Assessment Of Patient Safety Culture Research Articles

Patient safety climate research in primary care dentistry: A systematic scoping review.

Patient safety climate constitutes an important element for quality improvement. Its current evidence base has been generated in hospital settings in developed countries. Studies in dentistry are limited. To systematically explore the evidence regarding assessing patient safety climate in dentistry. We developed a search strategy to explore MEDLINE, SCOPUS, and Web of Science databases from January 1st, 2002, to December 31st, 2022, to include observational studies on patient safety culture or patient safety climate assessment. Methodological features and item data concerning the dimensions employed for assessment were extracted and thematically analyzed. Reported scores were also collected. Nine articles out of 5584 were included in this study. Most studies were generated from high-income economies. Our analysis revealed methodological variations. Non-randomized samples were employed (ranging from 139 to 656 participants), and response rates varied from 28% to 93.7%. Three types of measurement instruments have been adapted to assess patient safety climate. These mainly consisted of replacing words or rewording sentences. Only one study employed an instrument previously validated through psychometric methods. In general, patient safety climate levels were either low or neutral. Only one study reported scores equal to or greater than 75. Despite diverse assessment tools, our two-decade analysis reveals a lag compared with medicine, resulting in methodological variations for assessing patient safety climate. Collaboration is vital to elevate standards, prioritize patient safety across oral healthcare services, and advocate for integrating safety climate into local and national quality and patient safety strategies.

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.

Assessment of patient safety culture in Moroccan primary health care: a multicentric study

BackgroundPromoting patient safety is a critical concern for developing-countries health systems like Morocco. There is an increasing acknowledgment of the need to create a patient-centered culture with the aim to decrease the number of adverse events related to care and improve health-care quality in Morocco.ObjectiveThe purpose of this study is to examine the perceptions of health professionals working in primary care level of care facilities in Morocco about the concept of patient safety culture.MethodsWe conducted a multicentric cross-sectional study of a quantitative nature in primary healthcare facilities in ten Moroccan cities, measuring ten patient safety culture dimensions, from February 2022 to June 2022. Data was collected using the French version of the HSOPSC questionnaire.ResultsThe most developed dimension of the culture of patient safety was found to be Teamwork within Units (69%), followed by Supervisor/Manager’s Expectations & Actions Promoting Patient Safety (59%). The least developed dimensions were Staffing (34%) and Nonpunitive Response to Errors (37%).ConclusionImproving patient safety culture should be a priority for primary healthcare facility administrators and all stakeholders, addressing, in particular, the shortage of human resources. In addition, health personnel should be encouraged to report errors without fear of punitive consequences.

Assessment of Patient Safety Culture in Midwives

Although there may be different definitions in national and international literature, patient safety, in general terms, encompasses all the precautions taken by healthcare professionals in healthcare institutions to prevent harm to individuals as a result of care delivery. It is an indispensable component of quality healthcare services. Patient safety, crucial in all healthcare services, becomes even more significant during the pivotal period of pregnancy, which is a physiological process but also involves a delicate balance between health and illness. Therefore, it is expected that midwives working in the delivery room, in particular, handle patient safety with utmost care. In recent years, with the increase in studies related to the culture of patient safety, the quality, satisfaction, and safety of care provided by midwives have also become subjects of investigation. This thesis aims to assess the levels of patient safety culture perception among midwives working in the delivery room, as well as to evaluate their opinions regarding patient safety and identify the behaviors influencing these opinions. The population of the study consists of midwives working in the delivery rooms of Muş and Bitlis provinces. The sample selection was not applied; all midwives who wished to participate in the study were included. Data analysis was conducted using the computer-assisted SPSS 22.0 software package. Percentage distributions were used in statistical evaluation, and for group comparisons, the significance was determined by the "Chi-square (X2) test" for categorical variables, the "t-test" for comparing means between two groups, and the "one-way ANOVA test" for evaluating the significance of differences among more than two group means. The level of statistical significance was accepted as p< 0.05 for all tests. Midwives' perceptions of patient safety culture were rated as moderate with 57%, and their patient safety ratings were determined to be "very good" with 44.4%. Within the scope of the hospital survey, among the 12 sub-areas of patient safety culture, "teamwork within units" had the highest positive response rate at 79.7%, while "non-punitive response to error" stood out with the lowest positive response percentage at 27.4%. The highest percentage of positive responses in the hospital survey regarding patient safety culture was determined to belong to the statement 'We work together as a team when there is a lot of work that needs to be done urgently, with 85.6%. The lowest percentage of positive responses was for the statement 'We work in crisis mode when there is a lot of work to be done and it needs to be done very quickly,' which was 12.2%." In the conducted comparisons, a significant relationship was found between midwives' working province, age groups, marital status, duration of employment in the institution, duration of work in the unit, professional experience, weekly working hours, and employment status parameters with the percentages of positive responses given to the sub-areas of the hospital survey on patient safety culture. When evaluating patient safety practices in the delivery room, factors affecting working conditions, adequacy of staff numbers, and patient safety should also be taken into consideration. In order for patient safety practices to be carried out comprehensively, regular training, involvement of midwives in the process, and active participation are required.

Assessing Patient Safety Culture in a Pediatric Ward

Assessing Patient Safety Culture in a Pediatric Ward

COMPARATIVE ANALYSIS OF PATIENT SAFETY CULTURE DYNAMICS IN UKRAINE AND THE USA HEALTHCARE FACILITIES REFERENCE TO ESTABLISHING SAFE HOSPITAL ENVIRONMENT

Introduction. WHO widely draws the attention of the world community to safety culture as an effective basis for ensuring safety in the hospital environment. However, WHO warns that "changing culture is more difficult than introducing new structural and organizational mechanisms". Therefore, systems for assessing patient safety culture in hospitals are widely used in many countries today.
 The aim of the study. To analyze and compare the dynamics of patient safety culture in Ukraine and the USA healthcare facilities.
 Materials and methods. The study utilized bibliographic, statistical, and sociological research methods. The research material consisted of a questionnaire survey of medical personnel on patient safety culture in 2016 (163 surveys from 3 healthcare facilities) and a questionnaire survey conducted in 2023 (174 surveys from 4 healthcare facilities). Results of patient safety culture monitoring in US hospitals for 2014 and 2021 were used for comparison. The survey of medical personnel was conducted using the AHRQ leadership questionnaire.
 Results. The percentage of positive responses for 5 out of the 12 characteristics of patient safety culture that we investigated in domestic healthcare facilities in 2023 was significantly lower than in 2016. The main reason for this negative trend in patient safety culture within domestic healthcare facilities can be attributed to the COVID-19 pandemic and Russia's military aggression, but the primary cause lies in the absence of a comprehensive strategy for improving this culture. Over the past 8 years, the proportion of respondents willing to disclose errors in their professional activities, as well as the mistakes of their colleagues and other incidents, without fearing that their mistakes and incident reports will harm them, has remained largely unchanged. The slight trend toward improvement in patient safety culture indicators in US hospitals, despite significant attention to it, indicates the challenges we face in the journey towards forming a positive safety culture.
 Conclusions. The prevailing reactive safety culture in domestic healthcare, along with the lack of positive changes, hinders the implementation of modern safety strategies in the medical field. The data from our own research and scientific literature highlight the urgent need for in-depth examination of the state of patient safety culture in domestic healthcare facilities and the development of a methodological framework adapted to international standards for evaluating safety culture in medical institutions. The formation of a positive national culture in general, and safety culture within healthcare facilities in particular, should be regarded as a crucial prerequisite for the post-war reconstruction of the country and its integration into the civilized, economically developed global community.

Burnout and patient safety culture assessment in a secondary care hospital.

To identify employee burn-out and assess its impact on patient safety culture. This cross-sectional study was carried out amongst healthcare providers (HCP) of Tehsil Head Quarter Manawan Hospital, Lahore from April 1st till 30th, 2023, who had been working for at least one year and directly involved in patient care. Two questionnaires were used; the Maslach Burnout Inventory (MBI) to assess level of burnout, and Agency for Healthcare Research and Quality (AHRQ) patient safety culture survey. After obtaining informed consent, 59 participants were enrolled in this study. High degree of occupational exhaustion (OE) 42.9% was seen amongst doctors and 57.1% had low degree of personal accomplishment (PA) compared to all other health care providers. Significant association was observed between two sub-scales of MBI (p<0.05). No significant association was observed in working hours, designated positions and burnout (p>0.05). Statistically weak correlation existed between burnout and patient safety culture (r=0.075, p=0.580). Awareness on incident reporting was in 43.3% of participants; of which 31% had reported at least one event in last 12 months. Overall, 76% employees consider their work unit reliable for providing safe patient care. Burnout was observed in employees, particularly high degree in attending physicians. However, team work, high level of personal accomplishment and incident reporting culture, served as protective factors for patient safety and safe working environment and culture.

Health staff perceptions of patient safety and associated factors in hospitals in Vietnam.

Patient safety is a global challenge of preventing and mitigating medical errors which might harm patients during their course of treatment and care. This study was employed to contribute to the existing literature aimed to assess patient safety culture among health staff and to determine predictors of health staff perceptions of patient safety in hospitals in Vietnam. A cross-sectional study was conducted in three hospitals of Vietnam with a total of 763 participants. This study used the Hospital Patient Safety Scale developed by the American Health and Quality Research Organization. In general, 8 of 12 patient safety dimensions in two hospital; and 10 of 12 dimensions in a third hospital had average scores of 60% and above positive responses. The communication openness and organizational learning dimensions were found to be significant different when comparing hospitals. Regarding sample characteristics, department (subclinical department) and health staff positions (nurses/technicians, pharmacists) were significant predictors in the total model including three hospitals (R2 = 0.07). This study reported that communication openness and organization learning are two aspects that need to be improved they are strongly related to patient safety culture and to knowledge exchange among health staff. It has been suggested that hospitals should deliver patient safety training courses and establish a supportive learning environment to improve these challenges.

Validación de un cuestionario para evaluar la cultura de seguridad del paciente en directivos de la salud: propiedades psicométricas y usabilidad

AimTo validate a reduced and applicable to distinct location version of the only validated questionnaire of patient safety culture in managers in Spanish language. MethodQuestionnaire validation study. Community of Madrid 2022. Reduction/adaptation of the original questionnaire: Giménez-Aibar-Gutiérrez, 2013 Questionnaire was reduced from 85 items to 25; those local or not applicable were removed. Pre-test: Semi-structured survey on comprehension and response scale. There was no need to modify the questionnaire. Validation: It was tested in 39 primary care managers without care activity. Internal consistency (α Cronbach), content validity (experts) and construct validity (factor analysis) were analysed. Usability analysis: Survey on time spent and non-response rate. Resultsα Cronbach=0.894. Content validity: Experts deemed questionnaire was complete. Factor analysis: five factors explain 68% of variance. The factors corresponded to the dimensions of the theoretical construct. Factors, internal consistency of each and correlation with global score were: commitment with patient safety: α Cronbach=0.793, r=0.778; P<.001; procedures/reporting: α Cronbach=0.83, r=0.806; P<.001; attitudes with patient safety: α Cronbach=0.766, r=0.596; P<.001; clinicians involving: α Cronbach=0.773, r=0.798; P<.001; patient safety communication: α Cronbach=0.615, r=0.518; P=.001; usability survey: 95% thought spent time was adequate. Non-response rate was 0%, except one item. ConclusionIn this work, a reduced and adapted version of questionnaire of Giménez-Aibar-Gutiérrez was validated at distinct location (Madrid region). Psychometric properties and usability, which were found, suggest that the reduced questionnaire is a reliable, valid and usable instrument to assess patient safety culture in managers of any place.

Patient Safety Culture Instrument: A Systematic Review

The instruments of Hospital patient safety culture are connected to organizational culture aspects. This study aimed to review and synthesize knowledge and explore various instruments to measure hospital patient safety culture. Articles from 2018 to 2022 were selected from Web of Science, Sage Journals, SpringerLink, and Scopus. The terms used were patient safety culture, safety culture, clinical supervision, web-based, electronic, and technology. The selection procedure was managed by PRISMA 2020, and the inclusion and exclusion criteria were determined using PICO. 2.120 articles were found after duplicates were eliminated and the titles, abstracts, and keywords began to be checked. After excluding an irrelevant study, only ten publications remained on assessing patient safety culture in hospitals. The prevailing definitions highlight patient safety culture as managing values, beliefs, attitudes, and competencies within a healthcare organization, influencing member behavior and the approach to errors, reporting, and learning. It aims to reduce and prevent unintended patient harm through various mechanisms and tools tailored to fit each institution's values. Paper-based or electronic-based instruments have advantages because they were created and utilized in numerous investigations. The survey response rate is also influenced by how healthcare personnel view the culture surrounding patient safety. This research is crucial for hospitals and the broader healthcare community as it equips them with the knowledge and tools needed to cultivate a culture of patient safety, reduce errors, and ultimately protect the well-being of patients. It addresses the evolving healthcare landscape, emphasizing customization, technology, and staff involvement in pursuing safer healthcare environments. Keywords: Hospital, instruments, patient safety culture

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.

Analysis of Patient Safety Culture at Semen Padang Hospital Indonesia

Background: Hospitals have a role and function to provide integrated health services for patients as consumers of health services. When providing services to patients, hospitals must pay attention to quality and safety. This study aimed to find out the patient safety culture that has been built at Semen Padang Hospital in 2022.&#x0D; Methods: This study uses an approach mixed methods research with a design sequential explanatory, namely research that uses a combination of quantitative and qualitative methods simultaneously (quantitative-qualitative). The subjects of this study were employees of Semen Padang Hospital, with as many as 81 respondents for quantitative data and 11 respondents for qualitative data. Measurement of patient safety culture using the MaPSaF instrument (Manchester patient safety framework) in the form of filling out the MaPSCAT questionnaire (Manchester patient safety culture assessment tool). This questionnaire consists of 10 dimensions with a total of 24 questions and is equipped with in-depth interview data.&#x0D; Results: Data collection was carried out using the MaPSCAT instrument on 10 dimensions of patient safety culture, 6 dominant dimensions were at the proactive level, namely the dimension of overall commitment to continuous improvement (1st dimension), the dimension of system error and individual responsibility (3rd dimension), the dimension of incident evaluation and best practices (5th dimension), effective learning and change (6th dimension), communication about patient safety issues (7th dimension) and staff education and training dimension (9th dimension).&#x0D; Conclusion: The safety culture at Semen Padang Hospital is generally at a proactive level. This indicates that the hospital places priority on improving patient safety and is carried out on an ongoing basis. A system that is integrated and comprehensive has a wide scale, involved stakeholders, and an evidence-based approach.

Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia

BackgroundPatient safety culture is the prevention of errors and adverse effects to patients associated with health care delivery. It is a vital component in the provision of quality care. In healthcare settings where there is a safety culture, the people (providers, staff, administrators, and patients/families) are engaged, encouraged, and supported to make care safer. Though it is an essential component in the provision of quality care, little is known about its level, contributory, and hindering factors from the nurses’ perspectives. This study aimed to assess patient safety culture and associated factors among nurses working at public Hospitals in Gamo Zone, Southern Ethiopia.MethodsThis institution-based cross-sectional study was conducted among 398 nurses working at public hospitals in Gamo Zone. Data were collected by pretested, well-structured self-administered questionnaire from June 1 to 30, 2022. The collected data were checked, coded, and entered into Epi-data version 4.6.0.2 and were exported to SPSS version 25 for analyses. Bivariable and multivariable logistic regression was done to identify independent factors associated with patients’ safety culture.ResultsThis study revealed that 202(50.8%), 95% CI: (46%—56%) of the participants had indicated good patient safety culture. From factors analysis, having an educational status of a bachelor’s degree and above [AOR = 2.26, 95%CI: (1.13—4.52)], working in a surgical ward [AOR = 5.48, 95%CI: (1.96—15.34)], not being blamed when medical errors happened [AOR = 3.60, 95%CI: (1.82 – 7.14)], and working 40 up to 49 h per week [AOR = 0.30, 95%CI: (0.13 – 0.74)] were identified to be significantly associated with good patient safety culture.ConclusionBased on the study findings, it could be observed that good patient safety culture was indicated only by half of the study participants. Implementing actions that support dimensions of patient safety culture, and creating opportunities for continuous educational advancement is recommended. Moreover, Hospital administrators, nurses’ directors, and healthcare policy-makers should work in collaboration to improve the patient safety culture, and also it would be better to create a blame-free environment to promote event reporting practices.

PATIENT SAFETY CULTURE IN PUBLIC GENERAL HOSPITALS: LITERATURE REVIEW

Background: The global prevalence of preventable adverse events in healthcare is a significant problem, with approximately 42.7 million annual accidents resulting in 23 million DALYs lost. Safety culture plays a crucial role in mitigating or exacerbating these incidents within hospitals. Objectives: To identify the results of the assessment of patient safety culture and the characteristics associated with patient safety culture in public general hospitals in various countries. Methods: This study was conducted between April-July 2021 utilizing a literature review approach using study searches through PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda databases, and it discovered 17 papers from 2011-2021 that used the Hospital Survey on Patient Safety Culture (HSOPSC) as an instrument to assess patient safety culture. Results: This study found that patient safety culture at public general hospitals remains low, and hospital staff perception of safety has to be improved. Discussions: “Teamwork in hospital units” receives the most favorable replies, while “non-punitive response to error” receives the least positive responses. The majority of the employees assessed patient safety in their work unit as “excellent/very good/acceptable” and reported no incidents in the previous year. Staff and hospital characteristics were also found to be related to patient safety culture.

Assessing patient safety culture among healthcare professionals in Ibadan South-west region of Oyo State, Nigeria

Objectives Patient safety culture is essential to improve care, prevent adverse events, and deliver quality healthcare service. The levels of patient safety culture and adverse events in Nigerian healthcare institutions are still widely underreported. The main objective of this study was to assess patient safety culture among healthcare professionals in primary and secondary healthcare facilities in Ibadan South-west local government area of Oyo State, Nigeria. Methods In this cross-sectional study, investigators collected data with the English version of the Hospital Survey on Patient Safety Culture version 2.0 questionnaire. They analyzed data using the Statistical Package for the Social Sciences (SPSS) software with descriptive statistics, Pearson Correlation Analysis, and one-way analysis of variance. Results A total of 271 healthcare professionals participated in the study. Study findings showed the overall perception of patient safety culture to be 72.1%. Among patient safety dimensions, Teamwork (88.5%) and Reporting Patient Safety Events (47.4%) were the highest and lowest percentage of positive responses, respectively. Conclusions Patient safety culture is an emerging concept in Nigeria. The assessed dimensions showed the need to improve the safety culture among healthcare professionals. Therefore, stakeholders, policymakers, and managers should employ policies, strategies, and programs to enhance safety culture across all healthcare institutions.

Nurses' perceptions of patient safety culture: a local phenomenon?

Background/Aims Patient safety culture is the product of values, beliefs, attitudes, perceptions, competencies and individual and collective behaviour patterns. Nurses often have the most contact with patients, so their perceptions of patient safety are crucial. This study aimed to assess perceptions of patient safety culture among nurses at a hospital in Spain. Methods A cross-sectional study was conducted using an adapted version of the Hospital Survey on Patient Safety Culture questionnaire. All 244 nurses working in a hospital in Spain took part. Respondents reported their perceptions of patient safety culture in their department in 12 domains using a 5-point Likert scale, with additional questions measuring overall perceptions of patient safety culture, personal and professional characteristics, and the proportion of respondents who had reported a patient safety incident in the previous year. Univariate and bivariate data analysis was performed using Jamovi software to identify relationships between variables. Results None of the 12 domains had a positive response rate (over 75%), indicating a generally weak patient safety culture. Perceptions of patient safety culture varied between departments, and were also affected by respondents' professional characteristics, such as their years of experience and whether they held a managerial role. Conclusions Further research and intervention is needed to improve patient safety cultures. It may be useful to assess patient safety culture and tailor strategies for improvement according to the specific needs of individual departments.

Factors Affecting Patient Safety Culture among Health Professionals in Ilu Aba-Bora Zone, South West Ethiopia: A Mixed Method Study

Introduction: Unsafe medical care is a major source of morbidity and mortality throughout the world. In Ethiopian health system, the information about patient safety culture is limited in scope. The aim of this study is to assess patient safety culture and associated factors among Health professionals in public health facilities of Ilu Aba-bare zone, southwest Ethiopia.

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.

A Brief Assessment of Patient Safety Culture in Anesthesia and Intensive Care Departments.

Due to the nature of their activity, anesthesia and critical care have generally well-developed patient safety cultures, which are linked to a greater level of incident awareness and reporting during clinical activity. In order to determine the status quo and identify and adopt, where appropriate, techniques and instruments for further improving patient safety, it is necessary to evaluate the culture and barriers in these departments. The main objective of our study was to assess patient safety culture in Romanian anesthesia and intensive care departments (AICDs), to pinpoint the areas that may need improvement, and to examine the correlation between the prevalence of adverse event reporting, as well as the level of self-reported patient safety culture. To determine how anesthesia and intensive care department staff perceived patient safety, the Hospital Survey on Patient Safety Culture (HSOPSC) was used in a translated Romanian version. In total, 1200 employees from 36 anesthesiology and intensive care departments across 32 hospitals in Romania received the questionnaire, representing 42.66% of all anesthesia and intensive care departments in the country. In 7 of the 12 examined dimensions, significant differences between tertiary and secondary hospitals were observed. Among all dimensions, the highest positive score was for "organizational learning and continuous development". In general, our study revealed a positive view on patient safety in anesthesia and intensive care departments. Further studies are required to determine a threshold of the level of culture development.

Analysis of the convergence of the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture.

to analyze patient safety culture from nursing professionals' perception at a university hospital, by assessing the convergence between the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture. a cross-sectional study, with 434 nursing professionals. Data collection took place through the application of both instruments. Descriptive and inferential statistics were used. in the Hospital Survey on Patient Safety Culture, the "teamwork within the units" dimension was considered a strong area of patient safety. In the Safety Attitudes Questionnaire, the "job satisfaction" and "perception of stress" domains reached the score for a good safety culture. Patient safety culture perception is correlated, in both instruments, with high magnitude. the two instruments converge towards a similar assessment of patient safety culture.