Patient safety climate in general public hospitals in China: differences associated with department and job type based on a cross-sectional survey

Abstract

ObjectiveThis study analysed differences in the perceived patient safety climate among different working departments and job types in public general hospitals in China.DesignCross-sectional survey.SettingEighteen tertiary hospitals and 36 secondary hospitals from 10 areas in Shanghai, Hubei Province and Gansu Province, China.ParticipantsOverall, 4753 staff, including physicians, nurses, medical technicians and managers, were recruited from March to June 2015.Main outcome measureThe Patient Safety Climate in Healthcare Organisations (PSCHO) tool and the percentages of ‘problematic responses’ (PPRs) were used as outcome measures. Multivariable two-level random intercept models were applied in the analysis.ResultsA total of 4121 valid questionnaires were collected. Perceptions regarding the patient safety climate varied among departments and job types. Physicians responded with relatively more negative evaluations of ‘organisational resources for safety’, ‘unit recognition and support for safety efforts’, ‘psychological safety’, ‘problem responsiveness’ and overall safety climate. Paediatrics departments, intensive care units, emergency departments and clinical auxiliary departments require more attention. The PPRs for ‘fear of blame and punishment’ were universally significantly high, and the PPRs for ‘fear of shame’ and ‘provision of safe care’ were remarkably high, especially in some departments. Departmental differences across all dimensions and the overall safety climate primarily depended on job type.ConclusionsThe differences suggest that strategies and measures for improving the patient safety climate should be tailored by working department and job type.

Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: a cross-sectional study

“…Some studies have suggested that working environment deterioration of healthcare workers is associated with an increase in the number of event reports [11,12]; however, few studies have examined the influence of working hours, the number of night shifts, and the number of days off on patient safety culture. Working environment associated with each profession may affect patient safety culture differently because each profession has different working environment characteristics [13][14][15].…”

Effect of the organizational culture for patient safety in the hospital setting: A systematic review

“…Ten articles (13,14,17,18,20,22,24,25,27,33) used the HSOPSC questionnaire as data collection instrument; another ten articles (12,15,16,21,23,26,28,(30)(31)(32) used SAQ, and two (19,29) made use of PSCHO.…”

Utilização do questionário PSCHO na avaliação do clima de segurança do paciente: uma revisão integrativa

“…Demais fatores como comunicação ineficaz (Haytham et al, 2009), medo da culpabilização e vergonha frente ao erro (Zhou, Bundorf, Gu, He & Xue, 2015;Zhou et al, 2018) foram itens que apresentaram alto índice de respostas problemáticas.…”

“…Ginecologia e obstetrícia, pediatria, anestesiologia e departamentos auxiliares clínicos (E4).As amostragens foram de caráter multiprofissional e intersetorial, envolvendo funcionários desde a alta gestão até a assistência, reportados os últimos como funcionários da linha de frente. Apenas um estudo(Zhou et al, 2018) identificou todas as classes profissionais amostradas, os demais dividiram a análise em três categorias, sendo estas 1) gestores e chefes deSociety and Development, v. 10, n. 4, e28210414200, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i4.14200 em hospitais Veterans Affair (VA) nos Estados Unidos. A amostra de hospitais foi obtida mediante estratificação da amostra inicial em categorias…”