Determinants of patient safety culture among healthcare providers in the Upper East Region of Ghana

Abuosi, Aaron Asibi; Akologo, Alexander; Anaba, Emmanuel Anongeba

doi:10.1177/2516043519876756

Cited by 9 publications

(11 citation statements)

References 37 publications

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“…This indicates that even though each dimension measures a unique construct, at the same time it is related to a common underlying construct. This finding is consistent with the trend of relationship found in a similar studies in Ghana 28 and other countries. 24,29,30 Even though patient safety culture dimensions scores varied across participants' profession, Staffing and Non-Punitive Response to Errors were the only domains that differed significantly across professional groups (p < 0.05).…”

Section: Discussionsupporting

confidence: 93%

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Measuring patient safety culture: A study at a teaching hospital in Ghana

Muftawu

Aldogan

2020

Journal of Patient Safety and Risk Management

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Objective This study examined the current patient safety culture from the perspective of healthcare workers in a teaching hospital in Ghana and drew comparison with the Agency for Healthcare Research and Quality 2018 Patient Safety Culture Comparative Database Report. Methods A cross-sectional survey was conducted using the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality. A total of 435 questionnaires were distributed and 322 valid responses were received (a response rate of 74%). The study sample included 178 nurses, 59 doctors, 19 pharmacists, 35 technicians ((laboratory and radiology), and 31 management staff. The Hospital Survey Excel Tool 1.6 and the Statistical Package for the Social Sciences (SPSS) version 20 were used to analyze the data. Results The overall average score for the 12 dimensions of patient safety culture was 53% which is 12% lower than the Agency for Healthcare Research and Quality 2018 benchmark report of 65%. The dimension with the highest positive mean score was “Teamwork within Hospital Units” (77%) while the one with the lowest score was “Frequency of Event Reporting” (33%). All 12 domains except for Frequency of Event Reporting ( p = 0.414), Management Support for Patient Safety ( p = 0.823), and Teamwork within Units ( p = 0.070) have significant relationship with patient safety culture. Conclusions Generally, the patient safety culture dimension in the teaching hospital was low. Training of healthcare workers on patient safety and a broad based research including all categories of healthcare staff is highly needed in other to fully understand and change the patient safety culture in Ghanaian Hospitals.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Measuring patient safety culture: A study at a teaching hospital in Ghana

Muftawu

Aldogan

2020

Journal of Patient Safety and Risk Management

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“…Even in the unlikely event that these adverse events occur, the commitment demonstrated by managers relative to safety-related issues would influence them to report with lessened fears or hesitation. A relatively higher rating score for management support for patient safety has been supported in recent studies by Abuosi, Akologo and Anaba, 34 corroborating the work of Khoshakhlagh et al 15 Elsewhere, studies have shown that when hospital management supports safety-related issues, there is an increase in adverse events reporting. 35,36 Other studies have reported that when management placed emphasis on patient safety and safety-related issues, there is a correlation with better safety outcomes and fewer incidences of adverse effect.…”

Section: Discussionmentioning

confidence: 53%

“…Other researchers have also reported higher rating scores for feedback about errors. 34,37 It is apparent therefore that when healthcare workers, including nurses, are given feedback promptly following reported adverse events, they would be motivated to report more of such incidences when encountered and, this would encourage them to inform others that are connected to the errors. The giving of feedback should usually be done in a timely manner by communicating relevant information about the incident and not dwelling on character or personality of the worker involved.…”

Section: Discussionmentioning

confidence: 99%

Assessing managerial patient safety practices that influence adverse events reporting among nurses in the Savannah Region, Ghana

Alhassan

Kwashie

Paarima

et al. 2022

Journal of Patient Safety and Risk Management

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Introduction Patient safety is a global concern for both health professionals and the public. Studies show that evaluating patient safety culture can help improve patient safety outcomes. Nursing care strategically places nurses at the centre of patient safety promotion and their proximity to patients makes them the drivers of patient safety. Managerial decisions regarding patient safety impact greatly on patient safety outcomes in the healthcare organization. This study aimed to assess the managerial patient safety practices that influence adverse event reporting in three hospitals in the Savannah Region of Ghana. Methods A quantitative cross-sectional design was used to collect data from 210 participants in three hospitals. Data were analysed using descriptive, Pearson's correlation and linear regression. Results It was found that patient safety practices with good positive rating scores were management support (56.6%), managers' expectations (62.8%) and feedback about errors (56.2%). Areas with weak patient safety practices were staffing levels (42.4%), open communication (40.2%) and non-punitive response to errors (36.7%). Again, nurses' attitude towards adverse events reporting was generally low (37.3%). Managerial patient safety practices that had significant associations with adverse events reporting were management support ( r = .18, p < .001), open communication ( r = .19, p < .001), non-punitive to errors ( r = .21, p < .001) and feedback about errors ( r = .37, p < .001). Again, the significant predictors of adverse events reporting were feedback about errors ( β = .36, p < .001) and non-punitive response to errors ( β = .21, p < .01). Conclusion Nurses perceived patient safety culture in their units to be good. Although nurses' attitude towards adverse events reporting was low, the significant predictors of adverse events reporting were feedback about errors and non-punitive response to errors. Therefore, healthcare managers should continually strengthen patient safety to ensure optimal care outcomes. Implications for nursing practice Feedback on errors and non-punitive response to errors had a great influence on adverse events reporting, managerial failure to provide feedback and a non-punitive work environment could result in under-reporting of adverse events. This can be a major threat to patient safety; hence clinical practice should be aware of this and put in strategies to appropriately address them.

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“…In Ghana, the Ministry of Health developed and launched Ghana’s National Healthcare Quality Strategy [ 22 ] however, the success of the implementation of such a strategy depends on the culture in the health establishments [ 23 – 25 ]. Patient safety studies in Ghana have found that teamwork and organisational learning are viewed as important dimensions to achieving patient safety culture [ 26 ]. While one study [ 5 ] found that management support had a significant relationship with patient safety culture in a teaching hospital in Ghana, a 2020 study in a teaching hospital found an extremely low rating on overall patient safety culture [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Hospital managers’ views on the state of patient safety culture across three regions in Ghana

Tenza

Attafuah

Abor

et al. 2022

BMC Health Serv Res

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Background Improving patient safety culture in healthcare organisations contributes positively to the quality of care and patients’ attitudes toward care. While hospital managers undoubtedly play critical roles in creating a patient safety culture, in Ghana, qualitative studies focussing on hospital managers’ views on the state of patient safety culture in their hospitals remain scanty. Objective This study aimed to explore the views of hospital managers regarding compliance to patient safety culture dimensions in the selected hospitals in the Bono, Greater Accra, and Upper East regions of Ghana. Methodology This was a qualitative exploratory study. A purposive sampling of all hospital managers involved in patient safety practices was conducted. The sampled managers were then invited to a focus group discussion. Twelve focus group discussions with each consisting of a maximum of twelve participants were conducted. The ten patient safety culture dimensions adapted from the Agency for Healthcare Research and Quality’s patient safety culture composite measures framed the interview guide. Deductive thematic content analysis was done. Lincoln and Guba’s methods of trustworthiness were applied to ensure that the findings are valid and reliable. Findings Positive patient safety culture behaviours such as open communication, organisational learning, and strong teamwork within units, were an established practice in the selected facilities across Ghana. Lack of teamwork across units, fear of reporting adverse events, the existence of a blame culture, inconsistent response to errors, extreme shortage of staff, sub-standard handover, lack of management support with resources constrained the patient safety culture. The lack of standardised policies on reporting adverse events and response to errors encouraged managers to use various approaches, some resulting in a blame culture. Staff shortage contributed to poor quality of safety practices including poor handover which was also influenced by lateness to duty. Conclusion Prompt and appropriate responses by managers to medical errors require improvements in staffing and material resources as well as the enactment of standard policies across health facilities in the country. By so doing, hospital managers would contribute significantly to patient safety, and help build a patient safety culture in the selected hospitals.

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Determinants of patient safety culture among healthcare providers in the Upper East Region of Ghana

Cited by 9 publications

References 37 publications

Measuring patient safety culture: A study at a teaching hospital in Ghana

Measuring patient safety culture: A study at a teaching hospital in Ghana

Assessing managerial patient safety practices that influence adverse events reporting among nurses in the Savannah Region, Ghana

Hospital managers’ views on the state of patient safety culture across three regions in Ghana

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