Patient safety culture and associated factors among health care professionals at public hospitals in Dessie town, north east Ethiopia, 2019

Abstract

Introduction Patient safety culture is defined as the attitudes, perceptions, and values that staffs share within an organization related to patient safety. The safety of health care is now a major global concern. It is likely that millions of people suffer disabling injuries or death directly related to medical care. Particularly in developing and transitional countries, patient harm is a global public health problem. The objective of the study is to assess patient safety culture and associated factors among health care professionals working in public hospitals in Dessie town, North East Ethiopia, 2019. Methods Facility based quantitative study was employed from March 15 –April 30, 2019 in public hospitals in Dessie town. Four hundred and twenty two health care professionals were recruited to complete a structured pretested self-administered questionnaire. The data was cleaned, coded and entered in to Epi Info-7 and exported to SPSS version 20. Data was further analyzed using bivariate and multivariate logistic regression analyses. Variables with P value of less than 0.05 in multivariate analysis were declared as statistically significant at 95% CI. Results Of the 422 recruited a total of 411 participants completed the survey with a response rate of 97.4%. Close to half (184(44.8%)) of the participants indicated good patient safety culture. Good patient safety culture was positively associated with working in primary hospital (AOR = 2.56, 95% CI = 1.56, 4.21). On the other hand, good patient safety culture was negatively associated with health professional’s age between 25–34 year (AOR = 0.25, 95% CI = 0.08–0.74) and working in Pediatrics ward (AOR = 0.39, 95% CI = 0.17–0.9) and in emergency ward (AOR = O.25, 95%CI = 0.09–0.67). Conclusion The overall level of patient safety culture was under 50%. Good patient safety culture had positive association with working in primary hospital and negative association with professionals’ age between 25–29 year, 30–34 year and working in pediatrics and emergency ward. Implementing actions that support all dimensions of safety culture should be promoted at all levels of hospitals.

Patient safety culture and associated factors in secondary health care of the Capital Region of Denmark: influence of specialty, healthcare profession and gender

“…Apart from these differences in the early years, we found that the perception of PSC was related to age: the more senior, the more positive. This is in agreement with the findings of Mohammed et al 28…”

The status and the factors that influence patient safety in health care institutions in Africa: A systematic review

“…The section that deals with descriptive cross-sectional quantitative studies have sections that assess the relevance of the sampling to the research question, the representative of the sample to the target population, appropriateness of the measurements, the risk of nonresponse is low, and whether the statistical method adopted responded appropriately to the research question. All the studies identified in this category had all the responses being affirmative to each type except three [14,[16][17][18][19][20][21][22][23][24][25][26]. The three studies failed to meet the criteria requiring the study sample to represent the population [17,19,26].…”

“…The study approaches were qualitative [19,28], quantitative [14,16,17,[20][21][22][23][24][25][26]31], and intervention studies [29]. The specific study designs were cross-sectional [14, 16, 17, 19-24, 26-28, 31], descriptive correlational [25], randomized control trial [29] as shown in Table 1.…”

“…The specific study designs were cross-sectional [14, 16, 17, 19-24, 26-28, 31], descriptive correlational [25], randomized control trial [29] as shown in Table 1. The populations used were nurses [14,20,25,27], physicians [14,24,27,31], surgical team members [24,28], paramedical staff and community pharmacists [14,26,31], clinical service staff or health worker [14,16,[21][22][23]27], administrative staff [27], physiotherapist students [17], and managers [27]. Others used whole facilities as sample units [19,29] and community-based pharmacies [26], and volunteers [14], as indicated in Table 1.…”

Patient safety culture and its relationship with job satisfaction and adverse events among nurses working in emergency departments: A correlational descriptive study

“…Despite the fact that several studies have been conducted in the eld of safety culture in general and in the emergency department around the world including Iran Healthcare system [1, 16-18] and its relationship with job satisfaction of the healthcare specialists and adverse events [11,16,19,20], there is limited number of studies that have investigated the emergency nurses' perception of patient safety culture and its relationship with job satisfaction and adverse events at university hospital's emergency departments. Working in Emergency department requires relatively special skills and commitments [21]. Therefore, it has a signi cant importance to study the patient safety culture among the emergency department's health care professionals especially among the emergency nurses.…”