scholarly journals Evaluation of National Studies, Which Had Been Published in the Last Decade (2008-2017) Related to "Patient Safety" in Turkey: A Bibliographic Review

Author(s):  
Feride Eşkin Bacaksız ◽  
Gülcan Taşkıran ◽  
Gamze Uğuz ◽  
Arzu Kader Harmancı seren

Objective: In this study, it is aimed to examine bibliographic characteristics of the studies about the patient safety in national literature and to determine the similarities and dissociations reported in the research results. Methods: In this study, a total of 33 studies that were performed in the Turkish sample between 2008 and 2017, and using "patient safety" and "safety culture" keywords were included in the study. Results: As a result of the analysis, it was found that most of the studies were carried out between 2014-2017 (n: 17) and in the Marmara region (n: 13), in the Ministry of Health Hospitals (n: 28), and only in the nurse sample (n: 18). Most of the studies are descriptive (n: 26) or correlational (n: 6). The Hospital Survey on Patient Safety Culture was the most frequently used tool (n: 14) or the researchers formed the questions themselves (n: 11). The most common findings in the researches were the participants' opinions about the institutions patient safety levels, medical error reporting histories, the status of getting patient safety training or making a medical error, and comparisons with socio-demographic characteristics. Conclusion: It was seen that there were a few studies performed in private hospitals and in the sample of healthcare students. Also, the number of valid and reliable instruments about patient safety was limited, and using of non-valid and non-reliable tools was common. The studies mostly focused on personal and professional characteristics. So there is a need for more research related to organizational and managerial factors, which may affect the concept of patient safety in different sectors and samples.

2014 ◽  
Vol 22 (5) ◽  
pp. 755-763 ◽  
Author(s):  
Andréia Tomazoni ◽  
Patrícia Kuerten Rocha ◽  
Sabrina de Souza ◽  
Jane Cristina Anders ◽  
Hamilton Filipe Correia de Malfussi

OBJECTIVE: to verify the assessment of the patient safety culture according to the function and length of experience of the nursing and medical teams at Neonatal Intensive Care Units.METHOD: quantitative survey undertaken at four Neonatal Intensive Care Units in Florianópolis, Brazil. The sample totaled 141 subjects. The data were collected between February and April 2013 through the application of the Hospital Survey on Patient Safety Culture. For analysis, the Kruskal-Wallis and Chi-Square tests and Cronbach's Alpha coefficient were used. Approval for the research project was obtained from the Ethics Committee, CAAE: 05274612.7.0000.0121.RESULTS: differences in the number of positive answers to the Hospital Survey on Patient Safety Culture, the safety grade and the number of reported events were found according to the professional characteristics. A significant association was found between a shorter Length of work at the hospital and Length of work at the unit and a larger number of positive answers; longer length of experience in the profession represented higher grades and less reported events. The physicians and nursing technicians assessed the patient safety culture more positively. Cronbach's alpha demonstrated the reliability of the instrument.CONCLUSION: the differences found reveal a possible relation between the assessment of the safety culture and the subjects' professional characteristics at the Neonatal Intensive Care Units.


2019 ◽  
Author(s):  
amir hossein khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei

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.


Author(s):  
Rumyana Stoyanova ◽  
Rositsa Dimova ◽  
Miglena Tarnovska ◽  
Tatyana Boeva ◽  
Rosen Dimov ◽  
...  

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.


Nursing Open ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 768-775
Author(s):  
Zahra Chegini ◽  
Ali Janati ◽  
Maryam Afkhami ◽  
Maryam Behjat ◽  
Sheikh Mohammed Shariful Islam

2019 ◽  
Author(s):  
amir hossein khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei

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.


Author(s):  
Amir Hossein Khoshakhlagh ◽  
Elham Khatooni ◽  
Isa Akbarzadeh ◽  
Saeid Yazdanirad ◽  
Ali Sheidaei

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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