Comparison of patient safety culture among psychiatric, general, and specialized hospitals of Tehran

Abstract

Patient safety culture (PSC) has been considered less than its significance within high risk health care facilities so far. The aim of this study was to firstly compare PSC among psychiatric, general, and critical/intensive care systems then, focus on common weaknesses between Middle East countries. The study design was cross-sectional which was executed by using of a two stage sampling frame. Researchers had 298 questionnaire completed (RR=62%) among three groups comprising nurses, nurse's aides, and laboratory personnel. The Farsi version of Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was employed in this study. Descriptive statistics, and One Way ANOVA were used aiming to analyze collected data by using of SPSS 20. The highest percent of composite mean scores in Specialized, Psychiatric, and Generals were 61.49%, 56.67%, and 55.69% respectively. Common weakest dimensions of PSC among the three groups of hospitals included: Non-punitive response to error (24.3%), Staffing (32.18%), and Communication openness (42.44%). There were no significant differences among means and variences of the three groups of hospitals. It can be concluded that health care systems may have no differences in PSC correspond to disparities in amount of risk and job pressure. An implication of this study is the possibility that PSC is mostly local, although some weaknesses between our study and Middle East seemed to be symmetrical.

Mental health nurses’ perceptions of patient safety culture in psychiatric settings

“…When it was used in different cultures, HSOPSC showed an acceptable fit of all dimensions and showed good construct validity (Vlayen, et al ). When it was used in different settings, HSOPSC showed similar weakness and strengths in all settings, implying that PSC perceived similarly by nurses working in mental health settings and both specialized and general settings and that HSOPSC was valid and reliable to be used in psychiatric setting (Raeissi & Shakibaei ). Also, the items and dimensions of HSOPSC were psychometrically sound at unit and hospital levels, implying that the researchers could use it to asses PSC in different settings (Sorra & Dyer, ).…”

“…For the purpose of this study, HSOPSC was chosen because it is the most widely used and tested in different cultures, languages, setting and healthcare workers. For example, this instrument has been used and tested in many settings including specialized, general and psychiatric hospitals (Raeissi & Shakibaei ) and in different culture (Vlayen, et al ). When it was used in different cultures, HSOPSC showed an acceptable fit of all dimensions and showed good construct validity (Vlayen, et al ).…”

After an Earthquake: The Comparison of Psychological Status of Resident and Earthquake Survivor Cancer Patients

“…23 In terms of natural disasters, the social community collapses, and especially vulnerable people such as cancer patients are affected more compared with the other parts of the population. 24 Patients with chronic conditions such as diabetes, respiratory diseases, cancer, and cardiovascular diseases are the most vulnerable patient groups during natural or man-made disasters. 25,26 In a meta-analysis, it was observed that natural disasters have negative effects on cancer care, and it is advised to have special precautions for oncology patient care and infrastructure.…”

Segurança Do Paciente Oncológico: Uma Revisão

“…Sendo assim, acredita-se que esta cultura deva ser constituída em todos os níveis de atenção à saúde, com especial direcionamento aos serviços de oncologia, já que o tratamento oncológico também pode envolver medidas mais invasivas que tornam os pacientes mais vulneráveis, tanto à ocorrência de erros e eventos adversos em saúde, como à piora da qualidade de vida e sentimentos relacionados à morte, além dos profissionais de saúde que atuam nesses setores estarem sob alto risco de esgotamento (FERMO et. al., 2015;RAEISSI et. al., 2017).…”