Application of WHO model for evaluating Patient Safety Friendly Hospital Initiatives (PSFHI) in an Eye hospital in Tehran, Iran
Keywords:
Patient safety, Patient Safety Friendly Hospital Initiatives (PSFHI), Hospital, IranAbstract
Background: Patient safety is one of the major issues concerning the medical community and the World Health Organization (WHO) in most countries. This study aimed to evaluate the patient safety status in an Eye Hospital in Tehran, using the WHO model for Patient Safety Friendly Hospital Initiatives (PSFHI) in 2012.
Methods: This Cross-Sectional study was done in an Eye Hospital in Tehran. Measurement tool was a checklist related to the PSFHI, including 140 standards in three groups of critical, core and developmental. It was covering five domains of: a) Leadership and management, b) Patient and public involvement, c) Safe evidence-based clinical practices, d) Safe environment, and e) Lifelong learning.
Results: Compliance with critical, core and developmental standards were 77.78%, 75.29%, and 21.42% respectively.The Rates of Meeting Standards in the leadership and management, patient and public involvement, safe evidence-based clinical practices, secure environment and for lifelong learning were 66.89%, 42.85%, 75.68%, 73.68%, and 63.63% respectively.
Conclusions: The PSFHI standards play important role in improving patient safety using leadership, safety practices and creating good working conditions and environment for the staff. So focus on these standards is essential in improving the patient safety in hospitals in Iran.
References
Andaleeb SS. Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social science & medicine. 2001;52(9):1359–70. [PubMed] [Google Scholar]
Pedreira M, Marin H. Patient safety initiatives in Brazil: a nursing perspective. International Journal of Medical Informatics. 2004;73(7):563–7. [PubMed] [Google Scholar]
Carpenter K, Duevel M, Lee P, Wu AW, Bates D, Runciman WB, et al. Measures of patient safety in developing and emerging countries: a review of the literature. Quality and Safety in Health Care. 2010;19(1):48–54. [PubMed] [Google Scholar]
Wagner C, Smits M, Sorra J, Huang CC. Assessing patient safety culture in hospitals across countries. International Journal for Quality in Health Care. 2013;25(3):213–21. [PMC free article] [PubMed] [Google Scholar]
Donaldson SL. 10 facts on patient safety. Geneva: W.H.O; 2013. [cited 2013 Aug, 3]; Available from: http://www.who.int/features/factfiles/patient_safety/en/ [Google Scholar]
Stewart L, Usher K. The impact of nursing leadership on patient safety in a developing country. Journal of Clinical Nursing. 2010;19(21–22):3152–60. [PubMed] [Google Scholar]
Azimi L, Bahadori M. The effect of safety culture education on improvement of managers’ attitudes towards patients’ safety. International Journal of Collaborative Research on Internal Medicine and Public Health. 2012;4(3):217–26. [Google Scholar]
Montgomery A, Todorova I, Baban A, Panagopoulou E. Improving quality and safety in the hospital: The link between organizational culture, burnout, and quality of care. British Journal of Health Psychology. 2013;18(3):656–62. [PubMed] [Google Scholar]
Castle N, Sonon K. A culture of patient safety in nursing homes. Quality and Safety in Health Care. 2006;15(6):405–8. [PMC free article] [PubMed] [Google Scholar]
Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN journal. 2008;87(1):163–75. [PubMed] [Google Scholar]
Manns BJ, Taub K, Vanderstraeten C, Jones H, Mills C, Visser M, et al. The impact of education on chronic kidney disease patients’ plans to initiate dialysis with self-care dialysis: a randomized trial. Kidney international. 2005;68(4):1777–83. [PubMed] [Google Scholar]
Reihani H, Haghiri A. Determination of bed sore risk factors in craniospinal trauma patients in intensive care units. Arak University of Medical Sciences Journal. 2007;10(2):39–46. [Google Scholar]
Safavi Bayat Z, Zorriasatain F. Determining risk factors associated with falling among elderly at residential care facilities in Tehran. The Journal of Qazvin University of Medical Sciences. 2008;11(4):66–70. [Google Scholar]
Bloomfield Rubins H, Moskowitz MA. Complications of care in a medical intensive care unit. Journal of General Internal Medicine. 1990;5(2):104–9. [PubMed] [Google Scholar]
Giraud T, Dhainaut JF, Vaxelaire JF, Joseph T, Journois D, Bleichner G, et al. Iatrogenic complications in adult intensive care units: A prospective two- center study. Critical Care Medicine. 1993;21(1):40–51. [PubMed] [Google Scholar]
Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA. Complications of care in a pediatric intensive care unit: A prospective study. Intensive Care Medicine. 1996;22(10):1098–104. [PubMed] [Google Scholar]
Zhan C, Miller MR. Excess Length of Stay, Charges, and Mortality Attributable to Medical Injuries during Hospitalization. Journal of the American Medical Association. 2003;290(14):1868–74. [PubMed] [Google Scholar]
Greenstein AJ, Wahed AS, Adeniji A, Courcoulas AP, Dakin G, Flum DR, et al. Prevalence of adverse intraoperative events during obesity surgery and their sequelae. Journal of the American College of Surgeons. 2012;215(2):271–7. [PMC free article] [PubMed] [Google Scholar]
Brennan TA, Gawande A, Thomas E, Studdert D. Accidental deaths, saved lives, and improved quality. New England Journal of Medicine. 2005;353(13):1405. [PubMed] [Google Scholar]
Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. International Journal of Health Care Quality Assurance. 2007;20(7):620–32. [PubMed] [Google Scholar]
Donaldson L, Philip P. Editorial: patient safety—a global priority. Bull World Health Organ. 2004;82:892–3. [PMC free article] [PubMed] [Google Scholar]
Brennan TA, Leape LL, Laird N, Hebert L, Localio A, Lawthers A, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. Quality and Safety in Health Care. 2004;13(2):145–51. [PMC free article] [PubMed] [Google Scholar]
Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. Journal of pediatric nursing. 2004;19(6):385–92. [PubMed] [Google Scholar]
Siddiqi S, Elasady R, Khorshid I, Fortune T, Leotsakos A, Letaief M, et al. Patient Safety Friendly Hospital Initiative: from evidence to action in seven developing country hospitals. International Journal for Quality in Health Care. 2012;24(2):144–51. [PubMed] [Google Scholar]
Baghaee R, Nourani D, Khalkhali H, Pirnejad H. Evaluating patient safety culture in personnel of academic hospitals in Urmia University of Medical Sciences. Bimonthly Journal of Urmia Nursing And Midwifery Faculty. 2012;10(2):155–64. [Google Scholar]
Fajardo-Dolci G, Rodríguez-Suárez J, Arboleya-Casanova H, Rojano-Fernández C, Hernández-Torres F, Santacruz-Varela J. Patient safety culture in healthcare professionals. Cirugia y cirujanos. 2010;78(6):522–7. [PubMed] [Google Scholar]
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