Safety culture as a contemporary healthcare construct: theoretical review, research assessment, and translation to human resource management

Palmieri, Patrick A.; Peterson, Lori T.; Pesta, Bryan J.; Flit, Michel A.; Saettone, David M.

doi:10.1108/s1474-8231(2010)0000009009

Cited by 19 publications

(18 citation statements)

References 121 publications

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“…On the other hand, it shows that these hospitals suffer from staff shortage (10, 14-20). Today, an important challenge of Iranian hospitals is lack of enough staff in contrast with high demand, leading to inappropriate levels of care quality.…”

Section: Discussionmentioning

confidence: 99%

Iranian Nurse Association Perception of Patient Safety Culture

Bahrami¹,

Chalak²,

Montazeralfaraj³

et al. 2014

Iran Red Crescent Med J

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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.

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Section: Discussionmentioning

confidence: 99%

Iranian Nurse Association Perception of Patient Safety Culture

Bahrami¹,

Chalak²,

Montazeralfaraj³

et al. 2014

Iran Red Crescent Med J

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“…Similarly, for safety climate there has been a lack of agreement on what the term means. It is often taken as a more malleable unit or group attribute (Palmieri, Peterson, Pesta, Flit, & Saettone, 2010) that consists of the shared perceptions of existing safety policies, procedures and practices (Zohar & Luria, 2010). It is described as the surface component of the underlying safety culture, such as management behaviours, safety systems and employee perceptions of safety (Flin, Burns, Mearns, Yule, & Robertson, 2006…”

Section: Defining Safety Culture and Safety Climatementioning

confidence: 99%

Safety culture in health care teams: A narrative review of the literature

et al. 2019

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Aim Explore the recent literature to examine the factors that affect safety culture within health care teams. Background Health care organisations must understand and improve their safety culture. However, safety culture is a complex phenomenon which interacts with a myriad of factors, making it difficult to define, measure and improve. Evaluation A comprehensive search strategy was used to search four major databases. Peer‐reviewed which were published in English between 2006 and 2017 and presented research studies related to safety culture in health care teams were included. A narrative analysis was undertaken. Key issues Issues relevant to the definition, measurement and improvement of safety culture, the impact of teamwork and communication on safety culture, the role of leaders and accountability are explored. Conclusion The above themes inform our understanding of developing, measuring and sustaining safety culture in health care teams. However, further research is warranted to accurately understand how to measure and improve safety culture. Implications for nursing management To support a safety culture, initiatives to facilitate effective communication between nurse practitioners and other health care professionals must be introduced. Nurse managers should adopt leadership strategies that will support nurses’ psychological safety and create a just culture.

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“…For example, researchers using the Hospital Survey on Patient Safety Culture (HSOPSC) have reported strong correlations between safety culture, adverse event frequency, and patient outcomes [11,12]. For these reasons, the measurement of safety culture has become the prerequisite for continuous quality improvement efforts to provide leaders with the essential feedback that stimulates organizational improvement [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research

et al. 2020

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Background: The Hospital Survey on Patient Safety Culture (HSOPSC) is widely utilized in multiple languages across the world. Despite culture and language variations, research studies from Latin America use the Spanish language HSOPSC validated for Spain and the United States. Yet, these studies fail to report the translation method, cultural adaptation process, and the equivalence assessment strategy. As such, the psychometric properties of the HSOPSC are not well demonstrated for cross-cultural research in Latin America, including Peru. The purpose of this study was to develop a target-language HSOPSC for cross-cultural research in Peru that asks the same questions, in the same manner, with the same intended meaning, as the source instrument. Methods: This study used a mixed-methods approach adapted from the translation guideline recommended by Agency for Healthcare Research and Quality. The 3-phase, 7-step process incorporated translation techniques, pilot testing, cognitive interviews, clinical participant review, and subject matter expert evaluation. Results: The instrument was translated and evaluated in 3 rounds of cognitive interview (CI). There were 37 problem items identified in round 1 (14 clarity, 12 cultural, 11 mixed); and resolved to 4 problems by round 3. The pilot-testing language clarity inter-rater reliability was S-CVI/Avg = 0.97 and S-CVI/UA = 0.86; and S-CVI/Avg = 0.96 and S-CVI/UA = 0.83 for cultural relevance. Subject matter expert agreement in matching items to the correct dimensions was substantially equivalent (Kappa = 0.72). Only 1 of 12 dimensions had a low Kappa (0.39), borderline fair to moderate. The remaining dimensions performed well (7 = almost perfect, 2 = substantial, and 2 = moderate).

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Safety culture as a contemporary healthcare construct: theoretical review, research assessment, and translation to human resource management

Cited by 19 publications

References 121 publications

Iranian Nurse Association Perception of Patient Safety Culture

Iranian Nurse Association Perception of Patient Safety Culture

Safety culture in health care teams: A narrative review of the literature

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research

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