Pharmacy Patient Safety: Attitudes of pharmacy personnel to Patient Safety Culture in a tertiary hospital in Bayelsa State, Nigeria

2015 ◽  
Vol 2 (2) ◽  
pp. 25
Author(s):  
P.A. Owonaro ◽  
K.E. Eneyi ◽  
J.F. Eniojukan
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Tertiary Hospital ◽  
Safety Attitudes

scholarly journals Comprehensive interventions of safety culture to improve patient safety: A longitudinal follow-up in northeast China

2019 ◽  
Author(s):  
Chuang Zhao ◽  
Qing Chang ◽  
Xi Zhang ◽  
Qijun Wu ◽  
Nan Wu ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Skills Training ◽  
Patient Safety Culture ◽  
Tertiary Hospital ◽  
Emergency Plans ◽  
Safety Attitudes ◽  
Improve Patient

Abstract Background: Safety culture in hospitals can affect patient disease processes and health status. However, comprehensive measures to improve patient safety and effective methods to precisely assess the outcomes are limited in China. Methods: A cohort study was carried out in a tertiary hospital in China. Medical caregivers received comprehensive interventions such as a study on emergency plans and professional skills training to improve safety culture at the beginning of January 2017. A total of 553 caregivers in March, 299 caregivers in June and 284 caregivers in December in the same year participated in the three evaluation surveys. The safety attitude questionnaire (SAQ), the dimension frequency and number of events reported in the hospital survey of patient safety culture (HSOPSC) and a questionnaire on barriers to reporting adverse events were used to examine the safety culture changes before, during and at the end of intervention implementation. Results: The scores for dimension teamwork climate, job satisfaction and perception of management in the SAQ were significantly increased (p < 0.05). The scores for the 17 items in the barriers to reporting adverse events questionnaire were significantly increased (p < 0.05). No significant changes were observed in the scores for the dimension frequency and number of events reported in the HSOPSC after the interventions. Conclusion: Our findings showed that the interventions improved safety attitudes, and the barriers to reporting adverse events decreased, suggesting that the comprehensive interventions used were helpful for improving the safety culture.

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.

scholarly journals Instrument for Measuring Patient Safety Culture: Literature Review

2021 ◽  
Vol 10 (2) ◽  
pp. 158-176
Author(s):  
Yumna Nur Millati Hanifa ◽  
Inge Dhamanti
Keyword(s):  
Patient Safety ◽  
Literature Review ◽  
Safety Culture ◽  
Quality Care ◽  
Patient Safety Culture ◽  
Health Facilities ◽  
Healthcare Organizations ◽  
Just Culture ◽  
Safety Attitudes ◽  
Four Dimensions

The implementation of safe and quality care with attention to patient safety, requires organization’s effort to create and cultivating patient safety culture. The purpose of this article was to map the instruments used in measuring patient safety culture in healthcare organizations. The method used integrated literature review from various sources of research articles published from 2015 to 2020. The article included if it was available in full text and open access as well as articles described the instruments of patient safety culture or measurement of patient safety culture using one of the instruments of measurement of patient safety culture. The results of the literature review unravel the findings of three instruments such as HSOPSC (Hospital Survey on Patient Safety Culture), MaPSaF (Manchester Patient Safety Assessment Framework) and SAQ (Safety Attitudes Questionnaire). We concluded all three instruments contained four dimensions of patient safety culture, namely open culture, just culture, reporting culture and learning culture and were widely used to measure patient safety culture in hospitals, primary health facilities and other health facilities.

scholarly journals Patient safety culture in Slovenian out-of-hours primary care clinics

2017 ◽  
Vol 56 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Zalika Klemenc-Ketiš ◽  
Ellen Tveter Deilkås ◽  
Dag Hofoss ◽  
Gunnar Tschudi Bondevik
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
International Study ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional ◽  
Out Of Hours ◽  
Safety Attitudes

Abstract Introduction Patient safety culture is a concept which describes how leader and staff interaction, attitudes, routines and practices protect patients from adverse events in healthcare. We aimed to investigate patient safety culture in Slovenian out-of-hours health care (OOHC) clinics, and determine the possible factors that might be associated with it. Methods This was a cross-sectional study, which took place in Slovenian OOHC, as part of the international study entitled Patient Safety Culture in European Out-of-Hours Services (SAFE-EUR-OOH). All the OOHC clinics in Slovenia (N=60) were invited to participate, and 37 agreed to do so; 438 employees from these clinics were invited to participate. We used the Slovenian version of the Safety Attitudes Questionnaire – an ambulatory version (SAQAV) to measure the climate of safety. Results Out of 438 invited participants, 250 answered the questionnaire (57.1% response rate). The mean overall score ± standard deviation of the SAQ was 56.6±16.0 points, of Perceptions of Management 53.6±19.6 points, of Job Satisfaction 48.5±18.3 points, of Safety Climate 59.1±22.1 points, of Teamwork Climate 72.7±16.6, and of Communication 51.5±23.4 points. Employees working in the Ravne na Koroškem region, employees with variable work shifts, and those with full-time jobs scored significantly higher on the SAQ-AV. Conclusion The safety culture in Slovenian OOHC clinics needs improvement. The variations in the safety culture factor scores in Slovenian OOHC clinics point to the need to eliminate variations and improve working conditions in Slovenian OOHC clinics.

scholarly journals The Patient Safety Culture of a Nursing Team From a Central Ambulatory / A Cultura de Segurança do Paciente da Equipe de Enfermagem de um Ambulatório Centra

2019 ◽  
Vol 11 (2) ◽  
pp. 333 ◽  
Author(s):  
Aline Picolotto ◽  
Daniela Barella ◽  
Fernando Roberto Moraes ◽  
Patrícia De Gasperi
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Safety Attitudes ◽  
Safety Attitudes Questionnaire ◽  
Nursing Team

Objetivo: identificar a cultura de segurança do paciente dos profissionais da equipe de enfermagem de um Ambulatório Central. Métodos: estudo de abordagem quantitativa do tipo Survey transversal. A coleta dos dados foi realizada no primeiro semestre de 2015, com auxílio do questionário Safety Attitudes Questionnaire. A amostra foi composta por três enfermeiros e cinco técnicos de enfermagem. Resultados: nenhuma das dimensões alcançou a média mínima (75 pontos) para uma cultura de segurança do paciente adequada. Conclusão: percebe-se a necessidade de uma mudança cultural, sendo necessária uma atuação conjunta entre a equipe e gestores para alcançar índices adequados. A cultura de segurança do paciente deve ser constantemente avaliada. Sugere-se a aplicação do SAQ em todas as equipes deste ambulatório, uma vez que o cuidado multidisciplinar proporciona uma assistência de qualidade à comunidade assistida. Descritores: Segurança do paciente; Enfermagem; Instituições de assistência ambulatorial.

Applying importance-performance analysis to patient safety culture

2015 ◽  
Vol 28 (8) ◽  
pp. 826-840 ◽  
Author(s):  
Yii-Ching Lee ◽  
Hsin-Hung Wu ◽  
Wan-Lin Hsieh ◽  
Shao-Jen Weng ◽  
Liang-Po Hsieh ◽  
...  
Keyword(s):  
Patient Safety ◽  
Performance Analysis ◽  
Safety Culture ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Healthcare Organizations ◽  
Content Type ◽  
Safety Attitudes ◽  
Upper Management

Purpose – The Sexton et al.’s (2006) safety attitudes questionnaire (SAQ) has been widely used to assess staff’s attitudes towards patient safety in healthcare organizations. However, to date there have been few studies that discuss the perceptions of patient safety both from hospital staff and upper management. The purpose of this paper is to improve and to develop better strategies regarding patient safety in healthcare organizations. Design/methodology/approach – The Chinese version of SAQ based on the Taiwan Joint Commission on Hospital Accreditation is used to evaluate the perceptions of hospital staff. The current study then lies in applying importance-performance analysis technique to identify the major strengths and weaknesses of the safety culture. Findings – The results show that teamwork climate, safety climate, job satisfaction, stress recognition and working conditions are major strengths and should be maintained in order to provide a better patient safety culture. On the contrary, perceptions of management and hospital handoffs and transitions are important weaknesses and should be improved immediately. Research limitations/implications – The research is restricted in generalizability. The assessment of hospital staff in patient safety culture is physicians and registered nurses. It would be interesting to further evaluate other staff’s (e.g. technicians, pharmacists and others) opinions regarding patient safety culture in the hospital. Originality/value – Few studies have clearly evaluated the perceptions of healthcare organization management regarding patient safety culture. Healthcare managers enable to take more effective actions to improve the level of patient safety by investigating key characteristics (either strengths or weaknesses) that healthcare organizations should focus on.

scholarly journals Patient safety culture in the Primary Health Care

2019 ◽  
Vol 72 (1) ◽  
pp. 27-34
Author(s):  
Marina Mazzuco de Souza ◽  
Juliana Dal Ongaro ◽  
Taís Carpes Lanes ◽  
Rafaela Andolhe ◽  
Adriane Cristina Bernat Kolankiewicz ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Family Health ◽  
Positive Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Family Health Strategy

ABSTRACT Objective: To evaluate thepatient safety culturein thePrimary Health Care (PHC). Method: A cross-sectional study with 349 health professionals and PHC managers from a city of Rio Grande do Sul, Brazil. The tool used was Safety Attitudes Questionnaire Ambulatory Version. Data-independent double typing and descriptive and inferential statistical analysis were performed. Results: The total score varied between 3.4 and 8.4 with mean (7.0 ± 1.3), positive evaluation in the "Patient Safety" domain (8.2 ± 2.0). Working on the Family Health Strategy and having five to 12 years of work was significant for positive culture. The recommendations to improve the safety culture were: Implementation of protocols, training, communication improvement and resolvability. Conclusion: The patient safety culture prevailed. Establishing a constructive safety culture with safe behaviors represents factors for improving patient safety in Primary Care settings.

scholarly journals The Association between the Participation of Quality Control Circle and Patient Safety Culture

2020 ◽  
Vol 17 (23) ◽  
pp. 8872
Author(s):  
Ni-Hu Tang ◽  
Shang-Feng Tsai ◽  
Jaw-Horng Liou ◽  
Yuan-Hui Lai ◽  
Shih-An Liu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Quality Control ◽  
Patient Safety ◽  
Working Conditions ◽  
Safety Culture ◽  
Work Experience ◽  
Safety Climate ◽  
Patient Safety Culture ◽  
Safety Attitudes ◽  
Stress Recognition

Promoting patient safety culture (PSC) is a critical issue for healthcare providers. Quality control circles program (QCCP) can be used as an effective tool to foster long-lasting improvements on the quality of medical institution. The effect of QCCP on PSC is still unknown. This was a retrospective study conducted with matching data. A safety attitudes questionnaire (SAQ) was used for the evaluation of PSC. The association between all scores of six subscales of SAQ and the participation QCCP were analyzed with both the Mann–Whitney and Kruskal–Wallis tests. A total of 2718 valid questionnaires were collected. Most participants of QCCP were females (78.9%), nurses (52.6%), non-supervisors (92.2%), aged <40 years old (64.8%), degree of specialist or university graduates (78%), and with work experience of <10 years (61.6%). Of all participants, the highest scores were in the dimension of safety climate (74.11 ± 17.91) and the lowest scores in the dimension of working conditions (68.90 ± 18.84). The participation of QCCP was associated with higher scores in four dimensions, namely: teamwork climate (p = 0.006), safety climate (p = 0.037), perception of management (p = 0.009), and working conditions (p = 0.015). The participation or not of QCCP had similar results in the dimension of job satisfaction and stress recognition. QCCP was associated with SAQ in subjects with the following characteristics: female, nurse, non-supervisor, aged >50 years old, higher education degrees and with longer working experiences in the hospital. In this first study on the association between each dimension of SAQ and the implementation of QCCP, we found that QCCP interventions were associated with better PSC. QCCP had no benefits in the dimensions of job satisfaction and stress recognition.

Bricks-and-mortar and patient safety culture

2017 ◽  
Vol 31 (4) ◽  
pp. 459-470
Author(s):  
Susan Brandis ◽  
Stephanie Schleimer ◽  
John Rice
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Tertiary Hospital ◽  
Clinical Staff ◽  
Content Type ◽  
Physical Context ◽  
The Difference ◽  
Management Approaches ◽  
The Impact

Purpose Building a new hospital requires a major investment in capital infrastructure. The purpose of this paper is to investigate the impact of bricks-and-mortar on patient safety culture before and two years after the move of a large tertiary hospital to a greenfield site. The difference in patient safety perceptions between clinical and non-clinical staff is also explored. Design/methodology/approach This research uses data collected from the same workforce across two time periods (2013 and 2015) in a large Australian healthcare service. Validated surveys of patient safety culture (n=306 and 246) were analysed using descriptive and inferential statistics. Findings Using two-way analysis of variance, the authors found that perceived patient safety culture remains unchanged for staff despite a major relocation and upgrade of services and different perceptions of patient safety culture between staff groups remains the same throughout change. Practical implications A dramatic change in physical context, such as moving an entire hospital, made no measurable impact on perceived patient safety culture by major groups of staff. Improving patient safety culture requires more than investment in buildings and infrastructure. Understanding differences in professional perspectives of patient safety culture may inform organisational management approaches, and enhance the targeting of specific strategies. Originality/value The authors believe this to be the first empirically based paper that investigates the impact of a large investment into hospital capital and a subsequent relocation of services on clinical and non-clinical staff perceptions of patient safety culture.

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