non-technical skills within an endoscopy service as opposed to reliance of technical parameters alone.


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