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Organizational Culture, Continuous Quality Improvement, and Medication Administration Error Reporting

American Journal of Medical Quality , Volume 16 (4): 128 – Jul 8, 2001

Details

Publisher
Sage Publications
Copyright
Copyright © 2001 by SAGE Publications
ISSN
1062-8606
eISSN
1062-8606
D.O.I.
10.1177/106286060101600404
Publisher site
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Organizational Culture, Continuous Quality Improvement, and Medication Administration Error Reporting

Abstract

This study explores the relationships among measures of nurses' perceptions of organizational culture, continuous quality improvement (CQI) implementation, and medication administration error (MAE) reporting. Hospital-based nurses were surveyed using measures of organizational culture and CQI implementation. These data were combined with previously collected data on perceptions of MAE reporting. A group-oriented culture had a significant positive correlation with CQI implementation, whereas hierarchical and rational culture types were negatively correlated with CQI implementation. Higher barriers to reporting MAE were associated with lower perceived reporting rates. A group-oriented culture and a greater extent of CQI implementation were positively (but not significantly) associated with the estimated overall percentage of MAEs reported. We conclude that health care organizations have implemented CQI programs, yet barriers remain relative to MAE reporting. There is a need to assess the reliability, validity, and completeness of key quality assessment and risk management data.
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