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Papers by Magna Andreen Sachs
Research Square (Research Square), Jan 4, 2021
Background: Safety culture can be described and understood through its manifestations in the orga... more Background: Safety culture can be described and understood through its manifestations in the organisation as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains elusive as a concept. Even if the literature points to leadership as an important factor for creating and sustaining a mature safety culture, little is known about how the safety work of rst line managers' actually is done and how they balance the different and often con icting organizational goals in everyday practice. The purpose of this study was to explore how health care rst
![Research paper thumbnail of [Patient involvement in patient safety]](https://attachments.academia-assets.com/111246133/thumbnails/1.jpg)
](PubMed, May 5, 2017
Patient involvement in patient safety The prospect of patients contributing to safer care with th... more Patient involvement in patient safety The prospect of patients contributing to safer care with their unique knowledge and experiences demands a profound change in roles and attitudes among healthcare staff and researchers. The path forward involves designing ways of coproduction in healthcare quality and safety improvement as well as in research.
BMC Health Services Research, Aug 22, 2013
Background: A Swedish version of the USA Agency for Healthcare Research and Quality "Hospital Sur... more Background: A Swedish version of the USA Agency for Healthcare Research and Quality "Hospital Survey on Patient Safety Culture" (S-HSOPSC) was developed to be used in both hospitals and primary care. Two new dimensions with two and four questions each were added as well as one outcome measure. This paper describes this Swedish version and an assessment of its psychometric properties which were tested on a large sample of responses from personnel in both hospital and primary care. Methods: The questionnaire was mainly administered in web form and 84215 forms were returned (response rate 60%) between 2009 and 2011. Eleven per cent of the responses came from primary care workers and 46% from hospital care workers. The psychometric properties were analyzed using both the total sample and the hospital and primary care subsamples by assessment of construct validity and internal consistency. Construct validity was assessed by confirmatory (CFA) and exploratory factor (EFA) analyses and internal consistency was established by Cronbachs's α. Results: CFA of the total, hospital and primary care samples generally showed a good fit while the EFA pointed towards a 9-factor model in all samples instead of the 14-dimension S-HSOPSC instrument. Internal consistency was acceptable with Cronbach's α values above 0.7 in a major part of the dimensions. Conclusions: The S-HSOPSC, consisting of 14 dimensions, 48 items and 3 single-item outcome measures, is used both in hospitals and in primary care settings in Sweden for different purposes. This version of the original American instrument has acceptable construct validity and internal consistency when tested on large datasets of first-time responders from both hospitals and primary care centres. One common instrument for measurements of patient safety culture in both hospitals and primary care settings is an advantage since it enables comparisons between sectors and assessments of national patient safety improvement programs. Future research into this version of the instrument includes comparing results from patient safety culture measurements with other outcomes in relation to safety improvement strategies.
Obstetric Anesthesia Digest, Jun 1, 2018
Geburten sind ein riskantes Unternehmen, nicht nur für Mutter und Kind, sondern auch für die betr... more Geburten sind ein riskantes Unternehmen, nicht nur für Mutter und Kind, sondern auch für die betreuenden Ärzte und Hebammen. Nicht wenige brechen unter der Belastung zusammen, wie die Ergebnisse einer schwedischen Studie verdeutlichen.
Psychometric properties of the hospital survey on patient safety culture, HSOPSC, applied on a la... more Psychometric properties of the hospital survey on patient safety culture, HSOPSC, applied on a large ple outcomes in relation to safety improvement strategies.
Health Services Management Research, May 16, 2022
Journal of patient safety, 2012
Despite increasing recognition that patients could play an important role in promoting the safety... more Despite increasing recognition that patients could play an important role in promoting the safety of their care, little is known on this issue regarding health-care professionals' (HCPs') attitudes toward patient involvement.
We have gratefully received your and the reviewers´ valuable comments and suggestions. Based on t... more We have gratefully received your and the reviewers´ valuable comments and suggestions. Based on these, major changes have been done, e.g. regarding choice of statistical methods. Also, background and discussion have been developed. Please, see enclosed list containing all your comments and our responses. We hope you will find these changes are in line with your demands and expectations for publication. Your comments have been considered as follows: Comments made by reviewer Said Bodur
Background: Safety culture can be described and understood through its manifestations in the orga... more Background: Safety culture can be described and understood through its manifestations in the organisation as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains elusive as a concept. Even if the literature points to leadership as an important factor for creating and sustaining a mature safety culture, little is known about how the safety work of first line managers’ actually is done and how they balance the different and often conflicting organizational goals in everyday practice. The purpose of this study was to explore how health care first line managers perceive their role and how they promote patient safety and patient safety culture in their units. Methods: Interview study with first line managers in intensive care units in in eight different hospitals located in the middle of Sweden. An inductive qualitative content analysis approach was used. Results: We present how first line managers view their role in patient saf...
Läkartidningen, 2005
There is a sizable "poor quality and safety" problem in health care, not only in terms ... more There is a sizable "poor quality and safety" problem in health care, not only in terms of suffering to patients but also in economic terms. Few studies have assigned costs to the problems. Decisions about whether to take action and which actions to take would be assisted by economic evidence. The article presents research which shows subjects and services where there is evidence both of poor quality and of effective interventions The article shows ways systematically to incorporate economic considerations into decisions about improvement and practical methods for estimating the costs of a quality problem and possible savings. A simple method is presented which would allow a purchaser or provider to make a comprehensive overview of a range of healthcare problems to help decide where to invest resources to save costs. Economic criteria and estimates, however, should not be the only criteria for selecting improvement subjects. Understanding of the costs of both the problem an...
Lakartidningen, 2015
A less discussed aspect of patient safety issues in Sweden has been the correlation between disru... more A less discussed aspect of patient safety issues in Sweden has been the correlation between disruptive behaviour and adverse advents. Disruptive behaviour, according to international studies, can affect team collaboration and communication, and hence the safety of care. Disruptive behaviour also exists in Swedish health-care. Dealing with the problem requires acknowledgement of its existence, and international examples have shown how to identify and prevent disruptive behaviour among health care staff.
International Journal of Integrated Care, Oct 23, 2018
Conclusion: This study provides valuable insights into the dynamics of organizational sustainabil... more Conclusion: This study provides valuable insights into the dynamics of organizational sustainability and understanding of key managerial actions in order to establish, develop and support integration of health and social care for people with complex mental health needs. We conclude that service user involvement and regular reviews of service users' needs are essential in order to adapt to their current needs. Another major finding was the continuous adjustment of the content of intended change in relation to context. Therefore, we conclude that continuous refinement of the change content might be more important for sustainability than detailed designing of the change ahead of implementation. As this study primarily addresses the steering committee decisions and actions, future research could build on our findings by including perspectives on organisational champions and the meaning of organising networks for achieving sustainability. As the knowledge on champions and networks increases, we stress that organisations and services adjust accordingly.
Research Square (Research Square), Jan 4, 2021
Background: Safety culture can be described and understood through its manifestations in the orga... more Background: Safety culture can be described and understood through its manifestations in the organisation as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains elusive as a concept. Even if the literature points to leadership as an important factor for creating and sustaining a mature safety culture, little is known about how the safety work of rst line managers' actually is done and how they balance the different and often con icting organizational goals in everyday practice. The purpose of this study was to explore how health care rst
PubMed, May 5, 2017
Patient involvement in patient safety The prospect of patients contributing to safer care with th... more Patient involvement in patient safety The prospect of patients contributing to safer care with their unique knowledge and experiences demands a profound change in roles and attitudes among healthcare staff and researchers. The path forward involves designing ways of coproduction in healthcare quality and safety improvement as well as in research.
BMC Health Services Research, Aug 22, 2013
Background: A Swedish version of the USA Agency for Healthcare Research and Quality "Hospital Sur... more Background: A Swedish version of the USA Agency for Healthcare Research and Quality "Hospital Survey on Patient Safety Culture" (S-HSOPSC) was developed to be used in both hospitals and primary care. Two new dimensions with two and four questions each were added as well as one outcome measure. This paper describes this Swedish version and an assessment of its psychometric properties which were tested on a large sample of responses from personnel in both hospital and primary care. Methods: The questionnaire was mainly administered in web form and 84215 forms were returned (response rate 60%) between 2009 and 2011. Eleven per cent of the responses came from primary care workers and 46% from hospital care workers. The psychometric properties were analyzed using both the total sample and the hospital and primary care subsamples by assessment of construct validity and internal consistency. Construct validity was assessed by confirmatory (CFA) and exploratory factor (EFA) analyses and internal consistency was established by Cronbachs's α. Results: CFA of the total, hospital and primary care samples generally showed a good fit while the EFA pointed towards a 9-factor model in all samples instead of the 14-dimension S-HSOPSC instrument. Internal consistency was acceptable with Cronbach's α values above 0.7 in a major part of the dimensions. Conclusions: The S-HSOPSC, consisting of 14 dimensions, 48 items and 3 single-item outcome measures, is used both in hospitals and in primary care settings in Sweden for different purposes. This version of the original American instrument has acceptable construct validity and internal consistency when tested on large datasets of first-time responders from both hospitals and primary care centres. One common instrument for measurements of patient safety culture in both hospitals and primary care settings is an advantage since it enables comparisons between sectors and assessments of national patient safety improvement programs. Future research into this version of the instrument includes comparing results from patient safety culture measurements with other outcomes in relation to safety improvement strategies.
Obstetric Anesthesia Digest, Jun 1, 2018
Geburten sind ein riskantes Unternehmen, nicht nur für Mutter und Kind, sondern auch für die betr... more Geburten sind ein riskantes Unternehmen, nicht nur für Mutter und Kind, sondern auch für die betreuenden Ärzte und Hebammen. Nicht wenige brechen unter der Belastung zusammen, wie die Ergebnisse einer schwedischen Studie verdeutlichen.
Psychometric properties of the hospital survey on patient safety culture, HSOPSC, applied on a la... more Psychometric properties of the hospital survey on patient safety culture, HSOPSC, applied on a large ple outcomes in relation to safety improvement strategies.
Health Services Management Research, May 16, 2022
Journal of patient safety, 2012
Despite increasing recognition that patients could play an important role in promoting the safety... more Despite increasing recognition that patients could play an important role in promoting the safety of their care, little is known on this issue regarding health-care professionals' (HCPs') attitudes toward patient involvement.
We have gratefully received your and the reviewers´ valuable comments and suggestions. Based on t... more We have gratefully received your and the reviewers´ valuable comments and suggestions. Based on these, major changes have been done, e.g. regarding choice of statistical methods. Also, background and discussion have been developed. Please, see enclosed list containing all your comments and our responses. We hope you will find these changes are in line with your demands and expectations for publication. Your comments have been considered as follows: Comments made by reviewer Said Bodur
Background: Safety culture can be described and understood through its manifestations in the orga... more Background: Safety culture can be described and understood through its manifestations in the organisation as artefacts, espoused values and basic underlying assumptions and is strongly related to leadership-yet it remains elusive as a concept. Even if the literature points to leadership as an important factor for creating and sustaining a mature safety culture, little is known about how the safety work of first line managers’ actually is done and how they balance the different and often conflicting organizational goals in everyday practice. The purpose of this study was to explore how health care first line managers perceive their role and how they promote patient safety and patient safety culture in their units. Methods: Interview study with first line managers in intensive care units in in eight different hospitals located in the middle of Sweden. An inductive qualitative content analysis approach was used. Results: We present how first line managers view their role in patient saf...
Läkartidningen, 2005
There is a sizable "poor quality and safety" problem in health care, not only in terms ... more There is a sizable "poor quality and safety" problem in health care, not only in terms of suffering to patients but also in economic terms. Few studies have assigned costs to the problems. Decisions about whether to take action and which actions to take would be assisted by economic evidence. The article presents research which shows subjects and services where there is evidence both of poor quality and of effective interventions The article shows ways systematically to incorporate economic considerations into decisions about improvement and practical methods for estimating the costs of a quality problem and possible savings. A simple method is presented which would allow a purchaser or provider to make a comprehensive overview of a range of healthcare problems to help decide where to invest resources to save costs. Economic criteria and estimates, however, should not be the only criteria for selecting improvement subjects. Understanding of the costs of both the problem an...
Lakartidningen, 2015
A less discussed aspect of patient safety issues in Sweden has been the correlation between disru... more A less discussed aspect of patient safety issues in Sweden has been the correlation between disruptive behaviour and adverse advents. Disruptive behaviour, according to international studies, can affect team collaboration and communication, and hence the safety of care. Disruptive behaviour also exists in Swedish health-care. Dealing with the problem requires acknowledgement of its existence, and international examples have shown how to identify and prevent disruptive behaviour among health care staff.
International Journal of Integrated Care, Oct 23, 2018
Conclusion: This study provides valuable insights into the dynamics of organizational sustainabil... more Conclusion: This study provides valuable insights into the dynamics of organizational sustainability and understanding of key managerial actions in order to establish, develop and support integration of health and social care for people with complex mental health needs. We conclude that service user involvement and regular reviews of service users' needs are essential in order to adapt to their current needs. Another major finding was the continuous adjustment of the content of intended change in relation to context. Therefore, we conclude that continuous refinement of the change content might be more important for sustainability than detailed designing of the change ahead of implementation. As this study primarily addresses the steering committee decisions and actions, future research could build on our findings by including perspectives on organisational champions and the meaning of organising networks for achieving sustainability. As the knowledge on champions and networks increases, we stress that organisations and services adjust accordingly.