Patient Safety Problems, Procedures, and Systems Associated with Safety Reporting and Turnover

Patient Safety Problems, Procedures, and Systems Associated With Safety Reporting and Turnover by Grace Hilario MSN, MBA, University of Phoenix, 2016 BSN, California State University Fullerton, 2013 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Healthcare Administration Walden University August 2019 Abstract Research has shown that 400,000 people die every year due to preventable medical errors. Medical error reporting and safety is a responsibility of all members of a health care organization. Creating an environment that addresses and prevents potential or actual safety problems can help reduce the incidence of medical errors made by nurses in the workplace. The purpose of this quantitative research study was to determine if nurses’ perceptions of safety problems and error-preventing procedures and systems affected their comfort in reporting safety problems and intent to leave. High-reliability theory was the theoretical foundation for this study. Data were obtained from 1,171 surveys completed by newly licensed registered nurses located in 51 different metropolitan statistical areas and 9 counties. SPSS Version 25 was used to conduct a secondary data analysis including descriptive statistics, bivariate analysis, and multiple logistic regression for each variable. Themes that emerged from the data analysis included the importance of education on safety protocols and improving nurse satisfaction and nurse retention. The findings of the study might contribute to social change by creating an increased awareness for nurse leaders, managers, and newly licensed registered nurses in ensuring that there is improved comfort of reporting and appropriate error-preventing procedures and system in the health care environment. Increased awareness will allow for action and improved protocols to enhance the overall safety and quality of care for nurses and their patients.Research has shown that 400,000 people die every year due to preventable medical errors. Medical error reporting and safety is a responsibility of all members of a health care organization. Creating an environment that addresses and prevents potential or actual safety problems can help reduce the incidence of medical errors made by nurses in the workplace. The purpose of this quantitative research study was to determine if nurses’ perceptions of safety problems and error-preventing procedures and systems affected their comfort in reporting safety problems and intent to leave. High-reliability theory was the theoretical foundation for this study. Data were obtained from 1,171 surveys completed by newly licensed registered nurses located in 51 different metropolitan statistical areas and 9 counties. SPSS Version 25 was used to conduct a secondary data analysis including descriptive statistics, bivariate analysis, and multiple logistic regression for each variable. Themes that emerged from the data analysis included the importance of education on safety protocols and improving nurse satisfaction and nurse retention. The findings of the study might contribute to social change by creating an increased awareness for nurse leaders, managers, and newly licensed registered nurses in ensuring that there is improved comfort of reporting and appropriate error-preventing procedures and system in the health care environment. Increased awareness will allow for action and improved protocols to enhance the overall safety and quality of care for nurses and their patients. Patient Safety Problems, Procedures, and Systems Associated With Safety Reporting and Turnover by Grace Hilario MSN, MBA, University of Phoenix, 2016 BSN, California State University Fullerton, 2013 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Healthcare Administration Walden University August 2019 Dedication This doctoral study is dedicated to my parents for their continuous support, hard work, and dedication to our family. Thank you to my family and loved ones for your understanding and encouragement throughout the entire dissertation process. Acknowledgments I would like to acknowledge my faculty chair, Dr. Rohrer, for your patience and prompt feedback throughout the entire doctoral study process. I would like to thank Dr. Jobli for your helpful insights and wisdom with the study. Thank you to all of my educators, family members, and friends who have helped me reach this point in my academic career. Thank you, to my Heavenly Father, who continues to guide me and uplift me every single day.