Assess the level of implementation of Patient Safety Culture in a Tertiary Care Hospital in Sri Lanka (original) (raw)
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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.
Culture of Safety Environment: Findings from a Multi-Speciality Tertiary Care Hospital
https://www.ijhsr.org/IJHSR\_Vol.9\_Issue.12\_Dec2019/IJHSR\_Abstract.022.html, 2019
Introduction: A 'Culture of Safety' describes the core values and behaviors related to providing safe care. The concept of the ‘Culture of Safety’ in healthcare came to the limelight following the report of the Institute of Medicine in 1999. Material and Methods: This is a cross-sectional study doing an in-depth analysis of the findings from the ‘Culture of Safety’ Survey at the individual unit level. Data from the survey conducted in June 2018 with a sample size of 996 was collated and analyzed using Microsoft Office Excel 2013 and descriptive statistics. The validated Patient Safety Culture Survey questionnaire of the AHRQ was used and the self-reported survey was conducted through the ‘Survey Monkey. Results and Discussion: Analysis of top few positive responses and analysis of top few negative responses brought about the strengths and weaknesses. Strategies that were implemented based on these findings. The organization believes in the spirit of the ‘Culture of Safety’ and the leadership at every level leads from the front in driving the same. Conclusion: Despite being an internationally accredited institution for the last decade or so and with the spirit of ‘Culture of Safety’ ingrained as a top down approach and among all levels of staffs and with a strong sense of commitment from the leadership to establish and make the ‘Culture of Safety’ a part and parcel of work culture in the unit, there are still scopes of improvement. The need of the hour is to promote the spirit of the ‘Culture of Safety’ in the Indian healthcare scenario.
Patient safety culture within a university hospital: feasibility trial
Background: Developing a patient safety culture is an evolving process for organizations. An accepted tool to assess the patient safety culture is the Hospital Survey on Patient Safety Culture (HSOPSC). Recently, the HSOPSC was translated into German. It was the primary aim of this short report to assess the reliability of the German HSOPSC within a university hospital in Austria. Findings: The German version of the survey was adjusted to local circumstances. Finally, the survey contained 48 questions using the five-point Likert response scale of agreement. The online survey was sent out to 6317 employees. A total of 415 employees took part in the online survey (6.6 %). The majority (n = 299, 72.0 %) had been employees without an executive function. 70 (16.9 %) physician, 229 (55.2 %) nurses, 47 (11.3 %) medical technical assistants and 69 (16.6 %) administrative employees answered to the survey. The dimension that received the highest positive score was "manager expectations and actions promoting safety" (3.90 ± 0.84 SD). Within outcome measures "patient safety in general" showed the lowest score (2.34 ± 0.71 SD).
International journal for quality in health care : journal of the International Society for Quality in Health Care, 2018
To learn the weaknesses and strengths of safety culture as expressed by the dimensions measured by the Hospital Survey on Patient Safety Culture (HSOPSC) at hospitals in the various cultural contexts. The aim of this study was to identify studies that have used the HSOPSC to collect data on safety culture at hospitals; to survey their findings in the safety culture dimensions and possible contributions to improving the quality and safety of hospital care. Medline (via PubMed), Web of Science and Scopus were searched from 2005 to July 2016 in English, Portuguese and Spanish. Studies were identified using specific search terms and inclusion criteria. A total of 33 articles, reporting on 21 countries, was included. Scores were extracted by patient safety culture dimensions assessed by the HSOPSC. The quality of the studies was evaluated by the STROBE Statement. The dimensions that proved strongest were 'Teamwork within units' and 'Organisational learning-continuous improvem...
IOSR Journals , 2019
Patient safety is crucial to the quality of patient care and remains as a challenge. World Health Organization describes patient safety as a global issue, affecting all countries. Sri Lanka ,being a developing country, may encounter adverse events in health care system due to lack of infra structure, equipments, quality and supply of drugs and shortage of essential financial investments. By assessing the current patients safety culture in the selected Base Hospitals from the perspectives of the Healthcare Professional ,, one can identify the important issues regarding the quality service delivery of Sri Lankan Hospitals and the Government will be able to do remedial activities. Methodology-Thiscross sectional descriptive study was carried out to assess the current patient safety culture of 317 Health Care Professionals , using a self administered questionnaire with seven dimension of Patient Safety Culture. Respondents consisted of Medical Officers (28.6%), Nursing officers (57.8%) and Para Medical Service & Supplementary to Medical Services (13.6%).Pearson correlation analysis was conducted to test statistical relationship between each of independents variables and overall patient safety culture. One way ANOVA was used for the mean difference in each 08 dimensions positive response scores among the selected Base Hospitals. Linear multivariate regressionanalysis will be conducted to examine the association between independents variable and controlling variables with Patient Safety Culture with mean percentage reporting a positive score as the dependent variables.Finding-The important factors contributing to the Patient Safety Culture are Just culture, Learning culture and Informed culture. According to the study, the maturity level of the all these selected Hospitals are at Reactive and Calculative stage.There is a severe lacking of Open culture and Reporting culture in the hospitals. Originality /Value-Patient Safety Culture is a multidimensional phenomenon and highly required to improve health status. This study identified some important factors which could be taken into consideration when a government designs for a cost effective quality service.
Assessment of Patient Safety Culture among Healthcare Providers
Global Journal of Health Science
PURPOSE: Patient safety is an important element in ensuring quality of patient care and accreditation. This study aimed to assess the perception of patient safety culture among the healthcare providers; assess the areas of strength and improvement related to patient safety culture; and assess the relationship between patient safety culture and demographic variables of the sample. METHOD: Descriptive correlational design was employed in this study. Data was collected using the Hospital Survey on Patient Safety Culture (HSPSC). A stratified random sample of 158 healthcare providers from the Diwan of Royal Court Health Complex in Muscat participated in this study. RESULTS: The findings of this study indicated that most of the participants responded positively to the HSPSC items. The average percentage of positive responses was 56.4%. The major areas of strength were “teamwork within department,” “feedback and communication about errors,” and “organizational learning-continuous improvem...
Research Square (Research Square), 2023
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 nd the relations between the variables. Results "Sta ng and Workplace" (59.5%) and "Response to Error" (51.9%) were found the weakest dimensions. "Teamwork" (82.5%), and the "Organizational Learning-Continuous Improvement" (81.1%) were the highest positive dimensions. The rest of the dimensions were perceived positively. Nursing staff perceived patient safety culture more positively than other professions (Mean Rank = 157.23, p-value < 0.001). The staff working in patient care units perceived patient safety culture positively more than other staff (Mean Rank = 150.86, p-value = 00.007). The staff with direct contact with patients had a more positive perception of patient safety culture (Mean Rank = 141.90, p-value < 0.001). Logistic regression found a statistically signi cant association between the total score of patient safety culture dimensions and staff position in the hospital (p-value = 0.003, VIF = 1.179). It also found a statistically signi cant association between those who have direct contact with patients and the total score of patient safety culture dimensions (p-value = 0.003, VIF = 1.208). Conclusions This study presents an assessment of patient safety culture among healthcare staff in a university hospital. The staff perceived overall patient safety culture positively. However, efforts must be done to improve the two weak dimensions. A qualitative approach study could be done to explore deeply the reasons for this weakness in these dimensions. The demographics of the staff were not associated with patient safety culture.
Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, 2017
The aim of this study was to modify and determine the dimensions and themes of the patient safety culture tool by MaPSaF. This study was a qualitative design with study literature approach. The result of this study was MaPSaF composed of 10 dimensions of patient safety culture with 24 aspects which contain with the statements in each theme. The dimensions are commitment to overall continuous improvement, priority given to safety, system errors and individual responsibility, recording incidents and best practice, evaluating incidents and best practice, learning and affecting change, communication about safety issues, personnel management and safety issues, staff education and training, and teamwork. The aspects are the commitment to improvement, audit, policies, priority of patient safety, risk management system, implementation of patient safety, the cause of the incident, patient safety culture, reporting feeling and system, data analysis, the focus and result of investigation, incidents learning, the people in deciding of change, communication about patient safety between staff, patient or both, share the information, supporting the staff, training needs and purposes, team structure, the flow of information and sharing. Tujuan dari penelitian ini adalah untuk memodifikasi dan menentukan dimensi dan tema alat budaya keselamatan pasien oleh MaPSaF. Metode yang digunakan adalah penelitian kualitatif dengan pendekatan studi literatur. Hasil penelitian ini adalah MaPSaF yang terdiri dari 10 dimensi budaya keselamatan pasien dengan 24 aspek yang berisi pernyataan di setiap tema. Dimensi adalah komitmen terhadap perbaikan terus-menerus secara keseluruhan, prioritas yang diberikan untuk keselamatan, kesalahan sistem dan tanggung jawab individu, pencatatan insiden dan praktik terbaik, evaluasi insiden dan praktik terbaik, pembelajaran dan perubahan, komunikasi tentang isu keselamatan, manajemen personil dan isu keselamatan, pendidikan staf dan pelatihan, dan kerja tim. Aspeknya adalah komitmen terhadap perbaikan, audit, kebijakan, prioritas keselamatan pasien, sistem manajemen risiko, pelaksanaan keselamatan pasien, penyebab kejadian, budaya keselamatan pasien, pelaporan perasaan dan sistem, analisis data, fokus dan hasil penyelidikan, insiden belajar, orang-orang dalam menentukan perubahan, komunikasi tentang keselamatan pasien antara staf, pasien atau keduanya, berbagi informasi, mendukung staf, kebutuhan dan tujuan pelatihan, struktur tim, arus informasi dan berbagi.
Perception of patient safety culture among hospital staff
Slovenian Journal of Public Health
Introduction A patient safety culture (PSC) is a complex phenomenon, representing an essential part of the organizational culture and refers to the shared values, conceptions and beliefs which contribute to the formation and encouragement of safe behavioural models in a health organization. With this study, the authors wanted to delineate the attitude of hospital staff in Bulgaria regarding PSC and to document to whether attitudes differ between physicians and other healthcare professionals (HCPs). Methods A national cross-sectional survey among 384 HCPs was conducted using an online version of the Bulgarian version of Hospital Survey on Patient Safety Culture (B-HSOPSC). The data was analysed with descriptive statistics, non-parametric Mann-Whitney U and x 2 tests. Results The physicians represented 37.50% (144) of the sample and other HCPs 62.50% (240). Respondents from governmental/municipal hospitals prevailed (53.6%). The dimensions “Staffing” and “Non-punitive response to erro...
Health, 2014
Establishing a culture of patient safety can be effective in reducing the incidence of medical errors and solving concerns of safety inadequacy in health systems. The purpose of this study was to assess the culture of patient safety in the selected hospitals, and compare the results with published reports of AHRQ. This study was approved by the Ethical Committee of BPUMS. The subjects signed the informed consent form to participle in the study. Confidentiality was maintained throughout the study reports. Cross-sectional study was conducted in 2012; the study sample was composed of 364 staffs working at two selected hospitals affiliated to Bushehr University of Medical Sciences. Hospital Survey on Patient Safety Culture was used to collect data. Descriptive statistical analysis was used to analyze the data. No reports of events in both studied hospitals and benchmark were accounted for the most of the reported errors, although this indicator in studied hospitals was nearly 23% higher than that of the benchmark report. The highest patient safety grade in studied hospitals and benchmark was "acceptable" and "very good", respectively. The highest percentage of positive response to patient safety dimension was organization learning and then teamwork within units in studied hospitals. Teamwork within units also was the highest average percent in * Corresponding author. benchmark report. Non-punitive response to errors had the lowest positive percentage of participant responses in both studies. To achieve the patient safety culture, we do not need to blame individual and apply punitive approach when errors occur. This makes person accept responsibility for their actions honestly and report errors in a timely manner to prevent reoccurrence of similar errors.