Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Staff Perceptions of Organizational Patient Safety Climate and Quality Outcomes: An Examination of Outpatient Medical Offices

Jason P. Richter
,
Brad M Beauvais
* ORCID logo ,
Lynn Downs
,
Matthew Calvert
,
Fernando Najera
,
Steven Wentz
,
Bob Wolfe
,
Forest Kim
Version 1 : Received: 6 July 2021 / Approved: 8 July 2021 / Online: 8 July 2021 (10:44:33 CEST)

How to cite: Richter, J.P.; Beauvais, B.M.; Downs, L.; Calvert, M.; Najera, F.; Wentz, S.; Wolfe, B.; Kim, F. Staff Perceptions of Organizational Patient Safety Climate and Quality Outcomes: An Examination of Outpatient Medical Offices. Preprints 2021, 2021070192. https://doi.org/10.20944/preprints202107.0192.v1 Richter, J.P.; Beauvais, B.M.; Downs, L.; Calvert, M.; Najera, F.; Wentz, S.; Wolfe, B.; Kim, F. Staff Perceptions of Organizational Patient Safety Climate and Quality Outcomes: An Examination of Outpatient Medical Offices. Preprints 2021, 2021070192. https://doi.org/10.20944/preprints202107.0192.v1

Abstract

As many as 20-25% of the population experiences harm in outpatient settings, yet these locations are underrepresented in the literature compared to hospitals. We examined results from the Medical Office Survey on Patient Safety Culture designed by the Agency for Healthcare Research and Quality. The survey administered in 2012 gathered perceptions from 23,679 individuals in 934 unique medical offices. We examined associations of organizational patient safety climate composites on frequency of safety and quality issues, overall quality score, and safety rating. We found organizational patient safety composites are all positively and significantly associated with a higher overall quality score and patient safety rating, and fewer safety and quality issues. Office processes and standardization appeared to have the most consistent influence on perceived quality outcomes. Our results indicate it may be advantageous for medical offices to improve on the factors that contribute to positive safety climate.

Keywords

errors; culture; quality improvement; patient safety; management; clinics; outpatient

Subject

Social Sciences, Safety Research

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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