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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

Very important (%)

Moderately important (%)

Slightly important (%)

Not at all important (%)

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

  1. Answers missing or recorded as “no opinion” excluded.
  2. 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.