Investigation of Healthcare Professionals’ Viewpoints Towards Patient Safety Culture in Abu-Ali Sina Organ Transplantation Center, Shiraz, Iran

Document Type : Original Article

Authors

1 Associate Professor of Anesthesiology, Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2 Health Information Management, Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

3 Computer Engineering, Shiraz Organ Transplant Center, Avicenna Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Introduction: Patient safety is one of the main challenges in the field of healthcare. The
increase in patient safety and care quality are now amongst the main priorities of hospitals.
Patient safety culture is directly associated with the incidence of adverse events. Hence, the
present study aimed to investigate patient safety culture from the perspective of healthcare
staff in Abu-Ali Sina Organ Transplantation Center, Shiraz, Iran.
Methods: This cross-sectional study was conducted on 763 healthcare staff in Abu-Ali Sina
Organ Transplantation Center in 2019. The study data were collected using the Hospital
Survey on Patient Safety Culture Questionnaire (HSPSCQ) whose reliability and validity
were approved. The data were analyzed using the SPSS software and p statistically significant.
Results: The majority of the participants were female (65.66%), aged 20-30 years (79.4%).
Scores 50-70% were for ‘supervisor/manager expectations and actions promoting patient
safety’, ‘organizational learning-continuous improvement’, and ‘teamwork within units’.
However, scores below 50% were to ‘the frequency of events reported’, ‘overall perceptions
of patient safety’, ‘communication openness’, ‘feedback & communication about errors’, ‘nonpunitive
response to errors’, ‘staffing’, ‘management support for patient safety’, ‘teamwork
across units’, and ‘handoffs and transitions’.
Conclusion: Patient safety culture was scored low to moderate in Abu-Ali Sina Organ
Transplant Center. Therefore, authorities are recommended to train the employees and hold
workshops for promoting patient safety culture in this center.

Keywords

References

1. Mort E, Bruckel J, Donelan K, Paine L, Rosen M, Thompson D, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstration Project in Two Academic Medical Centers. Am J Med Qual.
2017;32(5):472-9. doi: 10.1177/1062860616673709.
2. Erickson SM, Wolcott J, Corrigan JM, Aspden P. Patient safety: achieving a new standard for care. Washington: National Academies Press; 2003.
3. National Academies of Sciences E, Medicine. Crossing the global quality chasm: Improving health care worldwide. Washington: National Academies Press; 2018.
4. Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden of unsafe medical care:
analytic modelling of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi: 10.1136/bmjqs-2012-001748.
5. Mitchell PH. Defining patient safety and quality care. Patient safety and quality: An evidencebased handbook for nurses:. Rockville: Agency for Healthcare Research and Quality (US); 2008.
6. Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi: 10.1111/j.1547-5069.2009.01330.x.
7. Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. Exploring relationships between hospital patient safety culture and adverse  events. J Patient Saf. 2010;6(4):226-32. doi: 10.1097/PTS.0b013e3181fd1a00.
8. Han Y, Kim JS, Seo Y. Cross-Sectional Study on Patient Safety Culture, Patient Safety Competency, and Adverse Events. West J Nurs Res. 2020;42(1):32-40. doi: 10.1177/0193945919838990.
9. Khoshakhlagh AH, Khatooni E, Akbarzadeh I, Yazdanirad S, Sheidaei A. Analysis of affecting factors on patient safety culture in public and private hospitals in Iran. BMC Health Serv Res. 2019;19(1):1009. doi: 10.1186/s12913-019-4863-x.
10. Behzadifar M, Behzadifar M, Jahanpanah F, Bragazzi NL. Patient safety culture assessment in Iran using the “Hospital survey on patient safety culture” tool: A systematic review and metaanalysis. Clinical Epidemiology and Global Health. 2019;7(4):641-7. doi: 10.1016/j.cegh.2019.02.008.
11. Azami-Aghdash S, Ebadifard Azar F, Rezapour A, Azami A, Rasi V, Klvany K. Patient safety culture in hospitals of Iran: a systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29:251.
12. Stewart DE, Tlusty SM, Taylor KH, Brown RS, Neil HN, Klassen DK, et al. Trends and Patterns in Reporting of Patient Safety
Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi: 10.1111/ajt.13528.
13. Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi: 10.1111/j.1600-6143.2012.04139.x.
14. Pavan NFP, Magalhães ALP, Poncio DF, Ascari RA, Zanini PD, Knihs NdS, et al. Patient safety culture in kidney transplant patients in western Santa Catarina. Acta Paulista de Enfermagem. 2019;32:398-405. doi: 10.1590/1982-0194201900055.
15. Fermo VC, Radunz V, da Rosa LM, Marinho MM. Patient safety culture in a bone marrow transplantation unit. Rev Bras Enferm.
2015;68(6):1139-46. doi: 10.1590/0034-7167.2015680620i.
16. Abuosi AA, Akologo A, Anaba EA. Determinants of patient safety culture among healthcare providers in the Upper East Region of Ghana. Journal of Patient Safety and Risk Management. 2020;25(1):35-43. doi: 10.1177/2516043519876756.
17. Tlili MA, Aouicha W, Ben Rejeb M, Sahli J, Ben Dhiab M, Chelbi S, et al. Assessing patient safety culture in 18 Tunisian adult intensive care units and determination of its associated factors: A multi-center study. J Crit Care. 2020;56:208-14. doi: 10.1016/j.jcrc.2020.01.001.
18. Sorra J, Gray L, Streagle S, Famolaro T, Yount N, Behm J. AHRQ Hospital survey on patient safety culture: User’s guide. Rockville, MD: Agency for Healthcare Research and Quality. 2016.
19. Phaghizadeh S, Asoori M. Assessment of Nurses Viewpoints on Patient Safety Culture in Amol Hospitals in Iran, 2012. Preventive Care in Nursing & Midwifery Journal. 2015;4(2):45-55.
20. Flin R, Winter J, Sarac C, Raduma M. Human factors in patient safety: review of topics and tools. World Health. 2009;2:11-2.
21. Willmott J, Mould J. Health professionals’ perception of patient safety culture in acute hospitals: an integrative review. Aust Health Rev. 2018;42(4):387-94. doi: 10.1071/AH16274.
22. Arshadi Bostanabad M, Jebreili M. Patient safety culture assessment in neonatal intensive care units of Tabriz from the perspective of nurses in 2013. Iranian Journal of Nursing Research. 2015;10(3):26-35.
23. Abdelhai R, Abdelaziz SB, Ghanem NS. Assessing patient safety culture and factors affecting it among health care providers at Cairo University Hospitals. J Am Sci. 2012;8(7):277-85.
24. Westat R, Sorra J, Famolaro T, Dyer MN, Nelson D, Khanna K. Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. Citeseer; 2008.
25. Poley MJ, van der Starre C, van den Bos A, van Dijk M, Tibboel D. Patient safety culture in a Dutch pediatric surgical intensive care unit: an evaluation using the Safety Attitudes Questionnaire. Pediatr Crit Care Med. 2011;12(6):e310-6. doi: 10.1097/PCC.0b013e318220afca.
26. Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-32. doi: 10.1097/JPN.0b013e31821693b2.
27. Rideout D. ‘Just Culture’ encourages error reporting, improves patient safety. OR Manager. 2013;29(7):13-5.
28. Zohar D, Livne Y, Tenne-Gazit O, Admi H, Donchin Y. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. doi: 10.1097/01. CCM.0000262404.10203.C9.
29. Edmondson AC. Learning from mistakes is easier said than done: Group and organizational influences on the detection and correction of human error. The journal of applied behavioral science. 2004;40(1):66-90. doi: 10.1177/0021886304263849.
30. Donaldson MS, Corrigan JM, Kohn LT. To err is human: building a safer health system. Washington: National Academies Press; 2000.
31. Abbas H, Bassiuni NA, Baddar F. Perception of front-line healthcare providers toward patient safety: a preliminary study in a university hospital in egypt. Topics in Advanced Practice Nursing eJournal. 2008;8(2):2008.
32. Carayon P, Alvarado CJ, Hundt AS, Springman S, Borgsdorf A, Hoonakker PLT. An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery. In: Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). Advances in Patient Safety. Rockville (MD)2005.
33. Frank JR, Brien S. The safety competencies: enhancing patient safety across the health professions: Canadian Patient Safety Institute. santé: Institut canadien pour la sécurité; 2008
Health Management & Information Science
Volume 8, Issue 2
April 2021
Pages 119-128

Files

Share

How to cite

Statistics