Changes in Patient Safety Culture in Palestinian Public Hospitals: Impact of Quality and Patient Safety Initiatives and Programs (original) (raw)
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JRSM open, 2016
To measure and establish a baseline assessment of the patient safety culture in the Palestinian hospitals. A cross-sectional descriptive study using the Arabic version of the Safety Attitude Questionnaire (Short Form 2006). A total of 339 nurses and physicians returned the questionnaire out of 370 achieving a response rate of 91.6%. Four public general hospitals in the Gaza Strip, Palestine. Nurses and physicians were randomly selected using a proportionate random sampling. Data analysis performed using Statistical Package for the Social Sciences software version 20, and p value less than 0.05 was statistically significant. Current status of patient safety culture among healthcare providers and percentage of positive attitudes. Male to female ratio was 2.16:1, and mean age was 36.5 ± 9.4 years. The mean score of Arabic Safety Attitude Questionnaire across the six dimensions on 100-point scale ranged between 68.5 for Job Satisfaction and 48.5 for Working Condition. The percentage of ...
Background Patient safety culture helps with enhancing care quality, avoiding errors, promoting clinical outcomes, and reducing healthcare costs. Also, it helps minimize unfavorable events, which increases patient safety and raises the quality of medical care provided. This study aims to assess the perception of patient safety culture in a university hospital and assess the relationship between demographic and workplace characteristics of the staff with the perceptions of patient safety culture. Methods Quantitative cross-sectional study design was used. The Arabic version of HSOPSC v2.0 was used to assess the perception of patient safety culture among hospital staff. The SurveyMonkey® online platform was used to send the surveys to all staff emails within two weeks. Descriptive statistics were used to measure the perception. Man-Whitney, Kruskal-Wallis, and logistic regression were used to find the relations between the variables. Results “Staffing and Workplace” (59.5%) and “Respo...
ASSESSMENT OF PATIENT SAFETY CULTURE IN THE GAZA STRIP HOSPITALS
ASSESSMENT OF PATIENT SAFETY CULTURE IN THE GAZA STRIP HOSPITALS, 2016
Culture is described as a critical element of healthcare safety and quality. This study aims to assess a patient safety culture in GS hospitals.A cross-sectional, descriptive design was utilized. A total number of 376 clinical and non-clinical hospitals' staff participated in the current study. Data were collected using an Arabic version of the Hospital Survey on Patient Safety Culture (HSOPSC). The study data was evaluated using the SPSS for Windows 20.0. Dimensional-and item-level positive scores were used for results reporting. Additionally descriptive statistics, Chi-square test, independent sample t-test and ANOVA were used for data analyzing. Finding shows,the dimensions which elicited the highest positive ratings were teamwork within units (78%), and organizational learning and continuous improvement (72%); meanwhile those with the lowest ratings included staffing (58%), and non-punitive response to error (48%). Statistically significant differences among hospitals and also in reference to participants working characteristics (P<0.05). Small hospitals recived significantly higher mean safety scores than large hospitals, and physicians were the least positive towards safety than other employees (p<0.05). The study concluded that the status of safety culture in Gaza hospitals is acceptable despite the prevailing difficult conditions, but it can be improved through promoting reporting events, reinforcing management commitment towards safety, and implementing effective communication strategies. Copyright©2016, Bassam Abu-Hamad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Baseline assessment of patient safety culture in public hospitals in Kuwait
BMC Health Services Research, 2018
Background: Conducting patient safety culture assessments can provide hospitals with information on how structures and processes within their system can impact patient outcomes. This study used the Hospital Survey on Patient Safety Culture (HSOPSC) to conduct an assessment of patient safety culture in public hospitals in Kuwait and benchmark against regional and international studies that utilized the same tool. This objective of this study is to examine the association between the predictors and outcomes of patient safety culture. Methods: This cross sectional study adopted a customized version of HSOPSC developed by the Agency for Healthcare Research and Quality. The survey targeted selected public hospital staff with at least one year of experience. Data was analyzed using SPSS 24 at a significance level of 0.05. Univariate analysis was utilized to obtain an overview of respondent demographics. The association between patient safety grade and the number of events reported and the remaining patient safety culture composites was analyzed using ANOVA f-test. Four regression models were constructed, two adopted Generalized Estimating Equations and the others were linear models. Results were benchmarked against similar initiatives in Lebanon, Saudi Arabia and USA. Results: A total of 12,092 employees from 16 public hospitals in Kuwait completed the survey. The overall response rate was 60.5% (20,003 distributed surveys). Areas of strength were Teamwork within Units, Organizational Learning-Continuous Improvement, Management Support for Patient Safety, Supervisor/Manager Expectations & Actions Promoting Patient Safety, and Feedback and Communication about Error. Regression findings highlighted significant association between patient safety outcomes and composites. Benchmarking analysis revealed that Kuwaiti hospitals are performing at or better than benchmark on several composites compared to regional and international findings. Conclusion: This is the first major study addressing patient safety culture in public hospitals in Kuwait. Despite having some areas for improvement, public hospitals in Kuwait were found to have multiple areas of strength. Improving patient safety culture is critical if hospitals want to improve quality and safety of medical services. Study findings can guide and inform country level strategies to further improve the systems governing patient safety practices.
Patient Safety Culture in Jordanian Hospitals
Background: A good safety system depends on having a culture that supports and encourages employees to report their errors and near misses. Since there has been no previous literature or current research studies in Jordanian hospitals that measure an organization's safety culture, the purpose of this study is to validate an Arabic version of the Hospital Survey on Patient Safety Culture (HSOPSC; 2009 version) and to measure health-staff perceptions of the safety culture in Jordanian Ministry of Health (MoH) hospitals.
BMC Health Services Research, 2014
Background: In light of the immense attention given to patient safety, this paper details the findings of a baseline assessment of the patient safety culture in a large hospital in Riyadh and compares results with regional and international studies that utilized the Hospital Survey on Patient Safety Culture. This study also aims to explore the association between patient safety culture predictors and outcomes, considering respondent characteristics and facility size. Methods: This cross sectional study adopted a customized version of the HSOPSC and targeted hospital staff fitting sampling criteria (physicians, nurses, clinical and non-clinical staff, pharmacy and laboratory staff, dietary and radiology staff, supervisors, and hospital managers). Results: 3000 questionnaires were sent and 2572 were returned (response rate of 85.7%). Areas of strength were Organizational Learning and Continuous Improvement and Teamwork within units whereas areas requiring improvement were hospital non-punitive response to error, staffing, and Communication Openness. The comparative analysis noted several areas requiring improvement when results on survey composites were compared with results from Lebanon, and the United States. Regression analysis showed associations between higher patient safety aggregate score and greater age (46 years and above), longer work experience, having a Baccalaureate degree, and being a physician or other health professional.
Patient safety culture in Palestine: university hospital nurses’ perspectives
BMC Nursing
Background Understanding the perspectives of healthcare workers toward patient safety-related activities is critical in maintaining a healthy safety climate. The objectives of this research are 1) to examine the perception of Patient Safety Culture (PSC) at a university hospital in Palestine, and to highlight areas in need of improvement, and 2) to assess the relationship between the outcome dimensions (frequency of events reported, and overall perceptions of safety) and the other dimensions of PSC, and 3) to determine the relationship among selected demographic variables (gender, age, hospital tenure, work tenure, profession tenure, and hours worked per week) and nurses’ perceptions of PSC. Methods A cross-sectional study design was used with a convenience sample of 107 nurses. Nurses were asked by email to complete the Arabic version of the Hospital Survey of Patients’ Safety Culture (HSOPSC) using the SurveyMonkey® online account form within two weeks. The survey data were analyz...
Assessment of patient safety culture in Saudi Arabian hospitals
Quality & safety in health care, 2010
Context Healthcare organisations in Saudi Arabia are striving to improve patient safety and quality of care through implementation of safety systems and creating a culture of safety. Objective The purpose of this study to evaluate the extent to which the culture supports patient safety at Saudi hospitals. Data Collection A survey questionnaire was distributed hospital-wide in 13 general hospitals in Riyadh city, Saudi Arabia, to 223 health professionals including nurses, technicians, managers and medical staff. Measurement The Hospital Survey on Patient Safety Culture questionnaire was used to identify dimensions of patient safety culture. Results Overall Patient Safety Grade was rated as excellent or very good by 60% of respondents, acceptable by 33% and failing or poor by 7%. More than half of respondents thought that managers overlook safety problems that happen over and over. Areas of strength for most hospitals were organisational learning/continuous improvement, teamwork withi...