Patient Safety Culture Research Articles

Investigation of the Relationship Between Perceived Leadership Behaviours of Nurses and Hospital Safety Culture: A Study With the Structural Equation Model.

Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps. The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them. We tested the theoretical model using structural equation modelling with the AMOS 21 program. The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses. The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = -0.510, 95% CI -1.006/-0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = -0.510, 95% CI -1.043/-0.053). It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.

The Impact of Enhanced Recovery After Surgery (ERAS) on Patient Safety Culture: A Multidisciplinary Study in Colorectal Surgery

The Impact of Enhanced Recovery After Surgery (ERAS) on Patient Safety Culture: A Multidisciplinary Study in Colorectal Surgery

Analysis of Patient Safety Culture to Improve Quality at Primaya Hospital Semarang

This study investigates patient safety culture in hospitals, highlighting its role in protecting patients from preventable harm through a culture of safety. Effective patient safety culture involves collaboration, open communication, and strong leadership support but faces challenges like resource limitations and inconsistent staff training. This study uses Primaya Hospital Semarang as a case example to examine how current safety practices align with quality improvement goals. A mixed-methods approach, including surveys and interviews with 169 staff members, used AHRQ’s safety culture survey to analyze teamwork, staffing, communication, and management support, identifying areas for targeted improvement. Key findings include that organizational learning and continuous improvement received the highest positive response (86.17%), followed by teamwork (83.43%) and communication about error (76.57%). However, staffing and work pace was notably weak, with only 48.08% positive responses. In interviews, a strong no-blame culture was emphasized for managing errors, although communication improvements were frequently suggested. Additionally, while routine error reporting was common, gaps in follow-up actions were noted, indicating areas for ongoing enhancement in patient safety practices.

Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study

BackgroundHealthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety culture and the psychological consequences of AEs. With a limited body of research on patient safety, adverse events, and second victims (SVs) in Romania, this study addresses a crucial gap, highlighting the need for enhanced safety culture and support mechanisms for SVs.MethodsA cross-sectional study in Romania targeted healthcare professionals, focusing on nurses. Utilizing online and onsite surveys facilitated by the Order of Nurses, Midwives, and Medical Assistants in Romania, data were collected between April and June 2022, exploring AEs and related experiences. Statistical analysis included chi-square tests, Student’s t-tests, one-way ANOVA, and logistic regression, using SPSS version 29.0.ResultsThis study surveyed 995 nurses in Romania, primarily aged 31–50 (67.8%). Over half (57.9%) reported near-miss incidents, and 30.8% were aware of serious adverse events. Nurses over 50 scored higher on safety culture (20.98 vs. 20.45, p = .024) than younger nurses. Higher safety culture scores were associated with reduced negative emotional responses (e.g., guilt, anxiety, insomnia, tiredness) following AEs. Higher safety culture scores were associated with reduced negative emotional responses. Additionally, 88.9% of nurses showed interest in training for coping with adverse events, highlighting the need for supportive interventions in healthcare settings.DiscussionThis study underscores the significant emotional and professional impact of AEs on nurses in Romania, highlighting ongoing challenges in healthcare environments. The positive perception of safety culture among nurses suggests a basis for improvement, while training needs underscore areas for intervention. Tackling the second victim phenomenon is crucial for maintaining patient safety.

Validation of the Hospital Survey on Patient Safety Culture 2.0 in Italian Hospitals: A Cross-Sectional Study of Healthcare Personnel Perceptions.

To adapt and validate the HSOPS 2 instrument for the Italian context and to describe the current patient safety culture amongst healthcare personnel working in Italian hospitals. Cross-sectional study. We adapted and validated the HSOPS 2 instrument following the COSMIN guidelines: we performed a forward-backward translation, calculated the content validity index, evaluated face validity, acceptability (percentage of participants responding to all items on the questionnaire and to every specific item), construct validity (confirmatory factor analysis), and internal consistency (Cronbach's alpha for each dimension). We then performed a cross-sectional study following the guidelines of the original instrument: we categorised the responses into "positive," "negative," and "midpoints." For each dimension we calculated the average percentage of positive responses. We repeated this process, dividing the responses by various sample characteristics (e.g., profession), and compared them using the chi-square test. Data were collected between April and November 2023. A total of 633 hospital personnel participated in the survey, and 473 completed the questionnaire in its entirety. The dimensions of "teamwork", "supervisor", "manager", or "clinical leader support", and "communication about error" emerged as dimensions with higher percentages of positive responses, while those that received lower percentages were "hospital management support for patient safety", "staffing and work pace", and "response to error". We identified statistically significant differences in many dimensions between gender, profession, and clinical inpatient units. These findings provide a comprehensive overview of challenges and opportunities within the healthcare sector as regards patient safety culture and can inform the development of targeted interventions aimed at improving patient safety across healthcare organisations. Proper assessment of safety culture, one of the main indicators of patient safety, can inform the development of effective strategies and interventions to enhance patient safety. What problem did the study address? To effectively assess patient safety culture, it is essential to use valid and reliable tools. It is crucial to proactively assess patient safety culture in hospital personnel, whether employed in clinical units, in management, or in support services, to develop initiatives aimed at improving patient safety. What were the main findings? The use of the adapted and validated version of the HSOPS 2 will produce valid and reliable evidence on patient safety culture. Perception of patient safety culture differs amongst respondents according to gender, profession, clinical setting. The dimensions of "hospital management support for patient safety", "staffing and work pace", and "response to error" were identified as those with the greatest need for improvement. Where and on whom will the research have an impact? Patient safety heavily impacts care at every level; therefore, this study could have an impact on healthcare organisations as well as healthcare workers, patients, and their families. By making available an instrument that can contribute to a proper assessment of patient safety culture, this study might contribute to the development of appropriate strategies and targeted interventions to improve patient safety, quality of care and satisfaction while decreasing adverse events and related costs. The COSMIN guidelines were used for the validation of the instrument; the STROBE reporting guidelines were used for the cross-sectional study. No patient or public contribution.

Association Between Patient Safety Culture and Missed Nursing Care in Healthcare Settings: A Systematic Review and Meta-Analysis.

To appraise and synthesise existing research on the relationship between patient safety culture and missed nursing care. Systematic review and meta-analysis. Peer-reviewed articles published from 2010 onwards were searched from five databases (CINAHL, ProQuest, PubMed, ScienceDirect and Web of Science). A total of nine studies were identified. Among these, seven studies with a combined sample size of 1661 participants were included in the meta-analysis. The meta-analysis revealed a significant negative correlation between overall patient safety culture and missed nursing care, with a pooled correlation coefficient of -0.205 (95% CI: -0.251 to -0.158) (p < 0.001). Heterogeneity was low to moderate (I2 = 13.18%, 95% CI: 0.00 to 78.60), and publication bias tests indicated no significant bias (Egger's test p = 0.0603; Begg's test p = 0.3476). The findings underscore a significant inverse relationship between patient safety culture and missed nursing care, highlighting the specific predictive roles of management support, organisational learning and unit-level safety culture. Enhancing patient safety culture within healthcare organisations can be a strategic approach to mitigate missed nursing care. Nursing leaders and administrators should prioritise fostering a safety-oriented culture through targeted interventions, continuous education and supportive policies to improve patient care outcomes. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. No patient or public contribution.

Translated article] Protocol for the adaptation and consensus of the Community Pharmacy Survey on Patient Safety Culture to hospital pharmacy in Spain.

The Community Pharmacy Survey on Patient Safety Culture (CPSOPSC) is a tool created by the Agency for Healthcare Research and Quality and used in the United States to assess the patient safety culture among community pharmacy workers. This survey has been adapted for use in hospital pharmacies in other countries. However, it has not yet been implemented in Spanish hospital pharmacies due to the lack of an applicable version in Spain. This project aims to adapt and reach a consensus on the CPSOPSC for its subsequent use as a tool to improve patient safety in hospital pharmacies in Spain. This non-clinical study will be developed in different phases: obtaining the necessary permissions, reviewing the literature to identify studies on the use of the CPSOPSC in hospital pharmacies, adapting the survey's questions to the sociocultural context, reaching a consensus on the questions using the Delphi-Rand/UCLA methodology with a panel of patient safety experts. These experts, who are hospital pharmacists, will evaluate the adapted survey in several rounds, using a Likert scale and telematic workshops to adjust the questions. Finally, a software application will be developed for the implementation, completion, and data management of the survey. Adapting the CPSOPSC to hospital pharmacies in Spain may be a useful tool for measuring the patient safety culture in this context. Through the Delphi-Rand/UCLA methodology, expert consensus and the relevance of the survey are ensured. Additionally, the creation of a computer application will facilitate data collection and analysis, promoting its use among professionals. The resulting survey from this project can identify specific needs and areas for improvement in Spanish hospital pharmacies, being useful for future actions aimed at improving patient safety.

Understanding the Relationship Between Care Quality Perception and Patient Safety Culture

Background Assessing the perceived quality of care and safety culture by nurses is an important part of nursing practice and is vital for improving the quality of nursing care. Aim This study was conducted to investigate the relationship between perceived quality of care and patient safety culture. Methods A cross-sectional study was conducted using stratified and convenience sampling techniques from March 2023 to January 2024 among 412 nurses working in hospitals at Mashhad University of Medical Sciences, Iran. The data collection tools were standard care behavior questionnaires (CBI-42) and the Hospital Survey on Patient Safety Culture (HSOPSC). The data were analyzed using descriptive and inferential statistical tests at a significance level of 0.05. Results The perceived quality of care among nurses was high, with a score of 4.79 (1-6). The highest score was in “knowledge and professional skill” (5.03), while “communication and positive attitude” scored the lowest (4.59). Patient safety culture averaged 3.35 (1-5), with “overall perception of patient safety” at 4.82 and “non-punitive response to error” at 2.40. A significant direct relationship was found between perceived quality of care and patient safety culture (r=0.226, p&lt;0.001), indicating that improvements in one may enhance the other. Conclusion Due to the existence of a direct relationship between perceived quality of care and patient safety culture, appropriate training and using the experiences of others, improving the relationship between nurses and patients, creating a sense of security in nurses, and solving the problems of nurses can enhance the quality of health care services.

Advancing Quality and Safety Culture in Healthcare: Insights From the Evaluation of an Improvement Science Program for Nurses and Midwives.

This paper presents the outcomes and insights gained from the implementation of an Improvement Science program tailored for nursing and midwifery staff within a large local health district in New South Wales. The programme aimed to enhance frontline clinicians' confidence and capability in quality improvement, ultimately improving patient outcomes and safety culture. Through an explanatory sequential mixed-methods evaluation study, we assessed the programme's effectiveness in building capacity, sustaining practice changes and fostering a culture of continuous improvement. Quantitative data were collected through pre-post knowledge surveys, post workshop feedback and programme participation rates. Qualitative data were then collected via nine interviews with programme participants. Simple descriptive statistical analysis for quantitative data and a thematic analysis of qualitative data was undertaken. Data were then integrated from these multiple sources to gain a deeper understanding of the outcomes of the Improvement Science Program. Key findings indicate that coaching and mentoring support significantly contributed to project completion and sustained practice changes. Structured coaching sessions, collaborative team meetings, and executive sponsorship were vital components that facilitated successful outcomes. Notably, effective leadership, often demonstrated by Clinical Nurse Educators and Consultants, played a crucial role in fostering staff collaboration and participation. Insights from qualitative interviews highlight the transformative impact of the programme on participants' skills, confidence and practice. The paper concludes with recommendations for future Improvement Science programs, emphasising the importance of structured coaching, accountability mechanisms, and the identification and support of future coaches. Overall, this study underscores the value of ongoing training initiatives in promoting a culture of safety, quality improvement and enhanced patient outcomes in healthcare settings. This study had no patient or public contribution. Adherence to Standards for Reporting Qualitative Research (SRQR) EQUATOR guidelines (see Supplementary file).

Anaesthesia teams´ perception of mental wellbeing, the psychosocial work environment and patient safety culture

AbstractBackgroundMental health issues among healthcare professionals (HCPs) are rising, impacting individual wellbeing, healthcare systems, and patient safety. This exploratory study aimed to analyse the association between anaesthesia teams' perception of their mental wellbeing, psychosocial work environment, and patient safety culture in a university hospital's anaesthesiology department. Second, to identify types of stressors and strategies to overcome them. Third, to explore differences in perception by profession, gender, and years of experience. Finally, to evaluate the psychometric properties of the questionnaire.MethodsA questionnaire covering mental wellbeing, teamwork, psychosocial work environment, and patient safety culture was sent to all HCPs in the department in May 2021 via e‐mail. The questionnaire consisted of 35 questions, 4 demographic questions, and 2 open text fields.Results293 HCPs responded (73% response rate); 60% agreed their work is emotionally challenging, and 30% experienced weekly emotional strain. Significant differences were seen between professions in terms of stressors. Clinical situations contributed most to doctors' emotional strain, while nurses scored higher on making compromises and being busy. A strong relationship was seen between weekly/daily emotional strain and making compromises in standards, clinical situations, and busyness.ConclusionIn conclusion, all HCPs experienced emotional strain, with different causes and coping strategies across professions. Support was primarily found among colleagues and networks. Interestingly, low emotional strain correlated positively with coping, teamwork, psychological safety, and patient safety culture, suggesting an interrelation between these dimensions and HCPs' mental health. These findings may inform future conceptualisations of mental health, psychological safety, and safety culture.

Perception of patient safety culture in a high-complexity hospital and improvement actions

The culture of patient safety is reflected in the behavior of individuals within a healthcare organization, based on knowledge, beliefs, and values aimed at minimizing the harm that patients might suffer. Assessing the perception of safety culture helps in developing and implementing improvement actions. A descriptive study conducted in two phases. A patient safety culture questionnaire measuring three dimensions of the safety culture was administered, and improvement actions were developed based on the results. 300 responses were obtained, with a response rate of 10.2%. 70% were women, 40% were physicians, and 38% were nurses. 37% reported having worked at the hospital for more than 20years. The management support for patient safety dimension received 33% (CI: 29.5-35.7) of positive responses and 27% (CI: 24.3-30.2) of negative responses. The patient safety perception dimension received 67% (CI: 63.8-70.01) of positive responses and 20% (CI: 17.4-22.8) of negative responses. The supervisor/department head support for patient safety dimension received 61% (CI: 57.4-63.9) of positive responses and 19% (CI: 16.3-21.5) of negative responses. After presenting the results to the management team, improvement actions were proposed, which led to greater commitment from the management team to patient safety, increased presence during patient safety rounds, and greater visibility of patient safety-related information available on the intranet. A low perception of management support was detected, allowing for improvements in this dimension.

Patient safety culture: Insights from a cross-sectional study among healthcare professionals

ABSTRACT Introduction: The classical definition of patient safety given by the IOM is, “the prevention of harm to patients.” To expect error less performance from human beings working in a complex, highly challenging, and stressful health care environment is unrealistic. The emphasis must be on fostering a culture of safety that involves multiple stakeholders including healthcare workers, healthcare organizations, and patients. Aim: To assess the culture of patient safety among healthcare professionals. Settings and Design: A descriptive cross-sectional study was conducted using a pre-validated survey instrument in a tertiary care pediatric hospital. Methods and Material: The data were collected over a period of 1 month (from 4th January 2022 to 5th February 2022) using pre-validated questionnaire based on “Surveys on Patient Safety Culture™ (SOPS™) Hospital Survey Version 2.0 (SOPS Hospital Survey 2.0)”. Both web-based and paper-based questionnaire forms were distributed among the health care workers. Results: Totally, 61% of the respondents had average positive response to patient safety, 75% positive response about communication of patient safety error and 74% about teamwork in crisis. A total of 74% responded that supervisors or clinical leaders support them in pursuit of patient safety, 73% about proper handovers. About 69% mentioned about a culture of organizational learning and continuous improvement, 59% reported any patient safety event, 49% believed in support from Hospital management and 42% believed that if a patient safety error is reported it is responded to positively by the seniors by taking corrective measures. Conclusions: The study presented with a plethora of outcomes that can be used for promoting safe healthcare. A policy for continuous improvement should be implemented to ensure the culture of safe and sustainable patient care.

Patient Safety Culture Among Nurses in Hospital Settings Worldwide: A Systematic Review and Meta-Analysis

Patient Safety Culture Among Nurses in Hospital Settings Worldwide: A Systematic Review and Meta-Analysis

요양병원간호사가 경험한 환자안전사고, 환자안전문화 및 안전간호활동에 대한 연구

This study aimed to analyze patient safety accidents experienced by nurses in long-term care hospitals, and to understand the relationships between these accidents, patient safety culture, and safety nursing activities. A survey was conducted from November 1 to November 30, 2023, involving 234 nurses who had been engaged in nursing duties for more than 6 months at five different long-term care hospitals. The collected data were analyzed using SPSS 29.0 software, employing the chi-square, the t-test, ANOVA, and the Pearson correlation test. The results revealed that 73.5% of participants had experienced a patient safety accident in the past year, with 3.5% of these accidents remaining unreported. The most frequently encountered accident was falls, predominantly occurring in inpatient wards. The accident stage most commonly identified was near misses, and the most common post-accident response was intensive monitoring. Nurses with more experience in terms of age, nursing career, and tenure in long-term care facilities, as well as those involved in accreditation evaluations, reported a higher incidence of patient safety accidents. Nurses with access to patient safety guidelines had higher scores for patient safety culture and safety nursing activities, and those who completed patient safety training had higher scores for patient safety culture. However, no significant relationship was found between the experience of patient safety accidents and both patient safety culture and safety nursing activities. Based on these findings, it is recommended to implement differentiated patient safety training according to nursing experience and to utilize guidelines based on patient safety regulations.

Comparison of Patient Safety Ethics of Health Professionals: A Qualitative Content Analysis of the Ethical Principles by the Type of Profession

Purpose: This study aimed to determine the similarities and differences in patient safety ethical principles according to the type of healthcare professional defined by South Korea’s legislation.Methods: This comparative study used a qualitative content analysis of the patient safety ethical principles established by the central associations of each profession. In July 2024, we collected ethical principles, including codes of ethics, guidelines, charters, oaths, and declarations. 17 out of 20 types of healthcare professionals’ ethical principles were analyzed by unitizing, sampling, recording, coding, reducing, abductively inferring, and narrating.Results: Among the 20 types of health professionals, including medical personnel and health and medical services personnel, oriental medicine pharmacists and sanitarians did not have ethical principles. Physicians, nurses, and dentists do not threaten patient safety in common with their own conditions or practices. The ethical principles of healthcare professionals in the same clinical setting are not unified in either form or content.Conclusion: Healthcare professionals require a unified ethical basis to share core ethical values and patient safety cultures. Furthermore, a cross-sectional survey or focus group discussion evaluating knowledge, attitudes, and practices of patient safety ethics may provide more scientific evidence for amending ethical principles.

Turkish version of the patient safety culture survey for community pharmacies: Evaluation of patient safety culture perceptions of pharmacy employees

Turkish version of the patient safety culture survey for community pharmacies: Evaluation of patient safety culture perceptions of pharmacy employees

Assessment of Nurses' Patient Safety Culture in Primary Health Care Centers in Saudi Arabia

Purpose: Patient safety culture emphasizes strategies to prevent harm, learn from errors, and strengthen healthcare systems, nurses play a crucial role in maintaining patient safety within health facilities. Assessing patient safety culture (PSC) among nurses is essential for identifying gaps, fostering improvements, and strengthening overall care delivery. This study aims to explore nurses' perceptions of patient safety culture in the primary health care centers (PHCs) in Saudi Arabia. Materials and Methods: A cross-sectional study design was utilized to select 387 nurses employed in primary healthcare centers in Jeddah, using convenient sampling via an online survey. The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was used to evaluate the perception of patient safety culture. Data were saved and examined utilizing SPSS Ver.26 software. Along with descriptive statistics, independent sample t-tests and ANOVA were employed to examine the significance of differences among subgroups. A p-value below 0.05 signifies statistical significance. Findings: The overall score representing nurse managers' perceptions of patient safety culture was a mean of 3.93 with a standard deviation of 0.44. Among the assessed domains, the teamwork support domain received the highest score, with a mean of 4.27 and a standard deviation of 0.587, while the nonpunitive response to error had the lowest score, with a mean of 2.44 and a standard deviation of 0.883. Nurses younger than 30 years reported a significantly lower overall score, with a mean of 3.74 and a standard deviation of 0.43. In contrast, nurses holding diplomas and those in clinical roles achieved higher scores, with means of 3.97 and 3.99, respectively, and standard deviations of 0.44 and 0.46. Scores increased notably with additional years of experience, particularly for nurses with ten or more years of experience, who achieved a mean score of 4.07 with a standard deviation of 0.62, compared to those with ten to less than fifteen years of experience, who achieved a mean score of 3.75 with a standard deviation of 0.33. The differences were statistically significant with a p-value of less than 0.001. Significant differences, also with a p-value of less than 0.001, were observed across departments. The WBC unit recorded the highest perception score, with a mean of 4.32 and a standard deviation of 0.50, followed by the X-ray unit, with a mean of 4.01 and a standard deviation of 0.33 Implications to Theory, Practice and Policy: Nurses viewed the safety culture positively in the primary health care centers. Less experienced and younger nurses indicated lower perceptions of PSC, whereas clinical nurses assessed it higher than non-clinical personnel. High-pressure areas such as the Operating Room encounter more significant PSC challenges than other departments. It is essential to create training programs that connect younger nurses with older professionals to boost their clinical confidence and safety skills, focusing on learning from errors instead of placing blame.

What Is Truly Informed Consent in Medical Practice and What Has the Perception of Risk Got to Do with It?

Making decisions about risk, describing and appropriately explaining risk in medical practice is complex for patients and professionals. In this paper, we investigate how the concept of consent is practiced differently in the UK and Norway and discuss pros and cons of the chosen approaches from a patient safety culture perspective. We argue that consent is a fundamental part of the safety culture and influence on health system functioning and patient and staff safety. Examples from the UK and Norway are used and discussed in terms of how risk perception influences consent processes and practices.

Relations Between Suicide Risk and Patient Safety Attitudes Among the Nursing Team in a Brazilian Context.

To analyze the aspects of suicide risks and their relation to patient safety attitudes among the nursing staff of a large public university hospital in Brazil. A cross-sectional and descriptive study with 226 nursing workers from a large public university hospital in Brazil. Socioprofessional information, health conditions, and family history related to suicide risk were collected through the Mini International Neuropsychiatric Interview Plus and the Safety Attitudes Questionnaire. A 95% CI was considered, and statistical tests such as the Student t test, χ2, analysis of variance, and multiple linear regression were used. Most of the safety attitudes were below the average score considered positive (mean Safety Attitudes Questionnaire value >0.75), and 41 (18.1%) workers were considered to have any degree of suicide risk. Participants with parents or siblings who had attempted suicide were 3.44 times more likely to have moderate or high suicide risk. Negative safety attitudes were associated with health conditions and family history, considered suicide risk factors. Participants with moderate or high suicide risk were 2.83 times more likely to have worse patient safety attitudes concerning job satisfaction. This study reveals significant associations between patient safety attitudes and the mental health of nursing workers, expanding the view of worker health management actions and, consequently, patient safety culture.

Examining patient safety protocols amidst the rise of digital health and telemedicine: nurses’ perspectives

BackgroundIntegrating digital health and telemedicine technologies is transforming healthcare delivery. In light of this transition, it is critical to ascertain the efficacy of patient safety protocols and evaluate the awareness of healthcare professionals, particularly nurses, regarding the integration of digital health technologies.AimThis study examines the factors influencing the successful adoption of digital health and telemedicine technologies from the nurses’ perspective, focusing on ensuring patient safety and enhancing organizational readiness for digital health integration.MethodsA cross-sectional study included 246 nurses from outpatient healthcare centers in Egypt. The data collected included demographic information and responses to a series of questionnaires, namely the Patient Safety Culture Survey (PSCS), the Telemedicine Risk Assessment and Mitigation Matrix (TRAMM), the Digital Health Adoption Readiness Assessment (DHARA), and the Digital Health Impact Assessment Tool (DHIA). The descriptive statistical analyses were conducted using the IBM SPSS Statistics software, version 26.ResultsThe sample was predominantly composed of nurses aged 18–35 (40.65%) and 36–55 (44.72%), with a near-equal gender distribution (48.78% male, 51.22% female). Most nurses held college degrees (73.17%) and were familiar with telemedicine (73.17%). The PSCS indicated positive scores for Communication Openness (4.5), Leadership Support (4.2), Teamwork (4.3), and Organizational Learning (4.1), with an overall mean score of 4.275. The TRAMM scores were notably high (total mean score 4.9), indicating effective risk management. The DHARA demonstrated considerable preparedness, as evidenced by a Total Mean Score of 7.85. The DHIA further substantiated this readiness, indicating a robust anticipated impact, particularly in Patient Engagement (9.0) and Usability (8.2).ConclusionThe favorable assessment scores indicate a strong awareness of integrating digital health and telemedicine, suggesting the potential for enhanced patient care and healthcare delivery. It is recommended that healthcare organizations prioritize providing ongoing training and support for nurses, enabling them to utilize digital health tools and thereby enhance patient safety effectively.Clinical trial numberNot applicable.