Evaluation Of Safety Culture Research Articles

Effect of Feedback Provision on Improving Patient Safety Indices Based on Hospital Accreditation Model: A Study in Shahid Rahnemoon Hospital, Yazd

Background: Accreditation means systematic evaluation of health service centers with specific standards. One of the most important goals of the accreditation process is to improve patient safety. Patient safety visits are one of the most important standards for improving safety. One of the ways to increase the effectiveness of visits is holding feedback sessions. Objectives: The present study was conducted with the aim of assessing the effect of feedback provision on improving patient safety indices based on the hospital accreditation model in Shahid Rahnemoon Hospital, Yazd. Methods: The present study is a semi-experimental study with a before-and-after design that was conducted in Shahid Rahnemoon Hospital, Yazd, from September to December 2021 and January to August 2022. After each visit, formal feedback sessions were held with the attendance of patient safety team members and officials of the visited wards/units. Evaluation indicators included patient safety indicators in accreditation standards, such as error reporting, rate of unwanted events, and patient safety culture score. These were measured before and after feedback. The tools used were the patient safety standards evaluation checklist based on the accreditation model, the patient safety culture questionnaire, and other indicators extracted using documentation. The Patient Safety Culture Evaluation Questionnaire was completed by 360 nurses working in the hospital in the form of a census. Analysis was done using descriptive statistical tests and paired t-tests with STATA 14.2 software. Results: Based on the results of the study, safety feedback was provided to increase patient safety indicators in different departments and units of hospitals [t = - 4.8652, w/df = 10, P = 0.0007, (P = 0.05)]. A significant difference was observed in the amount of error reporting (P = 0.031) and patient safety (P < 0.001) before and after the intervention. The degree of compliance with the dimensions of the patient safety culture had a statistically significant difference before and after the intervention (P < 0.001). Conclusions: Providing a safety feedback program had a significant positive effect on the consumption and consequences of the patient’s safety culture. Therefore, conducting regular safety visits and setting up a direct feedback program to each department/unit after the visit, and the follow-up of corrective measures, will lead to an increase in patient safety standards.

Patient safety culture in African health facilities: a systematic review and meta-analysis

Abstract Background The risk of a patient being harmed in a hospital is high in low- and middle-income countries, with the risk of healthcare-associated infection being up to 20 times higher than in developed countries. The purpose of this review was to assess the current patient safety culture (PSC) and provide insight into areas of strength and areas for improvement in terms of PSC. Method English-language articles were selected by consulting PubMed databases, African Journals Online, and Google Scholar data sources from 2012 to 2022. Medcalc software was used for all calculations. The random-effects model was used. The presence of heterogeneity and publication bias was assessed. Result The systematic review and meta-analysis result showed that the overall pooled result of PSC status was 51.6% with 95% confidence interval (43.364 to 59.773). The results of Cochran’s Q test and I2 statistics showed substantial heterogeneity among the included studies (Q = 119.1617, df = 16, P < 0.0001 and I2 = 86.57%), and thus random-effects model was used for meta-analysis. Non-punitive response to errors and staffing were the dimensions with the lowest positive response rate, whereas teamwork within units and supervisor expectation were the areas with good positive response rate. Conclusion The studies indicated a predominance of hospital organizational cultures that were immature or weak in terms of patient safety. For them to be effective, safety culture evaluation should be linked to hospital-wide safety culture development strategies.

Development and application of safety culture analysis program: First online safety culture quantitative analysis and assessment system in China

To promote safety culture assessment, this paper developed China's first online safety culture analysis and evaluation system—Safety Culture Analysis Program (SCAP). SCAP is based on the 32 safety culture elements in the 24Model and provides two login methods: web version and WeChat mini program. It can meet the needs of individuals, groups, and enterprises to conduct safety culture assessments anytime and anywhere and provide convenience for universities to conduct safety culture experiments. The application of SCAP showed that (1) SCAP has rich functions and is highly scientific and universal. (2) The SCAP can output assessment results according to categories, such as total, personnel, safety culture elements, and individual employee requirements, which can be compared with the highest and lowest values stored in the system. This makes it easy for intuitively understanding the current evaluation status. (3) The suggestion report generated by SCAP can help assessment units improve safety culture in a targeted manner and form a dynamic mechanism cycle of “construction-evaluation-construction.” (4) In the future, SCAP will be employed in designing more targeted questions based on the characteristics of different industries and fields to balance the adaptability and specificity of the industry.

Nursing students' evaluation of patient safety culture in three central European countries: a cross-sectional study.

This cross-sectional study aimed to investigate and compare the perceptions of nursing students regarding patient safety culture (PSC) during the COVID-19 pandemic in three Central European countries. Data were collected from 624 nursing students between April and September 2021 using the Hospital Survey on Patient Safety Culture. The evaluation of the PSC dimensions did not reach the expected level of 75 %. Significant associations were found between the perception of the dimensions of the individual PSC and age, student status, study year, and clinical placement. The overall patient safety grade, the number of events reported, and the number of events reported by nursing students were significantly predicted by several dimensions of the PSC (p<0.05). The evaluation of patient safety culture by nursing students offers a unique perspective. Students come with 'fresh eyes' and provide different perspectives that can provide healthcare leaders with a practical opportunity to identify blind spots, review and improve safety protocols, and foster a more inclusive culture that prioritizes patient safety.

Оцінка культури безпеки у вітчизняній охороні здоров’я: триангуляційний підхід

The aim of the study. To evaluate the safety culture in domestic health care using a mixed approach, that is, using a questionnaire survey, document analysis, as well as an analysis of the state of safety of patients and medical personnel. Materials and methods. The evaluation of safety culture in Ukrainian healthcare has been carried out based on the methodology of the IAEA (International Atomic Energy Agency), specifically employing a triangulation approach involving questionnaire surveys, document analysis, as well as an analysis of patient and medical personnel safety conditions. Our analysis and assessment of the regulatory framework for safety provision in the hospital environment from 1994 to 2020, as well as the safety status of patients from 2003 to 2020 and medical personnel from 2002 to 2018, formed the basis of the material used in this study. Additionally, the evaluation of safety culture was conducted through a questionnaire survey involving 199 healthcare professionals from various healthcare facilities. Research results. The study revealed that safety culture in domestic healthcare facilities is at an early stage of formation and requires systematic improvement. Developing a more comprehensive methodology for assessing safety culture in the medical field is an important and promising direction for future research. The results of our study confirmed the effectiveness of employing a triangulation approach to assess the level of safety culture excellence in healthcare facilities. Conclusions. Strengthening the identified weaknesses in safety culture within the domestic medical industry can become the goal and foundation of a future strategy to create a safe hospital environment based on improving and enhancing safety culture.

Safety Maturity Level Assessment for Effective HSE Plan Development at Logistic Service Company in Ancol

Introduction: PT. XYZ is a logistics service company located at the Tanjung Priok port that carries out loading and unloading activities to support the operations of oil and gas companies. The achievement of leading indicators has been good. However, accidents still happen even though they are not as fatality accidents. This study aims to assess the maturity level of the Safety Culture at PT. XYZ and designing the right OHS program so that it is expected that the OSH program can reduce the number of lost time injuries in the company. Methods: This research is a qualitative descriptive study with a cross-sectional study design, and primary data was taken through interviews, field observations, and secondary data through company records. The author uses an interview guide from Industrial Safety Culture Evaluation Tools and Guidance for primary, key, and supporting informants. The main informants comprised five management representatives from supervisor to assistant manager level and five employee representatives. Results: PT. XYZ is a calculative level in safety culture, although the commitment dimension is in a proactive stage. However, information, awareness, and behavior are still at a calculative level. Conclusion: The company must improve communication methods, including effective communication, and provide consultation and training media for OHS issues.

Safety Culture system elements of Small and Medium-sized Construction Enterprises and its evaluation method

While the construction industry has contributed significantly to the construction of national infrastructure and the enhancement of residents’ living quality, many small and medium-sized construction industries have still been troubled by frequent accidents. Safety accidents have become an essential factor affecting their development of them. The construction of a safety culture is a critical way to solve this kind of problem and enhance the essential safety of these enterprises. Here, adopting the expert survey method, integrating the construction of safety culture with the existing system and work content, an element system of safety culture construction that contains eight primary elements and 32 secondary elements was developed, which could provide a practical and theoretical reference for the construction of safety culture in small and medium-sized construction enterprises. Through the expert survey method and hierarchical analysis method, the weights and sorting of each element were determined, which could guide the construction of enterprise safety culture efficiently. Next, a quantitative evaluation based on a fuzzy comprehensive evaluation of the overall effect of the construction of safety culture was proposed. It could support small and medium-sized construction enterprises to discover the short boards of construction, formulate strategies for continual improvement, and assess the safety culture of construction. Meanwhile, this safety culture system and evaluation method could be a reference for management departments or third-party organizations to manage and evaluate this type of enterprise.

Designing and Constructing a Tool for Safety Culture Evaluation in a Processing Industry Based on Factor Analysis

Objectives: This study aims to develop and create a tool based on factor analysis to assess safety culture in the processing industry. Methods: This study was conducted in the petrochemical industry in 2021. The questionnaires were distributed among 312 employees, supervisors, and managers, and 308 of them were completed. The validity of the questionnaire was assessed by content and construct validity (confirmatory factor analysis), and its reliability was determined by calculating the internal consistency coefficient (Cronbach’s α) and conducting a pilot study. Confirmatory factor analysis was used to examine the relationship between the dimensions of safety culture and the dimensions themselves. Results: The results showed that 62.4% of participants were under 45 years old and 71.2% of them had more than 10 years of work experience. The obtained content validity index (CVI) and content validity ratio (CVR) were 0.88 and 0.91, respectively. The results of exploratory factor analysis (EFA) revealed that six questions were assigned to each dimension of safety culture in the questionnaire. The results of confirmatory factor analysis (CFA) with a P of 0.001 and the overall goodness index of root mean square error of approximation (RMSEA) of 0.07 and the goodness indices of adaptive fit, including good fit index (GFI), comparative fit index (CFI), and normal fit index (NFI) were 0.95, 0.97, and 0.95, respectively. Discussion: Based on the results, a safety culture assessment instrument was developed, including 10 dimensions and 60 items. The results of factor analysis showed that the built-in instrument is highly useful to assess safety culture. In addition, these results showed that safety culture has the strongest relationship with the priority of focusing on health, safety, and environment (HSE) and the weakest relationship with the dimension of collaboration and involvement.

Evaluation of Patient Safety Culture in Community Pharmacies in Qatar

Evaluation of Patient Safety Culture in Community Pharmacies in Qatar

Evaluation of safety culture in Borujerd health care workers

Evaluation of safety culture in Borujerd health care workers

Evaluation of patient safety culture in community pharmacies

BackgroundThe majority of medical mistakes risking patient safety have been related to medication. Numerous international health organizations support assessing safety culture in healthcare organizations as a successful tactic for long-term safety development. ObjectiveThis study aimed to assess patient safety culture, investigate determinants of patient safety in community pharmacies and identify strengths and possible improvements concerning patient safety in the Lebanese community. MethodAn observational descriptive cross-sectional study was conducted using the Pharmacy Survey on Patient Safety Culture (PSOPSC). It was distributed among Lebanese community pharmacists. ResultsOne hundred forty-five community pharmacists completed the survey. High percent positive response (PPR) was seen in the domains of patient counseling (86.4%) and teamwork (83.9%). “Staffing, Work Pressure, and Pace” composite scored 41.2%. Female pharmacists were shown to be more dedicated to patient safety culture, namely in patient counseling skills (P < 0.05). Working for 32 to 40 h per week (β = 19.305), and for >40 h per week (β = 18.315) were significantly associated with increased patient safety score. ConclusionAn overall positive perception towards patient safety culture was seen among Lebanese community pharmacists.

Evaluation of patient safety culture as perceived by nurses during the COVID-19 pandemic

Abstract Objectives: A good patient safety culture (PSC) is linked to a reduced risk of patient problems and minimal undesirable occurrences. This study investigated the PSC levels from nurses’ perspectives during the COVID-19 pandemic. Methods: A descriptive cross-sectional design was applied. The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was administered to 315 nurses working at 2 major hospitals in Jeddah, Saudi Arabia. The data were analyzed using descriptive statistics, a t-test, and a one-way ANOVA test. The statistical significance of the correlation was determined at the 0.05 level. Results: PSC was rated as medium overall according to the nurses, with a weighted mean of 2.88–0.76 and a relative weight of 57.57%. In addition, all PSC composites were rated from medium to high, except organizational learning, which was rated low. The correlation between sociodemographic variables as well as PSC levels was investigated using the t-test and one-way ANOVA test. The association is statistically significant when P ≤ 0.05. The findings revealed a statistically significant correlation between nurse nationality (t = −4.399, P = 0.000), age (F = 7.917, P = 0.000), experience in years (F = 3.760, P = 0.024), and hospital (t = −0.401, P = 0.689). Conclusions: The nurses in this study had a medium overall PSC level, and all PSC composites ranged from a medium to a high level, except organizational learning, which had a low level. In addition, the findings showed that there is a significant relationship between PSC levels, nurses’ nationalities, experience in years, and the hospital itself.

Research on the Maturity Evaluation Model of Enterprise Safety Culture.

To regulate the safety behavior of employees and improve the occupational safety level of enterprises. Based on the perspective of safety culture, this paper designed an index system based on the four dimensions of safety concept, system, behavior, and physical culture, and it explored a new quantitative assessment method of safety culture level by introducing the concept of maturity into the evaluation of safety culture using the grey fuzzy comprehensive evaluation method. Combining the characteristics of enterprise safety culture, safety culture was divided into five levels, including original level, starting level, development level, completion level, and leading level, and the maturity model of enterprise safety culture was established. Finally, taking an enterprise to be evaluated as an example, the evaluation steps and application of evaluation results were introduced. The results showed that the evaluation model of enterprise safety culture maturity constructed in this paper provides systematic measurement indexes and scientific evaluation methods for evaluating the safety culture maturity of enterprises.

Development of the modified safety attitude questionnaire for the medical imaging department.

Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments. Staff members of a teaching hospital medical imaging department were invited to complete the generic short version of the Safety Attitude Questionnaire (SAQ). Internal consistency and reliability were evaluated using Cronbach's α. Confirmatory factor analysis (CFA) was conducted to examine model fit. A cut-off of 60% was used to define the percentage positive responses (PPR). PPR values were compared between occupational groups. A total of 300 complete responses were received and the response rate was 75.4%. In reliability analysis, the Cronbach's α for the original 32-item SAQ was 0.941. Six subscales did not demonstrate good fit with CFA. A modified five-subscale, 22-item model (SAQ-MI) showed better fit (goodness-to-fit index ≥0.9, comparative fit index ≥ 0.9, Tucker-Lewis index ≥0.9 and root mean square error of approximation ≤0.08). The Cronbach's α for the 22 items was 0.921. The final five subscales were safety and teamwork climate, job satisfaction, stress recognition, perception of management and working condition, with PPR of 62%, 68%, 57%, 61% and 60%, respectively. Statistically significant differences in PPR were observed between radiographers, doctors and others occupational groups. The modified five-factor, 22-item SAQ-MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies.

Professional burnout and patient safety culture in Primary Health Care.

to analyze the association between the risk of occupational exhaustion (burnout) and safety culture in Primary Health Care. ross-sectional study conducted in 18 Primary Health Care Units in the Northeast of Brazil. Three questionnaires were used: sociodemographic, Maslach Burnout Inventory, and the Medical Office Survey on Patient Safety Culture. The study was approved by the Research Ethics Committee. seventy-eight healthcare workers participated, of which 64.1% presented a reduced risk of burnout; and 11.5%, a high risk (p=0.000). The following were identified as weakened dimensions of safety culture: Work pressure and pace; Owner, managing partners, leadership support; Overall ratings on quality; and Overall rating on patient safety. an association was found between low risk of developing burnout syndrome and positive evaluation of safety culture.

Evaluation of Nurses' Patient Safety Culture

Bu çalışmanın amacı hemşirelerin hasta güvenliği kültürünü algılama durumlarının ve etkileyen faktörlerin belirlenmesidir. Tanımlayıcı çalışmanın örneklemini İzmir ilinde bir devlet hastanesinde çalışan 152 hemşire oluşturmuştur. Veri toplama aracı olarak, “kişisel bilgi formu” ve “Hasta Güvenliği Kültürü Ölçeği” kullanılmıştır. Hemşirelerin Hasta Güvenliği Kültürü Ölçeği puan ortalaması 3.10±0.54, yönetim ve liderlik alt boyutu puan ortalaması 3.09±0.55, çalışan davranışı alt boyutu puan ortalaması 3.09±0.53, beklenmedik olay ve hata raporlama alt boyutu puan ortalaması 3.02±0.79, çalışanların eğitimi alt boyutu puan ortalaması 3.20±0.75, bakım ortamı alt boyutu puan ortalaması 3.13±0.76’dır. Bu çalışma sonucunda hemşirelerin hasta güvenliği kültürünün iyi düzeyde olduğu, beklenmedik olay ve hata raporlama alt boyutunda en düşük, çalışanların eğitimi alt boyutunda ise en yüksek puanları aldıkları saptanmıştır. Hemşirelerin yaşının, eğitim durumunun, cinsiyetinin ve medeni durumunun hasta güvenliği kültürü üzerinde etkili olmadığı, meslekte çalışma yılı ve haftalık çalışma saatinin ise hemşirelerin güvenlik kültürünü etkilediği saptanmıştır.

Evaluation of Safety Culture among Healthcare Workers in Borujerd

Evaluation of Safety Culture among Healthcare Workers in Borujerd

Evaluation of Patient Safety Culture of Nurses in Northern Cyprus

Evaluation of Patient Safety Culture of Nurses in Northern Cyprus

Evaluation of Safety Culture and the Effect of Lean Safety Approach on the Improvement of Safety Culture (Case Study: Sarv Combined Cycle Power Plant [Chadormelo] of MAPNA Operation and Repair Company)

Introduction: Accidents in the workplace hurt people and sometimes cause death. One of the ways to prevent occupational accidents is to change the behavior and attitude of people towards safety. The present study was conducted to investigate the effect of the lean approach on the promotion of safety culture in Sarv combined cycle power plant of MAPNA exploitation.&#x0D; Materials and Methods: In this study, to evaluate the safety culture before performing the lean approach interventions, a safety culture questionnaire was distributed among 110 people who were randomly selected from 294 employees of the company. The results were analyzed as pre-intervention data. Then, with the introduction of lean tools that can be implemented in the power plant and their selection by a group of managers who came together for this purpose, the necessary measures were defined and performed in line with the lean approach. After six months from the beginning of the intervention, the questionnaire was distributed and collected among the selected individuals in the second stage.&#x0D; Results: Based on the findings, safety culture had no significant relationship with the demographic data of the sample. The results of paired t-tests showed that the safety culture score increased in all dimensions after the intervention. As a result, the total safety culture score showed a significant increase compared to the safety culture score before the intervention.&#x0D; Conclusion: The findings indicated that the pure approach has a great impact on safety culture and it is important to pay attention to it.

The Safer Culture Framework: An Application to Healthcare Based on a Multi-Industry Review of Safety Culture Literature.

Errors and preventable harm to patients remain regrettably common and expensive in healthcare. Improvement requires transforming the culture of the healthcare industry to put a greater emphasis on safety. Safety culture involves holding collective attitudes, values, and behaviors that prioritize safety. The Safer Culture framework, previously established through a narrative review of literature in multiple industries, provides a consensus on what impacts safety culture, how it manifests in behavior, and how it influences safety-related outcomes. Through a theoretical review, we validate, refine, and provide nuance to this framework for the development of safety culture in healthcare contexts. To accomplish this, we conceptually map existing dimensions pulled through the literature onto our Safer Culture framework. A total of 360 articles were reviewed. We present specific elements for each dimension in our framework and apply the dimension to healthcare contexts. We provide an evidence-based and comprehensive framework that can be used by patient safety leaders and researchers to guide the evaluation of safety culture and develop interventions to foster patient safety culture and improve patient safety outcomes.