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Article

What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust

1
Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK
2
Department of Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UK
3
Department of Medicine, National University Health System, Singapore 119228, Singapore
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(19), 7034; https://doi.org/10.3390/ijerph17197034
Received: 10 August 2020 / Revised: 14 September 2020 / Accepted: 21 September 2020 / Published: 25 September 2020
Covid-19 has placed an unprecedented demand on healthcare systems worldwide. A positive safety culture is associated with improved patient safety and, in turn, with patient outcomes. To date, no study has evaluated the impact of Covid-19 on safety culture. The Safety Attitudes Questionnaire (SAQ) was used to investigate safety culture at a large UK healthcare trust during Covid-19. Findings were compared with baseline data from 2017. Incident reporting from the year preceding the pandemic was also examined. SAQ scores of doctors and “other clinical staff”, were relatively higher than the nursing group. During Covid-19, on univariate regression analysis, female gender, age 40–49 years, non-White ethnicity, and nursing job role were all associated with lower SAQ scores. Training and support for redeployment were associated with higher SAQ scores. On multivariate analysis, non-disclosed gender (−0.13), non-disclosed ethnicity (−0.11), nursing role (−0.15), and support (0.29) persisted to a level of significance. A significant decrease (p < 0.003) was seen in error reporting after the onset of the Covid-19 pandemic. This is the first study to investigate SAQ during Covid-19. Differences in SAQ scores were observed during Covid-19 between professional groups when compared to baseline. Reductions in incident reporting were also seen. These changes may reflect perception of risk, changes in volume or nature of work. High-quality support for redeployed staff may be associated with improved safety perception during future pandemics. View Full-Text
Keywords: patient safety; safety culture; Covid-19; health care professionals; safety attitudes questionnaire (SAQ) patient safety; safety culture; Covid-19; health care professionals; safety attitudes questionnaire (SAQ)
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MDPI and ACS Style

Denning, M.; Goh, E.T.; Scott, A.; Martin, G.; Markar, S.; Flott, K.; Mason, S.; Przybylowicz, J.; Almonte, M.; Clarke, J.; Winter Beatty, J.; Chidambaram, S.; Yalamanchili, S.; Tan, B.Y.-Q.; Kanneganti, A.; Sounderajah, V.; Wells, M.; Purkayastha, S.; Kinross, J. What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust. Int. J. Environ. Res. Public Health 2020, 17, 7034. https://doi.org/10.3390/ijerph17197034

AMA Style

Denning M, Goh ET, Scott A, Martin G, Markar S, Flott K, Mason S, Przybylowicz J, Almonte M, Clarke J, Winter Beatty J, Chidambaram S, Yalamanchili S, Tan BY-Q, Kanneganti A, Sounderajah V, Wells M, Purkayastha S, Kinross J. What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust. International Journal of Environmental Research and Public Health. 2020; 17(19):7034. https://doi.org/10.3390/ijerph17197034

Chicago/Turabian Style

Denning, Max, Ee T. Goh, Alasdair Scott, Guy Martin, Sheraz Markar, Kelsey Flott, Sam Mason, Jan Przybylowicz, Melanie Almonte, Jonathan Clarke, Jasmine Winter Beatty, Swathikan Chidambaram, Seema Yalamanchili, Benjamin Y.-Q. Tan, Abhiram Kanneganti, Viknesh Sounderajah, Mary Wells, Sanjay Purkayastha, and James Kinross. 2020. "What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust" International Journal of Environmental Research and Public Health 17, no. 19: 7034. https://doi.org/10.3390/ijerph17197034

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