The current state of patient safety culture in Lebanese hospitals: a study at baseline

El‐Jardali, Fadi; Jaafar, Maha; Dimassi, Hani; Jamal, Diana; Hamdan, Rana

doi:10.1093/intqhc/mzq047

Cited by 182 publications

(292 citation statements)

References 9 publications

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“…As regard the percentage of study participants staff category in relation to their hospital unit; Para-medical category (52.3%); physicians (39.5%) and nonmedical staff (8.3%) ( Table-1). Similar studies showed reported percentages comparable to ours 26 with nurses constitute (57.8%) of respondents; while in a study in Cairo university hospitals physicians represented (54.8%) of respondents. 15 The overall patient safety culture score in this study was (39.3%), which is lower than that reported by the Agency for Healthcare Research and Quality AHRQ, 2014 (64%) 27 , Palestine (63.5%), Saudi Arabia (60%), Lebanese private hospitals, (72.5%) 28 , and Hospital Survey on Patient Safety Culture-2012 in China (63%).…”

Section: Discussionsupporting

confidence: 85%

“…31 In addition, there was positive correlation between the dimension overall perception of safety and 9 dimensions of patient safety in the current study, strongest of which was for handoffs & transitions (r=0.531) while the weakest was that for management support for patient safety (r=0.142) ( Table 4). Findings are in agreement with Higher scores on hospital handoffs and transitions 26 and not in agreement with the reported strongest correlation for hospital management support for patient safety (Pearson r = 0.352) and weakest for non-punitive response to error (Pearson r = 0.176).…”

Section: Discussionsupporting

confidence: 64%

“…30 A finding that might reflect the defective training and negligence of Beni-Suef HCWs of the importance of patient safety event reporting. As regard the correlation between frequency of events reporting and the 10 composites of patient safety, 9 dimensions showed positive correlation with frequency of events reporting strongest of which was observed for communication openness (r=0.362) while teamwork within hospital units showed the weakest correlation (r=0.185) ( 31 and teamwork across hospital units 26 , while the weakest correlation was for on supervisor manager expectations to promote patient safety (Pearson r = 0.081). 31 In addition, there was positive correlation between the dimension overall perception of safety and 9 dimensions of patient safety in the current study, strongest of which was for handoffs & transitions (r=0.531) while the weakest was that for management support for patient safety (r=0.142) ( Table 4).…”

Section: Discussionmentioning

confidence: 96%

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Assessment of Patient Safety Culture among Health Care Workers in Beni-Suef University Hospital, Egypt

2017

The Egypt. J. of Community Medicine

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Background: Patient safety is an essential component in the quality of patient care. It remains a challenge for developing countries. Assessment of patient safety culture in healthcare organizations is becoming an integral component to improve patients' safety. Aim: To assess the perceptions of patient safety culture attitude among health-care workers in Beni-Suef University hospital. Participants and Methods: A cross sectional study was conducted from January till December 2015 using the Hospital Survey on Patient Safety Culture (HSOPSC) self-administered questionnaire which includes 12 dimensions on 500 university hospital staff members in Beni-Suef University hospital with a response rate of 84.6% (423/500). Results: The overall mean positive response rate for patient safety in Beni-Suef University Hospital was 39.3%. Healthcare workers had lower perceptions about patient safety culture. Only two dimensions showed positivity above 50%. The highest positive mean score dimension was "Teamwork within units" (57.4%) while the lowest positive mean score dimension was "Frequency of events reporting" (23.2%). Patient safety grade in relation to the staff position showed significant difference between the studied groups (p=0.009). Conclusion and Recommendations: Healthcare workers appear to have a lower perception of patient safety culture. Training of healthcare workers on patient safety and broad based research are highly recommended in order to improve patient safety culture. Patient safety needs to be incorporated into the education of health professionals across the spectrum of healthcare. There should be a blame-free system for identifying threats to patient safety, sharing information and learning from events.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 96%

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Assessment of Patient Safety Culture among Health Care Workers in Beni-Suef University Hospital, Egypt

2017

The Egypt. J. of Community Medicine

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“…These results were congruent to similar studies conducted in the Middle East which also found a positive perception of these five domains [8,[17][18][19]. Conversely, a study conducted in Iran revealed a negative perception of safety climate among physicians and nurses practicing in the Intensive Care Unit.…”

Section: Discussionsupporting

confidence: 88%

Assessment of Patient Safety Culture among Egyptian Healthcare Employees

Elgendi¹,

Seung²,

Mohamed³

et al. 2017

Med Safe Glo Heal

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A limited amount of data exists from developing and underdeveloped nations related to patient safety culture among diverse healthcare employees. This study aimed to identify baseline perceptions and attitudes towards patient safety across healthcare disciplines at two Egyptian hospitals using a validated survey tool to allow for comparison with international benchmarks. We conducted a cross-sectional study of 250 employees, who voluntarily completed the survey over a 14-day period. Results revealed that job satisfaction scored highest among the safety domains assessed and was significantly greater than the international benchmark. Job satisfaction was followed by teamwork climate, working conditions, safety climate, and perceptions of unit management and hospital management. All mean scores for these domains were significantly greater than the international benchmarks. In contrast, the mean score of stress recognition was significantly less than the international benchmark. Respondent demographics did not influence overall safety perception measured by the six domains; however, resident physicians perceived greater collaboration and communication among team members than other position types reported. Egyptian healthcare providers reported an overall positive perception of the culture of safety. However, recognition of the negative implications of stress on patient safety among Egyptians was lower than the international benchmark. Clinical Relevance: Our study provides insight into patient safety perceptions among diverse healthcare employees in a developing nation, establishes baseline data on safety culture at two hospitals, and offers a comparison between Egyptian healthcare workers' patient safety attitudes and international benchmarks.

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“…Reliability testing evaluated the extent to which results obtained by the Brazilian version of HSOPSC could be replicated. In order to allow for comparison with other validation studies 11,12,13,14,15,16,17,18,19,20,21,22 , the reliability of HSOP-SC was assessed through its internal consistency as estimated using Cronbach's alpha 23,24 for each dimension or factor, in line with the dimensions proposed by the original model. Since some questionnaire items were worded positively and others negatively, negatively worded items were reverse coded so that in all cases a higher score would indicate a positive response 3 .…”

Section: Resultsmentioning

confidence: 99%

Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study

et al. 2016

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The evaluation of the culture of patient safety in hospitals is nowadays considered as a management too, since it helps to identify problem areas and provide valuable information for planning improvements. This study explored the reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture, an instrument that evaluates characteristics of patient safety culture among hospital staff. The reliability of the instrument was evaluated by analyzing the internal consistency of each dimension. The validity of the tool was carried out by means of exploratory and confirmatory factor analysis. The sample was made up of 322 questionnaires that were collected in two Brazilian hospitals in 2012. Cronbach's alpha ranged from 0.52 to 0.91 for the different dimensions, with the exception of two, for which it was much lower. After excluding four items, the exploratory factor analysis presented adjusted indices that were appropriate for a 10 factor model.

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The current state of patient safety culture in Lebanese hospitals: a study at baseline

Abstract: Study findings provide evidence that can be used by policy makers, managers and leaders who are able to create the culture and commitment needed to identify and solve underlying systemic causes related to patient safety.

Cited by 182 publications

References 9 publications

Assessment of Patient Safety Culture among Health Care Workers in Beni-Suef University Hospital, Egypt

Assessment of Patient Safety Culture among Health Care Workers in Beni-Suef University Hospital, Egypt

Assessment of Patient Safety Culture among Egyptian Healthcare Employees

Reliability and validity of the Brazilian version of the Hospital Survey on Patient Safety Culture (HSOPSC): a pilot study

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