Health Management & Information Science

Health Management & Information Science

Patient safety culture in teaching hospitals in Iran: assessment by the hospital survey on patient safety culture (HSOPSC)

Document Type : Articles

Authors
Mohammad Zakaria Kiaei
Amir Ziaee
Rafat Mohebbifar
Hamideh Khoshtarkib
Elnaz Ghanati
Azadeh Ahmadzadeh
Saeideh Teymoori
Omid Khosravizadeh
Masoumeh Zieaeeha
Abstract
Introduction: Patient safety culture is an important part of improvement in the safety of health care. Knowing its present status is required for development of safety culture. The present study aimed to evaluate the current status of Patient safety culture in hospitals of three central provinces of Iran.Method: The present cross-sectional study was performed in teaching hospitals of Tehran, Alborz, and Qazvin provinces. The standard HSOPSC questionnaire was used for evaluation of the patient safety culture from the viewpoint of 522(Qazvin: 200, Tehran: 312, Alborz: 40) individuals who were randomly selected as workers of the hospitals. The collected data were analyzed using Chi-square and ANOVA tests.Results:The mean positive response to 12 aspects of the patient safety was 62.9%. “Organizational learning” had the highest proportion of positive response (71.18%) and “Handoffs & Transitions” had the lowest (54.49%). There was a statistically significant difference in scores of “Teamwork within Units”(p=0.006(,”Manager Expectations & actions promoting”(p=0.014),”organizational learning and continuous improvement”(p=0.001), “Management support”(p=0.007), “Feedback and communication”(p=0.012), and “Communication openness”(p=0.003) among the provinces, respectively.Conclusion: We performed a full assessment of the patient safety culture in the studied provinces. Organizational learning was satisfactory in the hospitals. The studied hospitals need arrangement of safety-based programs and supports of senior administrators to perform more sophisticated efforts and improve the patient safety culture.Keywords: Patient safety, Patient safety culture, Teaching hospitals
  1. Kohn L, Corrigan J, Donaldson M. To err is human: building a safer health system. National Academy of Science, Institute of Medicine. 2002.
  2. Chen I-C, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Services Research. 2010;10(1):152.
  3. Fleming M, Wentzell N. Patient safety culture improvement tool: development and guidelines for use. Healthcare quarterly (Toronto, Ont). 2007;11(3 Spec No.):10-5.
  4. Erickson SM, Wolcott J, Corrigan JM, Aspden P. Patient Safety:: Achieving a New Standard for Care: National Academies Press; 2003.
  5. Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen PP. The psychometric properties of the’Hospital Survey on Patient Safety Culture’in Dutch hospitals. BMC health services research. 2008;8(1):230.
  6. Goodman GR. A fragmented patient safety concept: the structure and culture of safety management in healthcare. Hospital topics. 2003;81(2):22-9.
  7. Adams RE, Boscarino JA. A community survey of medical errors in New York. International Journal for Quality in Health Care. 2004;16(5):353-62.
  8. Arab M, Hosseini M. Inpatient Perceptions of Participating in cure decision making and safety among public hospitals of Tehran medical sciences university. Hospital. 2012;11(1):29-38.
  9. Anderson DJ. Creating a culture of safety: Leadership, teams, and tools. Nurse Leader. 2006;4(5):38-41.
  10. Fajardo-Dolci G, Rodriguez-Suarez J, Arboleya-Casanova H, Rojano-Fernandez C, Hernandez-Torres F, Santacruz-Varela J. Patient safety culture in healthcare professionals. Cir Cir. 2010;78(6):522-7.
  11. Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care. 2003;12(suppl 2):ii17-ii23.
  12. Fleming M. Patient safety culture measurement and improvement: a “how to” guide. Healthc Q. 2005;8(Spec No):14-9.
  13. Abdi Z, Delgoshaei B, Ravaghi H, Abbasi M, Heyrani A. The culture of patient safety in an Iranian intensive care unit. Journal of nursing management. 2013.
  14. ABDI Z, MALEKI MR, KHOSRAVI A. Perceptions of patient safety culture among staff of selected hospitals affiliated to Tehran University of Medical Sciences. 2011.15.
  15. Moghri J, Arab M, Saari AA, Nateqi E, Forooshani AR, 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.
  16. Baghaee R, Nourani D, Khalkhali H, Pirnejad H. Evaluating patient safety culture in personnel of academic hospitals in urmia university of medical sciences in 2011. Journal of Urmia Nursing And Midwifery Faculty. 2012;10(2):0-.
  17. Mohammadreza A, Sogand T, Omid B. Measuring safety culture and setting priorities for action at an Iranian hospital. Al Ameen J Med Sci. 2010;3(3):237-45.
  18. Pittet D, Donaldson L. Clean care is safer care: the first global challenge of the WHO World Alliance for Patient Safety. Infection Control. 2005;26(11):891-4.
  19. Sorra JS, Dyer N. Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Services Research. 2010;10(1):199.
  20. Javad M, Amin G, Mahbobe M, Forooshani R, Abas ASA, Mohammad A. Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using confirmatory factor analysis method. Hospital Journal. 2012;11(2).
  21. Kim J, An K, Kim MK, Yoon SH. Nurses’ perception of error reporting and patient safety culture in Korea. Western Journal of Nursing Research. 2007;29(7):827-44.
  22. Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. Bmj. 2012;344:e1717.
  23. Izadi AR, Drikvand J, Ebrazeh A. The Patient Safety Culture in Fatemeh Zahra Hospital of Najafabad, Iran. Director General. 2013;9(6).
  24. Moody RF. Safety culture on hospital nursing units: human performance and organizational system factors that make a difference: ProQuest; 2006.
  25. Mahfoozpour S, Ainy E, Mobasheri F, Faramarzi A. Patients’ safety culture status among educational hospitals of Shahid Beheshti University of Medical Sciences in 2011. Pajoohandeh Journal. 2012;17(3):134-41.
  26. Liu C, Liu W, Wang Y, Zhang Z, Wang P. Patient safety culture in China: a case study in an outpatient setting in Beijing. BMJ quality & safety. 2013:bmjqs-2013-002172.
  27. Fujita S, Seto K, Ito S, Wu Y, Huang C-C, Hasegawa T. The characteristics of patient safety culture in Japan, Taiwan and the United States. BMC health services research. 2013;13(1):20.
  28. Abdi J, Maleki M, Khosravi A. Staff perceptions of patient safety culture in hospitals of University Tehran. Payesh Journal. 2011;10(4):411-9.
  29. Sorra J. Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report, 2012. Agency for Healthcare Research and Quality: Rockville, MD.
  30. Bodur S, Filiz E. Validity and reliability of Turkish version of. BMC Health Services Research. 2010;10(1):28.
  31. Wang X, Liu K, You L-m, Xiang J-g, Hu H-g, Zhang L-f, et al. The relationship between patient safety culture and adverse events: A questionnaire survey. International journal of nursing studies. 2014;51(8):1114-22.
Health Management & Information Science
Volume 3, Issue 2 - Serial Number 2
16
Spring 2016
Pages 51-56