The relationship between patient safety culture and adverse events: a study in palestinian hospitals

Najjar, Shahenaz; Nafouri, N; Vanhaecht, Kris; Euwema, Martin

doi:10.1186/s40886-015-0008-z

Cited by 57 publications

(64 citation statements)

References 30 publications

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“…However, the overall patient safety grade remained lower compared with that in the Lebanon (73.4%), Palestine (63.5%), Saudi Arabia (60%), and the USA (76%). Although previous studies [30,31] have shown that there is an association between culture and safe care practices (e.g. event reporting), this study did not show such relationship.…”

Section: Discussioncontrasting

confidence: 55%

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

et al. 2017

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Background: Internationally, patient safety is increasingly seen as a priority area, and improving patient safety highly depends on achieving a culture that supports and encourages health care staffs to report their errors or near misses without fear of punishment. In Ethiopia, however, patient safety culture is a relatively new focus, and little is known regarding the current status of patient safety culture in public hospitals. The purpose of the current study was thus, aimed to assess the views and perceptions of health care professionals about patient safety culture in public hospitals in Ethiopia. Methods: A cross-sectional study, utilizing the 'Hospital Survey on Patient Safety Culture (HSOPSC)' questionnaire was carried out in 2016 in the Amhara region. A self-administered questionnaire was distributed to the 480 health care staffs, including physicians, nurses, pharmacists, and other clinical and non-clinical staffs. Data were summarized as percentages, means, and standard deviations. ANOVA and chi-square tests were employed to examine statistical differences between health care worker's characteristics and patient safety predictors. We also computed internal consistency coefficients, correlation analysis, and exploratory factor analysis. Results: A total of 410 questionnaires were returned (response rate, 85.4%). The overall patient safety score (46%) and most of the scores related to dimensions were lower than the benchmark scores. The positive response rate of two dimensions ('Teamwork within units' and 'Organizational learning-continuous improvement') received the highest score (each 72%), and the lowest score was attributed to 'Staffing' (26%). Approximately, two thirds of staffs reported at least one event in the past 1 year. Nurses reported better in the overall patient safety score compared with other health care professionals (P = 0.03). The internal consistency of the total survey was fairly satisfied (Cronbach's α = 0.77). Conclusions: There is a severe deficit of patient safety culture in Ethiopian public hospitals. Creating a positive patient safety culture by implementing actions that support all dimensions of safety culture is inevitable. Further research is needed to confirm the applicability of the translated version of the HSOPSC in the Ethiopian hospital settings.

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Section: Discussioncontrasting

confidence: 55%

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

et al. 2017

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“…; Hamdan ; Najjar et al. ). However, studies that focused on nurses only were limited (Alayed et al.…”

Section: Introductionmentioning

confidence: 99%

Nursing perceptions of patient safety climate in the Gaza Strip, Palestine

Elsous

Sari

Aljeesh

et al. 2017

International Nursing Review

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Ensuring job satisfaction through adequate staffing levels, providing incentives and maintaining a collegial environment require both strategic planning and institutional policies at the higher administrative level. Creation of a non-punitive and learning environment, promoting open communication and fostering continuous education should be fundamental aspects of hospital management. A policy of mixing experienced nurses with inexperienced nurses should be considered.

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“…Possible venues may include thematic methodologies like those used in the present study as well as quantitative analysis pertaining to aspects of “safety culture” including both multicentre observational studies using surveys of hospital providers and patients based on validated questionnaires (Patient Safety Culture Survey, Safety Attitudes Questionnaire) and meta‐analyses of previous data . Such findings should then be corroborated against hospital safety outcomes such as actual occurrence of safety‐related incidents and malpractice suits as well as against patient‐reported outcomes and staff satisfaction . Such research will be valuable because of the predicted growth in integrative hospitals…”

Section: Discussionmentioning

confidence: 98%

First, keep it safe: Integration of a complementary medicine service within a hospital

et al. 2018

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Summary Objectives This paper sought to explore risk/safety considerations associated with the integration of a complementary medicine (CM) service within a public academic medical centre in Israel. Methods We reviewed various sources pertaining to the CM service (interviews with CM staff, patients' electronic charts, service guidelines, correspondence with hospital administration) and conducted a thematic analysis to evaluate safety‐related incidents during the 7 years of operation. In addition, we systematically assessed the charts for reports of treatment‐associated adverse effects, which were documented in an obligatory field on treatment reports. Results After reviewing transcripts of interviews with 12 CM practitioners and with the director and vice‐director of the CM service as well as transcripts of 8560 consultations that included 7383 treatments, we categorised 3 major domains of CM safety management: (i) prevention of safety‐related incidents by appropriate selection of CM practitioners and modalities, (ii) actual adverse incidents and (iii) prevention of their recurrence using both hospital and CM service safety protocols. CM staff reported 5 categories of adverse incidents, most of which were minor. Twenty‐nine adverse incidents were documented in the 7383 treatment sessions (0.4%). Conclusions Safety management needs to be addressed both before introducing CM services in hospitals and throughout their integration. Important considerations for the safe integration of CM practices in the hospital include communication between CM and conventional practitioners, adherence to hospital safety rules, implementing a systematic approach for detecting and reporting safety‐related incidents and continuous adaptation of the CM service safety protocols.

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The relationship between patient safety culture and adverse events: a study in palestinian hospitals

Cited by 57 publications

References 30 publications

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

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

Nursing perceptions of patient safety climate in the Gaza Strip, Palestine

First, keep it safe: Integration of a complementary medicine service within a hospital

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