RT Journal Article
SR Electronic
T1 Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout
JF BMJ Quality & Safety
JO BMJ Qual Saf
FD BMJ Publishing Group Ltd
SP 814
OP 822
DO 10.1136/bmjqs-2013-002042
VO 23
IS 10
A1 J Bryan Sexton
A1 Paul J Sharek
A1 Eric J Thomas
A1 Jeffrey B Gould
A1 Courtney C Nisbet
A1 Amber B Amspoker
A1 Mark A Kowalkowski
A1 René Schwendimann
A1 Jochen Profit
YR 2014
UL http://qualitysafety.bmj.com/content/23/10/814.abstract
AB Background Leadership WalkRounds (WR) are widely used in healthcare organisations to improve patient safety. The relationship between WR and caregiver assessments of patient safety culture, and healthcare worker burnout is unknown. Methods This cross-sectional survey study evaluated the association between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture and burnout across 44 neonatal intensive care units (NICUs) actively participating in a structured delivery room management quality improvement initiative. Results Of 3294 administered surveys, 2073 were returned for an overall response rate of 62.9%. More WR feedback was associated with better safety culture results and lower burnout rates in the NICUs. Participation in WR and receiving feedback about WR were less common in NICUs than in a benchmarking comparison of adult clinical areas. Conclusions WR are linked to patient safety and burnout. In NICUs, where they occurred more often, the workplace appears to be a better place to deliver and to receive care.