Changes in Patient Safety Culture in Palestinian Public Hospitals: Impact of Quality and Patient Safety Initiatives and Programs

Hamdan, Motasem; Saleem, Abed Alra'oof

doi:10.1097/pts.0000000000000522

Cited by 13 publications

(16 citation statements)

References 11 publications

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“…According to a study by Hamdan et al in a Palestinian public hospital, patient safety initiatives and quality improvement programs were effective in fostering patient safety culture. [ 27 ] It is well recognized that patient safety training and education can improve patient safety attitudes and patient outcomes. [ 18 ] In our hospital, various patient safety initiatives have been ongoing for more than a decade under the leadership of the medical safety management department, such as patient safety slogan competitions in which patients participate, patient safety training camps, in-hospital patient safety workshops, and efforts to improve underreporting of incidents.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting patient safety culture in a university hospital under the universal health insurance system: A cross-sectional study from Japan

Hata

Murao²,

Nakagami-Yamaguchi³

et al. 2022

Medicine

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We conducted a cross-sectional study of patient safety culture aimed at examining the factors that influence patient safety culture in university hospitals under a universal health insurance system. The Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality was used. The survey was distributed to 1066 hospital employees, and 864 responded. The confirmatory factor analysis showed a good fit of the results to the 12-composites model. The highest positive response rates were for “(1) Teamwork within units” (81%) and “(2) Supervisor/manager expectations and actions promoting patient safety” (80%), and the lowest was for “(10) Staffing” (36%). Hayashi’s quantification theory type 2 revealed that working hours per week had the greatest negative impact on patient safety culture. Under a universal health insurance system, workload and human resources might have a significant impact on the patient safety culture.

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Section: Discussionmentioning

confidence: 99%

Factors affecting patient safety culture in a university hospital under the universal health insurance system: A cross-sectional study from Japan

Hata

Murao²,

Nakagami-Yamaguchi³

et al. 2022

Medicine

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“…Patient safety is an international health concern affecting patients in various health care settings, patient safety as a health care discipline has emerged as a major concern due to the complexity of health care systems and the increase in unsafe care delivered to patients in various health services institutions [ 1 , 2 ]. Patient safety is defined as “a framework of organized activities that creates cultures, processes, procedures, behaviors, technologies, and environments in health care that consistently and sustainably lower risks, reduce the occurrence of avoidable harm, make the error less likely and reduce its impact when it does occur” [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking

Kakemam

Albelbeisi

Davoodabadi

et al. 2022

BMC Health Serv Res

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Background Patient safety culture is an essential factor in determining the ability of hospitals to treat and reduce patient risks. Healthcare professionals, especially nurses, play an important role in patient safety because they are responsible for direct and ongoing patient care. Few studies in Iran examine the patient safety culture in Iranian teaching hospitals, particularly from the perspective of nursing staff. This research assessed patient safety culture in teaching hospitals in Iran from the nurses’ point of view and compared the outcomes with similar regional and global studies. Furthermore, the study identified the factors influencing patient safety culture and its association with outcomes. Methods A cross-sectional study was accomplished in thirty-two teaching hospitals in five provinces of Iran. A total of 2295 nurses were chosen through convenience sampling. Collection data were done using the Hospital Survey of Patient Safety Culture (HOPSC) from October 2018 and September 2019. We analyzed the data using descriptive statistics, independent sample t-test, one-way ANOVA, and multiple linear regression analysis. Results The results demonstrated the overall percentage of positive response rate for the HOPSC tool (36.4%). The average percentage of positive responses among all dimensions ranged from 27.1% in “Staffing” to 53.8% in “Teamwork across Hospital Units”. Benchmarking analysis shows that Iranian hospitals are equal or better performance than the benchmark on several composites compared to regional and global findings. The results of multiple linear regression analysis showed that the age, gender, total years of experience in nursing, work area or unit, work hours, and size of the hospital were significant predictors of the perceptions patient safety culture of nurses (p < 0.05). Conclusions This is one of few studies that examine nurses’ perceptions of patient safety culture in public hospitals in Iran. Although the results of the present study showed that the results of Iran were at or better than the many composites in Jordan, Turkey, KSA, and the Philippines. The findings confirmed that all 12 dimensions can be considered as areas requiring improvement, and these results demonstrated that there was a severe shortage in patient safety culture among the included hospitals.

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“…Essential components of safety culture are the attitudes of doctors to medical error, such as disclosure of error, responsibility for error, and it has been suggested that this can be improved by appropriate education in postgraduate training and medical schools [6,7]. In Palestine, which consists of two geographically separate parts, the West Bank and the Gaza Strip, major efforts have been made in the West Bank to improve patient safety in local hospitals with the patient friendly initiative and partners such as the WHO [13][14][15]. However, only a limited effect could be shown on patient safety attitudes, even after major investment in this effort with the greatest improvement of only 9.4% having been shown in the area of incidence reporting [13].…”

Section: Introductionmentioning

confidence: 99%

Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the Gaza Strip, Palestine

Alfaqawi¹,

Böttcher²,

Abuowda

et al. 2020

BMC Health Serv Res

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Background Patient safety is important, as in increasingly complex medical systems, the potential for unintended harm to patients also increases. This study assessed the attitudes of doctors in the Gaza Strip towards patient safety and medical error. It also explored variables that impacted their attitudes. Methods Doctors, working for at least 6 months in one of the four major government hospitals of the Gaza Strip, were invited to complete a 28-item, self-administered Arabic version of the Attitudes to Patient Safety Questionnaire III (APSQ-III); which assessed patient safety attitudes over nine domains, independent of the workplace. Results A total of 150 doctors from four government hospitals participated in this study, representing 43.5% of all 345 doctors working in the four study hospitals at the time of the study. The mean age was 36.6 (±9.7) years. The majority (72.7%) were males, 28.7% worked in surgical, 26.7% in pediatric, 23.3% in medical, 16.7% in obstetrics and gynecology, and 4.7% in other departments. Most participants (62.0%) had never received patient safety training. The overall APSQ score was 3.58 ± 0.3 (of a maximum of 5). The highest score was received by the domain “Working hours as a cause of errors” (4.16) and the lowest score by “Importance of Patient Safety in the Curriculum” (3.25). Older doctors with more professional experience had significantly higher scores than younger doctors (p = 0.003), demonstrating more positive attitudes toward patient safety. Furthermore, patient safety attitudes became more positive with increasing years of experience in some domains. However, no significant impact on overall APSQ scores was found by workplace, specialty or whether the participants had received previous training about patient safety. Conclusion Doctors in Gaza demonstrated relatively positive patient safety attitudes in areas of “team functioning” and “working hours as a cause for error”, but neutral attitudes in understanding medical error or patient safety training within the curriculum. Patient safety concepts appear to be acquired by doctors via informal learning over time in the job. Inclusion of such concepts into formal postgraduate curricula might improve patient safety attitudes among younger and less experienced doctors, support behaviour change and improve patient outcomes.

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Changes in Patient Safety Culture in Palestinian Public Hospitals: Impact of Quality and Patient Safety Initiatives and Programs

Abstract: Compared with the baseline survey results, patients' safety initiatives and quality improvement programs had positive effect on the safety culture in public Palestinian hospitals.

Cited by 13 publications

References 11 publications

Factors affecting patient safety culture in a university hospital under the universal health insurance system: A cross-sectional study from Japan

Factors affecting patient safety culture in a university hospital under the universal health insurance system: A cross-sectional study from Japan

Patient safety culture in Iranian teaching hospitals: baseline assessment, opportunities for improvement and benchmarking

Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the Gaza Strip, Palestine

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