The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions (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.
Strategies for improving patient safety culture in hospitals: a systematic review
BMJ quality & safety, 2013
To determine the effectiveness of patient safety culture strategies to improve hospital patient safety climate. Electronic search of the Cochrane Library, OVID Medline, Embase, CINAHL, proQuest and psychinfo databases, with manual searches of quality and safety websites, bibliographies of included articles and key journals. English language studies published between January 1996 and April 2011 that measured the effectiveness of patient safety culture strategies using a quantitative measure of patient safety climate in a hospital setting. Studies included were randomised controlled trials (RCTs), non-RCTs, controlled before and after studies, interrupted time series and historically controlled studies. Data extraction and critical appraisal were conducted by two independent reviewers. Study design, intervention, level of application, setting, study participants, safety climate outcome measures and implementation lessons were extracted from each article. Over 2000 articles were screen...
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.
Assessing patient safety culture in hospitals across countries
International Journal for Quality in Health Care, 2013
Objective. It is believed that in order to reduce the number of adverse events, hospitals have to stimulate a more open culture and reflective attitude towards errors and patient safety. The objective is to examine similarities and differences in hospital patient safety culture in three countries: the Netherlands, the USA and Taiwan.
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).
Predictors and outcomes of patient safety culture in hospitals
BMC Health Services Research, 2011
Background: Developing a patient safety culture was one of the recommendations made by the Institute of Medicine to assist hospitals in improving patient safety. In recent years, a multitude of evidence, mostly originating from developed countries, has been published on patient safety culture. One of the first efforts to assess the culture of safety in the Eastern Mediterranean Region was by in Lebanon. The study entitled "The Current State of Patient Safety Culture: a study at baseline" assessed the culture of safety in Lebanese hospitals. Based on study findings, the objective of this paper is to explore the association between patient safety culture predictors and outcomes, taking into consideration respondent and hospital characteristics. In addition, it will examine the correlation between patient safety culture composites.
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.
2017
Patient safety theme is becoming one of the most discussed theme in healthcare facilities, mainly at hospitals. The main aim of this paper was to present a review of the structure Hospital Survey on Patient Safety Culture model (HSOPSC) and analyze in a brief summary of the main researches that were developed recently using this survey model to explain the patient safety culture dimensions. This instrument was created by the Agency for Healthcare Research and Quality (AHRQ) and became a survey commonly used in the United States of America and increasingly used internationally, with or without adaptations.
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.
Patient safety culture in European hospitals: A comparative mixed methods study
Patient safety culture in European hospitals: A comparative mixed methods study, 2022
Background: Poorly organized health systems with inadequate leadership limit the development of the robust safety cultures capable of preventing consequential adverse events. Although safety culture has been studied in hospitals worldwide, the relationship between clinician perceptions about patient safety and their actual clinical practices has received little attention. Despite the need for mixed methods studies to achieve a deeper understanding of safety culture, there are few studies providing comparisons of hospitals in different countries. Purpose: This study compared the safety culture of hospitals from the perspective of nurses in four European countries, including Croatia, Hungary, Spain, and Sweden. Design: A comparative mixed methods study with a convergent parallel design. Methods: Data collection included a survey, participant interviews, and workplace observations. The sample was nurses working in the internal medicine, surgical, and emergency departments of two public hospitals from each country. Survey data (n = 538) was collected with the Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative date was collected through 24 in-depth interviews and 147 h of non-participant observation. Survey data was analyzed descriptively and inferentially, and content analysis was used to analyze the qualitative data. Results: The overall perception of safety culture for most dimensions was ‘adequate’ in Sweden and ‘adequate’ to ‘poor’ in the other countries with inconsistencies identified between survey and qualitative data. Although teamwork within units was the most positive dimension across countries, the qualitative data did not consistently demonstrate support, respect, and teamwork as normative attributes in Croatia and Hungary. Staffing and workload were identified as major areas for improvement across countries, although the nurse-to-patient ratios were the highest in Sweden, followed by Spain, Hungary, and Croatia. Conclusions: Despite all countries being part of the European Union, most safety culture dimensions require improvement, with few measured as good, and most deemed to be adequate to poor. Dimension level perceptions were at times incongruent across countries, as observed patient safety practices or interview perspectives were inconsistent with a positive safety culture. Differences between countries may be related to national culture or variability in health system structures permitted by the prevailing European Union health policy.