scholarly journals Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication

2017 ◽  
Vol 7 (3) ◽  
pp. 168-174 ◽  
Author(s):  
Akram Ghahramanian ◽  
Tayyebeh Rezaei ◽  
Farahnaz Abdullahzadeh ◽  
Zahra Sheikhalipour ◽  
Iman Dianat
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Professional Communication

scholarly journals Effects of Patient Safety Culture on Patient Satisfaction With Radiological Services in Nigerian Radiodiagnostic Practice

2018 ◽  
Vol 5 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Chioma Henrietta Okafor ◽  
Anthony C Ugwu ◽  
Ime Edet Okon
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Positive Response ◽  
Health Workers ◽  
Care Delivery ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Patient Satisfaction Questionnaire

Introduction: Patient safety culture is believed to be the first step toward improvement in quality of health-care delivery which will impact patient satisfaction. Objective: To assess the effect of patient safety culture on patient satisfaction in radiodiagnostic practice. Method: Two validated questionnaires via Hospital Survey on Patient Safety Culture by Agency of Health Research and Quality and patient satisfaction questionnaire by Hays were administered to radiodiagnostic staff and patients who came for diagnostic care, respectively. These questionnaires were based on 5-point Likert scale. Questionnaires on patient safety culture and patient satisfaction were administered to 80 radiology health workers and 376 patients of radiology, respectively. Simple random sampling was used to enlist the participants for patient satisfaction while a population study was carried out to enlist patient safety culture participants. Data were analyzed using SPSS version 17. Results: Response rate for patient safety culture questionnaires was 94.6%, while that of patient satisfaction was 62.8%. Among the survey items of patient safety, teamwork has the highest positive response of 76.5%, while staffing has the least, 30%. Overall patient safety culture was 53.7%. The survey item with highest positive response in patient satisfaction survey was patient-provider relationship (80%), while service cost-effectiveness has the least of 59%. Overall patient satisfaction with radiological services was 72.6%. There is no correlation between patient safety culture and patient satisfaction. Conclusion: Even though there is an excellent level of patient satisfaction in this study, it is not related to the practice of patient safety culture in radiodiagnostic unit.

scholarly journals Comparing patient safety culture in Bulgarian, Croatian and American hospitals – preliminary results

2019 ◽  
Author(s):  
Rumyana Stoyanova ◽  
Rositsa Dimova ◽  
Miglena Tarnovska ◽  
Tatyana Boeva ◽  
Rosen Dimov ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Quality Of Healthcare ◽  
Developed Countries ◽  
Medical Professionals ◽  
Hospital Units ◽  
The Status ◽  
The Usa ◽  
Medical University

Background and aims. Patient safety culture (PSC) is an essential component of the quality of healthcare. Improving PSC is considered a priority in many developed countries. A specialized software platform for registration and evaluation of hospital patient safety culture has been developed with the support of the Medical University Plovdiv Project №11/2017. The aim of the study is to assess the status of PSC in Bulgarian hospitals and to compare it to that in USA and Croatian hospitals. Methods. The study was conducted from June 01 to July 31, 2018 using the web-based Bulgarian Version of the Hospital Survey on Patient Safety Culture Questionnaire (B-HSOPSC). Two hundred and forty-eight medical professionals from different hospitals in Bulgaria participated in the study. In order to quantify the differences of positive scores distributions for each of the 42 HSOPSC items between Bulgarian, Croatian and USA samples, the χ2-test was applied. The research hypothesis assumed that there were no significant differences between the Bulgarian, Croatian and US PSCs. Results. The results revealed 14 significant differences in the positive scores between the Bulgarian and Croatian PSCs and 15 between the Bulgarian and the USA PSC, respectively. Bulgarian medical professionals provided less positive responses to 12 items compared with Croatian and USA respondents. The Bulgarian respondents were more positive compared to Croatians on the feedback and communication of medical errors (Items - C1, C4, C5) as well as on the employment of locum staff (A7) and the frequency of reported mistakes (D1). Bulgarian medical professionals were more positive compared with their USA colleagues on the communication of information at shift handover and across hospital units (F5, F7). The distribution of positive scores on items: “Staff worry that their mistakes are kept in their personnel file” (RA16), “Things ‘fall between the cracks’ when transferring patients from one unit to another” (RF3) and “Shift handovers are problematic for patients in this hospital” (RF11) were significantly higher among Bulgarian respondents compared with Croatian and US respondents. Conclusions. Significant differences of positive scores distribution were found between Bulgarian and USA PSC on one hand and between Bulgarian and Croatian on the other. The study reveals that distribution of positive responses could be explained by the cultural, organizational and healthcare system differences.

The Influence of Nursing Work Environment on Patient Safety

2020 ◽  
Vol 68 (8) ◽  
pp. 384-390
Author(s):  
Maha Mihdawi ◽  
Rasmieh Al-Amer ◽  
Rima Darwish ◽  
Sue Randall ◽  
Tareq Afaneh
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Professional Communication ◽  
Communication Style ◽  
Public And Private ◽  
Nursing Work Environment ◽  
Work Index ◽  
Public And Private Hospitals

Background: Patient safety has been a concern over the past two decades. The value of nurses and their work environment in relation to patient safety has been acknowledged by studies and international organizations. This study aimed to examine the relationship between patient safety practices and the nursing work environment. Methods: In total, 570 registered nurses were invited from the inpatient units in public and private hospitals. Perceived patient safety was evaluated using the Overall Perceptions of Patient Safety subscale from the Hospital Survey of Patient Safety Culture (HSPSC). The nursing work environment was assessed using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Findings: Of the 350 of 570 (64.6%) nurses surveyed, 35.2% (125) reported positive levels of perceived patient safety. Staffing and resource adequacy, professional communication style, and nurses’ participation in hospital quality improvement activities were associated with higher levels of perceived patient safety. Conclusion/Application to Practice: This study provided empirical results about perceived patient safety culture in relation to nursing work environment. It is paramount to focus on specific dimensions of the nursing work environment, such as staffing and resource adequacy, nurses’ participation and advancement, and communication style to improve the quality of care provided to patients. Hospitals are considered one of the most hazardous places compared with industries. Policy makers would help reduce injuries, save resources, and build a culture of safety when taking into consideration the importance of the nursing work environment in relation to patient safety.

scholarly journals Patient Safety Culture in EU Legislation

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 410
Author(s):  
Anna Pilarska ◽  
Agnieszka Zimmermann ◽  
Kamila Piątkowska ◽  
Tomasz Jabłoński
Keyword(s):  
European Union ◽  
Patient Safety ◽  
Safety Culture ◽  
Service Providers ◽  
Medical Personnel ◽  
Patient Safety Culture ◽  
Healthcare Services ◽  
Legal Framework ◽  
World Health ◽  
The European Union

Patient safety means a condition in which a patient does not suffer any unnecessary actual harm, nor is exposed to any potential harm related to healthcare. The World Health Organization’s recognition of patient safety, as one of the most important factors in determining high quality healthcare, initiated the systematic introduction of changes in the approach to this issue, both globally and on the level of individual healthcare service providers. In order to enhance the quality and ensure the safety of healthcare services provided, national, European Union, and worldwide institutions focus on the introduction of a so-called patient safety culture. The creation of this safety culture would not be possible without the establishment of its legal framework. The purpose of this article is to shed light on the legislative achievements of the European Union within patient safety, taking into consideration acts that summarize the level of implementation of individual recommendations. This study can be useful both for those who focus their scientific interests on the subject of patient safety and those who need concise information on the legislative measures of the Community in this respect, as well as for medical personnel who want to become acquainted with this issue without reading comprehensive legal acts.

scholarly journals Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Talal ALFadhalah ◽  
Buthaina Al Mudaf ◽  
Hanaa A. Alghanim ◽  
Gheed Al Salem ◽  
Dina Ali ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Multivariate Regression Analysis ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Health

Abstract Background Assessments of the culture surrounding patient safety can inform healthcare settings on how their structures and processes impact patient outcomes. This study investigated patient safety culture in Primary Health Care Centres in Kuwait, and benchmarked the findings against regional and international results. This study also examined the association between predictors and outcomes of patient safety culture in these settings. Methods This cross-sectional quantitative study used the Medical Office Survey on Patient Safety Culture. The study was targeted at staff of all the Primary Health Care Centres in Kuwait with at least one year of experience. Data were analysed using SPSS 23 at a significance level of ≤ .05. Univariate (means, standard deviations, frequencies, percentages) and bivariate (chi-squared tests, student t-tests, ANOVA F-tests, Kruskal–Wallis tests, Spearman’s correlation) analyses provided an overview of participant socio-demographics and the association between patient safety culture composites and outcomes. We undertook a multivariate regression analysis to predict the determinants of patient safety culture. Results were benchmarked against similar local (Kuwait, 2014), regional (Yemen, 2015) and international (US, 2018) studies. Results The responses of 6602 employees from 94 centres were included in the study, with an overall response rate of 78.7%. The survey revealed Teamwork (87.8% positive ratings) and Organisational Learning (78.8%) as perceived areas of strength. Communication about Error (57.7%), Overall Perceptions of Patient Safety and Quality (57.4%), Communication Openness (54.4%), Owner/Managing Partner/Leadership Support for Patient Safety (53.8%) and Work Pressure and Pace (28.4%) were identified as areas requiring improvement. Benchmarking analysis revealed that Kuwait centres are performing at benchmark levels or better on four and six composites when compared to international and regional findings, respectively. Regression modelling highlighted significant predictions regarding patient safety outcomes and composites. Conclusions This is the first major study addressing the culture of patient safety in public Primary Health Care Centres regionally. Improving patient safety culture is critical for these centres to improve the quality and safety of the healthcare services they provide. The findings of this study can guide country-level strategies to develop the systems that govern patient safety practices.

Assessing patient safety culture at the National Hospital of Obstetrics and Gynecology in 2019

2021 ◽  
Vol 30 (9) ◽  
pp. 83-90
Author(s):  
Nguyen Thi Phuong Thao ◽  
Dao Anh Son ◽  
Tran Thi Huong Tra ◽  
Dao Trung Nguyen ◽  
Nguyen Thi Hoai Thu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Obstetrics And Gynecology ◽  
Healthcare Staff ◽  
National Hospital ◽  
Cross Sectional ◽  
Staff Members

A cross-sectional study was conducted on primary healthcare staff working at the National Hospital of Obstetrics and Gynecology from August 2019 to April 2020. We aimed to assess healthcare staff members’ awareness on patient safety culture (PSC) using a self-administered Hospital Survey on Patient Safety Culture questionnaire (HSPSC). The overall PSC awareness was only 60.4%. 9 out of 12 PSC items were considered PSC strength dimensions. Areas with room for improvement include “Non-punitive Response to Errors” (50.7%), “Frequency of events reported” (41.2%), and “Organisational learning - continuous improvement” (67.8%). It is necessary to strengthen the quality of training on the safety of the entire staff, encourage communication and report on medical errors to improve the quality of health care.

Association of Occupational Burnout and Nursing Errors With Patient Safety

2021 ◽  
pp. 297-310
Author(s):  
Despoina Pappa ◽  
Chrysoula Dafogianni
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Nursing Administration ◽  
Occupational Burnout ◽  
Nursing Errors ◽  
Nursing Error

During the daily nursing practice, dangerous situations might appear that, if not recognized and treated early, can lead to fatigue and professional burnout, causing detrimental consequences for the patient's safety and the adequacy of the healthcare quality of the provider. This article aims to synthesize existing research investigating the association between burnout in healthcare professionals with the safety of patient care in the last decade. The authors herein examined specific nurse surveys that involve burnout assessment and association with clinical errors throughout nurse provided care. Results from this search indicate that patient safety culture must be cultivated towards nursing errors and burnout reduction. The prompt recognition of burnout signs is the critical parameter for nursing errors prevention and patient safety, in the long term. Nursing error management is oriented towards investigation of the burnout symptoms and exists as an integral and essential issue for nursing administration to ensure excellent and qualitative patient care.

scholarly journals The assessment of patient safety culture - the psychometric study of the Serbian version of the questionnaire hospital survey on patient safety culture

2018 ◽  
Vol 71 (suppl. 1) ◽  
pp. 45-52
Author(s):  
Branislava Brestovacki-Svitlica ◽  
Dragana Milutinovic ◽  
Andrea Bozic ◽  
Srdjan Maletin ◽  
Ivica Lalic
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Quality Of Healthcare ◽  
Policy Makers ◽  
Health Institution ◽  
Total Percentage ◽  
Serbian Version ◽  
Survey Results

Introduction. The advancement of patient safety culture within a health institution is the basic component of reduction of errors and the improvement of the general quality of healthcare. The aim of this study was to assess the patient safety culture by means of Hospital Survey on Patient Safety Culture in the Serbian setting. Material and Methods. The survey was conducted in five health institutions in the form of cross section study, which included 1,435 health care workers. Results. Nine dimensions have been selected out of 37 items by explorative factor analysis. The total percentage of positive response was 51%. The highest (70%) and the lowest (33%) percentage of positive responses were obtained in the dimensions ?Overall perceptions of safety? and ?Nonpunitive response to errors?, respectively. More than half of the respondents assessed the patient safety as excellent/very good. In the last 12 months, more than half of the respondents have not reported an adverse event. Conclusions. The survey results indicate that changes are necessary in all domains of patient safety culture. Healthcare policy makers have to take responsibility for the implementation of safety culture in every health institution. Patient safety culture can be observed and advanced by full commitment of all those involved in the health care system, understanding both the causes of adverse events and errors, as well as by applying efficient methods to reduce them to the minimum.

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