Assessment of patient safety culture among personnel in the hospitals associated with Islamic Azad University in Tehran in 2013

Authors

  • Mehdi Asghari Department of Occupational Health, Arak University of Medical Sciences, Arak, Iran

Keywords:

Patient safety; Personnel; Hospital; Iran

Abstract

Background: Patient safety is an essential element in the quality of healthcare, and a clear knowledge of its culture in healthcare organizations will lead to both improved healthcare and patient safety. The aim of this study was to assess the patient safety culture at Islamic Azad University hospitals in Tehran, Iran, in 2013.

Methods: This cross-sectional study was conducted on clinical and diagnostic staff in all Islamic Azad University hospitals in Tehran in June 2013. The international "Hospital Survey on Patient Safety Culture" questionnaire was used as the measurement tool.

Results: In these hospitals, the overall positive score of patient safety culture was 35%. "Teamwork within units" (48% positive) was evaluated as reflecting the most knowledge of the aspects of patient safety culture, and "non-punitive response to error" (12% positive) was evaluated as reflecting the least knowledge of the aspects of patient safety culture.

Conclusion: The patient safety culture in the hospitals that were studied should be improved. This goal could be achieved by reinforcing the basics of patient safety culture by teaching the staff members about the aspects of a positive patient safety culture and encouraging them to incorporate these aspects in their day-to-day activities.

References

Sorra J, Famolaro T, Dyer N, et al. Hospital Survey on Patient Safety Culture 2012 user comparative database report. Rockville, MD: Agency for Healthcare Research and Quality; Feb, 2012. (Prepared by Westat, Rockville, MD, under Contract No HHSA 290200710024C) AHRQ Publication No. 12-0017. [Google Scholar]

WAPS (World Alliance for Patient Safety) Summary of the Evidence on Patient Safety: Implications for research. WHO, WHO Press; Geneva: 2008. p. 136. 978 92 4 159654. [Google Scholar]

Aranaz JM, Agra Y. [The culture of patient safety: from past to future in four stages] Med Clin (Barc) 2010 Jul;135(Suppl 1):1–2. [PubMed] [Google Scholar]

Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007 Feb;27(2):95–102. [PubMed] [Google Scholar]

Bodur S, Filiz E. A survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health C. 2009 Oct;21(5):348–55. [PubMed] [Google Scholar]

Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care. 2003 Dec;12(Suppl 2):ii17–23. [PMC free article] [PubMed] [Google Scholar]

Mikušová V, Rusnáková V, Naďová K, Boroňová J, MB Patient Safety Assessment in Slovak Hospitals. International Journal of Collaborative Research on Internal Medicine & Public Health. 2012;4(6):1236–44. [Google Scholar]

Warburton RN. Patient safety—how much is enough? Health Policy. 2005;71:223–32. [PubMed] [Google Scholar]

Chen IC, Li HH. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC) Bmc Health Serv Res. 2010 Jun;7:10. [PMC free article] [PubMed] [Google Scholar]

Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364–6. [PMC free article] [PubMed] [Google Scholar]

Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture. Rockville: Agency for Healthcare Research and Quality; 2004. [Google Scholar]

Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen PP. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Qual Saf Health Care. 2009 Aug;18(4):292–6. [PubMed] [Google Scholar]

Bodur S, Filiz E. Validity and reliability of Turkish version of “Hospital Survey on Patient Safety Culture” and perception of patient safety in public hospitals in Turkey. Bmc Health Serv Res. 2010 Jan;28:10. [PMC free article] [PubMed] [Google Scholar]

Moghri J, Arab M, Akbari Saari A, Nateqi E, Rahimi Forooshani A, Ghiasvand H, et al. The Psychometric Properties of the Farsi Version of “Hospital Survey on Patient Safety Culture” In Iran’s Hospitals. Iranian Journal of Public Health. 2012;41(4):80–6. [PMC free article] [PubMed] [Google Scholar]

Moghri J, Ghanbarnezhad A, Moghri M, RahimiForooshani A, Akbari Sari A, Arab M. Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using confirmatory factor analysis method. Hospital Journal. 2012;11(2):19–29. [in Persian] [Google Scholar]

Baghaei R, Noorani D, Khalkhali H, Pirnejad H. Patient safety culture assessment in hospitals affiliated with Uromia University of medical sciences. Nursing and midwifery schoool of Uromia. 2012;10(2):155–64. [in Persian] [Google Scholar]

Abdi Zh, Maleki M, Khosravi A. Perception of patient safety culture in selected hospitals of Tehran University of medical sciences. Payesh. 2011;10(4):411–9. [in Persian] [Google Scholar]

Sorra J, Famolaro Th, Dyer N, Nelson D, Khanna K. Hospital Survey on Patient Safety Culture: 2009 User Comparative Database Report. Agency for Healthcare Research and Quality. 2009 [Google Scholar]

M Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007;20(7):620–32. [PubMed] [Google Scholar]

Bodur S, Filiz E. Validity and reliability of Turkish version of “Hospital Survey on Patient Safety Culture” and perception of patient safety in public hospitals in Turkey. Bmc Health Serv Res. 2010 Jan;10:28. [PMC free article] [PubMed] [Google Scholar]

El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health C. 2010 Oct;22(5):386–95. [PubMed] [Google Scholar]

Bagnasco A, Tibaldi L, Chirone P, Chiaranda C, Panzone MS, Tangolo D, et al. Patient safety culture: an Italian experience. J Clin Nurs. 2011 Apr;20(7–8):1188–95. [PubMed] [Google Scholar]

Kohn LT, Corrigan JM, Donaldson MS. To err is human: Building a safer health system. Washington, DC: Institute of Medicine; 2000. [Google Scholar]

Sorra J, Famolaro T, Dyer N, et al. Hospital Survey on Patient Safety Culture: 2010 user comparative database report. Rockville, MD: Agency for Healthcare Research and Quality; Feb, 2010. (Prepared by Westat, Rockville, MD, under Contract No HHSA 290200710024C) AHRQ Publication No. 10-0026. [Google Scholar]

Leonard M, Frankel A. Make safety a priority. Create and maintain a culture of patient safety. Healthc Exec. 2006 Mar-Apr;21(2):12–4. 16–8. [PubMed] [Google Scholar]

Thomas E, Sexton J, LH Discrepant attitudes about teamwork among critical care nurses & physicians. Crit Care Med. 2003;31(3):956–59. [PubMed] [Google Scholar]

Published

2021-12-18