Factors influencing patient safety in Sweden: perceptions of patient safety officers in the county councils

Mikaela Nygren; Kerstin Roback; Annica Öhrn; Hans Rutberg; Mikael Rahmqvist; Per Nilsen

doi:10.1186/1472-6963-13-52

Table 3 Factors to attain the current level of patient safety

From: Factors influencing patient safety in Sweden: perceptions of patient safety officers in the county councils

Response items	How important have the following 36 factors been to achieve the current level of patient safety in your county council?				N
Response items	Very important (%)	Moderately important (%)	Slightly important (%)	Not at all important (%)	N
Conducting root cause and risk analyses	66	32	2	0	168
Incident reporting	63	33	4	0	165
The Swedish Patient Safety Law	60	30	8	2	165
Internal discussions with county council management, heads of health care units, health care providers etc.	57	35	7	1	162
Efforts to reduce the use of antibiotics	56	40	3	1	159
Use of Safe Surgery checklist	54	42	4	0	127
PPM of adherence to hygiene rules	51	41	8	0	161
Participation in SALAR's PPM of HAI	49	44	6	1	156
Use of Handbook for Patient Safety Work: Risk Analysis and Root Cause Analysis	48	41	10	1	155
Swedish regulation: SOSFS 2005:12, Quality and patient safety in health care, as described in the handbook Good Care	45	41	10	3	164
Participation in SALAR's PPM of compliance with hygiene rules	43	45	11	1	159
Surveillance of pressure ulcers	42	46	11	0	157
Participation in SALAR’s PPM of pressure ulcer	41	50	9	1	153
Legal decision from Lex Maria cases	39	50	11	0	165
Local STRAMA group	36	54	9	2	160
Use of SALAR's guidelines on postoperative infections	35	46	18	1	142
Complaints and reports from patients	34	51	13	2	163
Use of SALAR's guidelines on falls and injuries from falls	34	51	15	1	144
Use of SALAR's guidelines on pressure ulcers	34	48	18	1	143
Use of SALAR's guidelines on hospital acquired urinary tract infections	34	47	18	1	146
Use of SALAR's guidelines on malnutrition	33	39	26	2	141
Use of SALAR's guidelines on medication errors in health care transitions	32	45	22	1	148
Use of SALAR's guidelines on infections of central venous catheter	32	47	19	1	142
Use of SALAR's guidelines on medication-related problems	31	57	11	2	159
External discussions with others involved in patient safety	31	49	20	1	147
Structured review of medical records	30	33	28	10	144
Patient safety culture surveys	26	48	19	7	155
Information from various quality registers	26	42	27	4	157
Assembling annual report of patient safety work in the county council	20	42	29	9	157
Research and scientific articles about patient safety	19	42	36	3	162
Use of Handbook for Patient Safety: Structured Review of Medical Records According to Global Trigger Tool	18	37	30	15	131
Participation in the national patient survey in primary health care	17	45	32	5	115
Use of Handbook for Patient Safety: How to Measure Patient Safety Culture	17	46	32	6	145
Participation in the National Patient Overview (medical records at the national level)	15	42	31	12	121
Use of Handbook for Patient Safety: Safer Care	12	42	34	12	113
Informational material from the County Council Mutual Insurance Company	11	55	29	5	158

Answers missing or recorded as “no opinion” excluded.
Abbreviations: HAI, health care-associated infection; Lex Maria, regulation in Sweden that obliges caregivers to report incidents that have resulted or could have led to serious health damage to the National Board in Sweden; PPM, point prevalence measurement; SALAR, Swedish Association of Local Authorities and Regions; STRAMA, the Swedish strategic programme against antibiotic resistance.

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