The Hospital Survey on Patient Safety Culture (HSOPSC) is a survey that was administered pre intervention for baseline data and will be administered again post implementation to determine if there are any changes from baseline in the staff perceptions of patient safety culture of the study units.

The HSOPSC measures several safety dimensions including:  frequency of event reporting, overall perceptions of safety, surpervisor/manager expectations and actions promoting safety, organizational learning (continuous improvement), teamwork within hospital units, communication openness, feedback and communication about error, nonpunitive response to error, staffing, hospital management support for patient safety, teamwork across hospital units, and hospital handoffs and transitions.

For more information please click here Hospital Survey on Patient Safety Culture.

During the pre-intervention data collection, the daily goals survey was intended to measure the providers (RN, LPN, MD) understanding of the goals of care for a particular patient on that day.  Throughout the post-intervention data collection, the daily goals survey was altered to determine the charge nurses view of the floor nurses understanding of their patients’ goal/plan of care.  Surveys are and will be administered to staff and providers in each of the intervention units to determine understanding of the goals of care for that patient, that day, on a 5-point Likert scale.

Process analysis is conducted by a trained data collection team (including an industrial engineer) to determine pre and post intervention comparison times of treatment.  The team will observe communication between health care providers from the time that a patient need is identified to the time that the issue is resolved.  The team will also observe pre and post-implementation of the SBAR technique and escalation process algorithm.