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 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.

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.

Patient safety culture in burn care units from the perspectives of healthcare providers: across-sectional study

2021 ◽  
Author(s):  
Maryam Moghimian ◽  
Sedigheh Farzi ◽  
Kolsoum Farzi ◽  
Mohammad Javad Tarrahi ◽  
Hossein Ghasemi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Care Delivery ◽  
Quality Care ◽  
Healthcare Providers ◽  
Patient Safety Culture ◽  
Cross Sectional ◽  
Burn Care ◽  
Healthcare Settings ◽  
Collection Data

Abstract Creating a positive patient safety culture is a key step in the improvement of patient safety in healthcare settings. PSC is a set of shared attitudes, beliefs, and perceptions about PS among healthcare providers. This study aimed to assess PSC in burn care units from the perspectives of healthcare providers. This cross-sectional descriptive study was conducted in 2020 in the units of a specialty burn center. Participants were 213 healthcare providers recruited to the study through a census. A demographic questionnaire and the Hospital Survey on Patient Safety Culture were used for data collection. Data were managed using the SPSS16 software and were summarized using the measures of descriptive statistics. The mean of positive responses to PSC items was 51.22%, denoting a moderate-level PSC. The lowest and the highest dimensional mean scores were related to the no punitive response to error dimension (mean: 12.36%) and the teamwork within departments dimension (mean: 73.25%), respectively. Almost half of the participants (49.3%) reported acceptable PS level in their workplace and 69.5% of them had not reported any error during the past twelve months before the study. Given the great vulnerability of patients with burn injuries in clinical settings, improving PSC, particularly in the no punitive response to error dimension, is essential to encourage healthcare providers for reporting their errors and thereby, to enhance PS. For quality care delivery, healthcare providers in burn care units need a safe workplace, adequate managerial support, a blame-free PSC, and an incentive error reporting system to readily report their errors.

scholarly journals Patient safety culture in the maternal-child area of a university hospital

2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Vitoria Sandri Pedroni ◽  
Helga Geremia Gouveia ◽  
Letícia Becker Vieira ◽  
Wiliam Wegner ◽  
Adriana Catarina de Souza Oliveira ◽  
...  
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Positive Answer ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nurses And Physicians ◽  
Maternal Child

ABSTRACT Objective: To describe the safety culture of the patient from the perspective of nurses and physicians working in the maternal-child area. Method: A cross-sectional study conducted from January to September 2018 with 41 professionals of the Obstetrics Center and obstetric hospitalization of a university hospital in the south of the country. The Hospital Survey on Patient Safety Culture was used, with 12 dimensions of the safety culture, measured by means of a general score (0 to 10) and of positive answer percentages to assess strengths and weaknesses. Results: The action of supervisors/bosses can be considered a strength of patient safety, with 78.2% of positive answers; already regarding communication, it was considered a fragility, punctuating 13.24%. The general safety grade of the patient assigned to the work’s unit was very good, in a confidence interval of 95%. Conclusion: With the identification of the strengths and weaknesses of patient safety, it is possible to plan improvement actions. We emphasize that the non-punitive approach is essential.

scholarly journals Evaluation of patient safety culture: comparative study in university hospitals

2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Cintia Silva Fassarella ◽  
Flávia Giron Camerini ◽  
Danielle de Mendonça Henrique ◽  
Luana Ferreira de Almeida ◽  
Maria do Céu Barbieri Figueiredo
Keyword(s):  
Patient Safety ◽  
Comparative Study ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Teaching Hospitals ◽  
Management Support ◽  
University Hospitals ◽  
Cross Sectional ◽  
Significant Difference ◽  
Comparative Survey

ABSTRACT Objective: To conduct a benchmarking comparison of the composites of patient safety culture based on the evaluation of Brazilian and Portuguese nurses working in university hospitals. Method: Quantitative, cross-sectional, comparative survey. Data collected between April and December 2014, in two teaching hospitals, applying the instrument Hospital Survey on Patient Safety Culture, in the versions translated and adapted to the countries. Results: 762 nurses distributed in four services participated in the study, 195 Brazilians and 567 Portuguese. Seven of the 12 composites of safety culture showed significant differences between hospitals. The highlights were those related to: “management support for patient safety” (±17); “handoffs and transitions” (±15); “teamwork across units” (±14); and “overall perceptions of patient safety” (±10). Conclusion: The dimension that had the highest significant difference between the studied institutions was “management support for patient safety”. These data may support the managers of the study hospitals, enabling continuous improvements and advancements.

scholarly journals Patient safety culture in the intensive care unit: cross-study

2019 ◽  
Vol 13 (06) ◽  
pp. 496-503
Author(s):  
Mabel Duarte Alves Gomides ◽  
Astrídia Marília de Souza Fontes ◽  
Amanda Oliveira Soares Monteiro Silveira ◽  
Geraldo Sadoyama
Keyword(s):  
Intensive Care Unit ◽  
Patient Safety ◽  
Intensive Care ◽  
Safety Culture ◽  
Work Experience ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Adult Intensive Care Unit

Introduction: Patient safety culture has been the reason for great concern for the scientific community due to the high number of failures resulting from the provision of health care. The objective of this study was to evaluate the perception regarding the patient safety culture and their differences between categories, in the professional teams of the adult intensive care unit (ICU). Methodology: This is a cross-sectional descriptive study, with a quantitative approach, to evaluate the patient safety culture developed in the unit adult ICU of a public university hospital. Results: In this survey, 138 employees of the ICU participated, among them: physicians, psychologists, nutritionists, physiotherapists, nurses, nursing technicians, and secretaries. There was a predominance of nursing technicians (76.8%) and work experience time from 5 to ≥ 21 years (62.3%). The overall mean of the safety culture in the ICU was 57.80, and the domains with the best average were stress perception (73.84) and satisfaction at work (72.38) and with the worst mean was the perception of hospital management (42.69). The perception of safety attitudes in the professional category of physicians presented a general average of 61.63, being strengthened to job satisfaction (77,89) and with a higher perception in relation to nurses. Conclusions: The overall ICU average for the patient safety culture was less than 75, which demonstrates a team with weakened safety attitude and, in addition, low perceptions of safety attitudes based on the results of management domains, working conditions and communication failures.

scholarly journals Interdisciplinary Differences in Patient Safety Culture within a Teaching Hospital in a South East Asia

2020 ◽  
Author(s):  
Karthikayini Krishnasamy ◽  
Maw Pin Tan ◽  
Mohd Idzwan Zakaria
Keyword(s):  
Job Satisfaction ◽  
Patient Safety ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
University Hospital ◽  
Percentage Agreement ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Stress Recognition

Background: Patient safety represents a global issue which leads to potentially avoidable morbidity and mortality. This study aimed to determine the inter-professional differences in patient safety culture in a tertiary university hospital. Method: A cross-sectional study using the Safety Attitude Questionnaire (SAQ) self-administered electronically in the English and Malay languages to evaluate safety culture domains. A positive percentage agreement score of 60% was considered satisfactory. Comparisons were made between clinicians, nurses, allied health professionals, ward attendants and support staff. Results: Of 6562 potential respondents, 5724 (80.4%) completed the questionnaire; 3930 (74.5%) women, 2263 (42.9%) nurses, and 1812 (34.2%) had 6-10 years of working experience. The mean overall positive percentage agreement scores were 66.2 (range=31.1 to 84.7%), with job satisfaction (72.3±21.9%) and stress recognition (58.3±25.6%) representing the highest and lowest mean domain scores respectively. Discussion: Differences were observed between all five job categories. Linear regression analyses revealed that the other four job categories scored lower in teamwork, safety culture, job satisfaction, and working conditions compared to nurses. Conclusions: The overall mean SAQ score was above the satisfactory level, with unsatisfactory percentage agreement scores in the stress recognition domain. Interventions to improve patient safety culture should be developed, focusing on stress management.

scholarly journals Patient safety culture in a university hospital

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Taís Freire Galvão ◽  
Marcélia Célia Couteiro Lopes ◽  
Carmen Conceição Carrilho Oliva ◽  
Maria Elizete de Almeida Araújo ◽  
Marcus Tolentino Silva
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Safety Assessment ◽  
Positive Response ◽  
Electronic Device ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional

ABSTRACT Objective: to assess patient safety culture in a university hospital. Method: cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach’s alpha was used to calculate the frequency and reliability. Results: most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to “teamwork within units” (58%, α=0.68), “organizational learning - continuous improvement” (58%, α=0.63), “supervisor/manager expectations and actions promoting patient safety” (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on “nonpunitive response to error” (18%, α=0.40). Only the item “in this unit, people treat each other with respect” had positive response above 70%. The patient safety assessment in the work unit was positive for 36% of employees, however only 22% reported events in past year. Conclusion: the findings revealed weaknesses in the safety culture at the hospital, with emphasis on culpability.

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