Cultura de segurança do paciente em uma unidade hospitalar de hemodiálise

Analisar a cultura de segurança do paciente dos profissionais no serviço de hemodiálise. Estudo quantitativo, descritivo-exploratório, realizado em um hospital de ensino em 2019. Dados coletados através do questionário Hospital Survey on Patient Safety Culture (HSOPSC) para 32 profissionais, disponibilizado por email e impresso. Os resultados apontaram melhores avaliações nas dimensões: Trabalho em equipe e Aprendizagem organizacional e melhoria contínua. Os aspectos com piores avaliações foram: Transferências internas e passagem de plantão e Percepção geral da segurança do paciente. Com relação à avaliação do grau de segurança do paciente 9,4% considera excelente, 56,2% muito boa e 34,4% regular. A realização de notificações de eventos adversos não está presente no cotidiano dos profissionais desta unidade. Este estudo mostrou uma cultura de segurança com potencial de melhorias em quase todas as dimensões, configurando-se assim um desafio para o gerenciamento de riscos, com vistas a um desenvolvimento da segurança do paciente neste serviço.Descritores: Segurança do Paciente, Unidades Hospitalares de Hemodiálise, Equipe Multiprofissional. Culture of patient safety in a hemodialysis hospital unitAbstract: Analyze the culture of patient safety of professionals in the hemodialysis service. The quantitative, descriptive-exploratory study, carried out in a teaching hospital in 2019. Data collected through the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire for 32 professionals, available by email and in print. The results showed better evaluations in the dimensions: teamwork and organizational learning and continuous improvement. The aspects with the worst evaluations were: internal transfers and shift change and general perception of patient safety. Regarding the assessment of the patient's degree of safety, 9.4% consider it excellent, 56.2% very good and 34.4% regular. The notification of adverse events is not present in the daily lives of professionals at this unit. This study showed a safety culture with the potential for improvement in almost all dimensions, thus representing a challenge for risk management, with a view to the development of patient safety in this service.Descriptors: Patient Safety, Hemodialysis Hospital Units, Patient Care Team. Cultura de seguridad del paciente en una unidad hospitalaria de hemodiálisisResumen: Analizar la cultura de seguridad del paciente de los profesionales del servicio de hemodiálisis. Estudio cuantitativo, descriptivo-exploratorio, realizado en un hospital universitario en 2019. Datos recopilados a través del cuestionario Hospital Survey on Patient Safety Culture (HSOPSC) a 32 profesionales, disponible por correo electrónico e impreso. Los resultados mostraron mejores valoraciones en las dimensiones: trabajo en equipo y aprendizaje organizacional y mejora continua. Los aspectos con peores valoraciones fueron: traslados internos y cambio de turno y percepción general de seguridad del paciente. En cuanto a la valoración del grado de seguridad del paciente, el 9,4% la considera excelente, el 56,2% muy buena y el 34,4% regular. La notificación de eventos adversos no está presente en el cotidiano de los profesionales de esta unidad. Este estudio mostró una cultura de seguridad con potencial de mejora en casi todas las dimensiones, configurándose así un desafío para la gestión de riesgos, con miras al desarrollo de la seguridad del paciente en este servicio.Descriptores: Seguridad del Paciente, Unidades de Hemodiálisis em Hospital, Grupo de Atención al Paciente.

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The Impact of a National Accreditation Program on Patient Safety Culture in a Tertiary Hospital: Pre- and Post-Evaluation Study

Global Journal on Quality and Safety in Healthcare ◽

10.36401/jqsh-20-30 ◽

2021 ◽

Vol 4 (1) ◽

pp. 18-26

Author(s):

Khaled Al-Surimi ◽

Shahenaz Najjar ◽

Abdulrazak Al Quidaihi ◽

Emad Masuadi

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Patient Safety Culture ◽

Secondary Outcome ◽

Event Reporting ◽

National Accreditation ◽

Hospital Units ◽

Accreditation Program ◽

Perceptions Of Safety ◽

The Impact

ABSTRACT Introduction The objective of this study was to assess the effectiveness of the Saudi national accreditation program on patient safety culture in a secondary-tertiary public hospital in Saudi Arabia. Methods Three hundred health professionals were randomly selected to participate in a survey. The survey was used in three phases: baseline, before accreditation, and after accreditation. Primary and secondary outcome measures were teamwork within hospital units, feedback and communication about errors, hospital handoffs and transitions, overall perceptions of safety, frequency of event reporting, and perception of patient safety grade. Results The survey response rate was 100%. A statistically significant impact of accreditation was found for teamwork within hospital units, feedback and communication about errors, and hospital handoffs and transitions (p = 0.002, 0.009, and 0.010, respectively). Ordinal logistic regression confirmed that the accreditation program had a significant effect on overall perceptions of safety (odds ratio [OR] [1.42–13.56], p = 0.010), frequency of event reporting (OR [0.91–7.96], p = 0.073), and staff awareness of grading safety culture (OR [0.02–0.70]) and reporting behavior (OR 0.10 [0.03–0.37]). Conclusion The Saudi national accreditation program had a significant positive impact on some patient safety culture dimensions and outcomes. These findings provide local empirical evidence on the benefits of implementing national accreditation programs. Further research on a larger scale is highly recommended.

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Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

10.21203/rs.2.10737/v3 ◽

2019 ◽

Author(s):

amir hossein khoshakhlagh ◽

Elham Khatooni ◽

Isa Akbarzadeh ◽

Saeid Yazdanirad ◽

Ali Sheidaei

Keyword(s):

Patient Safety ◽

Continuous Improvement ◽

Safety Culture ◽

Negative Impact ◽

Patient Safety Culture ◽

Three Dimensions ◽

Private Hospitals ◽

Public And Private ◽

Work Shift ◽

Public And Private Hospitals

Abstract Background : Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patients’ safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods : This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results : 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of a work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient's safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

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

Medicine and Pharmacy Reports ◽

10.15386/mpr-1267 ◽

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.

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A cross-sectional study of patient safety culture in acute-care hospitals in Greece

Journal of Patient Safety and Risk Management ◽

10.1177/2516043520924192 ◽

2020 ◽

Vol 25 (3) ◽

pp. 106-116 ◽

Cited By ~ 1

Author(s):

Vassilis Η Aletras ◽

Spyridon Klinis ◽

Afentoula G Mavrodi ◽

Despina Kakalou ◽

Asimenia Ntantana ◽

...

Keyword(s):

Patient Safety ◽

Acute Care ◽

Safety Culture ◽

National Health System ◽

Hospital Setting ◽

Acute Care Hospitals ◽

Patient Safety Culture ◽

Care Hospital ◽

Cross Sectional ◽

Hospital Units

Background The development of a culture of safety can bring about an improvement in patient safety and quality of care. We aimed to investigate patient safety culture within an acute-care hospital setting in Greece. Methods A cross-sectional quantitative study was conducted using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire in two large acute-care hospitals in Greece. We examined questionnaire’s factorial structure using confirmatory and exploratory factor analysis. We assessed scales’ internal consistency, test–retest reliability and construct validity. To assess changes in patient safety culture, we conducted surveys at two points in time (2009 and 2014). Regression analysis examined whether any changes in scale scores could have been due to quality programs implementation or participants’ professional characteristics. Results Six scales with satisfactory psychometric properties emerged, namely ‘Teamwork Across Hospital Units’, ‘Teamwork Within Hospital Units’, ‘Feedback and Communication About Error’, ‘Frequency of Event Reporting’, ‘Supervisor/Manager Expectations and ‘Actions Promoting Safety’, ‘Hospital Management Support for Patient Safety’. Overall ratings of patient safety did not change over time. However, one of the two institutions experienced an increase in reported events. Conclusions The HSOPSC is a valuable tool for assessing patient safety culture in Greece. Moreover, despite the radical reduction in the financing of the Greek National Health System reported between 2009 and 2014, patient safety culture did not deteriorate. A worldwide trend towards increasing patient safety awareness, along with the increasing effort of hospitals’ administration to support patient safety might explain this lack of differences between the two points in time.

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Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

10.21203/rs.2.10737/v2 ◽

2019 ◽

Author(s):

amir hossein khoshakhlagh ◽

Elham Khatooni ◽

Isa Akbarzadeh ◽

Saeid Yazdanirad ◽

Ali Sheidaei

Keyword(s):

Patient Safety ◽

Continuous Improvement ◽

Safety Culture ◽

Negative Impact ◽

Patient Safety Culture ◽

Three Dimensions ◽

Private Hospitals ◽

Public And Private ◽

Work Shift ◽

Public And Private Hospitals

Abstract Abstract Background : Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patients’ safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods : This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results : 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of a work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient's safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

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Evaluation of patient safety culture in the hemodynamics sector in a private hospital in São Luís – MA

Panorama brasileiro de tungstênio (w) entre os anos de 2008 e 2014 ◽

10.32749/nucleodoconhecimento.com.br/health/safety-culture ◽

2020 ◽

pp. 43-56

Author(s):

Inaldo Kley do Nascimento Moraes ◽

Sara Coelho Oliveira ◽

Daniela Bassi Dibai ◽

Rosane da Silva Dias

Keyword(s):

Health Care ◽

Patient Safety ◽

Safety Culture ◽

Private Hospital ◽

Patient Safety Culture ◽

Management Support ◽

Quality Health Care ◽

Cross Sectional ◽

Acceptable Risks ◽

Almost All

Patient safety is understood as reducing to the minimum acceptable risks of damage associated with health care. This depends on a safety culture formed from a qualified and safe service, involving all hospital professionals, and constant monitoring of the determining factors for quality health care. The general objective of the study was to evaluate the culture of patient safety in the hemodynamics sector in a private hospital in São Luís. This is a cross-sectional, descriptive, quantitative study conducted in the hemodynamic sector of the cardiology center of Hospital São Domingos, through the HSOPSC – Hospital Survey on Patiente Safety Culture questionnaire divided into 12 dimensions, the perception of each of them is described by the percentage of positive responses. Participants were 69 professionals, of which 47 (68%) were women, 16 (23%) were nurses, 30 (43%) worked in the hospital between 1 and 5 years, 33 (48%) with weekly workload between 20 and 39 hours. Regarding the dimensions evaluated the “Expectations on the supervisor/boss” (79%); “Organizational learning / continued improvement” (90%); “Teamwork within the unit” with (78%) and “hospital management support” (91%) considered strong. In addition, 52 (68%) participants reported not having submitted or completed any adverse event reports in the last 12 months. Therefore, the patient safety culture of the sector has potential for improvement in almost all dimensions evaluated.

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Analysis of Affecting Factors on Patient Safety Culture in Public and Private Hospitals in Iran

10.21203/rs.2.10737/v1 ◽

2019 ◽

Cited By ~ 1

Author(s):

Amir Hossein Khoshakhlagh ◽

Elham Khatooni ◽

Isa Akbarzadeh ◽

Saeid Yazdanirad ◽

Ali Sheidaei

Keyword(s):

Patient Safety ◽

Continuous Improvement ◽

Safety Culture ◽

Negative Impact ◽

Patient Safety Culture ◽

Three Dimensions ◽

Private Hospitals ◽

Public And Private ◽

Work Shift ◽

Public And Private Hospitals

Abstract Background: Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Considering the importance of this issue, this study aimed to determine and compare the views of health care staff on the patients’ safety culture and impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods: This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results: 867 (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to safety culture questionnaire in public and private hospitals was 65.5% and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (79.77%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning—continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours had an effect on the burnout and patient safety questionnaire scores (P-value <0.05). The path analysis results indicate the fitness of the proposed model (RMSEA= 0.024). The results showed a negative impact of work shift (β= -0.791), occupational burnout (β= -0.554) and hospital type (β= -0.147) on the observance of patient safety culture. Conclusion: providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient's safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

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Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0576 ◽

2020 ◽

Vol 73 (5) ◽

Author(s):

Juliana Maria Almeida do Carmo ◽

Isabel Yovana Quispe Mendoza ◽

Vania Regina Goveia ◽

Kleyde Ventura de Souza ◽

Bruna Figueiredo Manzo ◽

...

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Patient Safety Culture ◽

Cross Sectional Study ◽

Three Dimensions ◽

Cross Sectional ◽

Hospital Units ◽

Team Working ◽

Gynecology And Obstetrics ◽

Maternity Hospitals

ABSTRACT Objectives: to assess the patient safety culture of the health team working in three maternity hospitals. Methods: observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used. Results: of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%. Conclusions: no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.

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Cultura de segurança do paciente: perspectiva de profissionais da saúde

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.241435 ◽

2019 ◽

Vol 13 ◽

Author(s):

Célia Maria Pinheiro dos Santos ◽

Reginaldo Guedes Coelho Lopes ◽

Maria Luiza Toledo Leite Ferreira da Rocha ◽

Bruno Pinheiro dos Santos ◽

Marilda Gonçalves de Sousa ◽

...

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Health Professionals ◽

Health Personnel ◽

Descriptive Analysis ◽

Team Work ◽

Work Commitment ◽

Trabajo En Equipo ◽

Quantitative Descriptive ◽

Training Team

Objetivo: conhecer a perspectiva dos profissionais de saúde sobre a cultura de segurança do paciente. Método: trata-se de estudo quantitativo, descritivo, observacional, com 242 profissionais da saúde. Coletaram-se os dados de por meio de um questionário, tabulando-se pelos softwares: SPSS V20, Minitab 16 e Excel Office 2010. Confeccionaram-se tabelas para apresentar os resultados realizando-se a análise descritiva. Resultados: revela-se que, dos respondentes, 50,4% foram capacitados nos últimos dez anos, 90,1% afirmaram a cultura de segurança como preocupação mundial, 72,3% conheciam os protocolos e os praticavam, 74,7% acreditavam que a cultura de segurança evita erros, 97,0% afirmaram a importância do envolvimento de todos para a mudança da cultura. Conclusão: observou-se inconstância na perspectiva dos profissionais em relação ao entendimento sobre a cultura de segurança e, entre outras dificuldades, a falta de capacitação, de entrosamento no trabalho em equipe, de comprometimento com as práticas diárias e de disseminação da cultura em todo o hospital. Descritores: Cultura; Segurança do Paciente; Opinião Pública; Pessoal de Saúde; Hospitais; Assistência à Saúde. ABSTRACTObjective: to know the perspective of health professionals about the culture of patient safety. Method: this is a quantitative, descriptive, observational study with 242 health professionals. Data was collected by means of a questionnaire, tabulated by the software: SPSS V20, Minitab 16 and Excel Office 2010. Tables were made to present the results by performing the descriptive analysis. Results: it appears that 50.4% of the respondents were trained in the last ten years, 90.1% affirmed the safety culture as a worldwide concern, 72.3% knew the protocols and practiced them, 74.7% believed that safety culture avoids mistakes, 97.0% affirmed the importance of everyone's involvement for culture change. Conclusion: there was inconsistency in the perspective of professionals regarding the understanding of the safety culture and, among other difficulties, lack of training, team work, commitment to daily practices and dissemination of culture throughout the hospital. Descriptors: Culture; Patient Safety; Public Opinion; Health Personnel; Hospitals; Health Care.RESUMENObjetivo: conocer la perspectiva de los profesionales de la salud sobre la cultura de seguridad del paciente. Método: este es un estudio cuantitativo, descriptivo, observacional con 242 profesionales de la salud. Los datos se recopilaron mediante un cuestionario tabulado por los softwares: SPSS V20, Minitab 16 y Excel Office 2010. Se realizaron tablas para presentar los resultados mediante el análisis descriptivo. Resultados: parece que el 50.4% de los encuestados fueron capacitados en los últimos diez años, el 90.1% afirmó que la cultura de seguridad era una preocupación mundial, el 72.3% conocía los protocolos y los practicaba, el 74.7% creía que la cultura de seguridad evita errores, el 97.0% afirmó la importancia de la participación de todos para el cambio cultural. Conclusión: hubo inconsistencia en la perspectiva de los profesionales con respecto a la comprensión de la cultura de seguridad y, entre otras dificultades, la falta de capacitación, buen convivio en el trabajo en equipo, el compromiso con las prácticas diarias y difusión de la cultura en todas partes del hospital. Descriptores: La Cultura; Seguridad del Paciente; Opinión Pública; Personal de Salud; Los Hospitales; Asistencia a la Salud.

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Analysis of affecting factors on patient safety culture in public and private hospitals in Iran

BMC Health Services Research ◽

10.1186/s12913-019-4863-x ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Amir Hossein Khoshakhlagh ◽

Elham Khatooni ◽

Isa Akbarzadeh ◽

Saeid Yazdanirad ◽

Ali Sheidaei

Keyword(s):

Patient Safety ◽

Continuous Improvement ◽

Safety Culture ◽

Negative Impact ◽

Patient Safety Culture ◽

Three Dimensions ◽

Private Hospitals ◽

Public And Private ◽

Work Shift ◽

Public And Private Hospitals

Abstract Background Patient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patient safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran. Methods This cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis. Results Eight hundred sixty-seven (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5 and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value < 0.05). The path analysis results indicate the fitness of the proposed model (RMSEA = 0.024). The results showed a negative impact of a work shift (β = − 0.791), occupational burnout (β = − 0.554) and hospital type (β = − 0.147) on the observance of patient safety culture. Conclusion Providing feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

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