Patient safety culture in university hospital's emergency departments: A case study

2019 ◽  
Vol 35 (4) ◽  
pp. 852-858 ◽  
Author(s):  
Mahmood Nekoei‐Moghadam ◽  
Mehdi Raadabadi ◽  
Majid Heidarijamebozorgi
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cassiana Gil Prates ◽  
Rita Catalina Aquino Caregnato ◽  
Ana Maria Müller de Magalhães ◽  
Daiane Dal Pai ◽  
Janete de Souza Urbanetto ◽  
...  

PurposeThe purpose is to assess the patient safety culture perceived by healthcare and administrative staff in a Brazilian hospital and examine whether education and experience are related to positive perceptions.Design/methodology/approachA descriptive–analytical case study was carried out at Ernesto Dornelles Hospital, a private Brazilian institution. The Brazilian version of the Hospital Survey on Patient Safety Culture was used to assess the perceptions of 618 participants, of whom 315 worked in healthcare assistance and 303 in administrative services. The main outcome was the percentage of positive responses, and the independent variables included the type of work, schooling and length of experience.FindingsNone of the twelve dimensions was strengthened. The percentage of positive responses was the highest for “Hospital management support for patient safety” (67.5%), and the lowest was for “Nonpunitive response to error” (29%). The healthcare staff had a slightly higher average than the administrative staff. The percentage of positive responses from professionals with undergraduate or graduate degrees was higher for the eight dimensions of safety culture. The length of hospital experience was not associated with any dimensions.Originality/valueThis study explored the influence of education and professional experience on the perception of patient safety in healthcare and administrative staff from a private institution. These approaches allow to know with greater depth and clarity factors that are related to the patient safety culture and, thus, have more consistent evidence to support interventions in specific needs.


Author(s):  
Mohammed Alsabri ◽  
Mervat Abdulaziz AlGhallabi ◽  
Farouk Abdulrahman Al-Qadasi ◽  
Asma Abdullah Yahya Zeeherah ◽  
Adekemi Ebo ◽  
...  

Introduction: Quality and safety is an important challenge in healthcare systems all over the world particularly in developing parts. Objective: This survey aimed to assess patient safety culture (PSC) in emergency departments (EDs) in Yemen and identify its associated factors. Methods: A questionnaire containing the Hospital Survey on Patient Safety Culture (HSOPSC) was distributed to ED physicians, nurses, and clinical, and non-clinical staff at three public teaching general hospitals. The percentages of positive responses on the 12 patient safety dimensions and the summation of PSC and two outcomes (overall patient safety grade and adverse events reported in the past year) were assessed. Factors associated with PSC aggregate score were analyzed. Results: finally, out of 400 questionnaires, 250 (64%) were analyzed. In total, 207 (82.3%) participants were nurses and physicians; 140 (56.0%) were male; 134 (53.6%) were less than 30 years old; and 134 (53.6%) had a university degree. Participants provided the highest ratings for the “teamwork within units” PSC composite (67%). The lowest rating was for “non-punitive response to error” (21.3%). A total of 120 (48.1%) participants did not report any events in the past year and 99 (39.7%) gave their hospital an “excellent/very good” overall patient safety grade. There were significant differences between the hospitals’ EDs in the rating of “handoffs and transitions” (p=0.016), “teamwork within units” (p=0.018), and “frequency of adverse events reported” (p=0.016). Staff working in intensive care units (8.4%, n=21) had lower patient safety aggregate scores. Conclusions: PSC ratings appear to be low in Yemen. This study emphasizes the need to create and maintain a PSC in EDs through the implementation of quality improvement strategies and environment of transparency, open communications, and continuous learning.


2021 ◽  
Vol 54 ◽  
pp. 100941
Author(s):  
Wiem Aouicha ◽  
Mohamed Ayoub Tlili ◽  
Jihene Sahli ◽  
Mohamed Ben Dhiab ◽  
Souad Chelbi ◽  
...  

2013 ◽  
Vol 23 (7) ◽  
pp. 556-564 ◽  
Author(s):  
Chaojie Liu ◽  
Weiwei Liu ◽  
Yuanyuan Wang ◽  
Zhihong Zhang ◽  
Peng Wang

Author(s):  
Hesham A. Almomani ◽  
Haetham Doweire ◽  
Osama Al meanzel

2018 ◽  
Vol Volume 11 ◽  
pp. 83-98 ◽  
Author(s):  
Xiao Ping Xu ◽  
Dong Ning Deng ◽  
Yong Hong Gu ◽  
Chui Shan Ng ◽  
Xiao Cai ◽  
...  

2020 ◽  
Vol 8 ◽  
pp. 63-72
Author(s):  
Perjit Singh ◽  
Ellisha Nasruddin

This case study investigated the nature of patient safety culture in a Malaysian private hospital. This was accomplished by studying the general perception of patient safety with a survey questionnaire and insights from open comments. The Donabedian framework of quality was used to further analyse the nature of patient safety culture from the perspective of millennials. Findings from the interviews were triangulated with data from observations and document reviews, which were interpreted based on the High Reliability Organisation (HRO) principles. They revealed that the structures and concerns in the practice environment regard the artificial intelligence (AI) system, human capital management, and manpower, while processes such as communication, teamwork and collaboration issues, and training and improvements are vital. Patient safety culture outcomes which depend on structures and processes indicated the need for improvements in the frequency of events reported. The main implication of this study is that to raise standards of care to those in an HRO and in a complex care environment, a paradigm shift from current reactive standards towards a more proactive safety system, based on flexibility and stability, would be necessary. This requires a strong case organisation to note appropriate structures and processes affecting eventual outcomes.


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