Hospital Survey Of Patient Safety Culture Research Articles

THE ASSESSMENT OF PATIENT SAFETY CULTURE AMONG DOCTORS, NURSES AND PHARMACISTS IN A PUBLIC HOSPITAL IN INDONESIA

Background: Officers who provide health care make it a priority to ensure the safety of their patients. In healthcare, patient safety is a fundamental principle. Understanding the patient safety culture is one step toward improving patient safety. Patient safety culture is the main foundation of patient safety arrangements that aim to improve the quality of service of healthcare facilities by implementing risk management in all service areas.Purpose: This study aimed to determine the cultural picture of patient safety among health workers in a public hospital in East Lombok.Method: This study was observational and cross-sectional using the Hospital Survey of Patient Safety Culture (HSOPSC) questionnaire designed by the Association of Health Care and Research Quality (AHRQ.) The population of this study were healthcare professionals (doctors, pharmacists, pharmaceutical technical personnel, nurses, and midwives) at Dr R. Soedjono Selong Hospital in East Lombok. Descriptive and inferential statistics were used to adjust frequency distribution tables to identify variable relationship differences. The results analysis followed the guidelines from AHRQ, and univariate analysis was carried out.Results: Among the 250 employees invited to participate, 238 (95.2%) completed the surveys. The dimension with the highest percentage of positive responses was organizational learning - continuous improvement (91.3%), and the dimension with the lowest rate of positive responses was staff management (42.5%). Generally, the patient safety culture in health workers at Dr R, Soedjono belongs to the strong category (70.34%).Conclusion: Building a strong patient safety culture is essential to improve service quality.

Perceived Patient Safety Culture among Healthcare Providers in Southern Jordanian Hospitals during COVID-19 Pandemic

Background: The first step towards creating safe circumstances for patient care is to conduct thorough and ongoing assessments of the safety culture in the healthcare sector. Purpose: The purpose of this study was to assess healthcare professionals’ perceived culture of patient safety during the 2019 corona virus disease (COVID-19) outbreak in southern Jordanian hospitals. Methods: A descriptive, cross-sectional research of healthcare professionals (physicians, nurses and their administrators) was carried out. An Arabic translation of the Hospital Survey of Patient Safety Culture (HSPSC) questionnaire was used to collect information from 531 healthcare providers between July and November 2021 in four hospitals in Southern Jordan. Results: Nurses perceived ‘staffing’ as the highest dimension of the twelve dimensions of safety culture. However, they perceived ‘reporting patient safety events’ as the lowest dimension. The results show that healthcare providers perceived the twelve dimensions of patient safety culture as weakness areas that need improvement. The number of patient safety events reported by respondents in public hospitals was significantly (p<0.05) higher than the number of those reported by respondents in private ones (2.4±0.71 vs. 2.8±0.98, respectively). Conclusions: Hospitals in southern Jordan need to improve their patient safety culture procedures as well as patient safety aspects, such as personnel, handoffs and reporting-related components. Implications for Nursing: Hospital policies need to be adopted in a way that enhances a blame-free culture and an organized safety education program for all healthcare providers, especially new staff. Healthcare providers should be motivated to work as a team through a more reasonable allocation of authority and commission of work. Keywords: Patient safety, Safety culture, Southern Jordan, COVID-19 pandemic

Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking

BackgroundPatient safety culture is an essential factor in determining the ability of hospitals to treat and reduce patient risks. Healthcare professionals, especially nurses, play an important role in patient safety because they are responsible for direct and ongoing patient care. Few studies in Iran examine the patient safety culture in Iranian teaching hospitals, particularly from the perspective of nursing staff. This research assessed patient safety culture in teaching hospitals in Iran from the nurses’ point of view and compared the outcomes with similar regional and global studies. Furthermore, the study identified the factors influencing patient safety culture and its association with outcomes.MethodsA cross-sectional study was accomplished in thirty-two teaching hospitals in five provinces of Iran. A total of 2295 nurses were chosen through convenience sampling. Collection data were done using the Hospital Survey of Patient Safety Culture (HOPSC) from October 2018 and September 2019. We analyzed the data using descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis.ResultsThe results demonstrated the overall percentage of positive response rate for the HOPSC tool (36.4%). The average percentage of positive responses among all dimensions ranged from 27.1% in “Staffing” to 53.8% in “Teamwork across Hospital Units”. Benchmarking analysis shows that Iranian hospitals are equal or better performance than the benchmark on several composites compared to regional and global findings. The results of multiple linear regression analysis showed that the age, gender, total years of experience in nursing, work area or unit, work hours, and size of the hospital were significant predictors of the perceptions patient safety culture of nurses (p < 0.05).ConclusionsThis is one of few studies that examine nurses’ perceptions of patient safety culture in public hospitals in Iran. Although the results of the present study showed that the results of Iran were at or better than the many composites in Jordan, Turkey, KSA, and the Philippines. The findings confirmed that all 12 dimensions can be considered as areas requiring improvement, and these results demonstrated that there was a severe shortage in patient safety culture among the included hospitals.

Recognition of Health Care Provider's Patient Safety Culture in Kurdistan/Iraq

Globally, improving and promoting patient safety has been given a lot of attention in order to develop the standard of healthcare and conserve the clients from trauma. The study purposed to recognize the perception of the Health Care Provider (HCP) regarding patient safety culture. A quantitative design /descriptive method were carried out during the period from 12th to 24thJanuary 2019 at Rania teaching hospital. Data was collected through a hard copy self-managed survey form using the Hospital Survey of Patient Safety Culture (HSOPSC).Data was entered to SPSS and analyzed using descriptive and inferential statistics. The final study sample included 130 cases (74.5% response rate). The total mean positive answer rate for the hospital survey dimensions was (42.28%) with arrange of (79% - 4.6%). Approximately 60% of HCP was perceived patient safety culture practice negatively. However, only two dimensions from 11 had reached positive response rate by respondents which include teamwork within Units (76.2%) and organizational learning (79%) dimensions, while the lowest dimension’s positivity include the frequency of reporting errors (4.6%). Furthermore, more than half (64.6%) of the study sample estimated the grade of patient safety as agreeable level, also only two of the respondents (1.5%) rated excellent grades for patient safety in their hospitals. Almost, three fourths (75.8%) of study sample were reported that no events had reports in the previous year. Statistically, the results of the study showed a significant association among {educational status (p=0.006), work areas (p=0.014), staff position (P=0.001), and mean score of HSOPSC. These findings demonstrated that attitudes and perception of HCP about patient safety culture is extremely low. Fundamentally, there is a necessity for systemic change at the level of health organization and continuous training course for HCP to improve patient safety culture are strongly recommended.

Patient safety culture: a survey of private sector tertiary care hospital of Lahore, Pakistan

Patient safety is a critical component to improving healthcare quality. Due to the potential of growing recognition and importance of establishing a patient safety culture within healthcare organizations, assessing existing patient safety culture is a prerequisite. Despite a vital role in delivering quality care, little attention has been given to describe healthcare professionals' perceptions and expectations of the patient safety culture in Pakistan. Objective:The current study aimed to assess the patient safety culture at a private tertiary hospital in Lahore from the perspectives of doctors and nurses. Methods: This cross-sectional study collected data from 120 nurses and doctors of the private hospital using the Hospital Survey of Patient Safety Culture (HSOPSC).The respondent's demographic characteristics and study variables influencing patient safety culture were presented through descriptive statistics, and a chi-square test was applied to identify the variable influencing patient safety.Results: The current study outcomes revealed a positive score for different dimensions ranging from 32.1% to 86.5%. The dimension of organizational learning-continuous improvement (86.5%) and teamwork within units (81.7%) had the highest scores as compared to teamwork across units (74.7%), feedback and communication about the error (73.7%), management support for patient safety (71.6%), supervisor/ manager expectations and actions promoting patient safety (69.8%), communication openness (65.4%), overall perceptions of patient safety (62%), frequency of events reported (53.7%), handoffs and transitions (49.9%), staffing (33.3%) and non-punitive response to errors (32.1%).Conclusion: The current study's findings highlighted a less positive attitude of doctors and nurses towards patient safety culture within their organizations. The outcomes of the present study could be used for designing and establishing interventions to improve patient safety practices in similar tertiary care settings across Pakistan.

ANALYSIS OF PATIENT SAFETY CULTURE IN SULTAN AGUNG ISLAMIC DENTAL HOSPITAL

Background: Health care facilities are complex organizations and must have development strategies to improve the quality of services. Service quality management must be integrated with elements of risk management and patient safety. Patient safety culture reflects a perception, norms and behavior related to the culture of preventing medical errors when serving patients. Patient safety culture is a product that results from individual or group values, attitudes, perceptions, competences and behavior patterns. Sultan Agung Islamic Dental Hospital has been operating since 2019 and has been accredited in 2020. This study aims to analyze the culture of patient safety at the Sultan Agung Islamic Dental Hospital Semarang. Method: This research method used descriptive observational study. Data collected by distributing questionnaires (onsite crosssectional survey) with Hospital Survey of Patient Safety Culture (HSOPSC) adopted from Agency for Healthcare Research and Quality (AHRQ) 2.0 version to all health workers at the Sultan Agung Islamic Dental Hospital Semarang. Result: The level of reliability of each dimensions of patient safety culture were teamwork 89.3%, staff and work speed 73%, organizational learning for continuous improvement 82.3%, response when an error occurs 69%, supervisor supports patient safety 86%, Communication about the occurrence of errors 96.3%, communication openness 85.5%, the number of error reports 39%, Hospital management supports patient safety 75.7, Change of tasks and transition 85%. Conclusion: The lowest level of reliability of patient safety culture was the dimension of the number of error reports.

The Influence of Nursing Work Environment on Patient Safety.

Background: Patient safety has been a concern over the past two decades. The value of nurses and their work environment in relation to patient safety has been acknowledged by studies and international organizations. This study aimed to examine the relationship between patient safety practices and the nursing work environment. Methods: In total, 570 registered nurses were invited from the inpatient units in public and private hospitals. Perceived patient safety was evaluated using the Overall Perceptions of Patient Safety subscale from the Hospital Survey of Patient Safety Culture (HSPSC). The nursing work environment was assessed using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Findings: Of the 350 of 570 (64.6%) nurses surveyed, 35.2% (125) reported positive levels of perceived patient safety. Staffing and resource adequacy, professional communication style, and nurses' participation in hospital quality improvement activities were associated with higher levels of perceived patient safety. Conclusion/Application to Practice: This study provided empirical results about perceived patient safety culture in relation to nursing work environment. It is paramount to focus on specific dimensions of the nursing work environment, such as staffing and resource adequacy, nurses' participation and advancement, and communication style to improve the quality of care provided to patients. Hospitals are considered one of the most hazardous places compared with industries. Policy makers would help reduce injuries, save resources, and build a culture of safety when taking into consideration the importance of the nursing work environment in relation to patient safety.

The Relationship between Tweleve Hour Shift and Patient Safety at Cairo University Hospitals

Abstract Background: Patient safety has become a priority in healthcare system and among health care workers. Nurses play a major role in patients' safety through twelve hour shift because they are accountable for direct and continuous patient care. So errors occur for a variety of reasons, including the effects of twelve hours shift. It is estimated that 1.3 million health care errors occur each year and of those errors 48,000 to 98,000 result in the deaths of patients. Aim of Study: To assess the relationship between twelve hour shift and patient safety. Subjects and Methods: A descriptive research design was utilized to collect data from (150) staff nurses working in all Medical, Surgical Departments and Intensive Care Units at National Cancer Institute which is affiliated to Cairo University having at least one year of experience. Data was collected by using Hospital Survey of Patient Safety Culture (HSOPSC) and patient safety assessment manual. Results: The study revealed that the dimension with the highest positive responses was; teamwork within units (mean= 4.61) and the lowest positive response was in the dimension of non-punitive response to error (mean=1.81) and also feedback and communication about error (mean=2.71). Conclusion: The study concluded that there was a signif-icant relation between 12 hour shifts and patient safety dimen-sions. Recommendations: The study recommended Schedule sensibly for nurses to decrease fatigue that leading to error. Head nurses should be encouraged to establish non-punitive environment as well as a teamwork spirit among nursing staff working in critical care and general ward staff nurses. Develop a well-established system for incident reporting, and all staff nurses should be informed and trained about it.

Status quo of Intensive Care Unit nurses' awareness of patient safety culture and its influencing factors

Objective To understand the status quo of Intensive Care Unit (ICU) nurses' awareness of patient safety culture and its influencing factors, and to provide reference for nursing managers to formulate effective nursing measures to improve ICU nursing service quality. Methods Using convenience sampling method, 318 nurses in ICU Departments of 5 general hospitals in He'nan province from March to May 2018 were selected as subjects. General Information Questionnaire, Hospital Survey of Patient Safety Culture (HSOPSC) , Professional Self-Concept of Nurses Instrument (PSCNI) and Conditions of Work Effectiveness Questionnaire-Ⅱ (CWEQ-Ⅱ) were used to investigate them. The influencing factors of patient safety culture awareness in the ICU nurses were analyzed. Results The ICU nurses' patient safety culture score was (154.34±29.02) and the average score of the items was (3.67±0.69) . Regression analysis showed that the ICU nurses' title, professional attitude, job assignment and the number of night shifts per month were the influencing factors of patient safety culture (P<0.05) . Conclusions ICU nurses need to improve the awareness of patient safety culture. It is suggested that nursing managers should intervene in the aspects of ICU nurses' title, professional attitude, work assignment and number of night shifts per month to improve ICU nurses' awareness of patient safety culture. Key words: Intensive Care Unit; Nurses; Safety culture; Influencing factors

Exploring healthcare professionals’ perceptions of medication errors in an adult oncology department in Saudi Arabia: A qualitative study

ObjectiveAdverse events which result from medication errors are considered to be one of the most frequently encountered patient safety issues in clinical settings. We undertook a qualitative investigation to identify and explore factors relating to medication error in an adult oncology department in Saudi Arabia from the perspective of healthcare professionals. MethodsThis was a qualitative study conducted in an adult oncology department in Saudi Arabia. After obtaining required ethical approvals and written consents from the participants, semi-structured interviews and focus group discussions were carried out for data collection. A stratified purposive sampling strategy was used to recruit medical doctors, pharmacists, and nurses. NVivo Pro version 11 was used for data analyses. Inductive thematic analysis was adopted in the primary coding of data while secondary coding of data was carried out deductively applying the Hospital Survey of Patient Safety Culture (HSOPSC) framework. ResultThe total number of participants were 38. Majority of the participants were nurses (n = 24), females (n = 30), and not of Saudi nationality (n = 31) with an average age of 36 years old. Causes of medication errors were categorized into 6 themes. These causes were related teamwork across units, staffing, handover of medication related information, accepted behavioural norms, frequency of events reported, and non-punitive response to error. ConclusionThere were numerous causes for medication errors in the adult oncology department. This means substantive improvement in medication safety is likely to require multiple, inter-relating, complex interventions. More research should be conducted to examine context-specific interventions that may have the potential to improve medication safety in this and similar departments.

Assessment of Patient Safety Culture in an Adult Oncology Department in Saudi Arabia.

We sought to evaluate patient safety culture across different healthcare professionals from different countries of origin working in an adult oncology department in a medical facility in Saudi Arabia. This cross-sectional survey of 130 healthcare staff (doctors, pharmacists, nurses) was conducted in February 2017. We used the Hospital Survey of Patient Safety Culture (HSOPSC) to examine healthcare staff perceptions of safety culture. A total of 127 questionnaires were returned, yielding a response rate of 97.7%. Eight out of 12 HSOPSC composites were considered areas for improvement (percent positivity < 50.0%). Significantly different mean scores were observed across the three professional groups in all 12 HSOPSC composites. Doctors tended to rate patient safety culture significantly more positively than nurses or pharmacists. Nurses scored significantly lower than pharmacists in the majority of HSOPSC composites. No significant differences in patient safety culture composite scores were observed between Saudi/Gulf Cooperation Council (GCC) and non-Saudi/GCC groups. Regression analysis showed that the frequency of reported events is predicted by feedback and communication about errors, and teamwork across units. Perception of patient safety is associated with respondents' profession and teamwork across units. This study brings to the fore the assumption that all healthcare professionals have a shared understanding of patient safety. We urge healthcare leaders and policy makers to look at patient safety culture at this granular level in their contexts and use this information to develop strategies and training to improve patient safety culture.

How to Improve Patient Safety Culture in Croatian Hospitals?

Patient safety culture (PCS) has a crucial impact on the safety practices of healthcare delivery systems. The purpose of this study was to assess the state of PSC in Croatian hospitals and compare it with hospitals in the United States. The study was conducted in three public general hospitals in Croatia using the Croatian translation of the Hospital Survey of Patient Safety Culture (HSOPSC). A comparison of the results from Croatian and American hospitals was performed using a T-square test. We found statistically significant differences in all 12 PSC dimensions. Croatian responses were more positive in the two dimensions of Handoff s and Transitions and Overall Perceptions of Patient Safety. In the remaining ten dimensions, Croatian responses were less positive than in US hospitals, with the most prominent areas being Nonpunitive Response to Error, Frequency of Events Reported, Communication Openness, Teamwork within Units, Feedback & Communication about Error, Management Support for Patient Safety, and Staffing. Our findings show that PSC is significantly lower in Croatian than in American hospitals, particularly in the areas of Nonpunitive Response to Error, Leadership, Teamwork, Communication Openness and Staffing. This suggests that a more comprehensive system for the improvement of patient safety within the framework of the Croatian healthcare system needs to be developed. Our findings also help confirm that HSOPSC is a useful and appropriate tool for the assessment of PSC. HSOPSC highlights the PSC components in need of improvement and should be considered for use in national and international benchmarking.

The relationship between patient safety culture and adverse events: a study in palestinian hospitals

Patient safety has been considered the heart of healthcare quality. This study aims to explore relationships between patient safety culture and adverse event rates at unit levels in Palestinian hospitals, and provide insight on initiatives to improve patient safety. A retrospective, exploratory design was used. Patient safety culture was measured by the Hospital Survey of Patient Safety Culture (HSOPSC) developed by Westat. Adverse events were measured using the Global Trigger Tool (GTT), developed by the Institute for Healthcare Improvement. GTT data was collected from patient records discharged May – August 2009 and the HSOPSC data collected in 2010. Descriptive statistics were used to summarize departments’ results. Spearman’s rho coefficient was used to determine relationships between safety culture and adverse events. The results showed that –as expected- there exists relationships between safety culture and the rate of adverse events at departmental level. Almost all of the relationships tested were in the expected direction. 8 (57 %) of the 15 relationships were statistically significant (p < 0.05, p < 0.01), indicating that departments with a more positive patient safety culture had lower rates of adverse events in their department. Our study confirms the idea that a more positive patient safety culture is associated with lower adverse events in hospitals at the departmental levels in Palestine. Further analysis should include a more representative sample to examine the causal relationship between patient safety culture and adverse events incidents.

NURSE'S AWARENESS REGARDING PATIENT SAFETY CULTURE AT MANSOURA UNIVERSITY HOSPITAL

Background: The initiative of developing safety to assure patients’ safe from harm have become central concerns in quality improvement in the healthcare system. Developing and maintaining safety is a principal aspiration of the current patient safety movement, and sustaining a strong safety culture is seen as imperative to the delivery of safe, high quality and cost-effective patient care. Aim of the study: The aim of this study is to assess the nurse's awareness regarding patient safety culture at Mansoura University Hospital. Subjects and Methods: A descriptive comparative design was utilized to attain the aim of the present study. The study sample composed of 102 staff nurse. Data was collected by using the hospital survey of patient safety culture (HSPSC) questionnaire (Aboshaiqah, 2010). Results: more than half of the nurses under study have unawareness of the patient safety culture. There were no statistically significant differences between the awareness of nurses working in medical units and nurses working in surgical units regarding to patient safety culture in all sub dimensions. The majority of the nurses under study did not report the safety events errors in their work areas. Number of events written in the last 6 months was very low. Recommendation: It is recommended that Policy makers and leaders should develop acceptable standards for patient safety system. This can be achieved through initiated and supported an effective safety culture assessment among all working nurses, Staff development programs are needed for all nurses to understand the values, beliefs, and norms about what is important in an organization and what attitudes and behaviors related to patient safety are expected and appropriate for achieving a culture of safety.

Patient safety culture in China: a case study in an outpatient setting in Beijing

ObjectivesTo investigate the patient safety culture in an outpatient setting in Beijing and explore the meaning and implications of the safety culture from the perspective of health workers and patients.MethodsA...

Certified Nursing Assistants' Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical Outcomes?

The main objective of this study was to examine whether certified nursing assistants' (CNAs') perceptions of patient safety culture (PSC) were correlated with clinical outcomes (rates of falls, pressure ulcers, and daily restraint use) in a random sample of nursing homes. An additional objective was to describe facility-level and CNA-level characteristics that were associated with CNA PSC scores. We conducted a secondary data analysis using data that adapted the Hospital Survey of Patient Safety Culture (HSOPSC) for nursing homes. The HSOPSC data were merged with data from the Minimum Data Set (MDS), Online Survey Certification and Reporting (OSCAR) system, and Area Resource File (ARF). CNAs from a random sample of 72 nursing homes in 5 randomly selected states during the first 2 quarters of 2005. The relationships between clinical outcomes and CNA PSC scores were evaluated. The relationships between CNA PSC and facility characteristics, such as profit status and bed occupancy, and CNA characteristics such as education and tenure were also assessed. Data were analyzed using Poisson, multinomial logistic, and linear regression, and generalized estimating equations (GEE); descriptive statistics were compiled for demographic data. Of 2872 CNAs, 1579 completed the survey, for a 55% response rate. Results of regression analyses suggest that higher (more developed and more desirable) CNA PSC scores were associated with increased reporting of falls (B = 0.015; P = .000). Facilities with higher total CNA PSC scores were more likely to report moderate restraint use, whereas facilities with lower CNA PSC scores were more likely to report high restraint use (B = 0.172; P = .017). CNA PSC scores were not associated with differences in pressure ulcer rates. This study represents an important step in the evaluation of CNA PSC in nursing homes and shows that a relationship exists between PSC and selected clinical outcomes. Future work on nursing home PSC and additional clinical as well as workforce outcomes is indicated.