Average Positive Response Research Articles

Exploring the safety reporting culture among healthcare practitioners in Saudi hospitals: a comprehensive 2022 national study

BackgroundWith the rise in medical errors, establishing a strong safety culture and an effective incident reporting system is crucial. As part of the Saudi National Health Transformation Vision of 2030, multiple projects have been initiated to periodically assess healthcare quality measures and ensure a commitment to continuous improvement. Among these is the Hospital Survey on Patient Safety Culture National Project (HSPSC), conducted regularly by the Saudi Patient Safety Center (SPSC). However, comprehensive tools for assessing reporting culture are lacking. Addressing this gap can enhance reporting, efficiency, and health safety.ObjectiveThis paper aims to investigate the reporting practices among healthcare professionals (HCPs) in Saudi Arabian hospitals and examine the relationship between reporting culture domains and other variables such as hospital bed capabilities and HCPs’ work positions.MethodsThe study focuses on measuring the reporting culture-related items measures and employs secondary data analysis using information from the Hospital Survey on Patient Safety Culture conducted by the Saudi Center for Patient Safety in 2022, encompassing hospitals throughout Saudi Arabia. Data incorporated seven items in total: four items related to the Response to Error Domain, two related to the Reporting Patient Safety Events Domain, and one associated with the number of events reported in the past 12 months.ResultsThe sample for the analyzed data included 145,657 HCPs from 392 hospitals. The results showed that the average positive response rates for reporting culture-related items were between 50% and 70%. In addition, the research indicated that favorable response rates were relatively higher among managerial and quality/patient safety/risk management staff. In contrast, almost half had not reported any events in the preceding year, and a quarter reported only 1 or 2 events. Pearson correlation analysis demonstrates a strong negative correlation between bed capacity and reporting safety events, response to error, and number of events reported (r = -0.935, -0.920, and − 0.911, respectively; p < 0.05), while a strong positive correlation is observed between reporting safety events and response to error (r = 0.980; p < 0.01).ConclusionsAlmost 75% of the HCPs reported fewer safety events over the last 12 months, indicating an unexpectedly minimal recorded occurrence variance ranging from 0 to 2 incidents.

Patient Safety Culture Analysis at Sultan Agung Islamic Dental Hospital to Improve Patient Safety

A culture of patient safety can improve hospital patient safety. Patient safety is the foundation of quality health services, an indicator of assessment in healthcare facilities, and a mechanism by which health services protect patients from harm. The purpose of this study is to examine the patient safety culture at Sultan Agung Islamic Dental Teaching Hospital Semarang in order to identify ways to improve patient safety. A cross-sectional research of 124 participants was conducted at Sultan Agung Dental Teaching Hospital, Semarang, Indonesia. Distributing questionnaires to collect data, the Dental Office Survey on Patient Safety Culture (DOSOPSC) includes 58 items and 10 dimensions. Out of a total of 124 respondents, the average positive response value exceeded the dependability criterion on four dimensions: teamwork (93.7%), the highest, and work pressure and speed (56.2%), the lowest. There are four areas in which the average positive response value exceeds the dependability threshold, including teamwork, staff training, hospital systems and standards, work pressure, and speed.

Distributed Medical Education (DME) in psychiatry: perspectives on facilitators, obstacles, and factors affecting psychiatrists' willingness to engage in teaching activities

BackgroundDistributed Medical Education (DME), a decentralized model focused on smaller cities and communities, has been implemented worldwide to bridge the gap in psychiatric education. Faculty engagement in teaching activities such as clinical teaching, supervision, and examinations is a crucial aspect of DME sites. Implementing or expanding DME sites requires careful consideration to identify enablers that contribute to success and barriers that need to be addressed. This study aims to examine enablers, barriers, and factors influencing psychiatrists' willingness to start or continue participating in teaching activities within Dalhousie University's Faculty of Medicine DME sites in two provinces in Atlantic Canada.MethodologyThis cross-sectional study was conducted as part of an environmental scan of Dalhousie Faculty of Medicine’s DME programs in Nova Scotia (NS) and New Brunswick (NB), Canada. In February 2023, psychiatrists from seven administrative health zones in these provinces anonymously participated in an online survey. The survey, created with OPINIO, collected data on sociodemographic factors, practice-related characteristics, medical education, and barriers to teaching activities. Five key outcomes were assessed, which included psychiatrists' willingness to engage in (i) clinical training and supervision, (ii) lectures or skills-based teaching, (iii) skills-based examinations, (iv) training and supervision of Canadian-trained psychiatrists, and (v) training and supervision of internationally trained psychiatrists. The study employed various statistical analyses, including descriptive analysis, chi-square tests, and logistic regression, to identify potential predictors associated with each outcome variable.ResultsThe study involved 60 psychiatrists, primarily male (69%), practicing in NS (53.3%), with international medical education (69%), mainly working in outpatient services (41%). Notably, 60.3% lacked formal medical education training, yet they did not perceive the lack of training as a significant barrier, but lack of protected time as the main one. Despite this, there was a strong willingness to engage in teaching activities, with an average positive response rate of 81.98%. The lack of protected time for teaching/training was a major barrier reported by study participants. Availability to take the Royal College of Physicians and Surgeons of Canada Competency by Design training was the main factor associated with psychiatrists' willingness to participate in the five teaching activities investigated in this study: willingness to participate in clinical training and supervision of psychiatry residents (p = .01); provision of lectures or skills-based teaching for psychiatry residents (p < .01); skills-based examinations of psychiatry residents (p < .001); training/supervision of Canadian-trained psychiatrists (p < .01); and training and supervision of internationally trained psychiatrists (p < .01).ConclusionThe study reveals a nuanced picture regarding psychiatrists' engagement in teaching activities at DME sites. Despite a significant association between interest in formal medical education training and willingness to participate in teaching activities, clinicians do not consider the lack of formal training as a barrier. Addressing this complexity requires thoughtful strategies, potentially involving resource allocation, policy modifications, and adjustments to incentive structures by relevant institutions.

DEVELOPMENT OF LEARNING DEVICES BASED ON ETHNOMATHEMATICS OF THE MEHER TRIBE WOVEN FABRICS (KISAR ISLAND) WITH REALISTIC MATHEMATICS EDUCATION APPROACH ON NUMBER PATTERN MATERIAL

This study aimed to develop a learning device based on ethnomathematics of the Meher tribe woven fabrics (Kisar Island) with a Realistic Mathematics Education (RME) approach on number pattern material for 8th-grade students of Public Junior High School 4 Southern Islands. The learning devices developed consisted of Learning Implementation Plans (RPP), Teaching Materials (BA), and Student Worksheets (LKPD). The development model used was the 4-D model, which consisted of four stages, namely define, design, develop, and disseminate but were limited to the development stage. The device was tested for quality (valid, practical and effective). Following the validation results by the five validators, it was found that the devices developed met the validity requirements with an average score of Learning Implementation Plans (RPP) 3.5 (very good), an average score of Teaching Materials (BA) 3.3 (good), the average score of Student Worksheets (LKPD) was 3.4 (good). The average validator's general assessment was 3.3 (good). According to the practicality test of the developed devices, it was found that the developed devices were categorized as practical, with an average positive response of educators of 100% and an average positive response of students of 91.3%. The developed devices also fulfilled the effectiveness requirements by achieving a classical completeness percentage of 79.2%. The results of the study obtained the quality of the devices developed

Văn hoá an toàn người bệnh và một số yếu tố ảnh hưởng tại Bệnh viện Phạm Ngọc Thạch, Thành phố Hồ Chí Minh năm 2023

Objective: To measure patient safety culture and some factors influence in 12 areas relating to patient care in Pham Ngoc Thach Hospital. Methods: Cross-sectional research. The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire of the Agency of Healthcare Research and Quality (AHRQ) version Vietnamese was used in this survey. All medical staff working in the Pham Ngoc Thach Hospital were asked to complete the questionnaire. We employed the software Stata 16.0 and Microsoft Excel 2010 to perform the statistical analysis of the survey data. Average positive response rate in 12 patient safety culture dimensions in Pham Ngoc Thach Hospital was 75%, higher than in Taiwan (64%). Worthy of note were the high positive response rates observed in the following areas: Teamwork within units (94%), manager views and actions promoting patient safety (91%), management support for patient safety, learning-continuous improvement (89%), and feedback and communication about errors (85,6%). However, there were three areas that still received many negative responses and showed room for improvement such as handoff, transitions, staffing, and non-punitive response to errors. The survey in Pham Ngoc Thach Hospital which provides an overview of the patient safety culture in the hospital. Although most medical staff had positive responses regarding patient safety in many areas relating to patient care within their departments as well as in the whole hospital, but there were still areas that had a low positive response and needed to be improved.

Perception of patient safety and associated factors among health staff: A cross-sectional study in some hospitals in Vietnam

Objectives: Patient safety is a global challenge of preventing and mitigating medical errors which might harm patients during their course of treatment and care. This research aimed to assess the perception of patient safety culture and its associated factors among health staff in some hospitals in Vietnam. Methods: A cross-sectional study was conducted in three hospitals in Vietnam with a total of 763 heath staff. This study used the Hospital Patient Safety Scale developed by the American Health and Quality Research Organization. Bivariate and multivariate regression were used to analyze the association between the overall perception of patient safety culture among health staff. Results: The overall perception of patient safety among health staff in three hospitals was on the average positive response at 39.19% with a score of 3.93. Among the 12 dimensions of patient safety culture, “Feedback and communication about errors” had the highest average positive response (92.5%) with a score of 4.25, however, “Frequent of event reported” scored the lowest percentage of positive responses (20.71%) with a score of 2.49. There are two factors of department and position being found to have significant association with overall positive responses. Staffs who worked at the subclinical department are more likely to have overall positive responses than those who worked at the administration department, with an adjusted odds ratio of 2.76 (95% CI = 1.22 – 3.86). Nurses were less likely to have overall positive responses than doctors, with an adjusted odds ratio of 0.65 (95% CI = 0.45 – 0.95). Conclusion: This study reported that “Frequent of event reported” aspects that need to be improved because they are strongly related to patient safety culture and to knowledge exchange among health staff. It has been suggested that hospitals should deliver patient safety training courses and establish a supportive learning environment to improve these challenges. Keywords: Patient safety, patient safety culture, Hospital Survey on Patient Safety Culture (HSOPSC), hospital, health staff, Vietnam.

Analisis perspektif kritis generasi z terhadap wacana pada media sosial

This study aims to know the perspective of Gen Z in understanding the discourse contained in social media. The perspective means the ability to change Gen z’s perspective in understanding the text on social media, the ability to see points of view, focus on a developing issue, and describe how to take action after understanding a discourse. The research method used the quantitative method. Respondents of this research are Gen Z, who are active in youth organizations. Data collection techniques are observation and questionnaire. The results showed that Gen Z had detected a discourse that contains partiality to certain interests by providing a different perspective. It can be seen in the positive response on the average instrument (mean) above 53%; able to provide a more neutral point of view with the number of positive responses on the average instrument above (mean) 51%; able to see a developing issue in a discourse that has a tendency from the author with a positive response above 56%; and able to take action from the discourse that has been read with an average positive response above 59%.&#x0D;

Nurses' perceptions about patient safety culture in public hospital in Vietnam

AimThis paper is aimed to assess nurses' perceptions of patient safety culture in four public general hospitals in Hanoi, Vietnam. BackgroundPatient safety culture is a vital component in ensuring high quality and safe patient care. Assessment of nurses' perceptions on existing hospital patient safety culture (PSC) is the first step to promote PSC. MethodsThe cross-sectional study surveyed 705 nurses utilizing the validated Hospital Survey on Patient Safety Culture (HSOPSC) in an online format. ResultsThe average positive response rate was high at 72.8 % and varied from 52.9 % to 93.4 %. The strongest areas are teamwork within units (93.7 %) and supervisor/manager expectations and actions promoting patient safety (85.0 %). The areas for improvement are staffing (52.9 %) and non-punitive response to error (57.6 %). The communication openness, staffing, frequency of events reported, lengths of services in hospital and unit are significant factors that predict the overall patient safety grade. ConclusionsInitiatives are necessary to improve response to errors, staffing, and error reporting. Nurse managers could develop and implement interventions and program to improve patient safety, including providing education related to patient safety culture, encouraging staff to notify incidents and avoiding punitive responses.

A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals.

This study aimed to measure the patient safety culture and the current practice of patient safety goals in China. This cross-sectional survey was conducted between November 2020 and November 2021. The 12-dimensions Hospital Survey on Patient Safety Culture questionnaire and the 14-items Survey on the Current Practice of Patient Safety Goal questionnaire were electronically distributed to 8164 healthcare providers across 26 provinces in China. Data were analyzed using descriptive statistics, correlation analysis, and multivariate linear regression. A total of 8164 surveys were received, of which 7765 were valid and analyzed. The average positive response rate for the Hospital Survey on Patient Safety Culture survey was 69.68% (43.41%-91.54%). The percentage of positive responses in 5 dimensions (organizational learning, teamwork within units, feedback about error, management support for safety, and teamwork across units) was above the control limits, and 3 (nonpunitive response to error, staffing, and frequency of event reporting) were below the control limits. The average positive response rate for the Survey on the Current Practice of Patient Safety Goal survey was 96.11%. Patient safety culture was positively related to the current practice of patient safety goals ( r = 0.34, P < 0.001). Our study concludes that although healthcare providers in China feel positively toward patient safety culture and practicably toward patient safety goals, considerable work is still needed to promote a patient safety movement.

Assessment of patient safety culture among the staff of the University Hospital for Gynecology and Obstetrics in Alexandria, Egypt

BackgroundPatient safety (PS) is a fundamental component of healthcare quality. Patient Safety Culture (PSC) assessment provides an organization with insight of perceptions and attitudes of its staff related to patient safety. In addition, it is meant to improve performance rather than blaming individuals. This study aimed to assess patient safety culture from the health care staff perspective in El-Shatby University Hospital for Gynecology and Obstetrics.MethodsA descriptive cross-sectional study was conducted. The study was conducted at El-Shatby University Hospital for Gynecology and Obstetrics from November 2020 to January 2021. The target participants were assistant lecturers, residents, and head nurses in charge during the field study period. The number of potential participants who fulfilled the inclusion criteria (in charge during the period of data collection and working in the hospital for more than 3 months) was 83; the twelve participants who participated in the pilot study were excluded. The total number of participants who agreed to participate in the study was 66 participants (38 residents, 18 assistant lecturers, and 10 head nurses) out of 71 potential participants representing a 92.9% response rate. A structured self-administered questionnaire format adapted from Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was distributed anonymously to the participants. The questionnaire has 42 items measuring twelve patient safety culture dimensions: teamwork within the unit, supervisors’ expectations and actions to promote patient safety, feedback and communication about error, organizational learning, communication openness, overall perception of patient safety, hands-off and transitions, teamwork across units, frequency of events reported, management support for patient safety, staffing, and management support for patient safety. Except for two items that are responded on a five-point frequency scale (never, rarely, sometimes, most of the time, and always) the majority of patient safety culture questions are answered on a five-point agreement scale (strongly disagree, disagree, neutral, agree, and strongly agree), with a higher score indicating a more favorable attitude toward patient safety.ResultsThe overall average positive percent score was 45.4%. Average positive response percentages to individual items ranged from 28.8 to 81.8%. No domain had an average positive percent score of more than 75%. Out of the twelve dimensions of patient safety culture included in the HSOPSC questionnaire, “the teamwork within unit” domain had the highest average positive percent score (62.1%) among all participants. On the other hand, the “Non-punitive response to error” domain had the lowest score (18.9%). More than half (57.6%) of the participants rated patient’s safety at the hospital as acceptable.ConclusionInvesting in practices that strengthen patient safety is crucial if the hospital is to improve overall performance and quality of services. The present study displays a frail patient safety culture (PSC) in the majority of the domains. All the domains should be considered of high priority focused areas for remark and reformative tasks. Continuous training programs of the staff on patient safety to improve their perception of safety culture are necessary. All PSC composites need improvement starting with regular assessment of PSC along with continuous monitoring and increasing the healthcare providers’ awareness of demanded PSC.

Knowledge and Attitudes towards Patient Safety among Students in Physical Therapy in Spain: A Longitudinal Study.

(1) Background: Patient safety is a discipline of health care management aiming to prevent and reduce errors and harm to patients. The assessment of knowledge and attitudes on patient safety among students in physical therapy is still scarce; no studies have yet explored the changes that internship periods may produce. Objectives: 1. to determine the attitudes and knowledge of students in physical therapy with respect to patient safety in a Spanish University; and 2. to explore changes following a practical internship period. (2) Methods: Longitudinal study. Data from the Attitudes to Patient Safety Questionnaire III (APSQ-III) before and after the internship period were obtained from an initial sample of 125 students and average positive response rates were compared. (3) Results: “Team functioning”, “Importance of patient safety in the curriculum”, and “Error inevitability” displayed the highest scores, in accordance with the current literature. After the internship period, the dimensions “Patient safety training received” (p = 0.001), “Error reporting confidence” (p = 0.044), and “Professional incompetence as an error cause” (p = 0.027) showed significant changes. (4) Conclusions: The current study, highlighting areas of strengths and weaknesses in the knowledge and attitudes of students in physical therapy towards patient safety, may be a foundation to adopt tailored programs to enhance students’ competencies in patient safety.

DEVELOPMENT OF MEDIA DOMINO CARD ON MATERIAL TEMPERATURE AND CHANGES IN CLASS VII SMP/ MTs

This study aims to describe the process of developing domino science learning media on the material of temperature and its changes in class VII SMP/MTs based on the ADDIE development procedure and to describe the product developed after the validation, practicality and effectiveness process. This development research uses the ADDIE development model, namely, Analyze, Design, Development, Implementation, and Evaluation. Data were obtained using media validation sheets, material validation sheets, implementation sheets for using domino card science learning media, student response questionnaire sheets and posttest question sheets. The results of the research on the development of domino card science learning media on the temperature material and its changes that have been developed resulted in 3 drafts of domino card science learning media that have received suggestions and input from supervisors and validators, namely media experts, materials and science teachers. The results of the validator's assessment of the domino card science learning media obtained an average score of 3.82 from media expert validators, and 3.25 from material expert validators in the "Very Valid" category. The results of the implementation showed the percentage of implementation was 94.45% with the "Very Practical" category. The results of student responses obtained an average positive response of 96.88% with the category "Very Practical". Based on the posttest data, the overall average score is 84.37 and the average completeness is 75% with the "Effective" category. 25 of the material expert validators in the "Very Valid" category. The results of the implementation showed the percentage of implementation was 94.45% with the "Very Practical" category. The results of student responses obtained an average positive response of 96.88% with the category "Very Practical". Based on the posttest data, the overall average score is 84.37 and the average completeness is 75% with the "Effective" category. 25 of the material expert validators in the "Very Valid" category. The results of the implementation showed the percentage of implementation was 94.45% with the "Very Practical" category. The results of student responses obtained an average positive response of 96.88% with the category "Very Practical". Based on the posttest data, the overall average score is 84.37 and the average completeness is 75% with the "Effective" category.

Assessment of patient safety culture in two emergency departments in Australia: a cross sectional study

PurposePatient safety culture is a vital element to create patient safety in healthcare organisations. Emergency department (ED) professionals operate in unstable conditions that may pose risk to patient safety on day-to-day basis. The aim of this study was to assess the status of patient safety culture and to quantify the dimensions of safety culture in the ED setting.Design/methodology/approachThis was a descriptive cross sectional study that used a validated questionnaire distributed to the staff working in the nominated EDs . Perceptions on various dimensions of safety culture were reported and the frequency of positive responses for each dimension was calculated.Findings“Teamwork” is the only dimension that rated positive by over 70% of participants. Other dimensions rated below 50%, except for “Organisational learning–continuous improvement” which rated 51.2%. Areas that rated the lowest were “Handover and transitions”, “Staffing”, “Non-punitive response to error” and “Frequency of event reporting” with average positive response rate of 15.4%, 26%, 26.8% and 27.6%, respectively.Originality/valueThis study displayed a concerning perceptions held by participants about the deficiency of patient safety culture in their EDs. Moreover, it provided a baseline finding giving a clearer vision of the areas of patient safety culture that need improvement.

Perception of University Managers on the Influence of Organizational Structure on Quality of Management in Public and Private Universities in Kenya

Quality of institutional management is arguably a major determinant of organizational performance. The role of managers and the activities and tasks they perform as aided by the organizational structure could lead to the effective and efficient implementation of organizational objectives and goals. This study was undertaken to establish the perception of university managers on the influence of organizational structure on the quality of institutional management of universities in Kenya. The study design was descriptive research. Purposive sampling procedure was used in selecting the universities. Random stratification sampling was used to administer the questionnaire to the managers in the universities. Positive responses were received from 137 managers from a target of 263 giving a 62.6% response rate. The response from university managers showed an average positive response rate at 60%. There was a statistically significant difference at (p&lt;0.05) on the perception of managers in the public and private universities on the influence of organizational structure on the dimension of customer satisfaction. The organizational structures in the private universities were found to be more customer centric than those of public universities. Private universities management practices emphasized concern for customer needs. This translated into provision of quality services and products in order to meet customers’ expectations for their satisfaction and retention. . Keywords: Organizational Structures, Quality of Management, Customer satisfaction, Structural Flexibility, Decision making, Teamwork DOI: 10.7176/EJBM/13-20-06 Publication date: October 31 st 2021

Existing perception of Patient safety among health personnel in operating room at CHICH (Children Hospital &amp; Institute of Child Health, Lahore.

Background: Patient Safety is the key concept of every healthcare setup worldwide as it depicts the perception of health care personnel about patient safety and quality of care delivered to patients. The World Health Organization along with other major organizations has taken initiatives to deal with patient safety challenges. Objective: To assess the existing perception of patient safety among health personnel in operating rooms of tertiary care hospital in Pakistan. Study Design: Cross Sectional study. Setting: Children Hospital &amp; Institute of Child Health Lahore. Period: July 2018 to December 2018. Material &amp; Method: Participants were selected through proportionate simple random sampling. The WHO patient safety survey was used to assess perception of patient safety culture. Data was collected after taking consent. The data was entered in SPSS version 25 and analyzed by it. “Composite positive response rate” for the various dimensions were calculated. Reliability was checked by Cronabach alpha which was more than 0.7 (70%). Results: The overall response rate in the study was 100%. Average composite positive response percentage was 65.17% and it varied among different cadres of HCPs ranged from 51% to 88%. The dimensions “Personal attitude to Patient safety” and “Personal influence over safety” showed highest positive response among all cadres (88 % and 67 %) respectively. composite Positive percent response about patient safety culture varied among different cadres of health personnel, nurses showed highest positive response percentage of 71.2%. Conclusion: Safety culture assessment is a useful tool for evaluation of patient safety interventions, measuring organization’s safety culture and raising awareness. WHO patient safety study tool showed the average positive response rate of 65.17% but the dimension “Safety of health care system”, and “Error and patient safety” have least positive response which shifts the focus to organizational conditions that lead to adverse events and patient harm in healthcare organizations. The result also highlighted areas that required improvement, as perceived by health care workers.

Patient Safety Culture in 2 Public Hospitals in Vietnam: A Mixed Method Study.

Patient safety culture is an important measure in assessing the quality of care. There is a growing need to establish a patient safety culture in hospitals. This study explored the perception of health professionals on patient safety culture in 2 public hospitals in Hanoi, Vietnam. A mixed-methods study with an online Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative data collection was conducted in Hanoi. The HSOPSC was validated in Vietnam before using it. A total of 626 health professionals, including physicians and nurses, were involved in the survey, and 49 of them participated in in-depth interviews and focus group discussions. The average positive response of patient safety culture composites was high at 85.2% and varied from 49.4% to 97.9%. The strongest areas were teamwork within units (91.3%) and organizational learning/continuous improvement (88.4%), and the areas that needed improvement were staffing (49.4%) and nonpunitive response to error (53.1%). The centralized incident reporting, management with peer involvement on event reporting, and continuous quality improvement should be routinely embedded by hospital leaders down to unit managers and all staff.

Knowledge, attitude, and practice towards patient safety culture among primary health care physicians in training centers at cluster one in Riyadh, Kingdom of Saudi Arabia

Background: Patient safety is a global concern among healthcare providers. However, the challenges to and the future of patient safety have not been explored in details at primary health care centers in recent literature in the Kingdom of Saudi Arabia. The World Health Organization (WHO) defines patient safety as “the prevention of errors and adverse effects to patients associated with health care” and “to do no harm to patients”. The study aims to identify and analyze factors that influence patient safety culture in the primary health care setting.Methodology: A cross-sectional study was conducted on primary health care physicians working in 12 primary health care training centers, cluster one, ministry of health, Riyadh city, Kingdom of Saudi Arabia, over a period of two months from the beginning of January, 2021 to the end of February, 2021 using a survey inspired from Hospital Survey on Patient Safety Culture (HSOPS). The HSOPS was developed by the Agency for Healthcare Research and Quality (AHRQ) in 2004 and has been translated into around 20 different languages. The questionnaire was answered by all primary health care physicians who accepted to be included in this study. The data was analyzed by Statistical Package for the Social Sciences (SPSS) latest version program. Results: In this study, the response rate was 94.55% and we were able to collect 208 responses of our questionnaire among primary health care physicians with 75% of the physicians were Saudis. 53.4% of the responders were males. The overall average positive response rate for the patient safety culture dimensions was 76.13%. Moreover, we found that 48.1% of the participants rated the procedures to achieve patients’ safety is very good while 32.2% of them reported excellent patients’ safety. Moreover, we found that almost half of the physicians (46.2%) reported no event reports in the last 12 months while 28.8% reported 1 -2 events, 20.2% reported 3-5 events and only 1% reported 11-20 event in the last 12 months. Conclusion: The patient safety culture in primary health care facilities in Riyadh city, Kingdom of Saudi Arabia is good and gives better results than previous studies.

The relationship between surgical intensive care unit nurses' patient safety culture and adverse events.

Adverse events are often encountered in surgical intensive care units (ICUs), and most of them occur due to preventable errors. Establishment of a patient safety culture is recommended for preventing and reducing these errors. This study was performed to investigate the relationship between surgical ICU nurses' patient safety culture and adverse events. This was a cross-sectional descriptive study. The study was performed in the surgical ICUs of four university hospitals in Izmir province, Turkey and was conducted in accordance with the Declaration of Helsinki and approved by an Ethics Committee. The sample comprised 113 nurses working in the surgical ICUs of the hospitals between November 2018 and February 2019. Data were collected using a questionnaire that comprised a demographic form, adverse events form, and patient safety culture hospital questionnaire. Student's t test, one-way analysis of variance, and logistic regression analyses were used to evaluate the data. P values <.05 were considered significant. At the end of the study, nurses' level of patient safety culture was found to be intermediate (65.5%), with the highest average positive response rate (PRR) obtained for teamwork within the units (65.5%) and the lowest average PRR obtained for the frequency of adverse event reporting (25.3%). There was a significant correlation between patient safety culture and adverse events (r=0.027, P < .05). Surgical ICUs nurses' level of patient safety culture was average, and there was a significant correlation between patient safety culture and adverse events. Managers should establish a reliable system for reporting adverse events and encourage ICU nurses to report them. It is very important to adopt a non-punitive approach at instances when an adverse event is reported.

Patient safety culture in Jordanian primary health-care centres as perceived by nurses: a cross-sectional study.

Patient safety is a major concern, both in hospitals and primary care settings. The Jordan Medical Association has recommended that all health-care centres should try to improve patient safety through improving organizational culture, as it is in hospitals. In Jordan, a survey of patient safety culture has not yet been fully implemented in primary health-care centres. To determine attitudes of nurses regarding patient safety culture in primary health-care centres in Jordan. A cross-sectional descriptive study was conducted in 2017. Data were collected from 644 nurses working in all 91 accredited primary health-care centres in Jordan, based on the Safety Attitudes Questionnaire short form 36-item version. The average positive response rate to the 6 domains of safety culture ranged from 58.54% to 75.63%. The highest average positive response rate was for job satisfaction and the lowest was for perceptions of management. The areas that need improvement from nurses' perception are: teamwork climate, safety climate, stress recognition, and perception of management. Jordanian primary health-care nurses perceive their health centres as places that need more effort to improve safety culture.

Exploring patient-safety culture in the community pharmacy setting: a national cross-sectional study

ABSTRACT Objective The community pharmacy is one setting that plays a crucial role in patient safety. To develop tailored patient safety improvement programs in this setting, it is essential to know the perspectives of the pharmacies’ staffs on patient safety. Thus, in this study, we assessed patient-safety culture in the community pharmacy setting in Saudi Arabia. Methods Between January and August of 2019, we conducted a cross-sectional study among staff working in the community pharmacies in Saudi Arabia. Data on patient safety culture were collected using the Pharmacy Survey on Patient Safety Culture (PSOPSC). Analyses were performed with descriptive statistics (frequency/percentages), Fisher’s Exact test, Chi-square analysis, and multivariable ordinal logistic regression with proportional odds model analysis. Results PSOPSC data from 805 community pharmacies in Saudi Arabia were received (response rate: 78%). The overall average positive response rate for the 11 dimensions of the PSOPSC survey was 60.2%, with a range from 34.8% in the dimension of Staffing, Work Pressure, and Pace to 76.4% in the dimension of Teamwork. Most participants responded positively, as in total, 504 (62.6%) of the participants rated their pharmacy as ‘excellent’ or ‘very good’ on patient safety. Gender and work experience in a pharmacy were important predictors of the overall patient safety grade. Conclusions The study revealed that all dimensions are scope for further improvement, and critical consideration ought to be given to the areas of weakness, for the most part in the dimension of Staffing, Work Pressure, and Pace.