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

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 &lt; 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 &lt; 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 &lt; 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.

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.

scholarly journals Effects of Patient Safety Culture on Patient Satisfaction With Radiological Services in Nigerian Radiodiagnostic Practice

2018 ◽  
Vol 5 (4) ◽  
pp. 267-271 ◽  
Author(s):  
Chioma Henrietta Okafor ◽  
Anthony C Ugwu ◽  
Ime Edet Okon
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Safety Culture ◽  
Positive Response ◽  
Health Workers ◽  
Care Delivery ◽  
Simple Random Sampling ◽  
Patient Safety Culture ◽  
Patient Satisfaction Questionnaire

Introduction: Patient safety culture is believed to be the first step toward improvement in quality of health-care delivery which will impact patient satisfaction. Objective: To assess the effect of patient safety culture on patient satisfaction in radiodiagnostic practice. Method: Two validated questionnaires via Hospital Survey on Patient Safety Culture by Agency of Health Research and Quality and patient satisfaction questionnaire by Hays were administered to radiodiagnostic staff and patients who came for diagnostic care, respectively. These questionnaires were based on 5-point Likert scale. Questionnaires on patient safety culture and patient satisfaction were administered to 80 radiology health workers and 376 patients of radiology, respectively. Simple random sampling was used to enlist the participants for patient satisfaction while a population study was carried out to enlist patient safety culture participants. Data were analyzed using SPSS version 17. Results: Response rate for patient safety culture questionnaires was 94.6%, while that of patient satisfaction was 62.8%. Among the survey items of patient safety, teamwork has the highest positive response of 76.5%, while staffing has the least, 30%. Overall patient safety culture was 53.7%. The survey item with highest positive response in patient satisfaction survey was patient-provider relationship (80%), while service cost-effectiveness has the least of 59%. Overall patient satisfaction with radiological services was 72.6%. There is no correlation between patient safety culture and patient satisfaction. Conclusion: Even though there is an excellent level of patient satisfaction in this study, it is not related to the practice of patient safety culture in radiodiagnostic unit.

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.

scholarly journals Development of a patient safety culture scale for maternal and child health institutions in China: a cross-sectional validation study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e025607
Author(s):  
Yuanyuan Wang ◽  
Hui Han ◽  
Liqian Qiu ◽  
Chaojie Liu ◽  
Yan Wang ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Workers ◽  
Reliability And Validity ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Retest Reliability ◽  
Confirmatory Factor ◽  
Test Retest Reliability

ObjectiveThis study aimed to develop a patient safety culture (PSC) scale for maternal and child healthcare (MCH) institutions in China.MethodsA theoretical framework of PSC for MCH institutions was proposed through in-depth interviews with MCH workers and patients and Delphi expert consultations. The reliability and validity of the PSC scale were tested in a cross-sectional survey of 1256 MCH workers from 14 MCH institutions in Zhejiang province of China. The study sample was randomly split into half for exploratory and confirmatory factor analyses, respectively. Test–retest reliability was assessed through a repeated survey of 63 voluntary participants 2 weeks apart.ResultsThe exploratory factor analysis extracted 10 components: patient engagement in patient safety (six items), managerial response to patient safety risks (four items), perceived management support (five items), staff empowerment (four items), staffing and workloads (four items), reporting of adverse events (three items), defensive medical practice (three items), work commitment (three items), training (two items) and transfer and handoff (three items). A good model fit was found in the confirmatory factor analysis: χ2/df=1.822, standardised root mean residual=0.048, root mean square error of approximation=0.038, comparative fit index=0.921, Tucker-Lewis index=0.907. The PSC scale had a Cronbach’s α coefficient of 0.89 (0.59–0.90 for dimensional scales) and a test–retest reliability of 0.81 (0.63–0.87 for dimensional reliability), respectively. The intracluster correlation coefficients confirmed a hierarchical nature of the data: individual health workers nested within MCH institutions.ConclusionThe PSC scale for MCH institutions has acceptable reliability and validity. Further studies are needed to establish benchmarking in a national representative sample through a multilevel modelling approach.

scholarly journals Organizational Factors in Implementation of Patient Safety Culture in Hospitals: Systematic Literature Review

2021 ◽  
Vol 4 (2) ◽  
pp. 40
Author(s):  
Septin Srimentari Lely Darma ◽  
Purwaningsih Purwaningsih ◽  
Elida Ulfiana
Keyword(s):  
Patient Safety ◽  
Literature Review ◽  
Organizational Structure ◽  
Safety Culture ◽  
Health Workers ◽  
Improve Patient Safety ◽  
Organizational Factors ◽  
Patient Safety Culture ◽  
Research Quality ◽  
Alphabetical Order

Introduction: Patient safety culture is a program organized to minimize the risk of unexpected events and improve patient safety. This study is aimed to explain the relationship between organizational factors in the implementation of patient safety culture in hospitals based on empirical studies in the last five years.Method: ProQuest, ScienceDirect, Sage, CINAHL, and google scholar databases have been searched using indexed keywords in the Medical Subject Heading (MeSH) on 2015-2020. JBI's review with a cross-sectional study design used to assess research quality. The PRISMA flowchart was used to summarize the study selection process in the literature review with inclusion and exclusion criteria adjusted to the PICOS framework.Results: We found 13 journals that consist of three studies discuss about leadership, seven journals describe about resources, and three journals relate to organizational structure.  Every country has a different characteristic in implementation of patient safety culture. The thirteen journals came from countries that divided in to three continents, there are Asia, Europe, and Africa. The results of this studyshow that leadership, resources, and, organizational structure can optimize the application of patient safety culture. Leadership support motivates health workers in the room in implementing a patient safety culture. Adequate resources reduce the risk of accidents at work, and an effective organizational structure creates good and conducive performance.Conclusions: Provide between three and five key words in alphabetical order, which accurately identify the paper’s subject, purpose, method and focus. Don't use words or terms in the title as keywords. These keywords will be used for indexing purposes. Keywords cannot be more than 5 words or phrases in alphabetical order

Assessment of patient safety culture: a comparative case study between physicians and nurses

2017 ◽  
Vol 23 (4) ◽  
pp. 792-810 ◽  
Author(s):  
Ahmed Mohamed Elsheikh ◽  
Mohammed Abdullah AlShareef ◽  
Bassem Salah Saleh ◽  
Muhammad Abdullah Yassin El-Tawansi
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Positive Response ◽  
Care Delivery ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
Comparative Case Study ◽  
Content Type ◽  
Survey Tool ◽  
Average Percentage

Purpose This study compares responses of physicians and nurses to patient safety culture assessment in the Security Forces Hospital Program Makkah, Saudi Arabia, using the Agency for Healthcare Research and Quality (AHRQ) survey tool and its referenced benchmarking tool. The purpose of this paper is to measure patient safety culture to improve its perception, reaction, and implementation, leading to improvement in care delivery. Design/methodology/approach This study uses convenience sampling, delivering paper copies. The completed surveys were collected by a designated hospital contact person in QPSD. The total population surveyed was 623: 336 nurses, 174 physicians, 9 pharmacists, and 104 technicians. Findings Composite-level results compared to AHRQ database hospitals show values below minimum positive in “Staffing” and “Non-Punitive response to error” to have decreased values in nursing answers than physician ones. The average percentage positive concerning “staffing” items is below the average percentage positive of database hospitals; in nursing, it decreases more; it shows a low positive response regarding enough staff, work hours, and crisis mode; the last item shows a more negative response. The average percentage positive concerning “No punitive Response to Error” is below average positive of database hospitals; in nursing, it decreases more, with a low positive response concerning feeling responsible for mistakes. Originality/value The approach explained in this paper aims to measure patient safety culture, which can be improved through mentioned recommendations.

scholarly journals Budaya Patient Safety dan Karakteristik Kesalahan Pelayanan: Implikasi Kebijakan di Salah Satu Rumah Sakit di Kota Jambi

2011 ◽  
Vol 6 (2) ◽  
pp. 67
Author(s):  
Solha Elrifda
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Positive Response ◽  
Patient Safety Culture ◽  
Healthcare Research ◽  
System Failure ◽  
Hospital Level ◽  
Cross Sectional ◽  
Technical Errors ◽  
Self Administered Questionnaire

Patient safety adalah salah satu komponen kritis dari mutu pelayanan kesehatan. Banyak kesalahan pelayanan dikaitkan dengan budaya patient safety. Catatan tentang kesalahan pelayanan di berbagai negara menunjukkan angka yang mengkhawatirkan, sementara di Indonesia belum ada catatan resmi. Demikian halnya dengan budaya patient safety dan kesalahan pelayanan di rumah sakit Kota Jambi. Penelitian inibertujuan untuk mengetahui budaya patient safety dan karakteristik kesalahan pelayanan di salah satu rumah sakit di Kota Jambi. Desain penelitian ialah cross sectional dan kualitatif. Populasi dan sampel adalah petugas yang melayani pasien secara langsung di ruang rawat inap rumah sakit yang diteliti (dokter, perawat, dokter gigi, dan bidan) dengan jumlahsampel 191 orang. Data dikumpulkan dengan teknik wawancara tidak langsung dengan menyebarkan angket yang diadopsi dari kuesioner yang telah distandardisasi oleh Agency for Healthcare Research and Quality dengan penambahan untuk pertanyaan tentang kesalahan pelayanan secara kualitatif. Analisis data dilakukan secara univariat dan kualitatif. Hasil penelitian menunjukkan budaya patient safety secara umum direspons positif hanya 14,7% responden pada tingkat unit dan 26,2% pada tingkat rumah sakit. Variasi kesalahan pelayanan menyangkut disiplin, komunikasi, dan kesalahan teknis yang disebabkan oleh faktor manusia dan kegagalan sistem. Kesimpulan dari hasil penelitian ini adalahbudaya patient safety di salah satu rumah sakit di kota Jambi kurang baik dan ditemukan berbagai kesalahan pelayanan. Saran kepada pihak manajemen untuk menetapkan kebijakan pelaksanaan standar keselamatan pasien sesegera mungkin.Kata kunci: Patient safety, pelayanan kesehatan, rumah sakitAbstractPatient safety is one of critical component in healthcare quality. There are so many healthcare errors associated to patient safety culture. Healthcare errors in various countries have shown an alarming rate, but there is no formal record of event in Indonesia including in Jambi. One hundred and ninetyone respondent, who served patients directly (phyisicians, nurses, dentists, and midwifes) participated in this survey. Data collected by self administered questionnaire. The standardized questionnaire Agency for Healthcare and Quality used in this survey combined with open ended questions about healthcare error characteristics. The result is 14,7% of respondent gave a positive response on patient safety culture in the unit level and 26,2% of respondents gave a positive response on hospital level. Variation of healthcare errors found include the discipline, communication, and technical errors caused by human factors and system failure. Suggestions for the management of the hospital to implement the patient safety standard as soon as possible.Key words: Patient safety, healthcare, hospital

scholarly journals Patient safety culture in Peking University Cancer Hospital in China: baseline assessment and comparative analysis for quality improvement

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xiyao Zhong ◽  
Yuqin Song ◽  
Christine Dennis ◽  
Donna J. Slovensky ◽  
Lim Yee Wei ◽  
...  
Keyword(s):  
Patient Safety ◽  
Continuous Improvement ◽  
Safety Culture ◽  
Positive Response ◽  
Patient Safety Culture ◽  
The United States ◽  
Baseline Survey ◽  
Communication Openness ◽  
Cancer Hospital ◽  
Peking University

Abstract Background Limited information is available regarding the patient safety culture in Chinese hospitals. This study aims to assess the patient safety culture in Peking University Cancer Hospital and to identify opportunities for improving the organization’s safety culture. Methods A cross-sectional study was conducted in April 2018 and 2019, respectively. Data on patient safety culture were collected from clinical and administrative staffs using the Hospital Survey on Patient Safety Culture (HSOPSC). Results Twelve composite dimension variables were hierarchically clustered. Three highest positive response dimensions include ‘Organizational Learning and continuous improvement’ (92.9%), ‘Teamwork within units’ (89.7%), and ‘Hospital management support for patient safety’ (83.7%), while 3 lowest positive response dimensions included ‘Frequency of events reported’ (43.9%), ‘Non-punitive response to error’ (51.1%), ‘Communication openness’ (52.2%), and ‘Staffing’ (53.7%). Compared to the average scores of the United States, the scores of the Peking University Cancer Hospital was significantly lower on ‘Communication openness’ and ‘Frequency of events reported’. After targeted continuous improvement based on results in 2018, all 12 dimensions surprisingly increased in the safety culture conducted in 2019. Conclusion Inadequate feedback and communications about error and lack of communication openness are key challenges for patient safety in the delivery of care in this hospital. Results of this baseline survey indicate the need for a modified approach and attention to context when designing interventions aimed at improving the safety culture in this organization.

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