What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

Max Denning; Ee Teng 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 Yong-Qiang Tan; Abhiram Kanneganti; Viknesh Sounderajah; Mary Wells; Sanjay Purkayastha; James Kinross

Study

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

Denning M, Goh ET, Scott A, et al. Int J Environ Res Public Health. 2020;17(19):7034.

View more articles from the same authors.

This study used the Safety Attitudes Questionnaire to evaluate the impact of COVID-19 on safety culture at a large UK teaching hospital compared to baseline scores collected in 2017. Overall, respondents reported more positive perceptions of safety; training and support for redeployment were associated with higher perceptions of safety. However, the analysis identified a significant decrease in error reporting after the onset of the COVID-19 pandemic.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study.

May 5, 2021

Telemedicine as a medical examination tool during the Covid-19 emergency: the experience of the onco-haematology center of Tor Vergata Hospital in Rome.

December 23, 2020

Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.

November 9, 2022

Missing diagnoses during the COVID-19 pandemic: a year in review.

June 23, 2021

The impact of meaningful use and electronic health records on hospital patient safety.

November 2, 2022

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

Assessing patient safety culture in hospital settings.

June 2, 2021

Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study.

November 16, 2022

Hospital inpatient falls across clinical departments.

September 1, 2021

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety.

September 15, 2021

May 4, 2022

The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study.

July 13, 2022

Communication disparities between nursing home team members.

July 20, 2022

DEEP SCOPE: a framework for safe healthcare design.

October 13, 2021

Effectiveness of communication interventions in obstetrics--a systematic review.

April 21, 2021

Surgery is in itself a risk factor for the patient.

June 1, 2022

Non-technical skills in surgery during the COVID-19 pandemic: an observational study.

March 9, 2022

Self-assessment and learning motivation in the second victim phenomenon.

February 1, 2023

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.

February 15, 2023

Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic.

January 12, 2022

Interprofessional and intraprofessional communication about older people's medications across transitions of care.

May 26, 2021

Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources.

June 23, 2021

Individualized medication review in older people with multimorbidity: a comparative analysis between patients living at home and in a nursing home.

May 25, 2022

Habit and automaticity in medical alert override: cohort study.

April 27, 2022

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.

February 17, 2021

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series.

September 30, 2020

Scoping review of studies evaluating frailty and its association with medication harm.

June 22, 2022

Exploring the impact of employee engagement and patient safety.

September 14, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

How physicians think: a case-based diagnostic simulation exercise.

September 16, 2020

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

August 15, 2012

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease.

July 29, 2020

The perception of the patient safety climate by health professionals during the COVID-19 pandemic-international research.

August 31, 2022

Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic.

March 23, 2022

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic.

September 30, 2020

In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.

December 23, 2020

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.

March 30, 2022

COVID-19 and open notes: a new method to enhance patient safety and trust.

July 7, 2021

What COVID-19 teaches us about implicit bias in pediatric health care.

February 24, 2021

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses.

September 15, 2021

Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center.

October 21, 2020

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.

February 2, 2022

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

Cognitive bias and public health policy during the COVID-19 pandemic.

July 22, 2020

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system.

May 25, 2022

Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety.

August 11, 2021

Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies.

May 13, 2020

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

Patient voices in hospital safety during the COVID-19 pandemic.

November 2, 2022

COVID-19 pandemic and the tension between the need to act and the need to know.

October 14, 2020

The impact of COVID-19 response on central line associated bloodstream infections and blood culture contamination rates at a tertiary care center in greater Detroit area.

December 16, 2020

Are opioid infusions used inappropriately at end of life? Results from a quality/safety project.

July 20, 2022

Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors.

November 10, 2021

Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.

October 28, 2020

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Structural racism and health inequities in the USA: evidence and interventions.

April 14, 2017

Role of the regulator in enabling a just culture: a qualitative study in mental health and hospital care.

August 10, 2022

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.

February 23, 2022

Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.

June 8, 2022

Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.

August 19, 2020

Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey.

March 10, 2021

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.

October 6, 2021

The safety of health care for ethnic minority patients: a systematic review.

July 29, 2020

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network.

March 17, 2021

Impact of the COVID-19 pandemic on cancer care: a global collaborative study.

November 11, 2020

Differences in medication reconciliation interventions between six hospitals: a mixed method study.

June 29, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.

February 8, 2023

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies.

May 19, 2021

COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada.

September 30, 2020

Lessons learned from a systems approach to engaging patients and families in patient safety transformation.

February 12, 2020

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Patient safety culture: the impact on workplace violence and health worker burnout.

February 8, 2023

Supporting the emotional well-being of health care workers during the COVID-19 pandemic.

August 5, 2020

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.

September 16, 2020

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.

June 9, 2021

COVID-19: the dark side and the sunny side for patient safety.

October 14, 2020

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.

April 27, 2022

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

The role of feedback in emergency ambulance services: a qualitative interview study.

April 6, 2022

Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities.

August 12, 2020

Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19.

July 22, 2020

What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.

May 26, 2021

Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations.

October 27, 2021

Investigation of mental and physical health of nurses associated with errors in clinical practice.

October 26, 2022

Patient safety in chiropractic teaching programs: a mixed methods study.

December 23, 2020

The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis.

July 15, 2020

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic.

March 27, 2024

Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022.

January 24, 2024

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.

August 9, 2023

Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19.

July 5, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence.

February 1, 2023

Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021.

October 5, 2022

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.

October 5, 2022

Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic.

September 28, 2022

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review.

August 24, 2022

Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?

May 11, 2022

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Non-technical skills in surgery during the COVID-19 pandemic: an observational study.

March 9, 2022

Patient Safety Primers

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

February 23, 2022

Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic.

February 23, 2022

Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic.

February 16, 2022

Start the year off right by addressing these top 10 medication safety concerns from 2021.

February 9, 2022

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.

February 2, 2022

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

January 11, 2022

NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021.

December 22, 2021

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic.

December 15, 2021

Age-related COVID-19 vaccine mix-ups.

December 15, 2021

Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study.

November 10, 2021

Patient Safety Innovations

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

October 27, 2021

The less-discussed consequence of healthcare's labor shortage.

October 13, 2021

See More About The Topic

Hospitals

Organizational Behaviorists

Public Health

Infectious Diseases

Latent Errors

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site