Does safety climate make sense in hospitals of a developing country?
Keywords:
Patient’s safety; Safety climate; Safety cultureAbstract
Introduction: Healthcare as a high hazard industry, should work to enhance their patient safety. To achieve this objective, they first have to identify their existing safety climate status.
Methods: This study was conducted in summer of 2010. We assessed safety climate Using Hospital Survey On Patient Safety Culture (HSOPSC). 385 employees of three teaching hospitals affiliated with Kerman University of Medical Sciences participated in the study. The results were expressed as percentage of positive answers toward patient safety.
Results: Patient safety culture scores were low to average in all dimensions. Supervisor expectations and actions promoting patient safety and teamwork within units received the highest scores in all three hospitals, while non punitive response to error attained the least score in studied hospitals.
Conclusion: The studied hospitals, relying on their strengths concerning patient’s safety climate and trying to resolve their weaknesses, would be able to create a safe and suitable environment which supports patient safety. Establishing a system for reporting errors, encouraging staff to report events and applying non- punitive response to prevent the errors are suggested.
References
Peters GA and Peters BJ, Medical errors and patient safety; Human factors in medicine, CRC Press, Taylorand Francis group.2008.2.European Credit Reaearch Institiute (ECRI). 2005. 10-5-2009.3.Wilkson A. Understanding organizational culture and the implications for corporate marketing. Eur J Mark.2001;35:353-67.4.Cooper M. Towards a model of safety culture. Safety Science.2000;36:111-36.5.Greenberg J, Baron R. Behavior in Organizations. sixth ed. UpperSaddle River NJ: Prentice Hall.1997.6.Sorenson JN. Safety culture: a survey of the state-of-the-art. ReliabEngin Syst Saf.2002;76:189-204.7.Zohar D. Safety climate in industrial organizations: theoretical and applied implications. Journal of AppliedPsychology.2000;65:96-102.8.Colla J, Bracken AC, KInney LM, Weeks WB. Measuring patient safety climate: a review of surveys. QualSaf Health Care.2005;14:364-6.9.Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington, DC:National Academy Press.1997.10.Organizing for safety: third report of the human factors study group of ACSNI. Sudbury: Health andSafety Commission.Health and Safety Commission.200311.Agency for Health Research and Quality Hospital Survey On Patient Safety Culture. 2004.12.Flin R, Measuring safety culture in healthcare: A case for accurate diagnosis,safety sciences. 2007;45:653-6713.Pitcher D. Organizational Culture and PatientSafety. 2002.14.Singer SJ, Gaba D, Geppert JJ, etal. The culture of safety:Results from an organization-wide survey in 15California hospitals. Qual Saf Health Care.2003;12(2):112-8.15.Gaba D. Culture of Safety in Hospitals: What is it? How can it be measured? How can it be improved?2002.16.Leape L. Can we make health care safe?The Institute Coalition on Health Care-The Institute forHealthcare Improvement.2000.17.RogersD.TheImportanceofDevelopingaSafetyCulture.AvailableOnlineat:http://www.hrtutor.com/en/news_rss/articles/2004/Developing_Safety_Culture.aspx18.Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging safety culture; survey results. Internationaljournal of healthcare quality assurance.2007;20(7):620-32.19.Wiegmann DA, Zhang H, Thaden TV, Sharma G, Mitchell A. A synthesis of safety culture and safetyclimate research. Federal Aviation Administration Atlantic city international Airport.2002. Report No.:ARL-02-3/FAA-02-2.20.Wiegmann DA, Shappel SA. Human error analysis of commercial aviaiation accidents: Application of thehuman factors analysis and classification system. Aviation space and Environmental Medicine.2001;72(11):1006-16.21.Flin, R., Burns, C., Mearns, K., Yule, S., Robertson, E.M. Measuring safety climate in healthcare. Qualityand Safety in Health Care. 2006;15:109–15.22.Guldenmund, F.W.The nature of safety culture: a review of theory and research. Safety Science. 2000;34:215–57.23.Fleming, M.Patient safety culture measurement and improvement: A ‘How To’ guide. HealthcareQuarterly. 2005;8:14–9.
Gershon, R., Stone, P., Bakken, S., Larson, E.Measurement of organizational culture and climate inhealthcare. Journal of Nursing Research. 2004;34:33–40.25.Weingart SN, Farbstein K, Davis RB: Using a multi hospital survey to examine the safety culture. jt CommJ Qual Saf.2004; 30:125-32.26.Sexton JB, Thomas EJ, Helmreich RL, etal. Frontline assessments of healthcare culture:Safety AttitudesQuestionnaires norms and psychomrtrics properties.Austin, TX, The University of Texas center ofExcellence for patient safety Research and Practice. Sponsored by the Agency for Healthcare Research andQuality.2004;290-96-0004.27.Evaluation of the culture of safety:survey of clinicians and managers in an academicmedical center: QualSaf Health Care.2003; 12:405-10.28.Gaba DM, Singer SJ, Sinaiko AD, Bowen JD, Ciavarelli AP. Differences in safety climate betweenhospital personnel and naval aviators. Hum Factors. 2003 Summer;45(2):173-85.PubmedPMID:1452919229.Sorra JS, NIeva VF. AHRQ Benchmark,Hospital Survey on Patient Safety Culture. (Prepared by Westat,under Contract No. 290-96-0004). AHRQ Publication No. 04-0041. Rockville, MD: Agency for HealthcareResearch and Quality.2004.30.AmiresmailiMR,Tourani S and Barati O.Measuring safety culture and setting priorities for action at anIranian hospital, Al Ameen J Med Sci. 2010; 3 (3):237-4531.Pfeiffer Y and Manser T.Development of the German version of the Hospital Survey on Patient SafetyCulture: Dimensionality and psychometric properties, safety science. 2010;48:1452-6232.Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. Implementing patient safety initiatives in ruralhospitals. J Rural Health. 2009 Fall;25(4):352-7. doi: 10.1111/j.1748-0361.2009.00243.x. PMID: 1978091433.Jeongeun K, Kyungeh A, Minah KK, Yoonsook H. Nurses' Perception of Error Reporting and PatientSafety Culture in Korea. Western Journal of Nursing Research.2007;29(7):827-44.34.Vancamp L. Total quality management and the culture of organization. European journal of Emergencymedicine.2009;4:59.35.Yule SJ, Flin R, Murdy AJ. Modeling managerial influence on safety climate. Sandiego 2001,April 27-29.36.Sine, David M. Interactive Qualitative Assessment of Patient Safety Culture Survey Scores. Journal ofPatient Safety.2008;4(2):78-83.37.Leape LL, Berwick DM. Five years after To Err is human: what have we learned? JAMA2005;239(19):2384-90.
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