A Comparative Assessment of Patient Safety Culture between Iranian Selected Hospitals and Agency for Healthcare Research and Quality (AHRQ) Report (original) (raw)
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Patient safety is a basic principle of health care, and the purpose of the patient safety culture is to provide safe conditions for the care of patients. The present study aimed to evaluate the patient safety culture in the clinics and hospitals of Chabahar, Iran. Materials and Methods: This cross-sectional study was conducted on three groups of physicians, nurses, and paraclinical staff in 2017. Data were collected by using the hospital survey on patient safety culture (HSOPS). Data analysis was performed in SPSS version 21 using descriptive statistics, ANOVA, and Tukey's post-hoc test. Results: In total, 255.85 subjects were enrolled in the study and equally divided into three groups (33.3%). The minimum and maximum work experience was one and 27 years, respectively. Among the participants, 116 cases (45.49%) were female, and 139 cases (54.50%) were male. Mean total score of the patient safety culture was 149.87±25.20. The lowest and highest scores were observed in the dimensions of 'non-punitive response to errors' (3.23±9.11) and 'teamwork within units' (3.86±15.41), respectively. The results indicated a significant difference between the three study groups in terms of the patient safety culture (P<0.001). However, mean score of the general perception of the safety culture had no significant difference between the physicians and nurses (P=0.064). Conclusion: Findings of the present study could help justify the establishment of a positive patient safety culture in the healthcare systems. In addition, recruitment of capable managers, who are committed to eliminating medical errors, is required for implementing the patient safety culture. Therefore, it is recommended that interventions in the field of the patient safety culture be planned and the association of patient safety and clinical outcomes be assessed in further investigations.
Patient Safety Culture as Viewed by Medical and Diagnostic Staff of Selected Tehran Hospitals, Iran
Hospital Practices and Research, 2017
Background: Today, patient safety is an important issue in providing hospital services. Any failure in this area can cause undesirable consequences. Objective: The present study evaluated the status of patient safety culture in educational hospitals of Tehran, Iran. Methods: This cross-sectional study surveyed 205 therapeutic and diagnostic personnel of three Tehran hospitals selected using the clustered method; samples were collected in a randomized manner. To examine patient safety culture, the standard questionnaire of patient safety culture with 12 dimensions was used. Data was analyzed using SPSS software. Results: In the 12 dimensions of patient safety culture, exchange of data, expectations, and organization management had the lowest means of 3.28 (±0.87), and 3.32 (±0.74) among the various aspects of patient safety culture. Additionally, the 2 dimensions of teamwork within the organization's units and frequency of reporting events with means of 3.71 (±0.79) and 3.73 (±0.7) had the highest means among the studied 12 dimensions of patient safety culture. The total mean of patient safety culture in the studied hospitals was 3.5 (±0.5). Conclusion: Increasing the attention paid to patient safety culture will lead to the development and progress of hospitals in the country and will guide them toward becoming patient-friendly hospitals. Those dimensions which had low mean values in this study should be paid more attention so as to promote and protect them.
Measurement of Patient Safety Culture in Iranian hospitals: A National Baseline Study
Journal of Clinical Research Governance, 2013
Iran has initiated Patient Safety Friendly Hospital Initiatives (PSFHI) in 10 hospitals since 2010, and now aims to expand it to 50 more hospitals. The aim of this study was to systematically measure patient safety culture in Iranian hospitals as the first national baseline measure. Methods: A cross-sectional study, using Farsi version of the popular "Hospital Survey on Patient Safety Culture" (HSOPSC) was done in 11 public teaching general hospitals in three major province centers in Iran. About 1000 questionnaires were randomly distributed staff across four selected strata (physicians, nurses, laboratory and radiology staff). Finally, percent positive scores were calculated. Results: A total of 725 respondents had successfully completed the questionnaire (response rate: 75.44%). Overall patient safety culture percent positive scores was 47%. "Teamwork within units" and "organizational learningcontinuous improvement", got the highest scores, while "non-punitive response to error" and "staffing" had the lowest ratings. About 58% of study participants reported not completing any event reports during the previous 12 months and only 22.5% gave their hospitals an 'excellent or very good' patient safety grade. Conclusion: Study findings provided a good baseline data about the current status of patient safety culture in Iranian hospitals, their strengths and potentials for improvement in this field, as well as the status in each dimension of safety culture among other countries from different WHO regions.
Patient Safety Culture Challenges: Survey Results of Iranian Educational Hospitals
2013
3 Abstract: Patient safety culture is defined as the integration of safety thinking and practices into clinical activities. The objective of this study was to measure patient safety culture in 2 Iran teaching hospitals. In a cross-sectional survey, we used hospital survey on patient safety culture in 2 teaching hospitals of Yazd, Iran in 2011 and 2012. Study population was comprised of these hospitals nurses. A total of 270 surveys were distributed to all randomly-selected nurses from different units. Data analysis was done using SPSS software version 13. Research findings showed that booth hospitals have low to average scores in all dimensions of patient safety culture with except of organizational learning (continuous improvement) in Shahid Saddoughi burning hospital. Staffing (19.45% positive response), non-punitive response to error (21.46% positive response) and frequency of events reported (34.9% positive response) in Afshar and frequency of events reported (16.66% positive re...
Patient Safety Culture and Factors that Impact That Culture in Tehran Hospitals in 2013
Iranian Red Crescent Medical Journal, 2016
Background: Sufficient evidence is lacking about patient safety culture in Iran. It is only by focusing on the culture of safety within healthcare and treatment institutes that improvements may be made in patient care services. Objectives: The present study aimed to examine patient safety culture and factors that affect that culture in two hospitals in Tehran city. Patients and Methods: A cross-sectional study was conducted in two government teaching hospitals (135-and 650-bed hospitals) in Tehran city in February of 2013 using a proportional stratified sampling method. The participants completed questionnaires with questions concerning their demographics and patient safety culture. Results: Overall, the study participants rated patient safety culture within their healthcare institutions at 64.7%. The highest and lowest patient safety culture subscales were 73.8% and 50.1% for "teamwork within units" and "staffing," respectively. According to the findings, hospital size (P < 0.001) and hospital area (P < 0.001) had a significant relationship with patient safety culture. Conclusions: Given that "Staffing" was the lowest rated element in patient safety culture, improving this element could help to increase patient safety culture in hospitals in Tehran.
Iranian journal of public health, 2013
Since establishing a safety culture in an organization is considered as the first step in patient safety improvement, there is always a need for updated field evaluation to better plan future decisions. We performed a cross-sectional, analytic-descriptive study in 25 hospitals related to Mashhad University of Medical Sciences (MUMS) during a 3-month period from April to June 2012. A questionnaire, designed by previous patient safety culture studies with confirmed validity and reliability, was used and distributed among a sample of 922 staff, chosen randomly from the mentioned hospitals. Data were analyzed by SPSS software version 16. "Organizational learning - continuous improvement" and "teamwork within unit" had the highest percentage of positive results as 79.85 ± 12.03% and 71.92 ± 17.08%, respectively; whereas "non-punitive response" to errors (21.57 ± 6.42) and "staffing" (26.36 ± 16.84) came out as the least important factors. There wer...
Patient safety culture status in teaching hospitals: a case of Shiraz University of Medical Sciences
Being safe from dangers in receiving the healthcare services is one of the most obvious human rights however without creating the patient safety culture in health and treatment facilities, no stable development will take place in patient care. This cross-sectional study was conducted on 413 nurses working in 9 teaching hospitals. The questionnaire designed by the Agency for Healthcare Research and Quality was utilized to measure 12 aspects creating the patient safety culture. For analyzing data; Chi-square, t-test, ANOVA and Pearson correlation were used. Among the 12-fold dimensions of the patient safety culture, overall perception of patient safety, organizational learning-continuous improvement, team work within the units, communication openness, feedback about safety errors, non-punitive responses to errors, hospital administrator's support of patient safety, team work among the hospital units and frequency of event reporting were evaluated as inappropriate. In addition, the dimensions manager expectations and actions promoting safety and staffing were evaluated as average (mean scores=3 and 3.1). The dimension of hospital handoffs and transitions was measured as appropriate (mean score=3.7). Overall, the findings depicted the inappropriate status of the patient safety culture in all under studied hospitals. In conclusion, lack of appropriate and safe treatment operations in the hospitals, lack of serious protection of the superior managers, lack of error reporting because of the fear from punitive responses and not using the errors as the sources of learning caused inappropriate status of the patient safety culture, so there is an intense necessity for creating the appropriate patient safety culture in the studied hospitals.
ORIGINAL REPORT The First Study of Patient Safety Culture in Iranian Primary Health Centers
2012
Although the error in health care has received attention recently, patient safety culture in health centers has been relatively neglected. To measure the patient safety culture in primary health centers. A cross-sectional study, utilizing the modified version of the Hospital Survey on Patient Safety Culture (HSOPSC) developed by the Agency for Healthcare Research and Quality (AHRQ) and a demographic questionnaire. Healthcare staffs from health centers were participated in the survey. The patient safety culture score including subscores on 11 dimensions and 39 items; patient safety grade and number of events reported. The overall positive response rate of patient safety culture was 57 ±16.8 (CI 95 55%-59%). The dimensions that received higher positive response rate were "Teamwork across units of health center", "Teamwork within units", "Head of center support for patient safety". The lowest percentage of positive responses was "Non punitive response...
Measuring Safety Culture And Setting Priorities For Action At An Iranian Hospital
2010
Objective: the objective of the study is to measure safety culture in an Iranian hospital. Method: The present descriptive study was carried out through a cross-sectional method during spring of 2008. Standard AHRQ questionnaire on patient safety culture survey was applied. Study population comprised of the hospital nursing staff. The survey was carried out on 239 nursing staff. Results: Supervisor expectations and actions promoting patient safety and teamwork within units were highest scored dimensions of hospital regarding patient safety. Among hospital weaknesses regarding patient safety, no punitive response to error and overall patient safety grade were most brilliant. Conclusion: The hospital can establish a safe environment by trying to overcome its weaknesses. Creating an events reporting system and encouraging personnel to report probable errors and events and taking non punitive actions is suggested to treat events.
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.