The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses

Abstract

Background Adverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of adverse events, and the relationship between them in Qazvin's hospitals in Iran. Methods The present study is a descriptive-analytical study conducted in six hospitals in Qazvin, Iran, in 2020. The study population was nurses working in Qazvin hospitals. We collected data via a patient safety culture questionnaire and an adverse event checklist. Three hundred sixty nurses completed questionnaires. Multiple logistic regression was used to investigate the relationship between variables. Results The highest mean of patient safety culture was related to the organizational learning dimension (3.5, SD = .074) and feedback and communication about errors (3.4, SD = 0.82). The participants gave the lowest score to dimensions of exchanges and transfer of information (2.45,=0.86) and management support for patient safety (2.62,Sd = 0.65). Management's support for patient safety, general understanding of patient safety culture, teamwork within organizational units, communication and feedback on errors, staff issues, and information exchange and transfer were significant predictors of adverse events. Conclusion This study confirms patient safety culture as a predictor of adverse events. Healthcare managers should provide the basis for improving the patient safety culture and reducing adverse events through methods such as encouraging the reporting of adverse events and also holding training courses for nurses.

Nurses’ perceptions of patient safety competency: A cross-sectional study of relationships with occurrence and reporting of adverse events

“…The findings showed that 67% of nurses experienced the occurrence of AEs in the past six months. These findings were consistent with a previous study conducted in Iran [ 30 ] which showed the prevalence of AEs was between 33.1 and 51.1%. Song et al in China revealed that the prevalence of AEs was 13.9% of operating room nurses [ 31 ].…”

Challenges of safety culture in Surgical Center: mixed methods study

“…Research related to safety culture in the hospital environment is constantly growing ( 6 - 7 ) , which reinforces the fact that organizational values directly impact safety results, also encompassing the occurrence of adverse events, that is, concrete harm to patient ( 8 ) . Such values need to be strengthened in any care delivery environment, even though it is recognized that some environments have a higher or more evident risk due to the nature of the work processes developed, such as the Surgical Center (SC) ( 9 ) .…”

“…Las investigaciones relacionadas con la cultura de seguridad en el ambiente hospitalario están en constante crecimiento ( 6 - 7 ) , lo que refuerza el hecho de que los valores organizacionales impactan directamente en los resultados de seguridad, abarcando también la ocurrencia de eventos adversos, es decir, daños concretos al paciente ( 8 ) . Tales valores deben fortalecerse en cualquier entorno de prestación de atención, aunque se reconoce que algunos ambientes tienen un riesgo mayor o más evidente debido a la naturaleza de los procesos de trabajo desarrollados, como el Centro Quirúrgico (CQ) ( 9 ) .…”

“…As pesquisas relacionadas com a cultura de segurança no ambiente hospitalar estão em constante crescimento ( 6 - 7 ) , o que reforça o fato de que os valores organizacionais impactam diretamente os resultados de segurança, abarcando também a ocorrência de eventos adversos, ou seja, danos concretos ao paciente ( 8 ) . Tais valores precisam se fortalecer em qualquer ambiente de prestação assistencial, ainda que se reconheça que alguns ambientes possuem risco mais elevado ou evidente pela natureza dos processos de trabalho desenvolvidos, a exemplo do Centro Cirúrgico (CC) ( 9 ) .…”

Analisis Faktor yang Mempengaruhi Terjadinya Insiden Keselamatan Pasien

“…Semakin baik patient safety culture maka semakin rendah insiden keselaman pasien di rumah sakit tersebut. Penelitian lain menyebukan bahwa departemen atau unit kerja dengan budaya keselamatan pasien yang lebih positif memiliki adverse event yang lebih rendah (Hafezi et al, 2022;Binkheder et al, 2023;Muñoz et al, 2023;Moosavi et al, 2023).…”