Safety culture and training: the case of shoulder dystocia

Journal title MECOSAN
Author/s Elisabetta Trinchero, Lorenza Micacchi, Ilda Di Claudio
Publishing Year 2021 Issue 2021/118
Language Italian Pages 16 P. 137-152 File size 251 KB
DOI 10.3280/MESA2021-118007
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

The present study proposes an overview of the safety procedures and policies in use at the organizational level with respect to safety training on shoulder dystocia. Through the triangulation of different data, and specifically on the base of the results of a survey administered to healthcare organizations in the Lombardy Region, the analysis confirms the relevance of safety trainings (based on practical simulations) for risk management, associated to both clinical and personnel-related outcomes. Results show that, where provided, the use of practical simulations for healthcare professionals is positively associated with personnel perception of the utility of safety training. With respect to the organizational dimension, safety training is in-house provided and fully internally funded; suggesting the relevance of safety culture for the prevention of shoulder dystocia risks within the sample.

Keywords: safety culture, shoulder dystocia, safety training, high reliability organizations.

  1. Landro L. (2016). Clues to better health care from old malpractice lawsuits. Wall Street Journal, 9 maggio.
  2. Bestetti G., Regalia A., Spandrio R. (2014). Fisiologia della nascita. Dai prodromi al post partum. Professioni sanitarie. Roma: Carocci Faber editore.
  3. Bonaccorso G. (2016). Salute e benessere. ANSA, 23 maggio.
  4. Brusoni M., Trinchero E., Vescia M. (2014). La gestione del rischio in sanita: elementi organizzativi e gestionali.
  5. In: Aleo S., De Matteis R., Vecchio G. (a cura di). La responsabilita in ambito sanitario. Padova: CEDAM. Canitano S., Ghirardini A., Migliazza M., Trinchero
  6. E. (2010). Risk management, strumenti e cultura organizzativa per il governo della patient safety: dalla teoria alla pratica. Mecosan, 76: 89.
  7. Clapper T.C. (2010). Beyond Knowles: What those conducting simulation need to know about adult learning theory. Clinical Simulation in Nursing, 6(1): e7-e14.
  8. Cluver C.A., Hofmeyr G.J. (2015). Posterior axilla sling traction for shoulder dystocia: case review and a new method of shoulder rotation with the sling. American journal of obstetrics and gynecology, 212(6): 784-e1.
  9. Cooper D. (2000). Towards a model of safety culture. Safety Science, 36(2): 111-136.
  10. Cravera A. (2012). The negentropic role of redundancy in the processes of value creation and extraction and in the development of competitiveness. Emergence: Complexity and Organization, 14(2): 100-115.
  11. Crupi V., Gensini G.F., Motterlini M. (a cura di) (2006). La dimensione cognitiva dell’errore in medicina. Milano: FrancoAngeli. DeJoy D.M., Schaffer B.S., Wilson M.G., Vandenberg R.J., Butts M.M. (2004). Creating safer workplaces: assessing the determinants and role of safety climate. Journal of Safety Research, 35(1): 81-90.
  12. ECRI INSTITUTE (2014). Health System Risk Management, Shoulder Dystocia, --
  13. Flin R.H., O’Connor P., Crichton M. (2008). Safety at the sharp end: a guide to non-technical skills. Farnham: Ashgate Publishing, Ltd.
  14. Flin R., Martin L., Goeters K.M., Hormann H.J., Amalberti R., Valot C., Nijhuis H. (2003). Development of the NOTECHS (non-technical skills) system for assessing pilots’ CRM skills. Human Factors and Aerospace Safety, 3: 97-120.
  15. Katz-Navon T., Naveh E., Stern Z. (2005). Safety Climate in Health Care Organizations: A Multidimensional Approach. Academy of Management Journal, 48(6): 1075-1089.
  16. Knowles M.S. (1980). The Modern Practice of Adult Education: From Pedagogy to Andragogy. Chicago: Association Press.
  17. Meyer J.P., Allen N.J., Smith C.A. (1993). Commitment to organizations and occupations: extension and test of a three-component conceptualization, Journal of Applied Psychology, 78(4): 538-552. Nieva V., Sorra J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations, Quality & Safety in Health Care, 12(2): 17-23.
  18. Ragusa A., Crescini C. (a cura di) (2012). Urgenze ed emergenze in sala parto. Padova: Piccin editore.
  19. Regione Lombardia (2012). Libro bianco sullo sviluppo del sistema sociosanitario in Lombardia.
  20. Trinchero E., Brunetto Y., Borgonovi E. (2013). Examining the antecedents of engaged nurses in Italy: Perceived Organisational Support (POS); satisfaction with training and development; discretionary power. Journal of nursing management, 21(6): 805-816.
  21. Trinchero E., Farr-Wharton B., Brunetto Y. (2019). Workplace relationships, psychological capital, accreditation and safety culture: A new framework of analysis within healthcare organizations. Public Organization Review, 19(1): 139-152.
  22. Yule S., Flin R., Paterson‐Brown S., Maran N., Rowley D. (2006). Development of a rating system for surgeons’ non‐technical skills. Medical education, 40(11): 1098-1104.
  23. Zohar D. (2000). A group-level model of safety climate: testing the effect of group climate on microaccidents in manufacturing jobs. Journal of Applied Psychology, 85(4): 87-596.

Elisabetta Trinchero, Lorenza Micacchi, Ilda Di Claudio, Distocia di spalla. La simulazione come strumento di prevenzione del rischio in "MECOSAN" 118/2021, pp 137-152, DOI: 10.3280/MESA2021-118007