Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan

Jafree, Sara Rizvi; Zakar, Rubeena; Zakar, Muhammad Zakria; Fischer, Florian

doi:10.1186/s40886-017-0061-x

Cited by 17 publications

(16 citation statements)

References 47 publications

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“…A culture of blame was evident in 22 studies, representing 43% of those examined. In these studies, punitive responses to medical errors were prevalent and created a culture that discouraged personnel from reporting safety incidents and occurrences [ 42 ]. Such a culture impeded the hospitals’ ability to determine the causes of errors and, consequently, to learn from previous mistakes [ 13 , 15 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing Patient Safety Culture in Hospital Settings

Azyabi

Karwowski

Davahli

2021

IJERPH

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The current knowledge about patient safety culture (PSC) in the healthcare industry, as well as the research tools that have been used to evaluate PSC in hospitals, is limited. Such a limitation may hamper current efforts to improve patient safety worldwide. This study provides a systematic review of published research on the perception of PSC in hospitals. The research methods used to survey and evaluate PSC in healthcare settings are also explored. A list of academic databases was searched from 2006 to 2020 to form a comprehensive view of PSC’s current applications. The following research instruments have been applied in the past to assess PSC: the Hospital Survey on Patient Safety Culture (HSPSC), the Safety Attitudes Questionnaire (SAQ), the Patient Safety Climate in Health Care Organizations (PSCHO), the Modified Stanford Instrument (MSI-2006), and the Scottish Hospital Safety Questionnaire (SHSQ). Some of the most critical factors that impact the PSC are teamwork and organizational and behavioral learning. Reporting errors and safety awareness, gender and demographics, work experience, and staffing levels have also been identified as essential factors. Therefore, these factors will need to be considered in future work to improve PSC. Finally, the results reveal strong evidence of growing interest among individuals in the healthcare industry to assess hospitals’ general patient safety culture.

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Section: Discussionmentioning

confidence: 99%

Assessing Patient Safety Culture in Hospital Settings

Azyabi

Karwowski

Davahli

2021

IJERPH

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“…Fear of being blamed was considered the main barrier to reporting medication errors [ 6 ]. Prior studies have reported that approximately 50–96% of adverse events are not reported because of the fear of creating a negative impression and being punished [ 11 , 23 ]. Additionally, a lack of adequate support from colleagues or supervisors may be another barrier to error reporting [ 12 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Patient Safety Culture and Medication Error Reporting among Early- and Mid-Career Female Nurses in South Korea

Jang

Lee

Son

2021

IJERPH

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Reporting medication errors is crucial for improving quality of care and patient safety in acute care settings. To date, little is known about how reporting varies between early and mid-career nurses. Thus, this study used a cross-sectional, secondary data analysis design to investigate the differences between early (under the age of 35) and mid-career (ages 35–54) female nurses by examining their perceptions of patient safety culture using the Korean Hospital Survey on Patient Safety Culture (HSPSC) and single-item self-report measure of medication error reporting. A total of 311 hospital nurses (260 early-career and 51 mid-career nurses) completed questionnaires on perceived patient safety culture and medication error reporting. Early-career nurses had lower levels of perception regarding patient safety culture (p = 0.034) compared to mid-career nurses. A multiple logistic regression analysis showed that relatively short clinical experience (<3 years) and a higher level of perceived patient safety culture increased the rate of appropriate medication error reporting among early-career nurses. However, there was no significant association between perception of patient safety culture and medication error reporting among mid-career nurses. Future studies should investigate the role of positive perception of patient safety culture on reporting errors considering multidimensional aspects, and include hospital contextual factors among early-, mid-, and late-career nurses.

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“…Errors and e ciencies are grounded in system and administrative limitations [54]. In Pakistan, there is no error reporting system for protocol violation or surgical error for ODPs or other hospital team members [55]. ODPs in the study rationalized that most errors were unintentional and due to the nature of the job.…”

Section: Discussionmentioning

confidence: 99%

Challenges in providing surgical procedures during the COVID-19 pandemic: Qualitative study among Operating Department Practitioners in Pakistan

Jafree

Momina

Malik

et al. 2021

Preprint

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Background Operating Department Practitioners (ODPs) are neglected human resources for health with regard to both professional development and research for patient safety. The surgical theatre is associated with the highest mortality rates and with the onslaught of the COVID-19 pandemic. ODPs are key practitioners with respect to infection control during surgeries. Therefore, this study aims to describe challenges faced by ODPs. The secondary aim is to use empirical evidence to inform the public health sector management about both ODP professional development and improvement in surgical procedures, with a specific focus on pandemics. Methods A qualitative study has been conducted. Data collection was based on an interview guide with open-ended questions. Interviews with 39 ODPs in public sector teaching hospitals of Pakistan who have been working during the COVID-19 pandemic were part of the analysis. Content analysis was used to generate themes. Results Ten themes related to challenges faced by ODPs in delivering services during the pandemic for securing patient safety were identified: (i) Disparity in training for prevention of COVID-19; (ii) Shortcomings in COVID-19 testing; (iii) Supply shortages of personal protective equipment; (iv) Challenges in maintaining physical distance and prevention protocols; (v) Human resource shortages and role burden; (vi) Problems with hospital administration; (vii) Exclusion and hierarchy; (viii) Teamwork limitations and other communication issues; (ix) Error Management; and (x) Anxiety and fear. Conclusions The public health sector, in Pakistan and other developing regions, need to invest in the professional development of ODPs and improve resources and structures for surgical procedures, during pandemics and otherwise.

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Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan

Cited by 17 publications

References 47 publications

Assessing Patient Safety Culture in Hospital Settings

Assessing Patient Safety Culture in Hospital Settings

Perceptions of Patient Safety Culture and Medication Error Reporting among Early- and Mid-Career Female Nurses in South Korea

Challenges in providing surgical procedures during the COVID-19 pandemic: Qualitative study among Operating Department Practitioners in Pakistan

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