Hospital Survey On Patient Safety Culture Research Articles

Patient Safety Culture Among Nurses: Comparison Between Public and Private Hospital in Indonesia

Aims: This study aimed to describe the patient safety culture among nurses working in both public and private hospitals in Karawang, Indonesia. By examining the perceptions and practices of nurses regarding patient safety, the research sought to identify strengths and areas for improvement within the healthcare system. The findings are intended to inform strategies for enhancing patient safety practices, thereby contributing to better healthcare outcomes for patients in the region. Methods This study employed a cross-sectional methodology to investigate the patient safety culture in the intensive care units of two private and two public hospitals in Karawang, Indonesia. The researchers utilized the Hospital Survey on Patient Safety Culture (HSPSC) to gather data on nurses' perceptions and practices regarding patient safety. To analyze the data and identify any significant differences in patient safety cultural practices between the various hospital groups, both chi-square tests and independent t-tests were conducted. This approach allowed for a comprehensive assessment of the patient safety culture within the selected hospitals, facilitating comparisons between public and private healthcare settings. Results The study included a total of 118 nurses, with 52 working in a public hospital and 66 in a private hospital. The average age of nurses in the public hospital was 36.11 years (SD: 4.78), while those in the private hospital had a lower average age of 32.45 years (SD: 3.67). The results indicated a significant difference in the scores related to patient safety culture between the two groups of nurses. Specifically, nurses in the private hospital reported a higher patient safety culture compared to their counterparts in the public hospital, highlighting the disparities in perceptions and practices regarding patient safety in these different healthcare settings. Conclusion Nurses employed in private hospitals reported a higher level of patient safety culture compared to those working in public hospitals. This finding underscores the importance of creating a comfortable work environment in healthcare settings, as it is essential for minimizing the risk of patient safety incidents. By fostering a supportive and safe atmosphere, healthcare facilities can enhance the overall quality of care provided to patients and promote better outcomes in both private and public hospitals.

Revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0): cultural adaptation, validity and reliability of the Malay version

BackgroundSurveys on Patient Safety Culture™ Hospital Survey (HSOPSC) developed by the U.S. Agency for Healthcare Research and Quality (AHRQ) has been adopted worldwide. The Hospital Survey on Patient Safety Culture (HSOPSC) version 2.0 was released in 2019, but there have been no publications to date of its translation and validation for use in Malaysia. This study aimed to translate and cross-culturally adapt the revised HSOPSC 2.0 into the Malay language and determine its psychometric properties including the content, face, and construct validity, and reliability analyses.MethodsThis study was conducted from April – June 2023 and divided into three stages: translation and cultural adaptation; content and face validation; and construct validation using confirmatory factor analysis and reliability testing among 319 healthcare personnel from a public university hospital in Malaysia.ResultsThe translated instrument demonstrated excellent content validity (I-CVI = 0.80 ~ 1.0, SCVI-average = 0.96) and face validity (I-FVI = 0.80 ~ 1.0, SFVI-average = 0.98). Reliability testing was acceptable (Cronbach’s α = 0.60 ~ 0.80) but indicated that reverse-coded items were poorly perceived. Confirmatory factor analysis showed a satisfactory model fit for the translated instrument (RMSEA = 0.08, GFI = 0.80, CFI = 0.80, and χ2/df = 2.96). Six items had very low factor loadings (< 0.40), with two constructs “Staffing and Work Pace” and “Response to Error” having AVE < 0.4, but acceptable CR ≥ 0.6. No items were removed from the questionnaire despite low factor loadings following a consensus from an expert panel.ConclusionThe Malay version of the HSOPSC 2.0 containing ten domains and 32 items demonstrated satisfactory psychometric properties following expert consensus, with acceptable reliability and construct validity for measuring patient safety culture. Given factor loadings smaller than 0.40 in six items, broader validation is suggested to support the use of the translated instrument in the Malaysian healthcare setting.

Caring in crisis: Addressing patient safety, burnout, and long hours in healthcare.

Madam, The World Health Organization defines patient safety as preventing errors and adverse effects to patients associated with health care and “to do no harm to patients”. Specifically, in low and middle-income countries (LMICs), about 134 million adverse events occur each year due to unsafe care in hospitals, resulting in 2.6 million deaths annually. [1] Along with other determining factors, professional well-being, long hours, and burnout syndromes also influence patient care. [2] Burnout is a condition directly linked to workplace environment, stemming from occupational stress and extended working hours. Garcia, C.L. et al., through meta-analysis, found a relationship between the development of burnout and patient safety actions, with a probability of superiority of 66.4%. High levels of burnout and worsening patient safety are related to external factors such as high workload, long working hours, lack of a secure environment, and interpersonal relationships. [3] These findings raise concerns, particularly in a country like Pakistan, where the extent of understaffing and high workload can be inferred from the following statistics: The doctor-to-population ratio in Pakistan was 1:1000 in 2018 [4]. In contrast, the doctor-to-population ratio in Malaysia was 2.2:1000 in 2018 [5]. As a result of this shortage, the current workforce in Pakistan is negatively affected. In a study by Kasi PM et al. on postgraduate trainees in Pakistan, individuals under stress were more likely to report longer working hours. This increased workload made them prone to medical errors, which ultimately undermines the patient safety culture. A study conducted at a tertiary care hospital in Pakistan using the Hospital Survey on Patient Safety Culture (HSOPSC) compared the benchmarks from hospitals in the USA and discovered that high staff workload is a significant concern among staff [6] In Pakistan, where healthcare resources are limited, fostering a culture of effective work-hour management and breaks is essential for creating a healthier and safer environment for health professionals and patients. Ensuring adequate staffing levels to distribute the workload and prevent overburdening is essential. Providing designated areas for relaxation, offering mental health resources and mindfulness programmes like yoga or meditation can help doctors to cope with stress. Furthermore, promoting a culture of multidisciplinary teamwork, a mentorship program, and effective handover protocols during shift changes can ensure continuity of care. Medical institutes should invest in technology that can streamline administrative tasks and reduce paperwork burden. ---Continue

Patient Safety Culture in Hospital Settings Across Continents: A Systematic Review

Patient Safety Culture (PSC) is the cornerstone of quality healthcare. Prior research has highlighted the critical role of a safety culture in healthcare. The Institute of Medicine (IOM) has emphasized its effectiveness in reducing errors and improving patient care. This systematic review investigated variations in how staff at international hospitals perceive PSC. In addition to assessing the status of patient safety, this investigation offers a comprehensive synthesis of research from multiple countries to inform future research endeavors. It focused on studies published between 2010 and 2024 that used the standardized Hospital Survey on Patient Safety Culture (HSOPSC) tool, versions 1.0 and 2.0. By following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the review identified vital strengths and weaknesses in PSC globally. Despite these variations, two key strengths emerged consistently across studies, particularly in Asia: teamwork within units and a focus on continuous learning. However, healthcare professionals also raised concerns about a punitive environment that discourages error reporting and inadequate staffing levels. Interestingly, nurses held less positive views on some PSC aspects compared to mixed staff. Several PSC areas of concern raised in previous studies have continued to appear in recent studies. These findings highlight the need for a holistic approach to strengthen PSC globally. This includes fostering a just culture that encourages error reporting, addressing staffing shortages, and promoting open communication among all healthcare professionals. Additionally, tailoring interventions to address regional variations is crucial for creating a safer and more supportive environment for patients worldwide.

Patient Safety Culture in a Tertiary Referral Hospital: Evidence from a Main Criterion in Accreditation

Objectives: In Iran’s accreditation program, the patient safety dimension is one of the main dimensions, holding the highest weight among the accreditation criteria. The purpose of this study was to identify the patient safety culture (PSC) in a tertiary referral hospital. Methods: The current study was conducted between March and April 2021 in a tertiary hospital in Iran. The sample size was 628 participants, selected through simple random sampling. The hospital survey on patient safety culture (HSOPSC) was used to assess provider and staff perceptions about patient safety issues, medical errors, and event reporting. The survey included 32 items that measure 10 dimensions of PSC. Normality tests, along with non-parametric Mann-Whitney and Kruskal-Wallis tests, were used to examine the relationship between PSC and demographic variables using SPSS 22 software. Results: Based on current findings, among the 10 dimensions of PSC, teamwork and organizational learning-continuous improvement received the highest scores (83% positive response), which were higher than these variables in the Agency for Healthcare Research and Quality (AHRQ) data. Conversely, staffing and work pace, as well as hospital management support for patient safety, received the lowest positive scores (43% and 55% positive response, respectively), which were lower than these variables in the AHRQ data. There was a significant positive relationship between dimensions of PSC and older age, female gender, staff with longer working experience, and longer work hours per week (P &lt; 0.05). Conclusions: The majority of our participants felt that patient safety needs to be enhanced. Based on the findings of this study, it is recommended to emphasize the dimensions of “staffing and work pace” and “hospital management support for patient safety” more in the accreditation criteria to strengthen these dimensions in hospitals. Additionally, we have introduced a comprehensive guide for using an international tool to measure PSC, which hospitals can use to succeed in annual accreditation.

Assessment of Patient Safety Culture Amongst Pharmacy Staff of Selected Healthcare Facilities in Delta North, Nigeria

The strategy for improving patient safety in hospitals heavily relies on safety culture. The study aimed to evaluate patient safety cultures amongst pharmacy staffs of selected health facilities in Delta North, Delya State, Nigeria. Data on patient safety amongst 70 pharmacy personnel in two major secondary and 5 general health facilities across Delta North senatorial district, Delta State, were collected using the Hospital Survey on Patient Safety Culture (HSOPSC) tool. Information on communication openness, the frequency of documenting different types of mistakes, as well as the overall patient safety culture rating, was collected. Composite scores were analyzed using SPSS version 22. Measurement data were presented as mean ± standard deviation (SD) and compared using a student t-test. The results were considered significant at p&amp;lt;0.05. The mean scores of all the various composite item responses were calculated and grouped into positive and negative responses with a mean score of ≥4 and &amp;lt;4, respectively. The safety cultures of physical space and environment, staff training and skills, and communication openness had a good composite score of 4.0 – 4.1. The safety culture of procedures for communicating prescriptions across shifts was poorly rated, with composite scores of 3.8. The safety culture of patient counselling had the highest composite score of 4.3. The safety composites for documenting various shades of mistakes had a mean score of 3.5. Overall, 68.1% of the healthcare facilities were rated excellent, although there were some loopholes (documenting mistakes and poor communication across shifts) in the safety composite scores requiring areas for improvement.

Patient safety culture in a tertiary care hospital in Makkah, Saudi Arabia, a cross-sectional study

BackgroundPatient safety remains an area of global concern, and patient safety culture among healthcare staff is one of its most important determinants. Saudi Arabia is investing much effort in enhancing patient safety. Assessment of patient safety culture is enlightening about the impact of such efforts and invaluable in informing policy makers about future directions. This study aimed to assess patient safety culture in King Abdullah Medical City (KAMC), a tertiary referral center in Makkah, Saudi Arabia.MethodsIn this cross-sectional study the Hospital Survey on Patient Safety Culture (HSOPSC) version 2.0 was distributed electronically to all staff of KAMC. The HSOPSC version 2.0 Data Entry and Analysis Tool was used to compare results obtained from KAMC to those obtained from global data. Additional analyses were performed on SPSS to explore the presence of associations between responses and participant characteristics.ResultsA total of 350 participants completed the questionnaire, 58.6% of whom were nurses. A comparison of the composite measure of all 10 domains of the HSOPSC showed 62% positive responses at KAMC versus 70% in the global database. This difference was statistically significant, with a chi-square of 10.64 and a p value of 0.001. The percentages of positive responses from the KAMC data exceeded those from the global data in the “Organizational learning and continuous improvement” and the “Communication about error” domains (p = 0.002 and 0.003, respectively).ConclusionAlthough safety culture seems to score lower at KAMC than globally, accelerated improvement in the future is expected based on improvement trends in the literature and the national efforts focused on patient safety.

Patient Safety Culture in the Context of Critical Care: An Observational Study.

A robust safety culture is essential for ensuring high-quality healthcare delivery. From a nursing perspective, especially among critical patients, it fosters ongoing improvement by highlighting areas that need attention. This study aimed to evaluate the perception of patient safety culture among nurses within the critical care environment. An observational study was conducted at a central hospital in Portugal employing the Hospital Survey on Patient Safety Culture (HSPSC) questionnaire. The study encompassed 57, nurses predominantly female (73.7%), aged 25-64. Most participants were general nurses (77.2%), with a significant proportion (61.4%) working in the emergency department and possessing an average tenure of 13 years at the facility. The perception of critical patient safety culture (CPSC) was predominantly positive (40.6%), varying by department, with intensive care nurses reporting the highest positivity rates. Teamwork was identified as a strong point, receiving 80.7% positivity, highlighting it as a well-established domain in the CPSC, whereas other domains were recognised as requiring enhancements. The study pinpointed both strengths and weaknesses within the CPSC, offering a foundation for developing targeted strategies to bolster patient safety culture in critical care settings.

Psychometric properties and criterion related validity of the Norwegian version of hospital survey on patient safety culture 2.0

BackgroundSeveral studies have been conducted with the 1.0 version of the Hospital Survey on Patient Safety Culture (HSOPSC) in Norway and globally. The 2.0 version has not been translated and tested in Norwegian hospital settings. This study aims to 1) assess the psychometrics of the Norwegian version (N-HSOPSC 2.0), and 2) assess the criterion validity of the N-HSOPSC 2.0, adding two more outcomes, namely ‘pleasure of work’ and ‘turnover intention’.MethodsThe HSOPSC 2.0 was translated using a sequential translation process. A convenience sample was used, inviting hospital staff from two hospitals (N = 1002) to participate in a cross-sectional questionnaire study. Data were analyzed using Mplus. The construct validity was tested with confirmatory factor analysis (CFA). Convergent validity was tested using Average Variance Explained (AVE), and internal consistency was tested with composite reliability (CR) and Cronbach’s alpha. Criterion related validity was tested with multiple linear regression.ResultsThe overall statistical results using the N-HSOPSC 2.0 indicate that the model fit based on CFA was acceptable. Five of the N-HSOPSC 2.0 dimensions had AVE scores below the 0.5 criterium. The CR criterium was meet on all dimensions except Teamwork (0.61). However, Teamwork was one of the most important and significant predictors of the outcomes. Regression models explained most variance related to patient safety rating (adjusted R2 = 0.38), followed by ‘turnover intention’ (adjusted R2 = 0.22), ‘pleasure at work’ (adjusted R2 = 0.14), and lastly, ‘number of reported events’ (adjusted R2=0.06).ConclusionThe N-HSOPSC 2.0 had acceptable construct validity and internal consistency when translated to Norwegian and tested among Norwegian staff in two hospitals. Hence, the instrument is appropriate for use in Norwegian hospital settings. The ten dimensions predicted most variance related to ‘overall patient safety’, and less related to ‘number of reported events’. In addition, the safety culture dimensions predicted ‘pleasure at work’ and ‘turnover intention’, which is not part of the original instrument.

Enhancing patient safety culture and examining adverse events in intensive care units: a comparative analysis

Background and Purpose: The global emphasis on fostering a patient safety culture is a priority for many countries, including those in the Middle East. Hospitals worldwide are dedicated to enhancing the quality of patient care and safety, with an increasing recognition by hospital management of the role played by a robust patient safety culture. This study compares intensive care nurses' perceptions of patient safety culture and adverse events. Method: A comparative study was conducted in the intensive care units (ICUs) of four private and teaching hospitals utilizing The Hospital Survey on Patient Safety Culture (HSOPSC)-two in Riyadh and two in Cairo. Nonprobability sampling was employed across all registered nurses working in ICUs. Results: The study revealed that the highest percentage of errors occurred in patients' acquired infections (61.5%), while the lowest percentage was associated with patients' falls (7.8%). The strengths of the composites were continuous organizational learning improvement (85.9%) and management support for patient safety (81.4%). Areas for improvement were identified in composites such as handoffs and transitions (40.3%) and teamwork across units (49.5%). Notably, nurses in Cairo hospitals reported a higher frequency of adverse events compared to their counterparts in Riyadh hospitals. Implications for practice: The views of nurses working in both cities emphasized the importance of organizational learning to achieve ongoing improvement, teamwork within specific units, and managerial backing for ensuring patient safety. Moreover, the research emphasized the necessity for additional improvements in collaboration between different units, as well as in the processes of handoffs and transitions.

Assessment of Patient Safety Culture Among Nurses Working at Tertiary Care Hospitals in Aljouf Region, Saudi Arabia.

Patient safety is a fundamental element in healthcare quality and a major challenge in achieving universal health coverage, especially in low- and middle-income countries. The first step to improve patient safety is to evaluate the safety culture in hospitals. This study aimed to investigate the patient safety culture among nurses and determine the factors affecting it. This cross-sectional study was conducted among 423 nurses working at tertiary care hospitals in the Al-Jouf region in Saudi Arabia. The highest score for patient safety among nurses was for teamwork within units (16.41 ± 2.44). The lowest score was for nonpunitive response to errors (5.87 ± 1.92). In addition, 83% of the participants did not report any events in the past 12 months. More perception of patient safety was significantly higher among females than males in dimensions of teamwork within units, frequency of events reported, and staffing. Furthermore, teamwork within units, management support for patient safety, staffing, non-punitive response to errors, and handoffs and transitions were significantly higher among participants in direct contact with patients. The Hospital Survey on Patient Safety Culture (HSOPSC) scale is significantly higher among non-Saudi nurses, nurses with bachelor's education, nurses with less working hours per week, and those who had training on patient safety. The current study showed that the majority of the participants did not report any events in the past 12 months. The highest score for patient safety culture dimensions among nurses was for teamwork within units while the lowest score was for nonpunitive response to errors.

ANALISIS BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL

Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area.&#x0D; Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul.&#x0D; Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.

Patient safety culture in the Operating Room of an emergency hospital in Amazonas: perspectives from the healthcare team.

The concept of safe care permeates health institutions around the world, however, it is necessary to understand the safety culture of an institution to improve the provision of safety to patients and professionals. Cross-sectional study with a quantitative approach. The sample was made up of 119 health professionals who made up the multidisciplinary team at the surgical center from August to September 2021, where data collection took place. The Hospital Survey on Patient Safety Culture (HSOPSC) instrument was used to evaluate the twelve dimensions that make up patient safety culture. Data analysis was carried out using descriptive statistics, to evaluate the reliability of the responses to the HSOPSC instrument, the Cronbachs Alpha test was used. Of the twelve dimensions evaluated, there was no dimension considered strong for patient safety in the unit. The dimensions with potential for patient safety were "Expectations and actions of the supervisor/manager to promote patient safety"; "Teamwork within units" and "Organizational learning - continuous improvement", while all other dimensions were evaluated as weak for patient safety. 39.50% of participants consider patient safety in the unit to be regular, despite this, 89.91% of participants reported not having made any event notifications in the last 12 months. The study highlighted the need to strengthen all dimensions of the patient safety culture by the team at the hospital studied, as none of them were identified as strong.

Impact of Covid-19 on patient safety culture in hospital wards: A comparative study

BackgroundThe current coronavirus pandemic has profoundly impacted healthcare services across all dimensions. Patient safety culture stands as a pivotal element in enhancing safety and the quality of patient care. This study aimed to compare the patient safety culture in the COVID-19 ward with that in other inpatient wards. MethodsIn this cross-sectional study, 418 nurses were selected through a quota sampling method from an educational hospital in Western Iran. For data collection, the Hospital Survey on Patient Safety Culture (HSOPSC), developed by AHRQ, was utilized. Data were analyzed using descriptive statistics, including mean and standard deviation (SD), as well as analytical statistics such as independent-samples t-test, Mann-Whitney test, Spearman's correlation test, and Kruskal-Wallis test. SPSS 25 was used for analysis, and the significance level was set at p ≤ 0.05. ResultsThere was no statistically significant difference between the two groups (p > 0.05), but there were variations in the mean scores within different dimensions. The overall mean score of patient safety culture in the coronavirus ward was 117 ± 20.91, indicating a moderate to low level of patient safety culture in this group. In contrast, in other inpatient wards, the mean score was 122.66 ± 23.47. ConclusionIn the coronavirus department, due to the heightened patient severity and increased nursing workload, the patient safety culture was rated as weak. Therefore, it demands specific attention from management to provide additional training for healthcare staff, aiming to enhance their performance in coping with stressful and unpredictable conditions.

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.

Work Climate, Improved Communication, and Cohesive Work Linked with Patient Safety Culture: Findings from a Sports Medicine Hospital.

This study aims to investigate the patient safety culture at a sports medicine hospital and explore the quality of healthcare and associated factors. In a cross-sectional study design, the Hospital Survey on Patient Safety Culture (HSOPC) tool was administered online among staff at a sports medicine hospital in Doha, Qatar. Out of 898 staff who received an email invitation, 504 participated (56.1%). The results showed that 48.0% of the staff rated the patient safety grade as excellent and 37.5% as very good, totaling 85.5%. Factors associated with excellent or very good patient safety grades were management support OR 4.7 95% CI (1.8 to 12.3); team communication OR 3.0 95% CI (1.4 to 6.3), supervisor action supporting patient safety OR 3.5 95% CI (1.7 to 7.0) and other items related to work area such as working together: OR 3.0 95% CI (1.2 to 7.6), helping out busy areas OR 2.5 95% CI (1.1 to 5.5) and having good procedures and systems: OR 2.8 95% CI (1.4 to 5.8). Addressing management support, enhancing communication, and cohesive work within the work area facilitates a culture of trust that improves patient safety grades.

Perceptions of Patient Safety Culture among Healthcare Professionals in Public Hospitals in Kaduna State, Nigeria: A Cross-Sectional Survey

Background: Establishing a culture of patient safety in the healthcare system is essential to making improvements in the quality of care and patient outcomes. Aim: To assess the perceptions of patient safety culture among healthcare professionals (HCPs) in selected public hospitals in Kaduna state, Nigeria.&#x0D; Methods: A cross-sectional survey using the Hospital Survey on Patient Safety Culture (HSOPSC) was conducted. Data was collected from healthcare professionals (medical doctors, nurses, and pharmacists) from four (4) public hospitals that met the inclusion criteria. Data were analysed using SPSS version 23 and summarized as percentages, means, and standard deviations. The chi-square test was used to examine statistical associations between HCP characteristics and outcome variables.&#x0D; Results: Three hundred and fifty-eight (358) questionnaires were completed and returned (response rate of 84.8%). The overall average of the percent positive response of patient safety culture across the health facilities was 55.6%. 'Teamwork within units' was the dimension with the greatest strength (81.3%). The dimensions with the most potential for improvement with average positive responses below 50% were 'Staffing' (34.4%), 'Frequency of events reported' (36.8%), and 'Non-punitive response to errors' (40.5%). A higher percentage of pharmacists (n=25, 48.1%) compared to other HCPs had reported at least an error in the preceding 12 months, and this was statistically significant (p &lt; .001).&#x0D; Conclusion: Overall perception of patient safety culture was slightly above average (55.6%) with four out of twelve dimensions measured having an average score below 50%. Further assessment of patient safety culture, particularly in the areas with poor responses is required to improve the quality of care and promote healthcare improvement.

GAMBARAN BUDAYA KESELAMATAN PASIEN PADA PERAWAT DI RUMAH SAKIT X. BEKASI TAHUN 2022

The implementation of a culture of patient safety is crucial in hospitals so that patients do not experience unwanted or unexpected hazards during hospitalization. Hospital X. Bekasi has a quality unit, but incident reporting at Hospital X. Bekasi is not going well. This illustrates the implementation of a patient safety culture that is not running well. This study aims to look at the culture of patient safety among nurses in RSX. The year 2022 is seen in the 12 dimensions of the culture of patient safety, according to the Association for Health Care and Research Quality (AHRQ). This research uses a cross-sectional design. The population in this study is the nurse who directly serves the patient. A large sample in this study of 90 nurses was taken with total sampling techniques. The instrument used in this study is the Hospital Survey on Patient Safety Culture (HSOPSC), which has 12 dimensions. The results showed average positive responses from 12 dimensions of patient safety culture (62.5%), Higher Expectations and Action in Promoting Patient Safety (53.3%), Learning for Organizational Continuous Improvement (64.8%), Unit Collaboration (57.5%), Open Communication (61.1), Feedback and Communication on Errors (63.2%), Non-Positive Response (79.6%), Staffing (69.4%), Management Support Dimension for Patient Security (92.2%), Inter-Units Cooperation (64.4%), Overall Perception of Patients Safety (50.2%), Incident Reporting Frequency (50.7%) and Incident Reports Frequencies (50.7%). Hospital X. Bekasi is expected to continue and maintain patient safety programs, evaluate the number of existing staff, improve incident reporting motivation, and conduct comprehensive and periodic patient safety culture measurements.

Perceived patient safety culture and its associated factors among clinical managers of tertiary hospitals: a cross-sectional survey

BackgroundPatient safety is a global challenge influenced by perceived patient safety culture. However, limited knowledge exists regarding the patient safety culture perceived by hospital clinical managers and its associated factors. This study aims to investigate the perceptions of patient safety culture and associated factors among clinical managers of tertiary hospitals in China.MethodsA cross-sectional survey was conducted from June 19 to July 16, 2021, involving 539 clinical managers from four tertiary hospitals in Changsha City of Hunan Province. The Hospital Survey on Patient Safety Culture (HSOPSC) was utilized to assess perceived patient safety culture. Bivariate, multivariable linear regression, and logistic regression analyses were performed.ResultsThe mean score for the total HSOPSC was 72.5 ± 7.6, with dimensional scores ranging from 62.1 (14.9) to 86.6 (11.7). Three dimensions exhibited positive response rates (PRRs) < 50%, indicating areas that need to be improved: “nonpunitive response to errors” (40.5%), “staffing” (41.9%), and “frequency of events reported” (47.4%). Specialized hospitals (β = 1.744, P = 0.037), female gender (β = 2.496, P = 0.003), higher professional title (β = 1.413, P = 0.049), a higher education level (β = 1.316, P = 0.001), and shorter time delays per shift (β=-1.13, P < 0.001) were correlated with higher perceived patient safety culture. Education level, work department, “teamwork within a unit”, “management support for patient safety”, “communication openness”, and “staffing” dimensions were associated with patient safety grades (all P < 0.05). Years worked in hospitals, occupation, education level, work department, hospital nature, professional title, “communication openness”, and “handoffs & transitions” were associated with the number of adverse events reported (all P < 0.05).ConclusionsOur study revealed a generally low level of patient safety culture perceived by clinical managers and identified priority areas requiring urgent improvement. The associated factors of patient safety culture provide important guidance for the development of targeted interventions in the future. Promoting patient safety by optimizing the patient safety culture perceived by clinical managers should be prioritized.

Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals

BackgroundThe connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive care at home have been affected by adverse events, with the majority judged to be preventable. The aim of this study was to investigate the patient safety culture among care professionals working in care at home with older people.MethodsThis cross-sectional study used a purposive sample of 66 municipal care workers, health care professionals, and rehabilitation staff from five municipal care units in two districts in western Sweden who provided care at home for older people and had been employed for at least six months. The participants completed the Hospital Survey on Patient Safety Culture (HSOPSC) self-report questionnaire, which assessed aspects of patient safety culture—norms, beliefs, and attitudes. Logistic regression analysis was used to test how the global ratings of Patient safety grade in the care units and Reporting of patient safety events were related to the dimensions of safety culture according to the staff’s professions and years of work experience.ResultsThe most positively rated safety culture dimension was Teamwork within care units (82%), which indicates good cooperation with the closest co-workers. The least positively rated dimensions were Handoffs and transitions among care units (37%) and Management support (37%), which indicate weaknesses in the exchange of patient information across care units and limited support from top-level managers. The global rating of Patient safety grade was associated with Communication openness and Management support (p < 0.01 and p = 0.03, respectively). Staff with less work experience evaluated the Patient safety grade higher than those with more work experience.ConclusionsThis study suggests that improvements are needed in care transitions and in support from top-level managers and that awareness of patient safety should be improved in staff with less work experience. The results also highlight that an open communication climate within the care unit is important for patient safety.