Iranian Nurse Association Perception of Patient Safety Culture

Abstract

Background:In recent decades, patient safety has become a high priority health system issue, due to the high potential of occurring adverse events in health facilities.Objectives:This study was aimed to survey patient safety culture in 2 Iranian educational hospitals.Materials and Methods:In a descriptive, cross-sectional survey, a hospital survey on patient safety culture, was used in two teaching hospitals in Yazd, Iran during 2012. Study population was comprised of the same hospitals' nurses. Stratified-random sampling method was used and distributed among a total of 340 randomly-selected nurses from different units. From all distributed questionnaires, 302 ones were answered completely and afterwards analyzed using SPSS 17. Dimensional- and item-level positive scores were used for results reporting. Additionally descriptive statistics (mean and standard deviation), independent sample t-test and ANOVA were sued for data analyzing.Results:Research findings demonstrated that both hospitals had low to average scores in all dimensions of patient safety culture. Non-punitive response to error, staffing and frequency of events reported had the lowest positive scores of patient safety dimensions with scores 15.26, 19.26, 16.65, 30 and 32.87, 31.10 respectively in Shahid Sadoughi and Shahid Rahnemoon Hospitals. Also only 29.20 and 28.80 percent of nurses in Shahid Sadoughi and Shahid Rahnemoon Hospitals, respectively, evaluated the patient safety grade of their hospital as “excellent” and “very good”. Indeed, the studied hospitals had a statistical difference in 3 dimensions of patient safety culture (frequency of events reported, organizational learning and staffing). (P ≤ 0.05)Conclusions:Our study results were indicating of the challenge of weak patient safety culture, in educational hospitals. Therefore, the issue should be integrated to all policy makers and managerial initiatives in our health system, as a top priority.

Patient Safety Culture and Factors that Impact That Culture in Tehran Hospitals in 2013

“…Like previous studies, all patient safety culture elements showed positive correlations with each other with one exception: there was no relationship between "frequency of events" and "management support," "teamwork within units," "teamwork across," "staffing, handoffs transitions" and "non-punitive responses" (29)(30)(31). similar to previous studies, "staffing" scored the lowest among all the patient safety culture elements (28) and "teamwork within units" (32,33) scored the highest in this study. Patient safety cultures within hospitals still require development.…”

“…This study has demonstrated the presence of a moderate patient safety culture (64.7%) that is both lower (27) and higher than other studies (28). In contrast to other studies, this study (29) revealed no significant relationship between staff members' years of service and patient safety culture ratings.…”

The patient safety culture perception of Turkish nurses who work in operating room and intensive care unit

“…and the study of Karaca & Arslan of nurses working in a private hospital using the same scale 14,15. A study conducted on 302 nurses working in the university hospitals in Iran, and a study conducted on 463 nurses in China indicated that patient safety perceptions of nurses weren’t at the desired level 4,5…”

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

“…In addition, there is a need by healthcare managers for continuous measurement of patient safety to detect any weaknesses and to correct them before causing adverse events (Bahrami et al. ). Also, there should be better coordination between hospital's units during shift changes regarding important information about patient care to improve handsoff and transition of care (Morello et al.…”

“…Nurses who had specific education about patient safety showed significant improvements in the 'frequency of events reported' and in 'non-punitive response to error' (AbuAlRub & Abu Alhijaa 2014). In addition, there is a need by healthcare managers for continuous measurement of patient safety to detect any weaknesses and to correct them before causing adverse events (Bahrami et al 2014). Also, there should be better coordination between hospital's units during shift changes regarding important information about patient care to improve handsoff and transition of care (Morello et al 2013;Woodthorpe et al 2013).…”