Saudi Arabian Healthcare Research Articles

Assessing ChatGPT's cybersecurity implications in Saudi Arabian healthcare and education sectors: A comparative study.

This study aims to critically evaluate ChatGPT's impact on cybersecurity in healthcare and education sectors. This study employed a cross-sectional survey design, collecting data from healthcare and educational professionals in Saudi Arabia through a structured questionnaire, with 205 healthcare workers' and 214 educators. The survey assessed perceptions of ChatGPT's impact on cybersecurity opportunities and challenges, with data analyzed using descriptive statistics and ANOVA to explore differences across professional roles. Healthcare professionals viewed artificial intelligence (AI) more favorably (mean scores 4.24 and 4.14) than those in education, who showed moderate enthusiasm (mean scores 2.55 to 3.54). Concerns over data privacy and the cost of securing AI were significant, with high mean scores of 3.59 indicating widespread apprehension. A balanced approach to ChatGPT's integration that carefully considers ethical implications, data privacy, and the technology's dual-use potential is required.

Barriers for adherence to diabetic retinopathy screening among Saudi adult population, 2023

BACKGROUND: One common and blinding consequence of diabetes is diabetic retinopathy. However, adherence to regular screening remains a challenge for Saudi adults. The goal of this study is to investigate and identify the barriers that hinder Saudi diabetic adults from adhering to screening for diabetic retinopathy. MATERIALS AND METHODS: This cross-sectional study was conducted in a sample of adult diabetic patients throughout Saudi Arabia. Data was collected using a self-administered validated questionnaire comprising following five primary sections: sociodemographic information, profile of diabetes, knowledge of diabetic retinopathy, behaviors, and hurdles to diabetic retinopathy screening. Sample selected using snowball sampling technique. Questionnaire was converted into Google Forms and was shared with study participants via E-mail and several social media sites, including Facebook and WhatsApp during November and December 2023. Data analyzed using SPSS; mean and standard deviation were calculated for continuous variables, whereas categorical data was presented as frequency and percentage. Logistic regression analysis determined barriers for adherence to screening for diabetic retinopathy. RESULTS: The mean age of the study group was 61.6 ± 15 years, and 58.3% were female. Out of 393 respondents, 71% had undergone retinopathy screening in the past few months; 29.0% had a history of diabetic retinopathy. Participants who knew about retinopathy were eight times more likely to have eye screening compared to those who did not know about retinopathy (odds ratio = 8.05, P < 0.001). Less screening chance was observed among those who had acquired their knowledge from the Internet (odds ratio = 0.23, P = 0.002) or relatives (odds ratio = 0.21, P = 0.002) compared to those who had been advised by their physicians. CONCLUSION: These findings underscored the multifaceted nature of barriers to regular screenings within the Saudi Arabian healthcare system. By understanding and addressing these barriers, healthcare systems can enhance the effectiveness of screening programs and improve health outcomes.

Adaptive leader's toolkit: Strategies for enhancing employee performance through mediated pathways in the Saudi healthcare sector

This study examines how adaptive leadership (AL) affects employee performance (EP) in Saudi Arabian healthcare organizations. It also explores how leaders can effectively manage employees during the major changes expected as part of Saudi Arabia's Vision 2030 and the Health Sector Transformation Program. The research looks at how occupational self-efficacy (OSE), acceptance of change, and innovative work behavior (IWB) mediate the relationship between AL and EP. Data was gathered from 456 healthcare workers in Saudi Arabia. SPSS-28 and SmartPLS4 were used to analyze the data and test the hypotheses. Reliability was assessed through Cronbach's Alpha, rho_A, and composite reliability, while validity was tested using AVE, Heterotrait-Monotrait (HTMT), and the Fornell-Larcker criterion. Descriptive statistics, Pearson correlation analysis, and Structural Equation Modeling (SEM) were applied to confirm the measurement model and test the hypotheses. The model evaluation included the adjusted R2, normed fit index, standardized root mean square residual, and Q2predict. The findings show that AL positively impacts EP in healthcare organizations in Saudi Arabia. OSE, acceptance of change, and IWB also influence this relationship. The study emphasizes the importance of AL in healthcare organizations facing ongoing change, as it helps empower employees and improve their creativity, performance, and well-being. Training in AL and change management strategies can be used to promote resilience, communication, and innovation, fostering a positive organizational culture during periods of transition.

Systematic review and meta-analysis on antimicrobial resistance and drug resistance in Saudi Arabia

BackgroundAntimicrobial resistance (AMR) and drug resistance have emerged as major global health concerns, threatening the effectiveness of antimicrobial agents and compromising patient outcomes [21]. The rapid spread of resistant pathogens poses significant challenges to healthcare systems worldwide, leading to increased morbidity, mortality, and healthcare costs [20]. Methods Search StrategyTo find pertinent studies released up until September 2023, a thorough search was done in electronic databases like PubMed, Embase, and Scopus. The search method combined terms linked to Saudi Arabia, drug resistance, and antimicrobial resistance (AMR). The specific search terms and Boolean operators used were tailored to the requirements and functionalities of each database. ResultsThe systematic review includes 25 papers in total, representing various Saudi Arabian healthcare environments and patient groups. The prevalence of AMR varied across different pathogens and antimicrobial agents. The most resistant Enterobacteriaceae were carbapenem-resistant Enterobacteriaceae (CRE), extended-spectrum -lactamase-producing Enterobacteriaceae (ESBL), and methicillin-resistant Staphylococcus aureus (MRSA). The full manuscript will report the pooled prevalence rates and 95% CIs for each resistance type. The rates for such bacteria were 38.7%, 26.4%, and 15.2% respectively suggesting an imminent need for improvement in surveillance measures & interventions to reduce the burden of AMR (Antimicrobial Resistance). ConclusionThe prevalence of antibiotic resistance (AMR) is alarmingly high in Saudi Arabia. The aim of this study was to examine the prevalence of AMR across different types of pathogens and antimicrobial agents. A meta-analysis was conducted to quantify the pooled prevalence of each type of resistance across hospitals, environments, and food samples from Saudi Arabian locations. The study identified three types of resistance: carbapenem-resistant Enterobacteriaceae (CRE), extended-spectrum -lactamaseproducing Enterobacilli (ESBL), and methicillin-resistant Staphylococcus aureus (MRSA). Furthermore, the study identified several risk factors associated with AMR, including prior antibiotic use, healthcare-associated infections, and prolonged hospital stays.

Shaping Safety: Unveiling the Dynamics of Incident Reporting and Safety Culture in Saudi Arabian Healthcare.

Patient safety is a critical concern in healthcare systems worldwide. Understanding the interplay between safety culture and incident reporting behaviors among healthcare professionals is essential for improving patient outcomes. To examine the perception of patient safety culture among healthcare professionals in Saudi Arabia and its impact on their attitudes toward incident reporting, considering variables such as level of care, ownership, and professional background. A cross-sectional survey was distributed both online and onsite to 453 healthcare professionals, with 402 completing it. The survey assessed various dimensions of safety culture and incident reporting behaviors. Statistical analysis included correlation matrices, regression models, and comparative assessments across different types of hospital settings. The study revealed significant associations between perceived safety culture and incident reporting behaviors (p < 0.01). Specifically, management (B = 0.64, p < 0.01), working conditions (r = 0.51, p < 0.01), and job satisfaction (r = 0.52, p < 0.01) were identified as crucial for improvement. The study highlighted the importance of fostering a blame-free culture and establishing clear reporting guidelines to enhance reporting frequencies. Enhancing the perception of patient safety within healthcare settings positively influences the likelihood of incident reporting. Strategic interventions aimed at improving safety culture could significantly advance patient care quality.

The perception of artificial intelligence: Insights from MRI technologists in radiology practices

ObjectiveAs artificial intelligence (AI) increasingly integrates into healthcare sectors globally, it becomes crucial to examine its impact within specific contexts. This study aims to explore MRI technologists' perceptions towards AI in radiology in Saudi Arabia and to identify the demographic factors influencing these perceptions. MethodologyA cross-sectional survey was conducted among 128 MRI technologists in Saudi Arabian healthcare facilities. The 10-question survey captured key aspects of their perceptions towards AI integration. Statistical analyses using R software included logistic regression to identify significant associations between demographic factors and AI perceptions. Odds ratios (ORs), 95% confidence intervals (CIs), and p-values were computed, with statistical significance set at an alpha level of 0.05. ResultsThe survey results indicated that a significant majority (84.4%) of technologists agree that AI will play a crucial role in the future of radiology. Higher education levels were significantly associated with positive perceptions of AI (OR 1.75, p = 0.028). Male technologists and those aged 40–49 showed more pronounced apprehensions about AI's disruptions. Specifically, the odds ratio for male technologists perceiving AI will disrupt MRI practice was 2.05 (p = 0.009), and for those aged 40–49, the odds ratio was 1.60 (p = 0.013). The odds ratio for male technologists believing AI will disrupt careers was 1.85 (p = 0.012), and for those aged 40–49, it was 1.50 (p = 0.030). Additionally, the odds of believing AI integration will not change their work were significantly higher among males (OR 2.25, p = 0.002). ConclusionThese findings highlight the need for targeted educational programs and support initiatives for MRI technologists in Saudi Arabia. Addressing the concerns of apprehensive groups, particularly older and male technologists, through continuous education and realistic information sessions can facilitate smoother AI integration. These initiatives are essential for aligning AI advancements with Saudi Arabian cultural and professional standards, ensuring a prepared and supportive workforce.

Psychiatric-Mental Health Nurse Perspectives of Caring for Patients with Disorders of Autism

Autism was initially identified as a discrete entity in 1943. This now recognized group of disorders is often identified in children, but is a lifelong disorder requiring specialized assessment, planning, and care for patients. Nurses practicing in the Saudi Arabian healthcare system are often the first healthcare providers to encounter autism in the clinical setting. To highlight the perspective of practicing mental health nurses in Saudi Arabia regarding their experiences in caring for clients who have this disorder. A qualitative inquiry, made up of two focus groups of five members each, composed of mental health graduate students with experience in the field, facilitated a detailed investigation of nurses’ experiences in providing care for clients with these aspects of autism in clinical settings. Four principal themes and subthemes emerged from the data, which informed researchers about mental health nurses’ experiences with autism: (1) knowledge of autism; (2) previous experience in caring for those with autism; (3) practical applications used; and (4) challenges felt by mental health nurses. The Saudi nursing community appears to be looking for better training in identifying and caring for autistic patients. There also appears to be a desire to open channels of communication between primary and tertiary care facilities to improve client access.

Impact of technological innovations on healthcare delivery: A literature review of efficiency, patient care, and operational challenges

The rapid integration of technology in healthcare systems globally has ushered in transformative changes in patient care, operational efficiency, and data management. This literature review assesses the impact of emerging technologies such as blockchain, information technology, electronic medical records (EMRs), and artificial intelligence (AI) within healthcare settings. Drawing from a wide range of peer-reviewed articles and empirical studies, this paper synthesizes current research findings to understand the multifaceted effects of these technologies on healthcare delivery. The review highlights how these innovations enhance healthcare quality, streamline operations, and tackle prevalent challenges, particularly focusing on their implementation in Saudi Arabian healthcare contexts. Key findings indicate that while technological advancements offer significant improvements in patient care and system management, they also introduce challenges related to privacy, security, and the need for significant infrastructure investments. The review underscores the necessity for ongoing research to navigate technology adoption’s complexities and optimize healthcare practices effectively. This paper contributes to academic and practical discussions on leveraging technology to foster more efficient and responsive healthcare systems worldwide.\

Balancing Technology and Leadership: Implications for Employee Satisfaction in Saudi Arabian Healthcare

Technological overload, leadership behaviours, and employee outcomes in Saudi Arabia's healthcare sector are examined in this study. The main focus was on how technological overload and leadership practices affect job happiness, self-improvement, and job clarity in this setting. Validated scales from previous research were used to poll 247 nurses and doctors from diverse healthcare departments. Analytic Dynamic Network for the Analysis of Coherence (ADANCO) software explored complex variable interactions. Path analysis was used to test the hypotheses about technological overload, leadership, and employee outcomes. The findings show that technological overload, leadership, and employee outcomes are linked. Technological overload lowers job happiness, self-improvement, and clarity. Supportive and participative leadership moderated these associations, reducing the detrimental effects of technological overload on employee well-being. This study adds to the literature by examining technology overload and leadership in Saudi Arabia's healthcare system. In this quickly changing digital age, mitigating technology stressors and promoting supportive leadership practises boost employee well-being and organisational effectiveness.

Anesthesia Preferences and Outcomes in Saudi Arabian Healthcare: A Cross-Sectional Study.

Anesthesia choice is critical in ensuring optimal surgical outcomes and patient satisfaction. We aimed to investigate anesthesia preferences, trends, and outcomes in elective surgeries within Saudi Arabian healthcare settings. A cross-sectional survey-based study was conducted among anesthesia residents and attending anesthesiologists across Saudi Arabia. Participants provided demographic information and responded to questions regarding anesthesia preferences, trends, and outcomes. Descriptive statistics were used to summarize the data, and logistic regression analysis was employed to identify factors associated with anesthesia preference. The survey was completed by 572 healthcare professionals in Saudi Arabia. Among participants, 51.7% (n=296) preferred general anesthesia, while 48.3% (n=276) favored regional anesthesia for elective surgeries. Factors influencing anesthesia choice included patient preference, surgical complexity, and resource availability. Over half of the respondents reported an increase in regional anesthesia preference over the past five years, although some perceived inadequate training in this area. Common barriers to regional anesthesia adoption included equipment availability, patient reluctance, and limited training opportunities. Postoperative recovery was perceived as quicker with regional anesthesia by 52.3% (n=299) of participants, with postoperative nausea and vomiting being the most common complication associated with general anesthesia. Multivariable logistic regression analysis revealed that participants above 50 years had lower odds of preferring regional anesthesia, while those perceiving training adequacy in regional anesthesia as adequate had higher odds of preferring it (OR=0.64, 95% CI: 0.41-0.98, p=0.041; OR=1.58, 95% CI: 1.21-2.05, p=0.001, respectively). This study provides insights into anesthesia practice patterns in Saudi Arabian healthcare settings. Individualized anesthesia care, ongoing training in regional anesthesia, and evidence-based decision-making are essential to optimize perioperative outcomes and patient satisfaction.

Leadership styles on job satisfaction and security among healthcare workers during the COVID-19 pandemic.

Hospitals employ many social workers, whose tasks are complicated and arduous. Quality of life assessments by healthcare professionals (HCWs) are essential for better healthcare and skillful health service delivery. HCWs have been under tremendous mental and psychological strain and at high risk of virus acquisition since the COVID-19 pandemic outbreak. This study evaluated public hospital efficiency issues and remedies in the Kingdom of Saudi Arabia. The study examined leadership styles and job satisfaction among Saudi Arabian healthcare workers (HCWs). Between September 1 and December 31, 2021, a descriptive cross-sectional investigation was conducted. During the COVID-19 pandemic, a verified web-based survey reached the appropriate sample and data was collected. A web-based self-administered survey collected demographic data, leadership style using Multifactor Leadership Questionnaire Form 6-S (MLQ-6S), and health care employee satisfaction (SEHC) from HCWs. Leadership styles affected HCW job satisfaction, according to this study. Individual concern, idealized influence, contingent compensation, and inspiring motivation were negatively correlated with work satisfaction ratings. Creating a special training programme for new leaders should cover leadership styles and approaches, the skills needed to foster a productive workplace with high-quality care, and the creation of motivated work opportunities that can boost worker engagement and satisfaction.

Technical Quality and Diagnostic Impact of Chest X-rays in Tuberculosis Screening: Insights From a Saudi Teleradiology Cohort.

Objectives To assess the standard of chest X-ray techniques in tuberculosis (TB) screening within Saudi Arabian healthcare facilities and evaluate the impact of technical quality on radiological interpretation. Materials and methods Analysis of 250 posteroanterior chest radiographs sourced from a network of five clinics was conducted. These images were scrutinized for technical quality by a radiologist. Results Of the radiographs analyzed, 57% exhibited technical issues, with overexposure and clothing artifacts being the most commonly encountered. Notably, only 14% of these radiographs were deemed to have compromised diagnostic ability. Conclusion The presence of technical issues in most chest X-rays for TB screening highlights a significant area for improvement. However, the relatively low percentage of radiographs impacting diagnostic quality indicates that most issues do not critically hinder the radiologist's interpretative capability. This underscores the importance of balanced quality control measures in radiographic practices for effective TB detection in the region.

Perceptions of healthcare providers on artificial intelligence integration into dermatology clinical practice; a crosssectional study in the Kingdom of Saudi Arabia

Objective: The study aimed to understand the perceptions of healthcare providers in the dermatology field in Saudi Arabia about using artificial intelligence (AI) and to know their attitudes, and expectations toward AI applications in the dermatology field. Methods: A quantitative cross-sectional design was used, and the participants were selected through convenience sampling from different areas of Saudi Arabia randomly. A self-administered online questionnaire was used to conduct the study. Results: Dermatologists in Saudi Arabia showed a positive attitude toward AI in dermatology. In general, gender and nationality did not affect their attitudes about AI (p-value&amp;gt; 0.05). It was worthy that the majority of participants (75.5%) were already aware of AI, indicating a certain level of familiarity within the healthcare community. Furthermore, a significant percentage of participants (72.9%) believed that AI technology could potentially reduce errors in clinical practice and decrease the differences in judgments between medical professionals. Conclusion: A positive attitude was shown by Saudi Arabian healthcare providers toward using AI in dermatology. Additionally, dermatologists were aware of the potential of AI in detecting skin diseases by using histopathological and dermoscopy imaging.

Measuring the Level of Job Satisfaction and Opportunities for Participation Empowerment of Health Workers in the Aseer Region

Background and Aims: This study aimed to investigate the perspectives of Saudi Arabian healthcare workers in the Aseer region. Specifically, the focus was on employee satisfaction and work environment variables to contribute to the existing literature on employee well-being and organizational behavior. The study utilized variable frequencies and percentages to provide a comprehensive summary of the experiences of healthcare workers in the region. Methods: The study involved 543 participants from various healthcare institutions, including Primary Health Centers (PHCs), secondary and tertiary hospitals, and other relevant establishments. These participants completed a survey consisting of multiple-choice questions concerning employee satisfaction and the workplace. The data obtained from the survey were analyzed to discern employee perceptions by computing variable frequencies and percentages. Results: The majority of the participants were Saudi nationals (90%) with a significant representation of male respondents (67.8%). The age group between 30 and 40 years constituted the largest portion of the participants (57.6%). Among the workplaces, hospitals were the most common, employing 70.5% of the respondents. Overall, the study found positive perceptions regarding head support, appreciation, training and development opportunities, and promotional prospects. However, areas such as benefits, job description compatibility, and equipment availability exhibited room for improvement. Conclusions: The study presents valuable insights into the perspectives of healthcare workers in diverse workplaces within Saudi Arabia’s Aseer region. To enhance staff satisfaction and well-being, it is essential to focus on improving training and development opportunities, benefits, equipment availability, and cluster effectiveness. The study’s findings enable organizations to assess their current operations and make necessary changes to boost employee happiness and morale. Future research should address the identified discrepancies in employee perception and job satisfaction.

Unlocking compassion: expanding access to palliative care in Saudi Arabia.

Palliative care is an essential element of the healthcare system. It has profound benefits for patients with life-limiting illnesses. The Saudi Arabian healthcare system lags in integrating this vital component effectively. Hence, estimating the palliative care needs of the Saudi Arabian population is crucial to understanding the country's demand for palliative care. To assess the past trends in adult palliative care needs in Saudi Arabia. The current research used population-based secondary data analysis by employing two palliative care needs estimation methods: the direct or fixed estimation method by Gómez-Batiste and the maximum or maximal method by Murtagh and Rosenwax. The estimated palliative care needs were stratified by gender. An upward trend in the palliative care needs of the Saudi Arabian population is evident through the estimation techniques. The proportion of palliative care needs relative to deaths climaxed at 95% in the observed years. By 2022, the number of people requiring palliative care skyrocketed to 79,725 (fixed method) and 101,623 (maximal method). The need for palliative care in Saudi Arabia substantially rose in the observed years. It is inevitable to bridge the gap between palliative care needs and supply with advanced integration of palliative care services in the national healthcare system.

Physical activity levels among undergraduate students at the College of Applied Medical Sciences, King Saud University, Riyadh: A prevalence study.

Physical inactivity and sedentary behavior pose significant health concerns, particularly among young adults like college students. However, little research exists on the attitudes towards physical activity among Saudi Arabian healthcare students. This study aimed to assess the prevalence of physical activity and determine the reason for being physically inactive among students and interns across all programs in the College of Applied Medical Sciences (CAMS) at King Saud University (KSU), Riyadh, Saudi Arabia. A cross-sectional online survey was conducted between March and May 2023. CAMS students aged 18 and above, fluent in Arabic or English, and willing to participate were included. The Global Physical Activity Questionnaire (GPAQ) was used to measure physical activity. Descriptive statistics were used for data analysis. Out of 433 respondents, 377 met the inclusion criteria (response rate: 89.3%). Physical activity prevalence was 54.60%, with walking being the most common activity (42.70%). Lack of time was the primary reason for inactivity (51.40%). On average, students engaged in 1.5 hours/day of vigorous-intensity activities and 1.3 hours/day of vigorous-intensity sports and fitness activities at work. Sedentary behavior, characterized by continuous sitting, averaged 5.37 hours per day. Approximately half of CAMS students are physically active, while 20% rely solely on short walks due to time constraints, limited activity hours, or sedentary habits. A lack of time was cited as the primary reason for inactivity by most students. Future research should focus on strategies to enhance physical activity among healthcare students. In addition, academicians and policymakers should propose time-efficient initiatives that accommodate the demanding and busy schedules of healthcare students.

Electronic Attendance System Impact on Healthcare Employees' Performance and Economic Impact in Saudi Arabia

The study concludes that the adoption of electronic attendance systems in Saudi Arabia's healthcare sector has transformed personnel management and brought about a new era characterized by precision, efficacy, and financial constraint. The study highlights the advantages of these solutions, such as enhanced attendance record accuracy, promptness promotion, and better job satisfaction. The study also looks at the financial effects of using computerized attendance systems, such as cost reductions and efficient resource management. Overall, the report highlights how the Saudi Arabian healthcare sector has undergone a revolutionary transition and how electronic attendance systems have been crucial in modernizing the healthcare system.

Perceptions and Attitudes of Mental Health Professionals toward the Mental Health Care Law in Saudi Arabia.

The Saudi Mental Health Care Law (SMHL) was established in 2014; however, no prior study has evaluated mental health professionals' perceptions or attitudes toward it. This cross-sectional study examines these aspects and their associated factors among psychiatrists, psychologists, social workers, and psychiatric nurses in Saudi Arabia (SA). The data were collected from 432 participants using an online electronic survey consisting of four sections, including the Mental Health Legislation Attitudes Scale (MHLAS). Psychiatrists comprised most participants (46.06%), followed by psychologists (36.34%). Most participants were 40 years of age or younger (83.10%). Of the 432 participants, 226 (52.31%) were females. Overall, 28.70% were unaware of the existence of the SMHL. A total of 172 (66.67%) out of 258 participants agreed that the legislation operates well in ensuring treatment for persons who require involuntary admission. There was a statistically significant association between specialty and opinions of treatment efficacy and care benefits of the SMHL (p = 0.031 and p < 0.001, respectively). Official implementation of SMHL in participants' facilities resulted in high MHLAS scores (p = 0.007). Reading or attending lectures and workshops related to the SMHL resulted in high MHLAS scores (p = 0.044 and p = 0.021, respectively). Negative opinions and uncertainty regarding the effect of SMHL on confidentiality were associated with low total MHLAS scores (p < 0.001). This study highlights the need to increase awareness of the SMHL among Saudi Arabian healthcare workers.

High-performance Work System and Employee Retention: A mediated Mediation Model

High performance work systems HPWS are integrated human resource approaches designed to enhance employees' skills and efforts, resulting in higher levels of performance and productivity (Zhu, et al., 2018). The major components of HPWS include selective hiring procedures, employment security, decentralization of decision-making, extensive training, information exchange, and fair paying, all of which are interconnected and work in concert (Zhang et al., 2019). Performance is increased when HPWS is employee service-oriented, while morale and employee retention ER are increased when HPWS is creativity-oriented (Jo et al., 2023). HPWS is more efficient than traditional organizational systems, nevertheless, it is yet unclear how this happens. Multiple studies have produced conflicting findings, and some even contend that HPWS may increase employee effort and stress (Jensen et al., 2022; Cooke et al., 2019). There is a gap on previous researches explaining how HPWS can help translate EPB, JE, and EP into better ER outcomes and whether this relationship differs depending on the organizational setting or the industries, these connections need to be explored further in order to find practical methods improve organizational capacity for employee retention. In accordance with Vision 2030 and the (National Transformation Program) the Saudi government is increasing the private sector's contribution to the nation's healthcare system (Rahman &amp; Al-Borie, 2021).Even though a lot of work has been put into HPWS, there are still large research gaps in Saudi Arabia.So this study is enhancing the current knowledge by examining possible mediators (i.e., EPB, JE, and EP) between HPWS and ER helps further knowledge of the function of HPWS in the Saudi Arabian healthcare system in light of Vision 2030. Keywords: High performance work system, Employee Proactive Behaviour, Job engagement, Employee performance, Employee retention

Provision of Safe Anesthesia in Magnetic Resonance Environments: Degree of Compliance with International Guidelines in Saudi Arabia.

The lack of local guidelines and regulations for the administration of anesthesia in magnetic resonance imaging (MRI) units presents a potential risk to patient safety in Saudi Arabia. Hence, this study aimed to evaluate the extent to which hospitals in Saudi Arabia follow international guidelines and recommendations for the safe and effective administration of anesthesia in an MRI environment. This study used a questionnaire that was distributed to 31 medical facilities in Saudi Arabia that provided anesthesia in MRI units. The findings of the study revealed that the mean compliance with the 17 guidelines across the 31 sites was 77%; 5 of the 31 sites (16.1%) had a compliance rate of less than 50% with the recommended guidelines. Only 19.4% of the institutes provided general safety education. Communication breakdowns between anesthesia providers and MRI teams were reported. To conclude, this survey highlights the status of anesthesia standards in Saudi Arabian MRI units and emphasizes areas that require better adherence to international guidelines. The results call for targeted interventions, including the formulation of specific national anesthesia guidelines for MRI settings. Communication breakdowns between anesthesia providers and MRI teams were reported at a rate of 83.9% during the administration of a gadolinium contrast agent. There were additional breakdowns, particularly for high-risk patients with implants, such as impaired respirators (74.2%), thus requiring further investigation due to potential safety incidents during MRI procedures. While considering the limitations of this study, such as potential biases and the low response rate, it provides a valuable foundation for refining protocols and promoting standardized practices in Saudi Arabian healthcare.