{"id":"https://openalex.org/W164302871","doi":null,"title":"Advancing safety in Irish hospitals: A quantitative study of organisational, ward and nurse factors that impact on patient safety outcomes","display_name":"Advancing safety in Irish hospitals: A quantitative study of organisational, ward and nurse factors that impact on patient safety outcomes","publication_year":2012,"publication_date":"2012-11-01","ids":{"openalex":"https://openalex.org/W164302871","mag":"164302871"},"language":"en","primary_location":{"id":"pmh:http://www.rian.ie/58589/","doi":null,"is_oa":true,"landing_page_url":"http://doras.dcu.ie/17472/","pdf_url":"http://doras.dcu.ie/17472/","source":{"id":"https://openalex.org/S4306400033","display_name":"Arrow@dit (Dublin Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210144925","host_organization_name":"Technological University Dublin","host_organization_lineage":["https://openalex.org/I4210144925"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kirwan, Marcia (2012) Advancing safety in Irish hospitals: A quantitative study of organisational, ward and nurse factors that impact on patient safety outcomes. PhD thesis, Dublin City University.","raw_type":"Other"},"volume":null,"type":"other","is_traditional":false,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://doras.dcu.ie/17472/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072537622","display_name":"Marcia Kirwan","orcid":"https://orcid.org/0000-0001-7201-0281","observed_orcids":["https://orcid.org/0000-0001-7201-0281"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Marcia Kirwan","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-7201-0281","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5072537622"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.004600000102072954,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.9990000128746033},{"id":"https://openalex.org/keywords/organizational-factors","display_name":"organizational factors","score":0.6639999747276306},{"id":"https://openalex.org/keywords/nursing-work-environment","display_name":"nursing work environment","score":0.8080000281333923},{"id":"https://openalex.org/keywords/nursing-workload","display_name":"nursing workload","score":0.906000018119812},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.7319999933242798},{"id":"https://openalex.org/keywords/drug-safety","display_name":"drug safety","score":0.9990000128746033},{"id":"https://openalex.org/keywords/staff-ratios","display_name":"staff ratios","score":0.7799999713897705},{"id":"https://openalex.org/keywords/nursing-qualifications","display_name":"nursing qualifications","score":0.4259999990463257},{"id":"https://openalex.org/keywords/nurses-experiences","display_name":"nurses' experiences","score":0.7360000014305115},{"id":"https://openalex.org/keywords/adverse-event-reporting","display_name":"adverse event reporting","score":0.9490000009536743},{"id":"https://openalex.org/keywords/acute-general-hospital","display_name":"acute general hospital","score":0.7540000081062317},{"id":"https://openalex.org/keywords/irish-hospitals","display_name":"Irish hospitals","score":0.6330000162124634}],"concepts":[{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.7325764894485474},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.7251349687576294},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.6625749468803406},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5856701135635376},{"id":"https://openalex.org/C2780623531","wikidata":"https://www.wikidata.org/wiki/Q9142","display_name":"Irish","level":2,"score":0.5343828201293945},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.4669455289840698},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45030367374420166},{"id":"https://openalex.org/C2718322","wikidata":"https://www.wikidata.org/wiki/Q629463","display_name":"Job satisfaction","level":2,"score":0.4415535628795624},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.4227476119995117},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3747705817222595},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2574242353439331},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:http://www.rian.ie/58589/","doi":null,"is_oa":true,"landing_page_url":"http://doras.dcu.ie/17472/","pdf_url":"http://doras.dcu.ie/17472/","source":{"id":"https://openalex.org/S4306400033","display_name":"Arrow@dit (Dublin Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210144925","host_organization_name":"Technological University Dublin","host_organization_lineage":["https://openalex.org/I4210144925"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kirwan, Marcia (2012) Advancing safety in Irish hospitals: A quantitative study of organisational, ward and nurse factors that impact on patient safety outcomes. PhD thesis, Dublin City University.","raw_type":"Other"},{"id":"pmh:oai:doras.dcu.ie:17472","doi":null,"is_oa":true,"landing_page_url":"https://orcid.org/0000-0001-7201-0281>","pdf_url":"https://doras.dcu.ie/17472/1/FINAL_PhD_THESIS_DOCUMENT_Marcia_Kirwan_16th_Sept_2012.pdf","source":{"id":"https://openalex.org/S4306401511","display_name":"Dublin City University Open Access Institutional Repository (Dublin City University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I42934936","host_organization_name":"Dublin City University","host_organization_lineage":["https://openalex.org/I42934936"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:164302871","doi":null,"is_oa":false,"landing_page_url":"http://doras.dcu.ie/17472/1/FINAL_PhD_THESIS_DOCUMENT_Marcia_Kirwan_16th_Sept_2012.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:http://www.rian.ie/58589/","doi":null,"is_oa":true,"landing_page_url":"http://doras.dcu.ie/17472/","pdf_url":"http://doras.dcu.ie/17472/","source":{"id":"https://openalex.org/S4306400033","display_name":"Arrow@dit (Dublin Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210144925","host_organization_name":"Technological University Dublin","host_organization_lineage":["https://openalex.org/I4210144925"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Kirwan, Marcia (2012) Advancing safety in Irish hospitals: A quantitative study of organisational, ward and nurse factors that impact on patient safety outcomes. PhD thesis, Dublin City University.","raw_type":"Other"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W164302871.pdf","grobid_xml":"https://content.openalex.org/works/W164302871.grobid-xml"},"referenced_works_count":211,"referenced_works":["https://openalex.org/W3109921","https://openalex.org/W8718702","https://openalex.org/W43953560","https://openalex.org/W70273200","https://openalex.org/W119816239","https://openalex.org/W123505613","https://openalex.org/W170583551","https://openalex.org/W191090349","https://openalex.org/W298678434","https://openalex.org/W611805587","https://openalex.org/W651968811","https://openalex.org/W783628459","https://openalex.org/W1141569774","https://openalex.org/W1159558038","https://openalex.org/W1503858623","https://openalex.org/W1506278216","https://openalex.org/W1508651621","https://openalex.org/W1525202506","https://openalex.org/W1548593259","https://openalex.org/W1556555078","https://openalex.org/W1571852686","https://openalex.org/W1575612459","https://openalex.org/W1595833668","https://openalex.org/W1750237135","https://openalex.org/W1912986131","https://openalex.org/W1936883687","https://openalex.org/W1964313210","https://openalex.org/W1964708308","https://openalex.org/W1965261747","https://openalex.org/W1967201979","https://openalex.org/W1967347828","https://openalex.org/W1969019901","https://openalex.org/W1969595772","https://openalex.org/W1969642731","https://openalex.org/W1970225718","https://openalex.org/W1972746189","https://openalex.org/W1974108054","https://openalex.org/W1977120617","https://openalex.org/W1977248593","https://openalex.org/W1977592497","https://openalex.org/W1978143651","https://openalex.org/W1978285486","https://openalex.org/W1978951039","https://openalex.org/W1981366171","https://openalex.org/W1981958831","https://openalex.org/W1984321809","https://openalex.org/W1986747573","https://openalex.org/W1989362285","https://openalex.org/W1989698222","https://openalex.org/W1991219110","https://openalex.org/W1992115493","https://openalex.org/W1993939783","https://openalex.org/W1994994810","https://openalex.org/W1996626251","https://openalex.org/W1998079917","https://openalex.org/W1998247512","https://openalex.org/W1998591021","https://openalex.org/W1999241852","https://openalex.org/W2000768952","https://openalex.org/W2002594876","https://openalex.org/W2002776202","https://openalex.org/W2003441029","https://openalex.org/W2003786812","https://openalex.org/W2004853130","https://openalex.org/W2006141708","https://openalex.org/W2006481338","https://openalex.org/W2006951841","https://openalex.org/W2008006475","https://openalex.org/W2008798400","https://openalex.org/W2009824083","https://openalex.org/W2010503277","https://openalex.org/W2012245488","https://openalex.org/W2012684398","https://openalex.org/W2012964736","https://openalex.org/W2015240014","https://openalex.org/W2015861669","https://openalex.org/W2016263952","https://openalex.org/W2018256237","https://openalex.org/W2020199457","https://openalex.org/W2021047935","https://openalex.org/W2021172253","https://openalex.org/W2022096170","https://openalex.org/W2022274687","https://openalex.org/W2025570767","https://openalex.org/W2026581377","https://openalex.org/W2026606288","https://openalex.org/W2026703732","https://openalex.org/W2028199466","https://openalex.org/W2028716731","https://openalex.org/W2031286430","https://openalex.org/W2032816295","https://openalex.org/W2034549363","https://openalex.org/W2035518836","https://openalex.org/W2035867402","https://openalex.org/W2036480517","https://openalex.org/W2037490817","https://openalex.org/W2038746872","https://openalex.org/W2044482556","https://openalex.org/W2044607378","https://openalex.org/W2045608559","https://openalex.org/W2047970212","https://openalex.org/W2049201109","https://openalex.org/W2049298932","https://openalex.org/W2052677451","https://openalex.org/W2053272917","https://openalex.org/W2054301055","https://openalex.org/W2055904857","https://openalex.org/W2056655057","https://openalex.org/W2057680362","https://openalex.org/W2060323046","https://openalex.org/W2061900908","https://openalex.org/W2061984345","https://openalex.org/W2062880152","https://openalex.org/W2064645563","https://openalex.org/W2065640908","https://openalex.org/W2066711820","https://openalex.org/W2071046057","https://openalex.org/W2074279261","https://openalex.org/W2074425839","https://openalex.org/W2078948583","https://openalex.org/W2078950663","https://openalex.org/W2084479266","https://openalex.org/W2086290585","https://openalex.org/W2086468910","https://openalex.org/W2088863988","https://openalex.org/W2089638761","https://openalex.org/W2090718576","https://openalex.org/W2090930494","https://openalex.org/W2091793126","https://openalex.org/W2093422841","https://openalex.org/W2093527264","https://openalex.org/W2093653383","https://openalex.org/W2094007093","https://openalex.org/W2094618564","https://openalex.org/W2096300387","https://openalex.org/W2097875399","https://openalex.org/W2098617404","https://openalex.org/W2099910995","https://openalex.org/W2100006257","https://openalex.org/W2101992011","https://openalex.org/W2104969481","https://openalex.org/W2106156804","https://openalex.org/W2108070043","https://openalex.org/W2110439704","https://openalex.org/W2111366921","https://openalex.org/W2112949450","https://openalex.org/W2115664391","https://openalex.org/W2115801894","https://openalex.org/W2118042464","https://openalex.org/W2119483615","https://openalex.org/W2120386861","https://openalex.org/W2120530657","https://openalex.org/W2122248936","https://openalex.org/W2123375712","https://openalex.org/W2125070112","https://openalex.org/W2125213668","https://openalex.org/W2126383169","https://openalex.org/W2126980369","https://openalex.org/W2129539720","https://openalex.org/W2131575060","https://openalex.org/W2131878422","https://openalex.org/W2134719072","https://openalex.org/W2135012575","https://openalex.org/W2136016948","https://openalex.org/W2137706394","https://openalex.org/W2138067934","https://openalex.org/W2138784405","https://openalex.org/W2139639730","https://openalex.org/W2140982172","https://openalex.org/W2142279372","https://openalex.org/W2144816256","https://openalex.org/W2145345447","https://openalex.org/W2145829544","https://openalex.org/W2156068443","https://openalex.org/W2156218175","https://openalex.org/W2158641306","https://openalex.org/W2158716707","https://openalex.org/W2160900572","https://openalex.org/W2160948541","https://openalex.org/W2163208750","https://openalex.org/W2164974248","https://openalex.org/W2166769086","https://openalex.org/W2166858912","https://openalex.org/W2167018762","https://openalex.org/W2168631520","https://openalex.org/W2168688547","https://openalex.org/W2168706106","https://openalex.org/W2171711372","https://openalex.org/W2187973839","https://openalex.org/W2273832774","https://openalex.org/W2280911832","https://openalex.org/W2312293211","https://openalex.org/W2316276892","https://openalex.org/W2319124831","https://openalex.org/W2324584691","https://openalex.org/W2398194304","https://openalex.org/W2399308837","https://openalex.org/W2399788986","https://openalex.org/W2406457269","https://openalex.org/W2411110123","https://openalex.org/W2411348495","https://openalex.org/W2411595939","https://openalex.org/W2412077317","https://openalex.org/W2414778637","https://openalex.org/W2416440225","https://openalex.org/W2417533824","https://openalex.org/W2417637363","https://openalex.org/W2598407349","https://openalex.org/W2993206399","https://openalex.org/W3128601796","https://openalex.org/W4244366149"],"related_works":["https://openalex.org/W2044264045","https://openalex.org/W2126980369","https://openalex.org/W2108364163","https://openalex.org/W2995041872","https://openalex.org/W2796506489","https://openalex.org/W3213513878","https://openalex.org/W2065494527","https://openalex.org/W2606433449","https://openalex.org/W3162322256","https://openalex.org/W3133490794"],"abstract_inverted_index":{"Background:":[0],"The":[1,37,63,129],"task":[2],"of":[3,33,40,58,145,149,155,157,176,183,193,272],"improving":[4],"patient":[5,27,60,93,95,125,133,212,234,253,267],"safety":[6,28,96,158,213,238,254],"has":[7],"emerged":[8],"in":[9,26,50,67,73,77,139,159,199,245,255],"Ireland":[10],"and":[11,47,70,85,92,102,109,123,152,154,201,226,233,269],"internationally":[12],"as":[13,23],"a":[14,119,124,279],"challenge":[15],"for":[16],"health":[17,223],"services.":[18],"Nurses":[19],"have":[20,248,259],"been":[21,260],"identified":[22,244],"key":[24],"players":[25],"due":[29],"to":[30,44,81,132,173,208,222,229,251,262,287],"the":[31,56,113,181,186,190,194,202,249,284],"nature":[32],"their":[34,146,150,160,174],"work.":[35],"Aims:":[36],"overall":[38],"aim":[39],"this":[41,246],"study":[42,64],"is":[43,239],"identify":[45],"organisational":[46,116,130],"nursing":[48,195],"factors":[49,87],"acute":[51,75,137],"general":[52],"hospitals":[53,76,138],"which":[54,88,171],"enable":[55],"delivery":[57],"safe":[59],"care.":[61],"Methods:":[62],"was":[65],"conducted":[66,108],"selected":[68],"medical":[69],"surgical":[71],"wards":[72],"30":[74],"Ireland.":[78],"It":[79],"sought":[80],"clarify":[82],"organisational,":[83],"ward":[84,187,197],"nurse":[86,91,120,203,221],"impact":[89,209],"on":[90,185,210,283],"reported":[94],"outcomes":[97],"through":[98],"both":[99],"regression":[100],"analysis":[101],"multilevel":[103],"modelling.":[104],"Three":[105],"surveys":[106],"were":[107],"linked":[110],"together":[111],"within":[112],"study:":[114],"an":[115],"survey":[117,121,126],"(n=30),":[118],"(n=1,406)":[122],"(n=285).":[127],"Results:":[128],"approaches":[131],"safety,":[134],"taken":[135],"by":[136,276],"Ireland,":[140],"are":[141,162,167,206],"presented.":[142],"Nurses\u201f":[143],"perceptions":[144,175],"work":[147,151,204],"environment,":[148],"workload,":[153],"aspects":[156],"workplaces":[161],"included.":[163],"Patient":[164],"satisfaction":[165,235],"data":[166],"reported,":[168],"specifically":[169],"that":[170],"relates":[172],"medication":[177,237],"safety.":[178,288],"Factors":[179,243],"including":[180],"proportion":[182],"nurses":[184,228],"with":[188,236,265],"degrees,":[189],"experience":[191],"level":[192],"staff,":[196],"confidence":[198],"management,":[200],"environment":[205],"shown":[207,261],"nurse-reported":[211],"outcomes.":[214],"A":[215],"link":[216],"between":[217],"staff":[218,227,281],"ratios":[219],"(registered":[220],"care":[224],"assistants,":[225],"non-consultant":[230],"hospital":[231],"doctors)":[232],"also":[240],"revealed.":[241],"Conclusion:":[242],"research":[247],"potential":[250],"enhance":[252],"Irish":[256],"hospitals.":[257],"They":[258],"be":[263],"associated":[264],"safer":[266],"care,":[268],"higher":[270],"rates":[271],"adverse":[273],"event":[274],"reporting":[275],"nurses,":[277],"demonstrating":[278],"greater":[280],"focus":[282],"systems":[285],"approach":[286]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-06-24T00:00:00"}
