scholarly journals Exploring Patient Safety Culture in a Kuwaiti Secondary Care Setting

2021 ◽  
Vol 21 (1) ◽  
pp. e77-85
Author(s):  
Hamad Alqattan ◽  
Jennifer Cleland ◽  
Zoe Morrison ◽  
Isobel M. Cameron
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Clinical Skills ◽  
Research Question ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Healthcare Staff ◽  
Services Research ◽  
Face To Face ◽  
Staff Members

Objectives: Qualitative studies can improve understanding of patient safety culture (PSC), which has been relatively neglected by researchers in the Gulf Cooperation Council context. This study employed a qualitative approach to explore healthcare staff and patients’ perceptions of PSC and how it can be improved. Methods: This qualitative study was conducted in a public hospital in Kuwait. Individual face-to-face interviews were used to understand the experience of healthcare staff and patients concerning PSC. After obtaining the required ethical approvals, maximum variation sampling was used. Interviews were recorded and transcribed. The analysis was inductive and thematic. Results: A total of 51 participants were included in this study (35 healthcare professionals and 16 patients). Data analysis revealed four overarching themes relevant to the research question: (1) workload; (2) communication; (3) environmental constraints; and (4) incident reporting. These issues were interrelated in practice. Kuwaiti and non-Kuwaiti participants held different views, particularly about the response to errors and expatriate staff members’ clinical skills. Conclusion: This study revealed multiple factors related to workload, communication, healthcare environment and incident reporting, which hindered the promotion of positive PSC in the included department. The presence of numerous constraints suggests that multiple interventions which target both individual and organisational levels should be implemented.   KEYWORDS Health Services Research; Patient Safety; Safety Culture; Kuwait.

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.

scholarly journals A comparative assessment of two tools designed to support patient safety culture in UK general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ian Litchfield ◽  
Kate Marsden ◽  
Lucy Doos ◽  
Katherine Perryman ◽  
Anthony Avery ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Focus Group ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Staff Members ◽  
Practice Team

Abstract Background The NHS has recognised the importance of a high quality patient safety culture in the delivery of primary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work offerss a timely exploration of the tools to inform practice staff as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staff on their design, outputs and the feasibility of their sustained use. Methods We have used a content analysis to provide the context for the qualitative study of staff experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staff completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staff completed the MapSaf tool all of whom contributed to the focus group discussions. PC-SafeQuest was perceived as quick and easy to use with direct questions pertinent to the work of GP practices providing useful quantitative insight into important areas of safety culture. Though MaPSaF was more logistically challenging, it created a forum for synchronous cross- practice discussions raising awareness of perceptions of safety culture across the practice team. Conclusions Both tools were able to promote reflective and reflexive practice either in individual staff members or across the broader practice team and the oversight they granted provided useful direction for senior staff looking to improve patient safety. Because PC SafeQuest can be easily disseminated and independently completed it is logistically suited to larger practice organisations, whereas the MapSaf tool lends itself to smaller practices where assembling staff in a single workshop is more readily achieved.

Traditional Lectures Actually Improve the Body of Knowledge, Skills, and Attitudes of Health Care Professional for Health Incident Reporting System

2020 ◽  
pp. 001857872091855
Author(s):  
Marcus Vinicius de Souza Joao Luiz ◽  
Fabiana Rossi Varallo ◽  
Celsa Raquel Villaverde Melgarejo ◽  
Tales Rubens de Nadai ◽  
Patricia de Carvalho Mastroianni
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Professional ◽  
Safety Culture ◽  
Reporting System ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Event Reporting ◽  
Incident Reporting System ◽  
Traditional Lectures

Introduction: A solid patient safety culture lies at the core of an effective event reporting system in a health care setting requiring a professional commitment for event reporting identification. Therefore, health care settings should provide strategies in which continuous health care education comes up as a good alternative. Traditional lectures are usually more convenient in terms of costs, and they allow us to disseminate data, information, and knowledge through a large number of people in the same room. Taking in consideration the tight money budgets in Brazil and other countries, it is relevant to investigate the impact of traditional lectures on the knowledge, skills, and attitudes to incident reporting system and patient safety culture. Objective: The study aim was to assess the traditional lecture impact on the improvement of health care professional competency dimensions (knowledge, skills, and attitudes) and on the number of health care incident reports for better patient safety culture. Participants and Methods: An open-label, nonrandomized trial was conducted in ninety-nine health care professionals who were assessed in terms of their competencies (knowledge, skills, and attitudes) related to the health incident reporting system, before and after education intervention (traditional lectures given over 3 months). Results: All dimensions of professional competencies were improved after traditional lectures ( P < .05, 95% confidence interval). Conclusions: traditional lectures are helpful strategy for the improvement of the competencies for health care incident reporting system and patient safety.

Enhancing a culture of patient safety in an oncologic hospital setting.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 135-135
Author(s):  
Nicole Worthington ◽  
Shannon Bristow
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Medical Center ◽  
Hospital Setting ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Staff Members ◽  
Increased Risk ◽  
Regional Medical Center ◽  
A Priority

135 Background: Patient safety is a priority for all hospitals and staff members. With approx. 1:10 hospitalized patients experiencing an adverse event1, healthcare lags behind other industries with regards to safety. Oncology patients have an increased risk of adverse events due to an immunocompromised status, coupled with complex treatments. Cancer Treatment Centers of America at Eastern Regional Medical Center (ERMC) recognized the need to heighten patient safety while maintaining a positive patient experience. Methods: ERMC participates in the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture to assess employee’s perception of the organization’s patient safety, conducted every 18-24 months. The most recent survey was conducted between May 11 - June 1, 2015. Interventions to enhance safety culture from 2013 to 2015 survey results included: daily safety check-ins for all hospital departments for both day and night shifts; sharing safety stories before routine meetings; leadership rounding; and enhanced transparency of safety events that occurred throughout the hospital. Routine in-servicing was also completed to educate staff members on reportable safety events for Pennsylvania and foster ongoing discussions about patient safety. Results: Survey response rate experienced a 236% increase from 2013 to 2015 (218 to 628 responses respectively). Of the 12 patient safety composites, 11 showed an increase in scores from 2013 to 2015, the outlier being “overall perceptions of patient safety” composite score which dropped by two percentage points. Furthermore, ERMC was above the national benchmark in all 12 patient safety composite categories for the 2015 survey. Conclusions: The ERMC staff considers safety a priority, as evidenced by the increase in AHRQ survey scores from 2013 to 2015. Perceptions of safety throughout the system have increased with the initiation of several safety projects. Based on raw comments from the AHRQ culture of safety survey, more work is needed to involve non-clinical staff in hospital safety. Moving forward, ERMC will investigate innovative solutions to involve all staff, clinical and non-clinical alike, to be engaged in patient safety.

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.

scholarly journals Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial

2015 ◽  
Vol 65 (634) ◽  
pp. e319-e329 ◽  
Author(s):  
Natasha J Verbakel ◽  
Maaike Langelaan ◽  
Theo JM Verheij ◽  
Cordula Wagner ◽  
Dorien LM Zwart
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Safety Culture ◽  
Randomised Trial ◽  
Patient Safety Culture ◽  
Incident Reporting ◽  
Cluster Randomised Trial ◽  
Cluster Randomised
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