Patient safety culture among health care provider’s in a Tunisian university hospital

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Latifa Merzougui ◽  
Sarra Sghaier ◽  
Nedia Radaoui ◽  
Dhekra Chebil ◽  
Elyes Turki ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Providers ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Significant Difference ◽  
Work Units

Patient safety is considered a major priority in health care systems. In Tunisia, few attempts have been made since 2011 to evaluate PS culture. The purpose of this study was to measure the patient safety culture level at Ibn El Jazzar hospital in Kairouan, Tunisia. This cross-sectional study was conducted over three months in 2015 in a Tunisian University hospital. The French model of the Hospital Survey On Patient Safety Culture “HSOPSC” was used to explore 10 dimensions of patient safety culture. The survey was distributed to 446 health care providers (physicians and nurses). A score per composite has been calculated. Then the results were compared according to professional categories and work units. The overall average positive response rate for the 10 PS culture composites of the HSOPSC survey was 61.65%. Areas with potential for improvement were overall perception of security (40.73%), leadership (30.9%), organizational learning (41.9%), communication openness (38.3%) and frequency of events reported (33.2%). The area of strength was teamwork within units (58.1%). Non-punitive response to error had the lowest score (29.6%). The comparison of the scores according to professional category showed a significant difference for one composite score, which was the non-punitive answer to the errors particular to nurses (16.3% vs 32.7%; p = 0.020). In contrast, no significant difference between work units was found for all composites scores in our study. Our results demonstrate that patient safety culture remains undeveloped and should be improved at Ibn El Jazzar hospital. Therefore, further studies should be conducted in the context of continuous assessment quality of care.

scholarly journals Nurses’ Awareness on Patient Safety Culture in A Newly Established University Hospital

2020 ◽  
Vol 23 (2) ◽  
pp. 119-127
Author(s):  
Mohd Said Nurumal ◽  
Najwatul Madihah Sabran ◽  
Siti Hazariah Abdul Hamid ◽  
Muhammad Kamil Che Hasan
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Safety Culture ◽  
Care Delivery ◽  
Medical Center ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Cross Sectional ◽  
Significant Difference ◽  
Post Hoc

As a vital part of patient care delivery, patient safety culture contributes to the quality of care provided by nurses. Safe patient care is positively linked to the attitudes of nurses. This study aimed to assess the perception of nurses working in a newly established teaching hospital. A cross-sectional study involving 194 nurses from three different units was conducted by using a 24-item Hospital Survey of Patient Safety Culture. Data on gender, working unit, age, years of working, and attendance in workshops on patient safety were also collected. The majority of the nurses had a positive total score of patient safety culture. The lowest score was 76 (63%), and the highest score was 120 (96%). The awareness on patient safety culture significantly differed between gender, years of working, and working units. Post-hoc comparisons using Tukey’s HSD test yielded a significant difference between nurses from critical care units and those from medical and surgical units. The mean score and total positive score on awareness on patient safety culture of the former were higher than those of the latter. Overall, the majority of the staff nurses in International Islamic University Malaysia Medical Center had a positive total score on awareness on patient safety culture. Awareness on patient safety, which is considered crucial worldwide, should be enhanced to influence the development of a positive patient safety culture within hospitals. This implementation would directly develop high-quality care to patients and positively impact health organizations.Abstrak  Kesadaran Perawat terhadap Budaya Keselamatan Pasien di Rumah Sakit Universitas yang Baru Dibangun. Sebagai bagian penting dari pemberian perawatan pasien, budaya keselamatan pasien berkontribusi pada kualitas perawatan yang diberikan oleh perawat. Perawatan pasien yang aman secara positif terkait dengan sikap perawat. Penelitian ini bertujuan untuk menilai persepsi perawat yang bekerja di rumah sakit pendidikan yang baru dibangun. Sebuah studi cross-sectional yang melibatkan 194 perawat dari tiga unit yang berbeda dilakukan dengan menggunakan Survei Rumah Sakit Budaya Keselamatan Pasien. Data tentang jenis kelamin, unit kerja, usia, tahun kerja, dan kehadiran dalam lokakarya tentang keselamatan pasien juga dikumpulkan. Mayoritas perawat memiliki skor total positif dari budaya keselamatan pasien. Skor terendah adalah 76 (63%), dan skor tertinggi adalah 120 (96%). Kesadaran tentang budaya keselamatan pasien berbeda secara signifikan antara jenis kelamin, tahun kerja, dan unit kerja. Perbandingan post-hoc menggunakan uji HSD Tukey menghasilkan perbedaan yang signifikan antara perawat dari unit perawatan kritis dan mereka dari unit medis dan bedah. Skor rata-rata dan skor total positif pada kesadaran tentang budaya keselamatan pasien dari yang pertama lebih tinggi daripada yang terakhir. Secara keseluruhan, mayoritas staf perawat di International Islamic University Malaysia Medical Center memiliki skor total positif pada kesadaran tentang budaya keselamatan pasien. Kesadaran akan keselamatan pasien, yang dianggap penting di seluruh dunia, harus ditingkatkan untuk memengaruhi perkembangan budaya keselamatan pasien yang positif di rumah sakit. Implementasi ini secara langsung akan mengembangkan perawatan berkualitas tinggi kepada pasien dan berdampak positif bagi organisasi kesehatan.Kata Kunci: budaya, perawat, keselamatan pasien, rumah sakit

scholarly journals Nurses’ Awareness on Patient Safety Culture in A Newly Established University Hospital

2020 ◽  
Author(s):  
Mohd Said Nurumal ◽  
Najwatul Madihah Sabran ◽  
Siti Hazariah Abdul Hamid ◽  
Muhammad Kamil Che Hasan
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Safety Culture ◽  
Care Delivery ◽  
Medical Center ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Cross Sectional ◽  
Significant Difference ◽  
Post Hoc

As a vital part of patient care delivery, patient safety culture contributes to the quality of care provided by nurses. Safe patient care is positively linked to the attitudes of nurses. This study aimed to assess the perception of nurses working in a newly established teaching hospital. A cross-sectional study involving 194 nurses from three different units was conducted by using a 24-item Hospital Survey of Patient Safety Culture. Data on gender, working unit, age, years of working, and attendance in workshops on patient safety were also collected. The majority of the nurses had a positive total score of patient safety culture. The lowest score was 76 (63%), and the highest score was 120 (96%). The awareness on patient safety culture significantly differed between gender, years of working, and working units. Post-hoc comparisons using Tukey’s HSD test yielded a significant difference between nurses from critical care units and those from medical and surgical units. The mean score and total positive score on awareness on patient safety culture of the former were higher than those of the latter. Overall, the majority of the staff nurses in International Islamic University Malaysia Medical Center had a positive total score on awareness on patient safety culture. Awareness on patient safety, which is considered crucial worldwide, should be enhanced to influence the development of a positive patient safety culture within hospitals. This implementation would directly develop high-quality care to patients and positively impact health organizations. Abstrak  Kesadaran Perawat terhadap Budaya Keselamatan Pasien di Rumah Sakit Universitas yang Baru Dibangun. Sebagai bagian penting dari pemberian perawatan pasien, budaya keselamatan pasien berkontribusi pada kualitas perawatan yang diberikan oleh perawat. Perawatan pasien yang aman secara positif terkait dengan sikap perawat. Penelitian ini bertujuan untuk menilai persepsi perawat yang bekerja di rumah sakit pendidikan yang baru dibangun. Sebuah studi cross-sectional yang melibatkan 194 perawat dari tiga unit yang berbeda dilakukan dengan menggunakan Survei Rumah Sakit Budaya Keselamatan Pasien. Data tentang jenis kelamin, unit kerja, usia, tahun kerja, dan kehadiran dalam lokakarya tentang keselamatan pasien juga dikumpulkan. Mayoritas perawat memiliki skor total positif dari budaya keselamatan pasien. Skor terendah adalah 76 (63%), dan skor tertinggi adalah 120 (96%). Kesadaran tentang budaya keselamatan pasien berbeda secara signifikan antara jenis kelamin, tahun kerja, dan unit kerja. Perbandingan post-hoc menggunakan uji HSD Tukey menghasilkan perbedaan yang signifikan antara perawat dari unit perawatan kritis dan mereka dari unit medis dan bedah. Skor rata-rata dan skor total positif pada kesadaran tentang budaya keselamatan pasien dari yang pertama lebih tinggi daripada yang terakhir. Secara keseluruhan, mayoritas staf perawat di International Islamic University Malaysia Medical Center memiliki skor total positif pada kesadaran tentang budaya keselamatan pasien. Kesadaran akan keselamatan pasien, yang dianggap penting di seluruh dunia, harus ditingkatkan untuk memengaruhi perkembangan budaya keselamatan pasien yang positif di rumah sakit. Implementasi ini secara langsung akan mengembangkan perawatan berkualitas tinggi kepada pasien dan berdampak positif bagi organisasi kesehatan.Kata Kunci: budaya, perawat, keselamatan pasien, rumah sakit

scholarly journals Patient Safety Culture and Spiritual Health in the Operating Room: A Qualitative Study

2020 ◽  
Author(s):  
Elahe mousavi ◽  
Behzad Imani
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Content Analysis ◽  
Health Care Providers ◽  
Safety Culture ◽  
Qualitative Content Analysis ◽  
Patient Safety Culture ◽  
Spiritual Health ◽  
Care Providers ◽  
Safety Skills

Abstract Background The concept of patient safety is an essential component of health care systems and is one of the key pillars of quality in health care organizations. One of the most important factors related to the safety of patients is the spiritual health of staff and patients. Accordingly, this study strived to explain the status of patient safety culture and its relationship with spiritual health from the perspective of health care providers in teaching hospitals of Hamadan.Methods This study was a qualitative content analysis study with a conventional approach using semi-structured open-ended interviews with samples selected by purposeful sampling technique to achieve data saturation. The proposed method of Granheim and Landman (2004) was also used for the qualitative content analysis of the data.Results In this study, 5 themes and 11 sub-themes were obtained from the participants' experiences. These included: continuous and dynamic training and upgrading of safety skills, attention to spirituality and conscientiousness and work commitment, effective communication and teamwork, equipping human and logistical resources based on the principle of care, accurate recognition of instructions, and error control.Conclusions The evaluation of safety culture clarifies the perceptions of safety participants in the organization and the attitude of managers and employees towards safety issue which can lead to the development of safety culture and quality improvement.

scholarly journals Perception of patient safety culture among health-care providers in a Tertiary Care Hospital, South India

2018 ◽  
Vol 9 (1) ◽  
pp. 14 ◽  
Author(s):  
Adhisakthi Rajalatchumi ◽  
ThanjavurS Ravikumar ◽  
Kaliaperumal Muruganandham ◽  
Mahalakshmy Thulasingam ◽  
Kalaiselvi Selvaraj ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Providers ◽  
Safety Culture ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Patient Safety Culture ◽  
Care Hospital ◽  
Care Providers

scholarly journals Medication safety practices in healthcare facilities in Kaduna State, Nigeria: a study protocol

2020 ◽  
Vol 11 ◽  
pp. 204209862092757
Author(s):  
Basira Kankia Lawal ◽  
Alhaji A. Aliyu ◽  
Umar Idris Ibrahim ◽  
Bilkisu Bello Maiha ◽  
Shafiu Mohammed
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Providers ◽  
Safety Culture ◽  
Medication Safety ◽  
Patient Safety Culture ◽  
Phase Iii ◽  
World Health ◽  
Care Providers ◽  
Safety Practices

Background: In recent years, there has been growing concern about patient safety and this is becoming a global problem. Medication safety can be used to describe systematic assessments of healthcare professionals’ practices as related to safe use of medicines. Identification and prevention of medication errors is the key component of medication safety. This includes multiple aspects of medication practice and other factors that affect it, such as organisational structure, communication, technologies such as those used for dispensing, and strategies pursued by leadership in cultivating and promoting a culture of safety. Methods: The study adopted a mixed method approach divided into three phases. Phase I is a quantitative phase and involves an assessment of core medication safety practices in the study sites together with an assessment of patient safety culture through the use of the Hospital Survey on Patient Safety Culture (HSOPSC) developed by US Agency for Health Care Research and Quality (AHRQ). Phase II will involve semi-structured interviews with health care providers and focus group discussions with patients to explore their perspectives on medication safety and to explore their experiences concerning medication safety respectively. Phase III will be an intervention study and will utilise the World Health Organisation (WHO) Patient Safety Curriculum Guide: Multi professional edition as the intervention tool. Discussion: The study findings will offer substantial opportunity for improvements. The study will also open up an area of patient safety culture, where not much research has been conducted in Nigeria.

scholarly journals Nurse safety culture in the services of a university hospital

2019 ◽  
Vol 72 (3) ◽  
pp. 767-773
Author(s):  
Cintia Silva Fassarella ◽  
Lolita Dopico da Silva ◽  
Flavia Giron Camerini ◽  
Maria do Céu Aguiar Barbieri Figueiredo
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Management Support ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Culture Dimensions ◽  
Significant Difference ◽  
Information And Communication

ABSTRACT Objective: To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services. Method: cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied. Results: A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003). Conclusion: The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital’s services, serving as a warning and assisting in the services’ improvement.

scholarly journals Nurses' Perceptions of Patient Safety Culture in Intensive Care Units: A Cross-Sectional Study

2019 ◽  
Vol 7 (21) ◽  
pp. 3667-3672
Author(s):  
Marwa Salem ◽  
John Labib ◽  
Ahmed Mahmoud ◽  
Silvia Shalaby
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference

BACKGROUND: Patient safety culture is a relatively new focus where little is known about its current status in Egypt’s teaching hospitals, mainly intensive care units (ICUs). Therefore, the authors of this study attempted to assess the patient safety culture dimensions from the nurses’ perspective. METHODS: An exploratory cross-sectional study was conducted in two ICUs (pediatric ICU and adult ICU) at the University Hospital over 3 months from October till December 2018. Sixty nurses were interviewed using the Hospital Survey on Patient Safety Culture. RESULTS: The current study findings revealed an average positive response to individual items ranging from 6% to 51%. The “Organizational learning” dimension had the highest average percent positive patient safety dimension score (51%) among all respondents, while the “Frequency of events reported” dimension had the lowest one (6%). No statistically significant difference was reported between the pediatric and adult ICUs for all mean scores except for the “Non-punitive response to error” dimension which was reported to be greater in the pediatric intensive care unit (PICU) compared to adult ICU (P < 0.005). The overall patient safety grade was rated acceptable by 47.5% of the interviewed nurses. CONCLUSION: The current study shows that patient safety is fragile in ICUs, and more effort is recommended to increase the awareness of health care providers. Also, hospital managers need to enhance the performance and practices of patient safety within a non-punitive reporting environment.

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