Assessment of Patient Safety Culture in Iranian Academic Hospitals: Strengths and Weaknesses

Raeissi, Pouran; Reisi, Nahid; Nasiripour, Amir Ashkan

doi:10.1097/pts.0000000000000199

Cited by 30 publications

(30 citation statements)

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“…And hence, it may lead to reduction in nurses' error reporting (Behzadifar et al, ). Challenges as to no punitive response to error were also highlighted in a previous study in Iran (Raeissi, Reisi, & Nasiripour, ). In a study carried out in the Netherlands, of 522 “unintended events” at 10 EDs, nurses reported 85% of events and about 83% of the reports were recorded by whom involved in the event (Smits, Groenewegen, Timmermans, van der Wal, & Wagner, ).…”

Section: Discussionmentioning

confidence: 63%

“…They measure all the 12 aspects of PSC: “communication openness, feedback and communication about errors, frequency of events reported, handoffs and transitions, management support for patient safety, non‐punitive response to error, organizational learning continuous improvement, overall perceptions of patient safety, staffing, supervisor/manager expectations and actions promoting safety, teamwork across units and teamwork within units.” The scale has been previously validated by means of Cronbach's alpha 0.82 (Moghri et al, ). It also has been used in several studies in Iran (Moghri et al, ; Raeissi, Reisi, & Nasiripour, ). In the present study, Cronbach's alpha of the questionnaire was 0.83.…”

Section: Methodsmentioning

confidence: 99%

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A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran

et al. 2020

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Aim To appraise patient safety culture in emergency departments of Iranian public and private hospitals. Design A comparative cross‐sectional survey design was used. Methods This cross‐sectional study was conducted from January–March 2019. For data collection, the Hospital Patient Safety Culture (HSOPSC) questionnaire was employed. The study sample comprised 256 participants. Independent t test and analysis of variance were performed to report the mean differences in total patient safety culture perception according to the participants' characteristics and according to hospital ownership. Results There was no significant difference in overall perceptions of patient safety culture in public and private sectors (2.94 vs. 2.84, p > .05). There are no solid areas regarding patient safety found neither in public nor in private sectors. Out of 12 dimensions of patient safety culture, different perceptions of nurses working in public and private hospitals belonged to “Organizational learning” (t = 2.13, p = .034) and “Handoffs and transitions” (t = 2.91, p = .004). Regarding the participants' characteristics, no significant difference was observed as to the perspectives of nurses on patient safety culture. However, there was a meaningful difference in the attitudes of nurses working in public hospitals according to their employment status (t = 2.07, p = .039).

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Section: Discussionmentioning

confidence: 63%

Section: Methodsmentioning

confidence: 99%

A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran

et al. 2020

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“…Investigations conducted by different researchers have found similar results. 18,22,23 A study that applied the HSOPS to 26 hospitals in Iran 20 observed that there was better perception in the dimension of The "staffing" dimension needs improvement, which may be an effect caused by a situation of an insufficient number of professionals with heavy workloads. This imbalance increases the risk relating to the assistance provided.…”

Section: Discussionmentioning

confidence: 99%

Health professionals’ perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture

et al. 2019

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BACKGROUND: Patient safety culture is part of the organizational profile of healthcare institutions and is associated with better quality of care. OBJECTIVE: To assess patient safety culture in a university hospital. DESIGN AND SETTING: Hospital-based cross-sectional study conducted in a public university hospital in São Paulo, Brazil, between September and December 2015. METHODS: We randomly selected 68 sectors of the hospital, to include up to 5 employees from each sector, regardless of length of experience. We used the validated Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPS) via an electronic interface. We calculated the percentage of positive responses for each dimension of the HSOPS and explored the differences in age, experience, occupation and educational level of respondents using the chi-square test. RESULTS: Out of 324 invited respondents, 314 (97%) accepted the invitation and were surveyed. The sample presented predominance of women (72%), nursing staff (45%) and employees with less than six years' experience at the hospital (60%). Nine out of the 12 dimensions showed percentages of positive responses below 50%. The worst results related to "nonpunitive response to errors" (16%). A better safety culture was observed among more experienced staff, nurses and employees with a lower educational level. In the previous year, no events were reported by 65% of the participants. CONCLUSIONS: The patient safety culture presented weaknesses and most of professionals had not reported any event in the previous year. A policy for improvement and cyclical assessment is needed to ensure safe care. Health professionals' perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture | ORIGINAL ARTICLE

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“…The HSOPSC, developed in English [28] for use in American hospitals, has demonstrated excellent psychometric properties [27]. The instrument has been disseminated to other countries, in multiple languages [8,24,[30][31][32][33][34][35][36]; however, published studies generally neglect to report the instrument translation method and validation data. When provided, the information is either limited or poor quality such as reporting a simple post hoc psychometric analysis.…”

Section: Introductionmentioning

confidence: 99%

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research

et al. 2020

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Background: The Hospital Survey on Patient Safety Culture (HSOPSC) is widely utilized in multiple languages across the world. Despite culture and language variations, research studies from Latin America use the Spanish language HSOPSC validated for Spain and the United States. Yet, these studies fail to report the translation method, cultural adaptation process, and the equivalence assessment strategy. As such, the psychometric properties of the HSOPSC are not well demonstrated for cross-cultural research in Latin America, including Peru. The purpose of this study was to develop a target-language HSOPSC for cross-cultural research in Peru that asks the same questions, in the same manner, with the same intended meaning, as the source instrument. Methods: This study used a mixed-methods approach adapted from the translation guideline recommended by Agency for Healthcare Research and Quality. The 3-phase, 7-step process incorporated translation techniques, pilot testing, cognitive interviews, clinical participant review, and subject matter expert evaluation. Results: The instrument was translated and evaluated in 3 rounds of cognitive interview (CI). There were 37 problem items identified in round 1 (14 clarity, 12 cultural, 11 mixed); and resolved to 4 problems by round 3. The pilot-testing language clarity inter-rater reliability was S-CVI/Avg = 0.97 and S-CVI/UA = 0.86; and S-CVI/Avg = 0.96 and S-CVI/UA = 0.83 for cultural relevance. Subject matter expert agreement in matching items to the correct dimensions was substantially equivalent (Kappa = 0.72). Only 1 of 12 dimensions had a low Kappa (0.39), borderline fair to moderate. The remaining dimensions performed well (7 = almost perfect, 2 = substantial, and 2 = moderate).

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Assessment of Patient Safety Culture in Iranian Academic Hospitals: Strengths and Weaknesses

Cited by 30 publications

References 11 publications

A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran

A comparative study on patient safety culture among emergency nurses in the public and private hospitals of Tabriz, Iran

Health professionals’ perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research

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