Assessment of patient safety culture: a comparative case study between physicians and nurses

Elsheikh, Ahmed Mohamed; Al‐Shareef, Mohammed A; Saleh, Bassem Salah; El-Tawansi, Muhammad Abdullah Yassin

doi:10.1108/bpmj-02-2017-0029

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…To promote a culture of safety, Dennison () suggests a range of strategies that include adhering to policies, appropriately using technology, adopting a non‐punitive approach to the reporting of errors, effective communication and collaboration, and administrative support for the clinical goal of patient safety as well as many others. Dennison's suggestions point to the importance of speaking up about medical errors as it allows an organization to learn from the errors that do occur (Aspden, Corrigan, Wolcott, & Erickson, ; Elsheikh, AlShareef, Saleh, & El‐Tawansi, , The Institute of Medicine, ).…”

Section: Introductionmentioning

confidence: 99%

The influence of organizational culture, climate and commitment on speaking up about medical errors

2019

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Aim: Speaking up about medical errors is an essential behaviour for nurses in pursuit of their goal of maintaining patient safety. This study was designed to understand how a hospital's culture and climate can impact a nurse's active behaviour in this important health care activity.Background: Research shows that while medical errors happen frequently, there is great variability on whether these errors are reported. As such, organizational culture, climate and commitment as well as employee perceptions associated with the reporting process were investigated to determine their impact on participants' intentions to speak up about medical errors. Methods:Focus groups and one-on-one interviews were used to collect these data and were analysed using content analysis. Results/KeyIssues: Nurses in the hospital perceive and understand both the benefits and barriers to reporting medical errors. Commonly reported benefits include patient safety, promoting education and awareness, and the improvement of internal processes or systems. Barriers include an inefficient reporting system and organizational influences such as perceived consequences and unequal status/position of the individual who made the error and the person reporting the error. Participants are aware that the organization believes that the responsibility to report medical errors falls to everyone. Conclusions: Results indicate that the organization's existing culture does not facilitate the reporting of medical errors and that the organizational climate interferes with the reporting process. Lastly, organizational commitment is not related to the perception of importance given to the reporting of medical errors by the hospital. Implications for Nursing Management: Nurses and nurse managers are an essential part of any hospital. In their role, they can effect change on the organization's culture and climate, but often do not realize the connection between organizational culture and patient safety. Results indicate that promoting organizational commitment to speaking up through the creation of a positive organizational culture can both promote speaking up about medical errors and increase patient safety. K E Y W O R D S organizational culture, patient safety, speaking up | 131 LEVINE Et aL.

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Section: Introductionmentioning

confidence: 99%

The influence of organizational culture, climate and commitment on speaking up about medical errors

2019

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“…Reporting the MEs of colleagues facilitates learning from errors [ 10 ] and reduces the prevalence of MEs. Healthcare authorities believe that all healthcare providers (HCPs) are responsible for ME reporting [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences of reporting the medical errors of their colleagues: a qualitative study

Namadi,

Alilu,

Habibzadeh

2024

BMC Nurs

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Background Medical error is a leading cause of disability and death in healthcare settings and reporting colleagues’ medical errors is one of the main strategies for medical error management and an ethical responsibility of all healthcare providers, including nurses. Most studies into reporting colleagues’ medical errors used quantitative designs while it seems that using qualitative designs can provide better insight in this area. Purpose This study explored nurses’ experiences of reporting the medical errors of their colleagues. Methods This qualitative study was conducted using the conventional content analysis approach. Participants were 22 hospital nurses purposively selected in 2021–2022 from different cities in Iran. Twenty-two in-depth semi-structured interviews were held for data collection. The data were analyzed via Graneheim and Lundman’s conventional content analysis and trustworthiness was maintained using the criteria proposed by Guba and Lincoln. Findings The main categories of the study were burnout and intention to leave the profession and growth and development. The two subcategories of the first category were the experience of injury and the experience of violence and the two subcategories of the second category were sense of worthiness and sense of motivation. Moral distress was the most important experience of almost all participants. Conclusion Nurses mostly have negative experiences in terms of reporting their colleagues’ medical errors. Negative experiences can act as the barriers to report colleagues’ errors while positive experiences can act as its facilitators. Improvement of the patient safety culture in healthcare settings and interpersonal relationships among healthcare providers can reduce the negative experiences and promote the positive experiences of reporting colleagues’ medical errors.

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“…Furthermore, from an organizational standpoint, providing an effective support system for healthcare providers (especially recognizing stress and burnout) could further improve patient safety. [ 3 , 10 , 13 – 16 ]…”

Section: Introductionmentioning

confidence: 99%

Healthcare Managers' Perception on Patient Safety Culture

Alanazi

Falqi

2023

Global Journal on Quality and Safety in Healthcare

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Introduction This paper takes a detailed look at safety culture, different roles, and powers shared by managers, lessons from which can be applied in any form of management. It also focuses on the job of managers in enhancing safety standards in a health institution. The objective of this paper was to examine the managers' perception of patient safety culture. Methods This study followed a quantitative cross-sectional design. The research procedure involved all middle-level managers in Aseer Central Hospital in Abha, Saudi Arabia (N = 52). To assess the status of patient safety culture and the role of healthcare managers in the field study, the researchers constructed a study questionnaire; it included questions adapted and modified from the Safety Attitudes Questionnaire, the Hospital Survey on Patient Safety Culture questionnaire, the 10 Mintzberg managerial roles and the six types of power for healthcare managers. Results Most participants were Saudi nationals (73.1%) aged 31 to 40 years (44.2%). The managerial role practiced frequently was leadership (85%), but the least managerial role was the figurehead (23%). Mangers held positive attitudes toward patient safety culture with 100% positive replies. No significant association was found between sex, nationality, years of experience, and professions concerning patient safety. Additionally, the results indicated that most managers were willing to uphold a safe environment for their patients and ready to involve employees in decision-making strategies to motivate them. Conclusion The managerial choices in Aseer Central Hospital are based on the culture and tradition of the community, which might negatively undermine the capability of other individuals handling the same office based on their educational backgrounds and competency. Such situations also may demoralize the employees, leading to poor employee performance Suboptimal achievement was exhibited primarily by middle-level healthcare managers of all six power types: resource allocator, negotiator, liaison, spokesperson, figurehead, and entrepreneur. Therefore, there is a pressing need to improve managers' attitudes toward patient safety and activate managerial roles to ensure patients' safety is practiced unequivocally.

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Assessment of patient safety culture: a comparative case study between physicians and nurses

Cited by 6 publications

References 10 publications

The influence of organizational culture, climate and commitment on speaking up about medical errors

The influence of organizational culture, climate and commitment on speaking up about medical errors

Nurses’ experiences of reporting the medical errors of their colleagues: a qualitative study

Healthcare Managers' Perception on Patient Safety Culture

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