Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers’ view in Jimma zone Hospitals, Southwest Ethiopia

Abstract

BackgroundPatient safety culture is an important aspect for quality healthcare delivery and is an issue of high concern globally. In Ethiopia health system little is known and information is limited in scope about patient safety culture. Therefore, the aim of this study was to assess the level of patient safety culture and associated factors in Jimma zone Hospitals, southwest Ethiopia.MethodsFacility based cross sectional quantitative study triangulated with qualitative approaches was employed from March to April 30/2015. Stratified sampling technique was used to select 637 study participants among 4 hospitals. The standardized tool which measures 12 patient safety culture composites was used for data collection. Bivariate and multivariate linear regression analyses were performed using SPSS version 20. Significance level was obtained at 95 % CI and p-value < 0.05. Semi structured guide in depth interview was used to collect the qualitative data. Content analysis of the interview was performed.ResultsThe overall level of patient safety culture was 46.7 % (95 % CI: 43.0, 51.2). Hours worked per week (β =−0.06, 95 % CI:−0.12,−0.001), reporting adverse event (β = 3.34, 95 % CI: 2.12, 4.57), good communication (β = 2.78, 95 % CI: 2.29, 3.28), teamwork within hospital (β = 1.91, 95 % CI: 1.37, 2.46), level of staffing (β = 1.32, 95 % CI: 0.89, 1.75), exchange of feedback about error (β = 1.37, 95 % CI: 0.91, 1.83) and participation in patient safety program (β = 1.3, 95 % CI: 0.57, 2.03) were factors significantly associated with the patient safety culture. The in depth interview indicated incident reporting, resources, healthcare worker attitude and patient involvement as important factors that influence patient safety culture.ConclusionsThe overall level of patient safety culture was low. Working hours, level of staffing, teamwork, communications openness, reporting an event and exchange of feedback about error were associated with patient safety culture. Therefore, interventions of systemic approach through facilitating opportunities for communication openness, cooperation and exchange of ideas between healthcare workers are needed to improve the level of patient safety culture.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1757-z) contains supplementary material, which is available to authorized users.

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

“…The results revealed that nursing students have attained a relatively modest level of perspective on training hospitals' infection prevention climate (M = 3.32, SD = 0.62). This result was in accordance with a study conducted in China , Ethiopia (Wami et al, 2016), and India (Sodhi et al, 2013). However, this result was lower than that conducted among nurses in Saudi Arabia (M = 3.86, SD = 0.51) (Colet et al, 2018).…”

Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study

“…The present study investigated the current status of patient safety culture in Ethiopian public hospitals using the HSOPSC instrument. The results of this study revealed that the overall positive response rate for all dimensions of the HSOPSC survey was not satisfactorily enough, akin to the findings from another local study [23]. Wami et al [23] assessed the patient safety culture in Jimma Zone (Oromia region) and have found that the overall mean score for the positive perception of patient safety culture dimension was 46.7%.…”

“…The results of this study revealed that the overall positive response rate for all dimensions of the HSOPSC survey was not satisfactorily enough, akin to the findings from another local study [23]. Wami et al [23] assessed the patient safety culture in Jimma Zone (Oromia region) and have found that the overall mean score for the positive perception of patient safety culture dimension was 46.7%. However, our study scored lower results when compared with the findings from other low-and middle-income countries (e.g.…”

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Patient safety culture regarding intravenous therapy in Guangzhou, China: a cross-sectional survey

“…2,3 Studies [4][5][6] show that the improvement in the quality of medical care and patient safety is closely related to a patient's consciousness of a good culture, and a positive safety culture can promote patient safety, can increase the satisfaction of patients about the hospital and can improve the patient's medical experience. 7,8 To date, many countries have initiated patient safety culture research, 9,10 especially developed countries. 8,[11][12][13] Some scales have been designed, 2 such as the Patient Safety Climate in Healthcare Organizations (PSCHO) in America, which evaluates the status of the patient safety culture in medical institutions.…”