scholarly journals Existing perception of Patient safety among health personnel in operating room at CHICH (Children Hospital & Institute of Child Health, Lahore.

2021 ◽  
Vol 28 (10) ◽  
pp. 1413-1417
Author(s):  
Muhammad Naveed Bhatti ◽  
Rubab Zohra ◽  
Nabila Talat ◽  
Muhammad Ihsan
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Child Health ◽  
Safety Culture ◽  
Health Personnel ◽  
Response Rate ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Response Percentage ◽  
Positive Response Rate

Background: Patient Safety is the key concept of every healthcare setup worldwide as it depicts the perception of health care personnel about patient safety and quality of care delivered to patients. The World Health Organization along with other major organizations has taken initiatives to deal with patient safety challenges. Objective: To assess the existing perception of patient safety among health personnel in operating rooms of tertiary care hospital in Pakistan. Study Design: Cross Sectional study. Setting: Children Hospital & Institute of Child Health Lahore. Period: July 2018 to December 2018. Material & Method: Participants were selected through proportionate simple random sampling. The WHO patient safety survey was used to assess perception of patient safety culture. Data was collected after taking consent. The data was entered in SPSS version 25 and analyzed by it. “Composite positive response rate” for the various dimensions were calculated. Reliability was checked by Cronabach alpha which was more than 0.7 (70%). Results: The overall response rate in the study was 100%. Average composite positive response percentage was 65.17% and it varied among different cadres of HCPs ranged from 51% to 88%. The dimensions “Personal attitude to Patient safety” and “Personal influence over safety” showed highest positive response among all cadres (88 % and 67 %) respectively. composite Positive percent response about patient safety culture varied among different cadres of health personnel, nurses showed highest positive response percentage of 71.2%. Conclusion: Safety culture assessment is a useful tool for evaluation of patient safety interventions, measuring organization’s safety culture and raising awareness. WHO patient safety study tool showed the average positive response rate of 65.17% but the dimension “Safety of health care system”, and “Error and patient safety” have least positive response which shifts the focus to organizational conditions that lead to adverse events and patient harm in healthcare organizations. The result also highlighted areas that required improvement, as perceived by health care workers.

Improvements in patient safety culture: a national Taiwanese survey, 2009–16

2020 ◽  
Vol 32 (1) ◽  
pp. A9-A17
Author(s):  
Brian Yu ◽  
Cheng-Fan Wen ◽  
Heng-Lien Lo ◽  
Hsun-Hsiang Liao ◽  
Pa-Chun Wang
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Safety Climate ◽  
Response Rate ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Community Hospitals ◽  
Medical Centers ◽  
Positive Response Rate ◽  
Regional Hospitals

Abstract Objective To assess national trends in patient safety culture in Taiwan. Design A safety attitudes questionnaire (SAQ) was distributed to 144 hospitals from 2009 to 2016 (n = 392 341). Setting Taiwan’s medical centers, regional hospitals and community hospitals. Participants Hospital staff in Taiwan. Interventions None. Main Outcome Measures 5-point Likert scale to assess changes in patient safety culture dimensions (teamwork, safety climate, job satisfaction, stress recognition, management and working conditions) converted to positive response rate (percentage of respondents who answered slightly agree or strongly agree on Likert scale). Results Dimensions for patient safety culture significantly increased in Taiwan over a period of 8 years, with an all-composite improvement in positive response rate of 4.6% (P < 0.001). Regional hospitals and community hospitals registered an all-composite improvement of 6.7 and 7.0%, respectively, while medical centers improved by 4.0%. Improvements for regional and community hospitals primarily occurred in teamwork (regional hospitals, 10.4% [95% confidence interval [CI], 10.2–10.6]; community hospitals, 8.5% [95% CI, 8.0–9.0]) and safety climate (regional hospitals, 11.1% [95% [CI], 10.9–11.4]; community hospitals, 11.3% [95% CI, 10.7–11.8]) (P < 0.001, all differences). Compared with nurses (5.1%) and pharmaceutical staff (10.6%), physicians improved the least (2.0%). Improvements for nurses and pharmacists were driven by increases in perceptions of teamwork (nurses, 9.8% [95% CI, 9.7–10.0]; pharmaceutical staff, 14.2% [95% CI, 13.4–14.9]) and safety climate (nurses, 9.0% [95% CI, 8.8–9.1]; pharmaceutical staff, 16.4% [95% CI, 15.7–17.2]) (P < 0.001, all differences). At study end, medical centers (55.1%) had greater all-composite measurements of safety culture than regional hospitals (52.4%) and community hospitals (52.2%) while physicians (63.7%) maintained greater measurements of safety culture than nurses (52.1%) and pharmaceutical staff (56.6%). Conclusion These results suggest patient safety culture improved in Taiwan from 2009 to 2016.

scholarly journals Perceptions of patient safety culture among medical students: a cross-sectional investigation in Heilongjiang Province, China

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020200 ◽  
Author(s):  
He Liu ◽  
Ying Li ◽  
Siqi Zhao ◽  
Mingli Jiao ◽  
Yan Lu ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Medical School ◽  
Safety Culture ◽  
Response Rate ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Heilongjiang Province ◽  
Cross Sectional ◽  
Positive Response Rate

ObjectivesMedical school education plays an important role in promoting patient safety. In this study, we assess medical students’ perceptions of patient safety culture, identify their educational needs and provide evidence on the most important content relating to patient safety for the medical school curriculum.MethodThis cross-sectional study was conducted in four medical universities in Heilongjiang province. Medical students in the first through five years completed an anonymous questionnaire—the Attitudes toward Patient Safety Questionnaire III. We analysed the differences in responses across the four universities and their cohorts.ResultsThe overall perceptions of patient safety culture across the four medical universities were positive. The highest positive response rate was for ‘I have a good understanding of patient safety issues as a result of my undergraduate medical training’ (range: 58.4%–99.8%), whereas the lowest positive response rate was for ‘medical errors are a sign of incompetence’ (14.7%–47.9%). Respondents in the earlier years of school tended to have more positive responses for items concerning working hours and team work; however, fourth and fifth year students had more positive responses for error inevitability. Items with the lowest positive response rates across the cohorts included items related to ‘professional incompetence as a cause of error’ and ‘disclosure responsibility’.ConclusionsWhile students generally had positive views of patient safety culture, none of them had been exposed to any formal curriculum content on patient safety. Policymakers should focus more on how educational needs vary across schools and cohorts in order to establish appropriate curricula.

Thực trạng và một số yếu tố ảnh hưởng đến văn hóa an toàn người bệnh của nhân viên y tế Bệnh viện Hữu Nghị Việt Nam – Cu Ba năm 2020

2021 ◽  
Vol 05 (01) ◽  
pp. 27-36
Author(s):  
Thi Huong Nguyen ◽  
◽  
Thi Mai Pham ◽  
Van Nhu Ha
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Response Rate ◽  
Positive Response ◽  
Health Workers ◽  
Patient Safety Culture ◽  
Income Group ◽  
Friendship Hospital ◽  
Positive Response Rate ◽  
Depth Interviews

Objective: To describe the situation and analyze some related factors on the patient safety culture of health workers at Vietnam - Cuba Friendship Hospital in 2020 Methods: This is a cross-sectional study that combines qualitative and quantitative methods, conducted at Vietnam - Cuba Friendship Hospital, from February to November 2020. The quantitative research was using HSOPSC toolkit to consult 165 doctors, nurses/technicians; and conducting 12 in-depth interviews. Quantitative data were analyzed by using SPSS software and the qualitative one was recorded, analyzed, and synthesized with each group of influencing factors. Main findings: The overall positive response rate with patient safety culture is 73.9%. The highest positive response rate is 94.2% with “Teamwork within units” dimension and the lowest rated dimension was 50.1% with “Nonpunitive response to error” dimension. The low and middle-income group rated the level of internal safety higher than the high-income group (p = 0.001), and positively response rate to patient safety culture of health workers at Internal Medicine Department is higher than that at Surgery and Subclinical Departments (p <0.05). In-depth interviews showed management concerns, process/regulation systems, patient safety training, adverse event reporting systems, punishment mechanism and monitoring activities are factors affecting patient safety culture. Conclusions and recommendation: Communication about medical adverse event management for all health staff of the hospital and application of the patient safety culture should be improved. Keywords: patient safety culture, impacting factors, Vietnam – Cuba Friendship Hospital

scholarly journals OR and ICU teams ‘running in parallel’ at the end of cardiothoracic surgery improves perceptions of handoff safety

2021 ◽  
Vol 10 (1) ◽  
pp. e001001
Author(s):  
Safraz Hamid ◽  
Frederic Joyce ◽  
Aaliya Burza ◽  
Billy Yang ◽  
Alexander Le ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cardiac Surgery ◽  
Safety Culture ◽  
Positive Response ◽  
Improve Patient Safety ◽  
Health Care Research ◽  
Response Rates ◽  
Patient Safety Culture ◽  
Improvement Project ◽  
Surgery Patient

The transfer of a cardiac surgery patient from the operating room (OR) to the intensive care unit (ICU) is both a challenging process and a critical period for outcomes. Information transferred between these two teams—known as the ‘handoff’—has been a focus of efforts to improve patient safety. At our institution, staff have poor perceptions of handoff safety, as measured by low positive response rates to questions found in the Agency for Health Care Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS). In this quality improvement project, we developed a novel handoff protocol after cardiac surgery where we invited the ICU nurse and intensivist into the OR to receive a face-to-face handoff from the circulating nurse, observe the final 30 min of the case, and participate in the end-of-case debrief discussions. Our aim was to increase the positive response rates to handoff safety questions to meet or surpass the reported AHRQ national averages. We used plan, do, study, act cycles over the course of 123 surgical cases to test how our handoff protocol was leading to changes in perceptions of safety. After a 10-month period, we achieved our aim for four out of the five HSOPS questions assessing safety of handoff. Our results suggest that having an ICU team ‘run in parallel’ with the cardiac surgical team positively impacts safety culture.

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.

scholarly journals Assessment of patient safety culture in primary health care in Muscat, Oman: a questionnaire -based survey

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Muna Habib AL Lawati ◽  
Stephanie D. Short ◽  
Nadia Noor Abdulhadi ◽  
Sathiya Murthi Panchatcharam ◽  
Sarah Dennis
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Primary Health

scholarly journals Patient safety culture from the perspective of workers and primary health care teams

2019 ◽  
Vol 53 ◽  
pp. 42 ◽  
Author(s):  
Daiane Cortêz Raimondi ◽  
Suelen Cristina Zandonadi Bernal ◽  
Laura Misue Matsuda
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Service ◽  
Safety Culture ◽  
Family Health ◽  
Patient Safety Culture ◽  
Health Care Teams ◽  
Primary Health

OBJECTIVE: Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS: Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS: Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058). CONCLUSIONS: We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

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