<p>Assessment and Comparison of Patient Safety Culture Among Health-Care Providers in Shenzhen Hospitals</p>

Abstract

Purpose To investigate the health-care providers’ perceptions of patient safety culture in Shenzhen hospitals and to compare 2019 with 2015 data. Methods This cross-sectional study adopted a questionnaire survey and targeted hospital staff fitting the sampling criteria (physicians, nurses, technicians, and managers). A total of 5490 staff from 13 Shenzhen hospitals were surveyed using the Hospital Survey on Patient Safety Culture (HSOPSC). Results The average positive response rates of this study were generally higher than the data from the 2018 Agency for Healthcare Research and Quality (AHRQ) survey and the 2015 HSOPSC Shenzhen survey. Bivariate and multivariate regression showed that respondents who had direct contact with patients were less likely to report high overall patient safety grade. The probability of high overall patient safety grade was rated higher by men than by women. Compared with nurses, the probability of high overall patient safety grade was higher for both physicians and technicians. Conclusion The overall results of the patient safety culture in Shenzhen hospitals were relatively good and have improved significantly in recent years, but some areas of weakness still need improvement. Our recommendations are to develop training programs for various positions, recruit more employees, provide management support, and establish a just culture to promote a strong patient safety culture. Regular assessment is also needed to provide valuable information to hospital leaders on areas requiring improvement and to evaluate the quality improvement plan that has been implemented.

Assessment of Patient Safety Culture in a Pediatric Department

“…Referring to respondent characteristics, compared with the average composite scores only, respondent’s “typical hours worked per week” and “interactions with patients” were statistically significant (p≤0.0001). This is in keeping with the concept that the higher the amount of time spent and agency and highest interaction with a patient, the more adept a practitioner is to patient safety and the more credence their view of patient safety and PSC is [ 24 , 26 , 27 ].…”

“…Understaffing was the area receiving the penultimate amount of poor positivity scores, with scores much lower than the US data; the same was evident in a study by Hao et al [ 26 ]. This is crucial as poor staffing/understaffing has been implicated in poor and adverse patient outcomes by a multitude of studies, so it is not surprising that hospitals have the consistent perception of poor staffing negatively affecting patient safety.…”

“…This is crucial as poor staffing/understaffing has been implicated in poor and adverse patient outcomes by a multitude of studies, so it is not surprising that hospitals have the consistent perception of poor staffing negatively affecting patient safety. It of course follows that with improved staffing, patient safety would congruently improve [24][25][26].…”

“…We recommend that future analysis ought to reexamine our agency in a future time period after the above recommendations are put in place in order to see the effectiveness (if any) of the applied interventions, a la Hao et al did in Chinese hospitals which led to improved patient safety parameters and overall culture [ 26 ]. The conclusions of the aforementioned study were to recruit more employees, develop training programs for various positions, provide management support, and establish a just culture to promote a strong PSC in addition to regular assessment of safety culture [ 26 ]…”

Cultura de segurança do paciente segundo a equipe de enfermagem de um hospital terciário

“…15 Portanto, tornam-se necessárias avaliações prospectivas referentes à cultura de segurança do paciente, além de desenvolver programas de treinamento para todos os profissionais, readequar o quantitativo de funcionários nas diferentes áreas assistenciais, fornecer suporte de gestão e estabelecer uma cultura justa. 68 Os técnicos de enfermagem apresentaram melhor percepção referente à segurança do paciente, em comparação aos enfermeiros. De fato, podem ocorrer diferenças de percepção sobre a cultura de segurança do paciente entre as categorias profissionais.…”