Patient Safety Culture Structures and Outcomes: A Sample from Isolation Units at Saudi Arabia
[1]
Mahmoud Hamadan, Nursing Clinical Governance Department, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
[2]
Omar Khraisat, Nursing Department, Almaarefa Colleges, Riyadh, Kingdom of Saudi Arabia.
[3]
Celina Eves, Nursing Affairs, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
To identify the relationship between safety culture structures and selected safety outcomes in isolation units, 120 registered nurses were invited to participate. Ten patient safety culture composites and two safety outcomes composites were measured. The patient safety composites with the highest positive scores were organizational learning, feedback and communication about error and teamwork within units. The composites with the lowest scores were staffing, and non-punitive response to errors. Positive significant correlations highlight staffing and non-punitive response to errors as key challenges for patient safe hospital care.
[1]
Kohn LT, Corrigan JM, Donaldson MS (eds). To Err is Human: Building a Safer Health System. Committee on Quality of Health Care in America. Institute of Medicine (IOM). Washington, DC: National Academy Press, 2000.
[2]
Wakefield BJ, Blegen MA, Uden-Holman T et al. Organizational culture, continuous quality improvement, and medication administration error reporting. Am J Med Qual. 2001;16:128–134.
[3]
Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in health care organizations. Qual Saf Health Care. 2003; 12:17–23.
[4]
Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture. AHRQ Publication No. 04-0041. Agency for Healthcare Research and Quality. Rockville, MD, 2004.
[5]
Institute of Medicine. Patient Safety: Achieving a New Standard of Care. Washington, DC: The National Academies Press. 2004.
[6]
El-Jardali F, Jafar M, Dimmasi H et al. The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care 2010; 22:386–95.
[7]
Alahmadi HA. Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care 2010; 19: 17.
[8]
Saleh AM, Darawad MW, Al-Hussami M. The perception of hospital safety culture and selected outcomes among nurses: An exploratory study. Nurs Health Sci. 2015; 17: 339–346.
[9]
Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in health care organizations. Qual Saf Health Care. 2009; 12:17–23.
[10]
Smits M, Wagner C, Spreeuwenberg P, 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; 18: 292–296.
[11]
Walston SL, Badran A, Al-Omar FA, Al-Mutari. Factors affecting the climate of hospital patient safety. Int J Health Care Qual Assur. 2008; 23(1): 35-50.
[12]
Blegen M, Gearhart SO, Brien R, Sehgal N, Alldredge B. AHRQ’s Hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009; 5:139–144.
[13]
Donabedian A. The quality of care: How can it be assessed? J A M A. 1988; 26(12): 1743-1748.
[14]
Cohen J. Apower Primer. Pschol Bull. 1992;112 (1):155-159.
[15]
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 Serv Res. 2013; 13: 20.
[16]
Hamdan M, Saleem AA. Assessment of patient safety culture in Palestinian public hospitals. Int. J. Qual. Health Car. 2013; 25: 167–175.
[17]
Nie Y, Mao X, Cui H, He S, Li J, Zhang M. Hospital survey on patient safety culture in China. BMC Health Serv Res. 2013; 13: 228.
[18]
El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res. 2011; 11: 45.
[19]
Chen IC, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res. 2010; 10: 152.
[20]
Robida A. Hospital survey on patient safety culture in Slovenia: a psychometric evaluation. Int. J. Qual. Health Car. 2013; 25: 469–475.
[21]
Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units. J. Nurs. Manag 2010; 18: 796–803.
[22]
Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int. J. Qual. Health Car. 2007; 20: 620–632.
[23]
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: 226–232.
[24]
You L-M, Aiken LH, Sloane DM et al. Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. Int. J. Nurs. Stud. 2013; 50: 154–161.