A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran (original) (raw)
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Iranian Nurse Association Perception of Patient Safety Culture
Iranian Red Crescent Medical Journal, 2014
Background: In recent decades, patient safety has become a high priority health system issue, due to the high potential of occurring adverse events in health facilities. Objectives: This study was aimed to survey patient safety culture in 2 Iranian educational hospitals. Materials and Methods: In a descriptive, cross-sectional survey, a hospital survey on patient safety culture, was used in two teaching hospitals in Yazd, Iran during 2012. Study population was comprised of the same hospitals' nurses. Stratified-random sampling method was used and distributed among a total of 340 randomly-selected nurses from different units. From all distributed questionnaires, 302 ones were answered completely and afterwards analyzed using SPSS 17. Dimensional-and item-level positive scores were used for results reporting. Additionally descriptive statistics (mean and standard deviation), independent sample t-test and ANOVA were sued for data analyzing. Results: Research findings demonstrated that both hospitals had low to average scores in all dimensions of patient safety culture. Nonpunitive response to error, staffing and frequency of events reported had the lowest positive scores of patient safety dimensions with scores 15.26, 19.26, 16.65, 30 and 32.87, 31.10 respectively in Shahid Sadoughi and Shahid Rahnemoon Hospitals. Also only 29.20 and 28.80 percent of nurses in Shahid Sadoughi and Shahid Rahnemoon Hospitals, respectively, evaluated the patient safety grade of their hospital as "excellent" and "very good". Indeed, the studied hospitals had a statistical difference in 3 dimensions of patient safety culture (frequency of events reported, organizational learning and staffing). (P ≤ 0.05) Conclusions: Our study results were indicating of the challenge of weak patient safety culture, in educational hospitals. Therefore, the issue should be integrated to all policy makers and managerial initiatives in our health system, as a top priority.
Comparison between a Public and Private Hospital in Terms of Patient Safety Culture
Sanitas Magisterium, 2015
Patient safety culture is a comprehensive set of practices that focus on the prevention of medical errors and transparency in event reporting. Moreover, to ensure patient safety in healthcare institutions, creating an effective patient safety culture is extremely important. Therefore, the purpose of this study is threefold. First, it identifies the perceptions of patient safety culture among healthcare professionals at two different hospitals (one public and one private) in Istanbul, Turkey (n = 80). Second, using two different surveys (the Hospital Survey on Patient Safety Culture and the Socio-demographic Survey), it examines whether such perceptions differ according to the roles and socio-cultural variables of the healthcare professionals. Third, it determines the main factors that influence effective patient safety culture. In the evaluation of the data, the frequency, percentage, arithmetic mean, independent samples t-test, the one-way analysis of variance (ANOVA), and the Tukey HSD test were employed. The data were evaluated using SPSS 21.0 statistical software, and the significance was accepted as p < .05. The findings show that the scores for the sub-dimension management support for patient safety was significantly higher for females than males (p = .017), whereas the scores for the sub-dimension feedback and communication about errors among the healthcare professionals with a postgraduate's degree were significantly higher than those with an associate's degree (p = .011). Based on the results, it is recommended that a patient safety culture be created by all healthcare institutions to implement an effective system for reporting errors, to provide training, and to ensure ongoing improvements in patient safety culture.
Perspectives of Teaching Hospitals' Medical Staff of the Dimensions of Patient Safety Culture
Journal of Client-centered Nursing Care (JCCNC), 2022
Background: Patient safety culture is a critical element in promoting safety and improving the quality of patient care. To enhance this culture, evaluation of the present culture is necessary. This study aims to investigate the dimensions of patient safety culture from the perspective of the staff of Saveh teaching hospitals, Saveh City, Iran. Methods: This descriptive cross-sectional study was performed in two hospitals affiliated with Saveh University of Medical Sciences in 2019. The research sample consisted of 196 medical staff selected through the proportional stratified sampling method. The study data were collected through the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire and analyzed by the independent t-test and Mann-Whitney test in SPSS software v. 21. The level of significance was set as P<0.05. Results: Among the 12 dimensions of the questionnaire, intra-organizational teamwork, by taking 76% of the total score (4.12±0.28), was desirable and considered the best dimension. However, teamwork among organizational units, by taking 36.6% of the total score (2.92±0.83), was in the poorest condition. There was a significant relationship between gender and patient safety culture, and women were more responsive to patient safety than men (P<0.05). Conclusion: According to the study findings, improving patient safety culture and intercommunication between hospital units is necessary. It is recommended to provide a more intimate environment for communication between hospital personnel.
Patient safety culture among nurses
International nursing review, 2015
Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work. The purpose of this study was to investigate nurses' perceptions about patient safety culture and to identify the factors that need to be emphasized in order to develop and maintain the culture of safety among nurses in Oman. A descriptive and cross-sectional design was used. Patient safety culture was assessed by using the Hospital Survey on Patient Safety Culture among 414 registered nurses working in four major governmental hospitals in Oman. Descriptive statistics and general linear regression were employed to assess the association between patient safety culture and demographic variables. Nurses who perceived more supervisor or manager expectations, feedback and communications about errors, teamwork across hospital u...
Patient Safety Culture from the Viewpoint of Nurses: A Cross-Sectional Study in 2016
Journal of Research Development in Nursing and Midwifery, 2019
Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016. Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05. Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to "Please give your work area/unit in this hospital an overall grade on patient safety" that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86. Conclusions: The results showed two dimensions including staffing and teamwork within units.
The Perceptions of Nurses About Patient Safety Culture: An Example Province in North East of Turkey
2021
The purpose of this study is to evaluate the perceptions of nurses about the patient safety culture and include five hospitals which are in a province in north east of Turkey. The research universe consists of 1299 nurses working in different five hospitals. It was used for sample selection in this study. The data were collected by "Nurse Information Form" and "Patient Safety Culture Scale". In analysis of the data were used Kolmogrov-Smirnov, Kruskal-Wallis and Mann-Whitney U Nurses' the mean score of scale was 2.90 ± 0.379. There were significantly differences between the hospitals about the mean score of scale and subscales (p<0.05). There were significantly differences between nurses' education levels and experience in the profession and the mean score of scale and subscales (p<0.05). A significant difference was not found between nurses' ages, duties, departments, working procedures, working hours in a week and experience years in the institution and the mean scores of scale and sub-dimensions (p>0.05). It was determined that there were significant differences between the institutions' mean score of PSCS and all subdimensions and the perception of the patient safety culture of the nurses who were working in private hospitals higher than in other hospitals.
Nurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem, 2019
Objective: To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services. Method: cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied. Results: A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003). Conclusion: The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital’s services, serving as a warning and assisting...
2014
Patient safety is regarded as a main and important part of healthcare quality (1,2). It is also considered as a main human concern in healthcare field (3). Studies show that patients are in the risk of adverse incidents (4). Adverse incidents and medical errors are challenges which have involved health care systems of all countries. Therefore, an attempt is necessary to decrease their induced damages and minimize them (5). Although many efforts have been done by different health care organizations to minimize them, but clinical errors are still common and need considerable human resources and costs to be circumvented (3). There are many countries which have seriously concentrated on the task of preventing or decreasing medical errors to promote safety level due to the very high severity of their induced damages (5). Improving patient safety is considered as a paramount importance and health care organizations have put it in their agenda since 21th century (6). Also, hospital leaders...
Patient safety culture from nurses’ perspectives at Qazvin University of Medical Sciences
Journal of preventive epidemiology, 2019
Introduction: The most important priority for healthcare providers is to provide high quality and safe services to patients and nurses' role in ICUs is very important due to the complexity of their profession and the importance of care for critical patients. Therefore, identifying the weaknesses and strengths of the patient safety culture is a step towards the advancement of safety culture. Objectives: The aim of this study was to determine the safety culture of nurses in the intensive care units of Qazvin University of Medical Sciences. Patients and Methods: This study is a descriptive-correlation one which was conducted on 214 nurses working in the intensive care units who had the inclusion criteria. To collect data "Hospital Survey on Patient Safety Culture; HSOPSC" was used. This questionnaire has 42 questions that examine the safety culture in 12 composites. The questionnaires were distributed among all the nurses working in the target departments of different hospitals and detailed information about the questionnaire was given. After data collection, the data were analyzed using SPSS v23. Results: The mean percentage of positive responses to the safety culture questionnaire in intensive care unit was 75.39%. The strengths of the patient safety culture were related to teamwork expectations within units (67.3%), management support for patient safety (62.6%), and teamwork across units (62.6%) and the lowest score for the patient safety culture was related to the non-punitive response to errors (3.3%) and staffing issues (4.2%) and also communication openness (23.8%). Conclusion: The status of the safety culture in intensive care units of Qazvin is acceptable. However, the attention of nursing managers in some areas in planning and policymaking to promote the patient safety culture seems necessary.
Systemic Practice and Action Research, 2014
The objective of this study was to investigate nurses' perceptions about the culture of patient safety in a Turkish public hospital. The study adopted a cross-sectional research design and utilized the hospital survey of patient safety culture. The population studied consisted of approximately 300 nurses from which 200 nurses were surveyed. The response rate was 66.6 % of the population. Nurses responded most positively to two dimensions, hospital management support for patient safety (80 %) and supervisor/manager expectations and actions promoting patient safety (79 %). Four dimensions with a positive response rate of\50 % (