Baseline Patient Safety Culture in Cameroon: Setting a Foundation for Trauma Quality Improvement

Ding, Kevin; Nguyen, Nicole; Carvalho, Melissa; Dissak-Delon, Fanny Nadia; Molony, David; Nkusu, Daniel; Tchekep, Mirene S.; Oke, Rasheedat; Mbianyor, Mbiarikai A.; Yenshu, Emmanuel; Boeck, Marissa A.; Collins, Caitlin; Jackson, Nicholas; Mefire, Alain Chichom; Juillard, Catherine

doi:10.1016/j.jss.2020.05.068

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…The overall percentage of positive response of PSC, with 69.68%, although below the targeted 75%, was acceptable. In general, Chinese health workers were likely to evaluate the PSC higher than that in the United States, 20 Cameroon, 22 and Japan, 23 in which HSOPSC tools were used. Differences in the overall scores of the HSOPSC were statistically significant ( P < 0.05) for different genders, age brackets, types of occupation, locations, and types of hospitals, which are different from those in other countries or regions due to multiple factors such as national cultural norms, race, or included participants 24 .…”

Section: Discussionmentioning

confidence: 99%

A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals

Huang

Liu

Chen³

et al. 2022

J Patient Saf

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ObjectivesThis study aimed to measure the patient safety culture and the current practice of patient safety goals in China.MethodsThis cross-sectional survey was conducted between November 2020 and November 2021. The 12-dimensions Hospital Survey on Patient Safety Culture questionnaire and the 14-items Survey on the Current Practice of Patient Safety Goal questionnaire were electronically distributed to 8164 healthcare providers across 26 provinces in China. Data were analyzed using descriptive statistics, correlation analysis, and multivariate linear regression.ResultsA total of 8164 surveys were received, of which 7765 were valid and analyzed. The average positive response rate for the Hospital Survey on Patient Safety Culture survey was 69.68% (43.41%–91.54%). The percentage of positive responses in 5 dimensions (organizational learning, teamwork within units, feedback about error, management support for safety, and teamwork across units) was above the control limits, and 3 (nonpunitive response to error, staffing, and frequency of event reporting) were below the control limits. The average positive response rate for the Survey on the Current Practice of Patient Safety Goal survey was 96.11%. Patient safety culture was positively related to the current practice of patient safety goals (r = 0.34, P < 0.001).ConclusionsOur study concludes that although healthcare providers in China feel positively toward patient safety culture and practicably toward patient safety goals, considerable work is still needed to promote a patient safety movement.

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Section: Discussionmentioning

confidence: 99%

A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals

Huang

Liu

Chen³

et al. 2022

J Patient Saf

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“…10 In addition, the trauma PSC in Cameroon needs to change because low percentages of positive responses observed for non-punitive solutions to mistakes made by healthcare workers pointed to the necessity for a culture where blaming certain professionals may address structural problems or deficiencies in patient care. 11 In the neighbouring country of Nigeria, more female nurses who are between the ages of 30 and 39 years and have worked in a hospital setting for at least 5 years have shown that patient harms can be minimised through intervention, but three other factors (staffing, non-punitive response to mistakes, and the number of reports of events that are happening) that need improvement, even though they are all associated with the studied concept. 12 In South Africa, when the Manchester PSC framework questionnaire was used in a district hospital in Bloemfontein, Free State province, the nurses seemed to lack a PSC, and the doctors had unfavourable opinions of all patient safetyrelated factors.…”

Section: Methodsmentioning

confidence: 99%

Level of patient safety culture among public healthcare professionals in Pretoria

Bongongo

Govender

Olowa

et al. 2023

South African Family Practice

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Background: Patient safety culture (PSC) norms set within an organisation prevent harm during medical care. This study assessed the level of PSC among public healthcare professionals (HCPs) in Pretoria, South Africa.Methods: A multi-centre cross-sectional study conducted in three hospitals and 25 clinics in regions 1 and 2 of Pretoria, using a self-administered questionnaire adapted from the Hospital Survey on Patient Safety Culture. Using the Raosoft online sample size formula, from 1238 public HCPs identified, the sample size was calculated at 294; this expanded to 319 as a result of respondents’ willingness to participate in the study.Results: Of the 319 respondents with a mean age of 39.9 years, the minimum and maximum ages were 22 and 66 years, respectively. The age group of 30–39 years had the highest participation rate (17.6%). Most respondents (41.1%) came from the Odi district hospital and there were more women (78.1%) and nurses (49.2%). Positive attitudes were found for all PSC components, with staff education and training scoring highest (98.7%). Patient safety culture received a satisfactory rating from HCPs from the targeted facilities.Conclusion: This study showed that public HCPs in Pretoria’s regions 1 and 2 have a good PSC, particularly among nurses, professionals with more experience, and at primary care level.Contribution: To maintain or increase awareness of this concept among HCPs, the study advocates a PSC programme as well as ongoing education that can be supported by district and facility managers.

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Using patient feedback to predict effects of quality improvement initiatives

Han,

Liang

2024

Health Planning & Management

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BackgroundInternationally, continuous efforts have been put into developing patient complaint channels to understand patients' experience and expectation of care, which can guide the improvement of health service quality. Despite agreement among the value of patient feedback, limited attention has been paid to using patient feedback to predict and promote the actual quality improvement initiatives.ObjectiveTo determine whether patient feedback collected from a public feedback hotline can be used to predict the effect of hospital quality service improvement initiatives.MethodsA retrospective analysis of patient complaint data of a tertiary hospital from 2018 to 2021 was performed. Patient complaints were first coded by the standard classification method of the Australian Hospital Patient Experience Question Set. The characteristics of patients' complaints were then analysed by frequency and contingency table analysis. Finally, through Nonparametric Mann‐Kendall test and Joinpoint regression model, the trends of each complaint characteristics were tested.ResultsAmongst the 771 complaints received against clinicians, approximately 75% of them were concerning doctors. ‘Harm and distress’ was the key reason of complaints, followed by ‘not cared for’, ‘lack of confidence’, ‘needs unmet’ and ‘not informed’. In 2021, the number of complaints received in relation to moderate ‘harm and distress’ caused by doctors increased by 667% from 2020. The categories of ‘not informed’, ‘not cared for’ and ‘harm and distress’ were also on the rise with statistical significance. In addition, complaints related to the lack of respect, bad attitude and unprofessional behaviour demonstrated by nurses (n = 83) and doctors (n = 121) were also recorded.ConclusionPatient feedbacks collected via a public feedback hotline provides a useful platform to gain insight into patient experience of care which are valuable to guide quality care improvement. To improve the care quality, clinicians need to participate in quality improvement strategies development at an early stage. Efforts in improving communication and interaction between doctors and patients are needed to improve patients' experience of care and developing patients' trust in both of the clinicians and the medical services. The study highlights the value of using public feedback hotline to generate evidence that can guide hospital service improvement.

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Baseline Patient Safety Culture in Cameroon: Setting a Foundation for Trauma Quality Improvement

Cited by 4 publications

References 22 publications

A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals

A National Study of Patient Safety Culture and Patient Safety Goal in Chinese Hospitals

Level of patient safety culture among public healthcare professionals in Pretoria

Using patient feedback to predict effects of quality improvement initiatives

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