? ? Medical and surgical care is fraught with hazards, particularly in low and middle income countries (LMICs). Powerful institutional wide processes to improve health safety have come from high reliability organizations (HROs) which have advocated adoption of a ?culture of safety,? which is the shared values, attitudes, perceptions, and patterns of behavior that determine the effort with which staff direct their attention towards minimizing patient harm. Measures of staff perceptions about safety culture?termed the ?safety climate?? are critical to develop quality improvement efforts. Our overall goal?is to improve surgical safety for children by building a safety culture in resource constrained settings. Following measurement of the safety climate at two ? pediatric units in two public hospitals in Guatemala using a low cost, standardized, electronic survey tool, we will assess the implementation of the SCORE safety program at these two units. Our research team is a public private partnership (PPP) composed of Guatemalan hospital leadership, U.S. academic experts, and social entrepreneurs from a private U.S. patient safety organization.

Public Health Relevance

Our goal is to improve the safety and quality of pediatric care at public hospitals in Guatemala. We will implement a safety program at two pediatric units in two public hospitals in Guatemala addressing barriers identified by assessment of the safety climate.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
Small Research Grants (R03)
Project #
5R03TW010670-02
Application #
9686616
Study Section
Dissemination and Implementation Research in Health Study Section (DIRH)
Program Officer
Povlich, Laura
Project Start
2018-04-19
Project End
2020-03-31
Budget Start
2019-04-01
Budget End
2020-03-31
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Duke University
Department
Surgery
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705