Contribution of PCA/K-means methods to the mixed assessment of patient safety culture

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Youcef Oussama Fourar ◽  
Mebarek Djebabra ◽  
Wissal Benhassine ◽  
Leila Boubaker
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Healthcare Providers ◽  
Principal Component ◽  
Patient Safety Culture ◽  
International Standards ◽  
Maturity Model ◽  
Content Type ◽  
Novel Approach ◽  
Blame Culture

PurposeThe assessment of patient safety culture (PSC) is a major priority for healthcare providers. It is often realized using quantitative approaches (questionnaires) separately from qualitative ones (patient safety culture maturity model (PSCMM)). These approaches suffer from certain major limits. Therefore, the aim of the present study is to overcome these limits and to propose a novel approach to PSC assessment.Design/methodology/approachThe proposed approach consists of evaluating PSC in a set of healthcare establishments (HEs) using the HSOPSC questionnaire. After that, principal component analysis (PCA) and K-means algorithm were applied on PSC dimensional scores in order to aggregate them into macro dimensions. The latter were used to overcome the limits of PSC dimensional assessment and to propose a quantitative PSCMM.FindingsPSC dimensions are grouped into three macro dimensions. Their capitalization permits their association with safety actors related to PSC promotion. Consequently, a quantitative PSC maturity matrix was proposed. Problematic PSC dimensions for the studied HEs are “Non-punitive response to error”, “Staffing”, “Communication openness”. Their PSC maturity level was found underdeveloped due to a managerial style that favors a “blame culture”.Originality/valueA combined quali-quantitative assessment framework for PSC was proposed in the present study as recommended by a number of researchers but, to the best of our knowledge, few or no studies were devoted to it. The results can be projected for improvement and accreditation purposes, where different PSC stakeholders can be implicated as suggested by international standards.

scholarly journals Contribution to a Mixed Assessment of Patient Safety Culture

2020 ◽  
Author(s):  
Youcef Oussama Fourar ◽  
Mebarek Djebabra ◽  
Wissal Benhassine ◽  
Leila Boubaker
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Quantitative Methods ◽  
Principal Component ◽  
Patient Safety Culture ◽  
International Standards ◽  
Systematic Evaluation ◽  
Maturity Model ◽  
Combined Method ◽  
Novel Approach

Abstract Purpose: The evaluation of patient safety culture is conducted using quantitative methods based on the use of questionnaires and qualitative ones focused on the deployment of cultural maturity models. These methods are known to suffer from certain major limits. This article aims to overcome the difficulties encountered by both methods and to propose a novel approach to the assessment of PSC. Methodology: The approach proposed in this article consists of applying a combined method, based on Principal Component Analysis (PCA) and K-means algorithm, to group together PSC dimensions into macro-dimensions whose exploitation allows to overcome the difficulties encountered with dimensional analysis of PSC and then, serve as a basic support for the development of a patient safety culture maturity model. Findings: The results of the combined method PCA / k-means shows that PSC dimensions can be grouped into three macro-dimensions that were capitalized in a first place using factors related to the development of PSC and in a second place to develop a quantitative maturity matrix that helped in the identification of PSC maturity levels.Originality: The merit of our proposal is to work towards a quali-quantitative evaluation of safety culture recommended by a good number of researchers but, to our knowledge, few or no studies are devoted to this hybrid or systematic evaluation of safety culture. Thus, the results can also be projected to implicate PSC actors and to frame the evaluation pf PSC maturity by international standards.

Patient safety culture in Hungarian hospitals

2019 ◽  
Vol 32 (2) ◽  
pp. 412-424 ◽  
Author(s):  
Nina Granel ◽  
Josep Maria Manresa-Domínguez ◽  
Anita Barth ◽  
Katalin Papp ◽  
Maria Dolors Bernabeu-Tamayo
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Healthcare Staff ◽  
Content Type ◽  
Work Area ◽  
Exploratory Factor Analyses ◽  
The Usa ◽  
Blame Culture

Purpose The Hospital Survey on Patient Safety Culture (HSOPSC) is a rigorously designed tool for measuring inpatient safety culture. The purpose of this paper is to develop a cross-cultural HSOPSC for Hungary and determine its strengths and weaknesses. Design/methodology/approach The original US version was translated and adapted using existing guidelines. Healthcare workers (n=371) including nurses, physicians and other healthcare staff from six Hungarian hospitals participated. Answers were analyzed using exploratory factor analyses and reliability tests. Findings Positive responses in all dimensions were lower in Hungary than in the USA. Half the participants considered their work area “acceptable” regarding patient safety. Healthcare staff worked in “crisis mode,” trying to accomplish too much and too quickly. The authors note that a “blame culture” does not facilitate patient safety improvements in Hungary. Practical implications The results provide valuable information for promoting a more positive patient safety culture in Hungary and for evaluating future strategies to improve patient safety. Originality/value Introducing a validated scale to measure patient safety culture in Hungary improves healthcare quality.

Proposal of a novel approach to the assessment of patient safety culture

2021 ◽  
Vol 7 (3) ◽  
pp. 175
Author(s):  
Youcef Oussama Fourar ◽  
Mebarek Djebabra ◽  
Wissal Benhassine ◽  
Leila Boubaker
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Novel Approach

Assessment of patient safety culture during COVID-19: a cross-sectional study in a tertiary a-level hospital in China

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chih-Hsuan Huang ◽  
Ying Wang ◽  
Hsin-Hung Wu ◽  
Lee Yii-Ching
Keyword(s):  
Patient Safety ◽  
Working Conditions ◽  
Emotional Exhaustion ◽  
Safety Culture ◽  
Team Building ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Content Type ◽  
Safety Attitudes

PurposeThe aims of this study are to (1) evaluate physicians and nurses' perspectives on patient safety culture amid the COVID-19 pandemic and (2) integrate the emotional exhaustion of physicians and nurses into an evaluation of patient safety culture to provide insights into appropriate implications for medical care.Design/methodology/approachPatient safety culture was assessed with the Chinese version of the Safety Attitudes Questionnaire. Confirmatory factor analysis was conducted to validate the structure of the data (i.e. reliability and validity), and Pearson's correlation analysis was performed to identify relationships between safety-related dimensions.FindingsSafety climate was strongly associated with working conditions and teamwork climate. In addition, working conditions was highly correlated with perceptions of management and job satisfaction, respectively. It is worth noting that the stress and emotional exhaustion of the physicians and nurses during this epidemic were high and needed attention.Practical implicationsFor healthcare managers and practitioners, team-building activities, power of public opinions, IoT-focused service, and Employee Assistance Programs are important implications for inspiring the patient safety-oriented culture during the period of the COVID-19 pandemic.Originality/valueThis paper considers the role of emotional state into patient safety instrument, a much less understood but equally important dimension in the field of patient safety.

Broadening the concept of patient safety culture through value-based healthcare

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Viktor Dombrádi ◽  
Klára Bíró ◽  
Guenther Jonitz ◽  
Muir Gray ◽  
Anant Jani
Keyword(s):  
Patient Safety ◽  
Patient Experience ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Cost Benefit ◽  
Population Level ◽  
Patient Safety Culture ◽  
Content Type ◽  
Experience Of Care ◽  
Improve Patient

PurposeDecision-makers are looking for innovative approaches to improve patient experience and outcomes with the finite resources available in healthcare. The concept of value-based healthcare has been proposed as one such approach. Since unsafe care hinders patient experience and contributes to waste, the purpose of this paper is to investigate how the value-based approach can help broaden the existing concept of patient safety culture and thus, improve patient safety and healthcare value.Design/methodology/approachIn the arguments, the authors use the triple value model which consists of personal, technical and allocative value. These three aspects together promote healthcare in which the experience of care is improved through the involvement of patients, while also considering the optimal utilisation and allocation of finite healthcare resources.FindingsWhile the idea that patient involvement should be integrated into patient safety culture has already been suggested, there is a lack of emphasis that economic considerations can play an important role as well. Patient safety should be perceived as an investment, thus, relevant questions need to be addressed such as how much resources should be invested into patient safety, how the finite resources should be allocated to maximise health benefits at a population level and how resources should be utilised to get the best cost-benefit ratio.Originality/valueThus far, both the importance of patient safety culture and value-based healthcare have been advocated; this paper emphasizes the need to consider these two approaches together.

Evaluation of patient safety culture in a private general hospital: a case study in Brazil

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 ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Administrative Staff ◽  
Management Support ◽  
Content Type ◽  
Administrative Services ◽  
Graduate Degrees ◽  
Brazilian Version

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.

scholarly journals Examination of the relationship between management and clinician agreement on communication openness, teamwork, and patient satisfaction in the US hospitals

2016 ◽  
Vol 5 (4) ◽  
pp. 20
Author(s):  
Olena Mazurenko ◽  
Jason Richter ◽  
Abby Swanson-Kazley ◽  
Eric Ford
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Data Sets ◽  
Cross Sectional ◽  
Communication Openness ◽  
Cross Sectional Design ◽  
Willingness To Recommend

Background: Patient satisfaction has always been an area of focus for hospitals, but gained particular importance due to the changes in the Centers for Medicare and Medicaid reimbursement policies. Hospital managers and clinicians interact with patients in different ways and have different perspectives on safety culture, yet little is known about how that impacts patient satisfaction.Objective: To examine how the agreement between clinicians and management perspectives on patient safety culture is related to patient satisfaction by employing cross-sectional design with linear regressions.Methods: Two data sets were used: 2012 Hospital Survey on Patient Safety Culture and 2012 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The dependent variables were: overall rating of the hospital experience and willingness to recommend a hospital. The independent variables were four safety culture domains: communication openness, feedback, and communication about errors, teamwork within units, and teamwork between units.Results: The results suggest that manager and clinician agreement on high levels of communication openness, feedback and communication about errors, teamwork between units, and teamwork across units were positively and significantly associated with overall patient satisfaction and willingness to recommend. Additionally, more favorable perceptions about patient safety culture by only clinicians yielded similar findings.Conclusions: For policymakers, measuring managers and clinicians’ perceptions on patient safety culture may provide a valuable indicator of patient satisfaction throughout the country. While managers are more likely to have the power to devote resources to patient safety initiatives, they may not adequately judge culture in their unit and should take into account the perspectives of clinicians who have a more frontline perspective.

Improving service operations: linking safety culture to hospital performance

2017 ◽  
Vol 28 (1) ◽  
pp. 57-84 ◽  
Author(s):  
Gregory N. Stock ◽  
Kathleen L. McFadden
Keyword(s):  
Patient Safety ◽  
Performance Measures ◽  
Safety Culture ◽  
Linear Regression Analysis ◽  
Patient Safety Culture ◽  
Hospital Performance ◽  
Data Set ◽  
Content Type ◽  
Objective Performance ◽  
Objective Performance Measures

Purpose The purpose of this paper is to examine the relationship between patient safety culture and hospital performance using objective performance measures and secondary data on patient safety culture. Design/methodology/approach Patient safety culture is measured using data from the Agency for Healthcare Research and Quality’s Hospital Survey on Patient Safety Culture. Hospital performance is measured using objective patient safety and operational performance metrics collected by the Centers for Medicare and Medicaid Services (CMS). Control variables were obtained from the CMS Provider of Service database. The merged data included 154 US hospitals, with an average of 848 respondents per hospital providing culture data. Hierarchical linear regression analysis is used to test the proposed relationships. Findings The findings indicate that patient safety culture is positively associated with patient safety, process quality and patient satisfaction. Practical implications Hospital managers should focus on building a stronger patient safety culture due to its positive relationship with hospital performance. Originality/value This is the first study to test these relationships using several objective performance measures and a comprehensive patient safety culture data set that includes a substantial number of respondents per hospital. The study contributes to the literature by explicitly mapping high-reliability organization (HRO) theory to patient safety culture, thereby illustrating how HRO theory can be applied to safety culture in the hospital operations context.

Patient safety culture in burn care units from the perspectives of healthcare providers: across-sectional study

2021 ◽  
Author(s):  
Maryam Moghimian ◽  
Sedigheh Farzi ◽  
Kolsoum Farzi ◽  
Mohammad Javad Tarrahi ◽  
Hossein Ghasemi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Care Delivery ◽  
Quality Care ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Burn Care ◽  
Healthcare Settings ◽  
Collection Data

Abstract Creating a positive patient safety culture is a key step in the improvement of patient safety in healthcare settings. PSC is a set of shared attitudes, beliefs, and perceptions about PS among healthcare providers. This study aimed to assess PSC in burn care units from the perspectives of healthcare providers. This cross-sectional descriptive study was conducted in 2020 in the units of a specialty burn center. Participants were 213 healthcare providers recruited to the study through a census. A demographic questionnaire and the Hospital Survey on Patient Safety Culture were used for data collection. Data were managed using the SPSS16 software and were summarized using the measures of descriptive statistics. The mean of positive responses to PSC items was 51.22%, denoting a moderate-level PSC. The lowest and the highest dimensional mean scores were related to the no punitive response to error dimension (mean: 12.36%) and the teamwork within departments dimension (mean: 73.25%), respectively. Almost half of the participants (49.3%) reported acceptable PS level in their workplace and 69.5% of them had not reported any error during the past twelve months before the study. Given the great vulnerability of patients with burn injuries in clinical settings, improving PSC, particularly in the no punitive response to error dimension, is essential to encourage healthcare providers for reporting their errors and thereby, to enhance PS. For quality care delivery, healthcare providers in burn care units need a safe workplace, adequate managerial support, a blame-free PSC, and an incentive error reporting system to readily report their errors.

Organizational learning and patient safety: hospital pharmacy settings

2019 ◽  
Vol 33 (6) ◽  
pp. 695-713
Author(s):  
Wael Abdallah ◽  
Craig Johnson ◽  
Cristian Nitzl ◽  
Mohammed A. Mohammed
Keyword(s):  
Patient Safety ◽  
Organizational Learning ◽  
Safety Culture ◽  
Hospital Pharmacy ◽  
Patient Safety Culture ◽  
Partial Least Square ◽  
Equation Modeling ◽  
Content Type ◽  
Hospital Pharmacies ◽  
The Relationship

Purpose The purpose of this paper is to explore the relationship between organizational learning and patient safety culture in hospital pharmacy settings as determined by the learning organization survey short-form (LOS-27) and pharmacy survey on patient safety culture instruments, and to further explore how dimensions of organizational learning relate to dimensions of pharmacy patient safety culture. Design/methodology/approach This study is a cross-sectional study. Data were obtained from three public hospital pharmacies and three private hospital pharmacies in Kuwait. Partial least square structural equation modeling was used to analyze the data. Findings A total of 272 surveys (59.1 percent response rate) were completed and returned. The results indicated a significant positive relationship between organizational learning and patient safety culture in hospital pharmacy settings (path coefficient of 0.826, p-value <0.05 and R2 of 0.683). Several dimensions of the organizational learning showed significant links to the various dimensions of the pharmacy patient safety culture. Specifically, training (TRN), management that reinforces learning (MRL) and supportive learning environment (SLE) had the strongest effects on the pharmacy patient safety culture dimensions. Moreover, these effects indicated that MRL, SLE and TRN were associated with improvements in most dimensions of pharmacy patient safety culture. Originality/value To the best of the authors’ knowledge, this is the first attempt to assess the relationship between organizational learning, patient safety culture and their dimensions in hospital pharmacy settings.

Sign in / Sign up

Export Citation Format

Share Document