Understanding Physicians’ and Nurses’ Adaption of National-Leading Patient Safety Culture Policy: A Qualitative Study in Tertiary and General Hospitals in Korea

Lee, Won; Choi, MoonHee; Park, Eunjung; Park, Eunji; Kang, S; Lee, Jessie; Jang, Seung Gyeong; Han, Haerim; Lee, Sang-il; Choi, Ji Eun

doi:10.3346/jkms.2022.37.e114

Cited by 9 publications

(6 citation statements)

References 24 publications

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“…These findings suggest that management has not prioritised patient safety and in fact exhibits poor commitment to same. Findings on lack of managerial support with resources, although common [ 18 , 36 – 38 ], are also in agreement with those of Mawuena [ 39 ] who investigated the implications of resource constraints and high workload in Ghanaian hospitals. The study by Mawuena [ 39 ] also found health professionals resorting to silence, when they do not experience positive benefit from verbalising their frustration over lack of resources.…”

Section: Discussionsupporting

confidence: 84%

Hospital managers’ views on the state of patient safety culture across three regions in Ghana

Tenza

Attafuah

Abor

et al. 2022

BMC Health Serv Res

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Background Improving patient safety culture in healthcare organisations contributes positively to the quality of care and patients’ attitudes toward care. While hospital managers undoubtedly play critical roles in creating a patient safety culture, in Ghana, qualitative studies focussing on hospital managers’ views on the state of patient safety culture in their hospitals remain scanty. Objective This study aimed to explore the views of hospital managers regarding compliance to patient safety culture dimensions in the selected hospitals in the Bono, Greater Accra, and Upper East regions of Ghana. Methodology This was a qualitative exploratory study. A purposive sampling of all hospital managers involved in patient safety practices was conducted. The sampled managers were then invited to a focus group discussion. Twelve focus group discussions with each consisting of a maximum of twelve participants were conducted. The ten patient safety culture dimensions adapted from the Agency for Healthcare Research and Quality’s patient safety culture composite measures framed the interview guide. Deductive thematic content analysis was done. Lincoln and Guba’s methods of trustworthiness were applied to ensure that the findings are valid and reliable. Findings Positive patient safety culture behaviours such as open communication, organisational learning, and strong teamwork within units, were an established practice in the selected facilities across Ghana. Lack of teamwork across units, fear of reporting adverse events, the existence of a blame culture, inconsistent response to errors, extreme shortage of staff, sub-standard handover, lack of management support with resources constrained the patient safety culture. The lack of standardised policies on reporting adverse events and response to errors encouraged managers to use various approaches, some resulting in a blame culture. Staff shortage contributed to poor quality of safety practices including poor handover which was also influenced by lateness to duty. Conclusion Prompt and appropriate responses by managers to medical errors require improvements in staffing and material resources as well as the enactment of standard policies across health facilities in the country. By so doing, hospital managers would contribute significantly to patient safety, and help build a patient safety culture in the selected hospitals.

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Section: Discussionsupporting

confidence: 84%

Hospital managers’ views on the state of patient safety culture across three regions in Ghana

Tenza

Attafuah

Abor

et al. 2022

BMC Health Serv Res

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“…To promote the development of a culture of patient safety, it is necessary to invest and develop training and engage health professionals with this topic. Furthermore, it is essential that hospitals provide the necessary support resources for healthcare professionals ( 28 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Para promover el desarrollo de una cultura de seguridad del paciente, es necesario invertir y desarrollar capacitaciones e involucrar a los profesionales de la salud en este tema. Además, es fundamental que los hospitales proporcionen los recursos de apoyo necesarios a los profesionales de la salud ( 28 ) .…”

Section: Discussionunclassified

Challenges of safety culture in Surgical Center: mixed methods study

Oliveira Junior,

Riboldi,

Lourenção

et al. 2024

Rev. Latino-Am. Enfermagem

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“…To provide a culture of patient safety, it is necessary to develop a plan to increase the voluntary participation of health professionals and their commitment to safety. Hospitals should provide more resources and support for health professionals (Lee et al, 2022). Previous studies have shown how patient safety is when operating under the conditions of the COVID-19 pandemic, several factors remain important to drive a culture of patient safety.…”

Section: The Carrying Capacity Of Management In Patient Safetymentioning

confidence: 99%

Hospital X's Effective Strategy in Improving Patient Safety in the Era of the COVID-19 Pandemic

Tangkin

2023

jika

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Patient safety issues during the Covid-19 pandemic and the strategies implemented to improve it. This paper aims to find out strategies in improving patient safety in the era of the COVID-19 pandemic. This research is included in the type of descriptive qualitative research with case study methods or approaches (Case Studies) and observations. The results show that six patient safety goals have been implemented, but management support is needed to improve patient safety, especially in terms of optimizing service quality, regulatory policies, socialization, and staff training. Lack of officer awareness and commitment to incident reporting are obstacles to changing safety cultures. Strategy optimization is carried out by improving human resources and meeting patient perceptions of patient safety, such as services in accordance with procedures, handling speed, cleanliness of standardized rooms and infrastructure, and the availability of patient aids in hospitals. Optimization of the strategic plan is carried out by streamlining human resources (HR), patient perceptions of patient safety in hospitals including services that are in accordance with procedures, services based on handling speed, the presence of officers who are always on standby, responsive and competent attitudes, information about the flow of hospitals and clear patient referral systems, cleanliness of standardized rooms and infrastructure, completeness of waiting room facilities, and the availability of patient aids in hospitals.

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Understanding Physicians’ and Nurses’ Adaption of National-Leading Patient Safety Culture Policy: A Qualitative Study in Tertiary and General Hospitals in Korea

Cited by 9 publications

References 24 publications

Hospital managers’ views on the state of patient safety culture across three regions in Ghana

Hospital managers’ views on the state of patient safety culture across three regions in Ghana

Challenges of safety culture in Surgical Center: mixed methods study

Hospital X's Effective Strategy in Improving Patient Safety in the Era of the COVID-19 Pandemic

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