scholarly journals Development and validation of an Italian version of the PMOS-30 questionnaire at hospital level

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
S Schiavone ◽  
A Cioffi ◽  
J Magrelli ◽  
F Attena

Abstract Background An important challenge for health systems worldwide is to ensure that health professionals can carry out their mission to treat, rehabilitate and prevent diseases safely. The Patient Measure of Safety (PMOS) questionnaire is an instrument that allows the systematic collection of patients' feedback about their care to understand and assess the level of safety in hospital. The PMOS-30 questionnaire was recently developed as shorter version of the 44-item PMOS. The objectives of this study are to develop and validate an Italian version of the PMOS-30 questionnaire so that this instrument can be utilised in hospital routine for the continuous improvement of patient safety. Methods A cross-sectional study was carried out on patients in a hospital in Italy. A confirmatory factor analysis was conducted after the development of an Italian version of the PMOS-30 questionnaire. Maximum Likelihood (ML) estimation was used to perform CFA. The quality of the model fit was evaluated on the basis of the Comparative Fit Index (CFI), Tucker Lewis Index (TLI) and Root Mean Square Error of Approximation (RMSEA). Results A total of 435 patients filled in the Italian version of the PMOS-30 questionnaire. The CFI did not achieve the fit value (CFI= 0.802). But RMSEA suggests a reasonably good fit value (RMSEA=0.076). Internal consistency analysis showed that the Cronbach's alpha value was more than 0.6 in all domains except for the domain “organisation and care planning” that had a value of 0.525. Conclusions Patients feedback about their safety in hospital is an important source of information for the routine hospital life. Since patient safety is an intrinsic part of patient care, it deserves every possible new approach in the continuous improvement of care. The PMOS-30 questionnaire is a validated instrument for hospital settings and future research in other Italian hospitals may increase the routine use of this instrument to improve patient safety. Key messages The use of the Italian version of the PMOS-30 questionnaire can support the identification of vulnerable areas in the hospital through patient feedback and therefore improve patient safety. The PMOS-30 questionnaire offers the opportunity to enable Italian hospital managers to track changes in safety over time through repeated assessments in the wards and avoid future patient incidents.

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Try Ayu Patmawati ◽  
Nur Asphina R Djano

Objective:  to analyze the culture of incident reporting of patient safety to nurses at the Sawerigading Palopo Hospital.Methods: This article used  descriptive analytic with a cross sectional design. The population in this study were nurses at Sawerigading Palopo Hospital with a sample of this study as many as 63 nurses, sampling using purposive sampling technique. The instrument used was the IRCQ (Incident Reporting Culture Questionnaire).Results:  This study was found that from 63 respondents there were 38 respondents (60.3%) who showed a negative response to incident reporting culture and positive response about 25 people (39.7%). Based on the subscale, the factor that received the greatest negative response was the factor "Collegial atmospheres of unpleasantness and punishment" with a total of 47 respondents (74.6%).  Conclusion: The culture of incident reporting at the Sawerigading Palopo hospital have to be improved by maintaining the three factors that have received a positive response, while for the  Collegial atmospheres of unpleasantness and punishment still needs to be improved by minimizing any worries from nurses regarding punishment and fear. Therefore it is important for all boards of directors and management to monitor and evaluate the culture of incident reporting in order to improve patient safety Objective:  to analyze the culture of incident reporting of patient safety to nurses at the Sawerigading Palopo Hospital.Methods: This article used  descriptive analytic with a cross sectional design. The population in this study were nurses at Sawerigading Palopo Hospital with a sample of this study as many as 63 nurses, sampling using purposive sampling technique. The instrument used was the IRCQ (Incident Reporting Culture Questionnaire).Results:  This study was found that from 63 respondents there were 38 respondents (60.3%) who showed a negative response to incident reporting culture and positive response about 25 people (39.7%). Based on the subscale, the factor that received the greatest negative response was the factor "Collegial atmospheres of unpleasantness and punishment" with a total of 47 respondents (74.6%).Conclusion: The culture of incident reporting at the Sawerigading Palopo hospital have to be improved by maintaining the three factors that have received a positive response, while for the  Collegial atmospheres of unpleasantness and punishment still needs to be improved by minimizing any worries from nurses regarding punishment and fear. Therefore it is important for all boards of directors and management to monitor and evaluate the culture of incident reporting in order to improve patient safety


Author(s):  
◽  
Sri Lestari Ramadhani Nasution ◽  

ABSTRACT Background: Patient safety issues became a global health concern, especially the occurrence of avoidable complications from surgical procedures. In 2008, World Health Organization launched the Safe Surgery Saves Lives program to improve patient safety. This study aimed to investigate the relationship between compliance to surgery safety checklist and incidents among anesthesiology nurses in operation theater at Royal Prima General Hospital, Medan, North Sumatera. Subjects and Method: This study was a cross-sectional study conducted at Royal Prima General Hospital, Medan, North Sumatera, in August 2019. A sample of 25 anesthesiology nurses was selected by the total sampling. The dependent variable was incidents in the operating room. The independent variable was the compliance of anesthesiology nurses on performing surgical safety checklist. The data of nurse compliance were measured by the completeness of filling sign in, time out, and sign out surgical safety checklists. The data were analyzed by chi-square. Results: The incidents in the operating room reduced with compliance in surgical safety checklist filling, but it was not statistically significant (OR= 0.12; 95% CI= 0.01 to 1.95; p= 0.218). Conclusion: The incidents in the operating room reduce with compliance in surgical safety checklist filling, but statistically non-significant. Keywords: surgical safety checklist, incidents, operating room Correspondence: Wienaldi. Department of Public Health, Faculty of Medicine, Universitas Prima Indonesia, Medan, Indonesia. Email: [email protected]. Mobile: +6285270130535. DOI: https://doi.org/10.26911/the7thicph.05.32


2019 ◽  
Vol 42 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Yonghee Han ◽  
Ji-Su Kim ◽  
YeJi Seo

This study aims to examine the associations between nurses’ perceptions of patient safety culture, patient safety competency, and adverse events. Using convenience sampling, we conducted a cross-sectional study from February to May 2018 in two university hospitals. Furthermore, we performed multiple logistic regression to examine associations between patient safety culture, patient safety competency, and adverse events. Higher mean scores for “communication openness” in patient safety culture were significantly correlated with lower rates for pressure ulcers and falls; furthermore, higher mean scores for “working in teams with other health professionals” in patient safety competency were significantly correlated with reductions in ventilator-associated pneumonia. We recommend that a well-structured hospital culture emphasizing patient safety and continuation of in-service education programs for nurses to provide high-quality, clinically safe care is required. Moreover, further research is required to identify interventions to improve patient safety culture and competency and reduce the occurrence of adverse events.


2014 ◽  
Vol 65 (2) ◽  
pp. 149-156 ◽  
Author(s):  
Hana Brborović ◽  
Ognjen Brborović ◽  
Vlatka Brumen ◽  
Gordana Pavleković ◽  
Jadranka Mustajbegović

AbstractWorking as a nurse involves great dedication and sacrifice: working night shifts, working overtime, and coming to work sick. The last is also known as presenteeism. Research has shown that poor nurse performance can affect both caregiver’s and patient’s safety. The aim of this cross-sectional study was to investigate whether nurse presenteeism affected patient safety culture and to look deeper into the characteristics of nurse presenteeism and patient safety culture in Croatia. The study was conducted in one general hospital in Croatia over April and May 2012 and specifically targeted medical nurses as one of the largest groups of healthcare professionals. They were asked to fill two questionnaires: the six-item Stanford Presenteeism Scale (SPS-6) and the Hospital Survey on Patient Safety Culture (HSOPSC). We found no association between presenteeism and patient safety culture. Overall positive perception of safety was our sample’s strength, but other dimensions were positively rated by less than 65 % of participants. The lowest positive response concerned “nonpunitive response to error”, which is consistent with previous studies. Presenteeist nurses did not differ in their characteristics from nurses without presenteeism (gender, age, years of experience, working hours, contact with patients and patient safety grades). Our future research will have to include a broader healthcare population for us to be able to identify weak spots and suggest improvements toward high-quality and cost-effective health care.


2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Titi Purwani ◽  
Fahmi Rahmy ◽  
Zifriyanthi Minanda Putri

Health service mistakes can result in thousands of people dying annually. One strategy to improve patient safety is to create the safety culture of patients with the satisfaction of nursing work. The dissatisfaction of nurses work can lead to a decline in hospital service quality. Objective: This study aims to know the relationship perception of nurse work satisfaction to patient safety culture. The studies used are descriptive-analytic with a cross-sectional approach. The sample number of 137 nurses taken at Padang in the 2020 period with total sampling techniques. There is a significant link between salary satisfaction, supervision, additional benefits, motivation, technical procedures, communication, and nursing work satisfaction with the safety culture of the patient. The most significant relationship is supervision with the safety culture of the patient.


2019 ◽  
pp. 1-5
Author(s):  
Zahra R Gaw

Patient safety is a fundamental principle in providing quality healthcare. Most studies focus on patient safety education among senior and postgraduate students but limited data are available at the undergraduate level. This study identifies awareness, knowledge, and perceptions of medical students at Imam Abdulrahman Bin Faisal University in Saudi Arabia toward patient safety. A cross-sectional study examining patient safety among 246 fifth- and sixth-year medical students was conducted. Fifth-year students reported more confidence in addressing broader patient safety issues in health education, while sixth-year students reported more comfort in speaking up about patient safety. “Culture of safety” and “communicating effectively” were the only two dimensions that differed significantly by gender (p<0.05). Findings indicated that there is a gap in student knowledge regarding many safety concepts that should be filled. Future research is needed to identify areas where development is required in the undergraduate medical curricula among Saudi Universities


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e027395
Author(s):  
Jacinthe Lemay ◽  
Tania Bayoud ◽  
Hajer Husain ◽  
Prem Sharma

ObjectivesTo assess the knowledge, perception and practices towards medication reconciliation (MedRec) and its related institutional policies among physicians and pharmacists in governmental hospitals in Kuwait and identifying potential obstacles that prevent the successful implementation of MedRec.DesignA descriptive, cross-sectional study.SettingSix governmental hospitals across Kuwait in January–May 2017.Participants351 physicians and 214 pharmacists.Brief interventionA self-administered questionnaire distributed to the participants.Main outcome measuresKnowledge, perception, attitudes and practices of hospital physicians and pharmacists towards MedRec, and major barriers to implementing a MedRec process in their institution/department.ResultsOf the 739 questionnaires distributed, 565 were completed (351 physicians and 214 pharmacists), giving a response rate of 76.5%. Results showed that most participants were familiar with the term MedRec (n=419; 75.2%) with significantly more pharmacists compared with physicians (n=171; 81.8% vs n=248; 71.3%; p=0.005). Most participants (n=432; 80.0%) reported perceiving MedRec as a valuable process for patient safety. However, significantly more physicians compared with pharmacists were aware of a MedRec policy in their institution (n=195; 55.9% vs n=78; 37.9%; p<0.001) and routinely asked patients about their current list of medication on arrival (n=339; 96.6% vs n=129; 61.1%; p<0.001) and provided an updated list on discharge (n=281; 80.1% vs n=107; 52.0%; p<0.001). These results are supported by the findings that participants perceived physicians as providers, mainly responsible for various steps of MedRec.ConclusionsOverall, this study showed low awareness among physicians and pharmacists of hospital policy despite MedRec being perceived as valuable. Physicians were the providers most responsible and involved in MedRec, who may be driven by the policy putting them at core of the process. The current findings could pave the way for the expansion of the existing MedRec policies and processes in Kuwait to include pharmacists and improve patient safety.


Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e60734
Author(s):  
Micheline da Fonseca Silva ◽  
Manacés dos Santos Bezerril ◽  
Flávia Tavares Barreto Chiavone ◽  
Soraya Helena Medeiros de Morais ◽  
Maria Eduarda Gonçalves da Costa ◽  
...  

Objective: to characterize the culture of patient safety from the perspective of nursing technicians of an emergency sector. Methods: cross-sectional study, developed in the emergency sector of a state hospital with 175 nursing technicians, from a 12-dimensional instrument on safety culture. The analysis of the data made based on the percentages of positive, negative and neutral responses of each dimension. Results: the culture of patient safety was characterized positively from the dimension Expectations about its supervisor/head and actions promoting patient safety (56.6%); negatively in the sphere Adequacy of professionals (75.5%); and in a neutral way, in the scope of Organizational Learning - continuous improvement (61.1%). Conclusion: it was understood that nursing technicians characterize the culture of patient safety in the emergency sector as an important aspect of the work environment, but that it needs to be optimized.


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