Study of safety culture in healthcare institutions: case of an Algerian hospital

Boughaba, Assia; Aberkane, Salah; Fourar, Youcef Oussama; Djebabra, Mébarek

doi:10.1108/ijhcqa-09-2018-0229

Cited by 13 publications

(18 citation statements)

References 26 publications

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“…The low scores identified in terms of communication openness can be associated with the rigid relationship between workers and managers, which leads to passive behavior regarding event reporting (42), as there is no room to discuss errors (34). This attitude is reflected in organizational silence, which weakens individual initiatives; in addition to discouraging the issuance of opinions, thoughts and suggestions that could contribute to the improvement of processes and services (43).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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Objective: To identify the effect of the organizational culture on patient safety in the hospital context. Materials and methods: A systematic review, without meta-analysis, registered in PROSPERO with number CRD42020162981. Cross-sectional and observational studies were selected that assessed the safety environment and safety culture published between 2014 and 2020 in journals indexed in the EMBASE, Latin American and Caribbean Literature in Health Sciences (Literatura Latinoamericana e do Caribe em Ciências da Saúde, LILACS) via the Virtual Health Library (Biblioteca Virtual em Saúde, BVS), Medline (International Literature in Health Sciences) via PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Results: The findings show that a positive safety environment exerts a beneficial effect on the safety culture, favors the notification of events, and enables improvements in the quality of health care. Conclusions: The effective interaction between safety culture and organizational culture is still scarce in the literature. Most of the studies carried out investigate the situational diagnosis and little progress is made in terms of deepening the implications for the professional practice and the repercussions for the safety of hospitalized patients.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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“…Consequently, the HSOPSC questionnaire is by far the most used in the evaluation of PSC (5,8,13). However, the more dimensions of PSC the more di cult it is to have an idea of PSC overall level in an organization.…”

Section: Methodsmentioning

confidence: 99%

“…This type of dimensional evaluation of PSC through questionnaires is favored by managers; because, it makes it possible to describe the current state of PSC while identifying the problematic PSC dimensions in order to establish action plans to improve them (8). This choice to use questionnaires can be explained by their feasibility and their capacity to collect a maximum of information in a minimum of time and with the least possible effort, and also the guarantee of the respondents' anonymity (9).…”

Section: Introductionmentioning

confidence: 99%

Contribution to a Mixed Assessment of Patient Safety Culture

Fourar

Djebabra

Benhassine

et al. 2020

Preprint

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Purpose: The evaluation of patient safety culture is conducted using quantitative methods based on the use of questionnaires and qualitative ones focused on the deployment of cultural maturity models. These methods are known to suffer from certain major limits. This article aims to overcome the difficulties encountered by both methods and to propose a novel approach to the assessment of PSC. Methodology: The approach proposed in this article consists of applying a combined method, based on Principal Component Analysis (PCA) and K-means algorithm, to group together PSC dimensions into macro-dimensions whose exploitation allows to overcome the difficulties encountered with dimensional analysis of PSC and then, serve as a basic support for the development of a patient safety culture maturity model. Findings: The results of the combined method PCA / k-means shows that PSC dimensions can be grouped into three macro-dimensions that were capitalized in a first place using factors related to the development of PSC and in a second place to develop a quantitative maturity matrix that helped in the identification of PSC maturity levels.Originality: The merit of our proposal is to work towards a quali-quantitative evaluation of safety culture recommended by a good number of researchers but, to our knowledge, few or no studies are devoted to this hybrid or systematic evaluation of safety culture. Thus, the results can also be projected to implicate PSC actors and to frame the evaluation pf PSC maturity by international standards.

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“…This can be explained by the fact that questionnaires assist in collecting a maximum of information in a minimum amount of time and with the least possible effort and also guarantee respondents' anonymity (Guldenmund, 2010). They also give a description of the current state of PSC and identify problematic dimensions that need to be improved (Boughaba et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

Contribution of PCA/K-means methods to the mixed assessment of patient safety culture

Fourar

Djebabra

Benhassine

et al. 2021

IJHG

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PurposeThe assessment of patient safety culture (PSC) is a major priority for healthcare providers. It is often realized using quantitative approaches (questionnaires) separately from qualitative ones (patient safety culture maturity model (PSCMM)). These approaches suffer from certain major limits. Therefore, the aim of the present study is to overcome these limits and to propose a novel approach to PSC assessment.Design/methodology/approachThe proposed approach consists of evaluating PSC in a set of healthcare establishments (HEs) using the HSOPSC questionnaire. After that, principal component analysis (PCA) and K-means algorithm were applied on PSC dimensional scores in order to aggregate them into macro dimensions. The latter were used to overcome the limits of PSC dimensional assessment and to propose a quantitative PSCMM.FindingsPSC dimensions are grouped into three macro dimensions. Their capitalization permits their association with safety actors related to PSC promotion. Consequently, a quantitative PSC maturity matrix was proposed. Problematic PSC dimensions for the studied HEs are “Non-punitive response to error”, “Staffing”, “Communication openness”. Their PSC maturity level was found underdeveloped due to a managerial style that favors a “blame culture”.Originality/valueA combined quali-quantitative assessment framework for PSC was proposed in the present study as recommended by a number of researchers but, to the best of our knowledge, few or no studies were devoted to it. The results can be projected for improvement and accreditation purposes, where different PSC stakeholders can be implicated as suggested by international standards.

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Study of safety culture in healthcare institutions: case of an Algerian hospital

Cited by 13 publications

References 26 publications

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

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

Contribution to a Mixed Assessment of Patient Safety Culture

Contribution of PCA/K-means methods to the mixed assessment of patient safety culture

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