A study of assessment of patient safety climate in tertiary care hospitals

Chakravarty, Abhijit; Sahu, Anupam; Biswas, Manash; Chatterjee, Kaushik; Rath, Subrata

doi:10.1016/j.mjafi.2015.01.007

Cited by 14 publications

(20 citation statements)

References 10 publications

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“…The results of Chakravarty's investigation on the hospitals in India showed no difference between patient safety index scores. However, there were significant differences between the different groups of health workers in all aspects of "teamwork", "management perception" and "understanding of stress" (P<0.05) (28). The results of all these studies indicated that, in addition to the demographic characteristics, many side factors are effective in the PSC in treatment centers.…”

Section: Discussionmentioning

confidence: 96%

The Relationship between Patient Safety Climate and Medical Error Reporting Rate among Iranian Hospitals Using a Structural Equation Modeling

Shahabinejad

Khoshab

Najafi

et al. 2020

Ethiop J Health Sci

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BACKGROUND: Improving patient safety is a global health imperative, and patient safety climate is one of the components one that plays an important role in promoting patient safety. Medical error reporting is a way through which it can be evaluated and prevented in the future. The aim of this study was to assess the relationship between patient safety climate and medical error reporting in military and civilian hospitals.METHODS: This research was conducted by using structural equation modeling in the selected hospitals of Iran in 2018. The study community consisted of 200 nurses in the military and 400 nurses in the civilian hospitals. By using Structural Equation Modeling, the relationship between patient safety climate and the rate of medical error reporting in the hospitals was measured by a questionnaire. Data was analyzed using SPSS 17 and LISREL 8.8 software.RESULTS: The mean score of patient safety climate was moderate in the hospitals. There was no significant relationship between the rate of medical error reporting and patient safety climate, while a significant difference was found between patient safety climate score and age, sex, job category, and type of hospital (P < 0.05).CONCLUSION: The results suggested that patient safety climate and the rate of reporting errors were not favorable in the studied hospitals, while there was a difference between safety climate dimensions.

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Section: Discussionmentioning

confidence: 96%

The Relationship between Patient Safety Climate and Medical Error Reporting Rate among Iranian Hospitals Using a Structural Equation Modeling

Shahabinejad

Khoshab

Najafi

et al. 2020

Ethiop J Health Sci

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“…New graduates were less positive about their work environment because they are more stressed adjusting to the work environment [Kovner and Schore, 1998; Spence Laschinger et al 2009], emotionally exhausted due to staffing inadequacy [Spence Laschinger and Leiter, 2006], or overwhelmed [Valdez, 2008] adversely affecting patient outcomes. Chakravarty and colleagues also reported postgraduate residents and nursing personnel were more stressed and fatigued compared with higher stress resilience among clinicians [Chakravarty et al 2015]. Rigorous training, prolonged exposure to critical care interventions coupled with an orientation to the unit and a formal transition to the practice programme may contribute to higher stress resilience and transitioning of new graduates to the full professional role.…”

Section: Discussionmentioning

confidence: 99%

“…Physicians, pharmacists, and nurses can be involved in the occurrence of MEs, therefore, measuring perceptions of these professionals is of great importance as they play a pivotal role in the implementation of safety guidelines. Several studies have been conducted regarding patient safety culture and differences between groups have also been reported [Sexton et al 2006;Kim et al 2007;Huang et al 2007;Singer et al 2007Singer et al , 2009France et al 2010] but very few publications exist on the vital issue of patient safety in India [Chakravarty et al 2015;Tetali et al 2010;Balamurugan and Flower, 2014]. These studies were undertaken in different countries, contexts, healthcare systems, various disciplines, and professional ranks.…”

Section: Introductionmentioning

confidence: 99%

Frontline worker perceptions of medication safety in India

Sharma

Tabassum

Khurana

et al. 2016

Therapeutic Advances in Drug Safety

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Background: To explore interprofessionals' perceptions about patient safety, particularly medication safety and associated factors and barriers. Methods: A total of 389 respondents were recruited using convenience sample in the cross sectional survey. Results: Medication safety was perceived as somewhat safe (60%). One-third of respondents witnessed 3-4 or more medication errors (MEs) within the past 1 year. Out of that, one quarter were reportedly, sentinel events. More sentinel events were witnessed in public hospitals and solo practice clinics compared with corporate hospitals and nursing homes (p < 0.02). No difference was observed in the occurrence of sentinel events in accredited and nonaccredited facilities (p = 0.30). Younger respondents witnessed more MEs, whereas accredited hospitals (mostly corporate hospitals) witnessed significantly fewer MEs and graded overall safety as 'better'. However, most MEs go unreported particularly in solo practice clinics (88%) followed by nursing homes (67%), public hospitals (54%), and corporate hospitals (42%). Error identification and subsequent disclosure was inhibited by several system factors: fear of punitive action and lack of reporting systems. General surgical (46%), medical (42%), and paediatric units (36%), were the most error-prone places. Documentation diverted all healthcare workers from direct patient care. Many doctors and pharmacists from nursing homes, solo clinics and public hospitals reported working overtime. Staff shortages and poor training were overwhelming concerns to all healthcare workers and in public hospitals. Solo clinics and nursing homes perceived more barriers; lack of reporting systems, standard protocol, and resources for patient safety and unfamiliarity with prescribed medications was their overwhelming concern. Other factors threatening MEs were a lack of team approach and openness in interdisciplinary communications, illegible medical orders, and medicines prescribed by brand names. Conclusions: Immediate interventions to improve medication safety include enforcement of legible/printed medical orders in generic names, workforce development, developing standard protocols, and a corresponding change in organizational culture. Accreditation can serve as a driver for improving patient safety.

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“…2 Patient safety climate of health care organizations can be effectively assessed using validated questionnaires like safety attitude questionnaire, and capturing respondent variations in different dimensions of safety culture brings out focus areas for sustained quality improvement efforts. 3 Nursing has clearly been concerned with defining and measuring quality long before the current emphasis on quality improvement. Florence Nightingale analyzed mortality data among British troops in 1855 and accomplished significant reduction in mortality through organizational and hygienic practices.…”

Section: Introductionmentioning

confidence: 99%