| Introduction: Patient safety improvement requires ongoing culture. This cultural change is the most important challenge that managers are faced with in creation of a safe system. This study aims to show the results of initiatives to improvement in patient safety culture in Fateme Al-zahra hospital.Method: In the quasi-experimental research, patient safety culture was measured using the Persian questionnaire on adaptation of the hospital survey on patient safety culture in 12 dimensions. The research was conducted before (January 2010) and after (September 2012) the improvement initiatives. In this study, all units were determined and no sampling method was used. Reliability of the questionnaire was tested by Alpha Chronbakh (0.83). Data were analyzed using descriptive statistics indices and Independent T-Test by SPSS Software (version 18).Results: 350 questionnaires were distributed in each phaseand overall response rate was 58 and 56 percent, respectively. According to Independent T-test, Management expectations and actions, Organizational learning, Management support, Feedback and communication about error, Communication openness, Overall Perceptions of Safety, Non-punitive Response to Error, Frequency of Event Reporting, and Patient safety culture showed significant differences (P-value<0.05). Teamwork within hospital units, Teamwork across units, Hospital handoffs and transitions, and Staffing did not reveal any significant differences (P-value>0.05). The mean score of Patient safety culture was 2.27 (from 5) and it was increased to 2.46 after initiatives that showed a significant difference (P-value<0.05).Conclusion: Although, improvement in patient safety culture needs teamwork and continuous attempts, the study showed that initiatives implemented in the case hospital had been effective in some dimensions. However, Teamwork within hospital units, Teamwork across units, Hospital handoffs and transitions, and Staffing dimensions were recognized for further intervention. Hospital could improve the patient safety culture with planning and measures in these dimensions.Keywords: Patient Safety culture, Medical Errors, Hospital, Iran |
- Abdi J, maleki MR, Khosravi A. Study of Employee perception of patientsâsafety culture in Selected Training hospitals affiliated whith Tehran university of medical sciences. Payesh Journal, 2012; 10(4): 411-9.
- Porter ME, Teisberg EO. Redefining health care: creating value-based competition on results. Harvard Business School; 2006. [Book]
- Joint Commission on Accreditation of Health Care Organization. Hospital Accreditation standard. Joint Commission Resources; 2008. [Book]
- Williams S, Osborn S. national patient safety agency: an introduction. Clinical Governance: An International Journal. 2004; 9(2): 130-131.
- Khalighinejad N, Ataie M, Hadizadeh F. An Introduction to Clinical Governance and Clinical Excellence. Isfahan, Isfahan medical University Press; 2008. [Book in Persian].
- Aspden P, Corrigan JM, Wolcott J, Erickson SM. Patient safety: Achieving a new standard for care. Institute of medicine. National Academies Press; 2004. [Book]
- Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington DC, National Academy Press; 2000.
- World Health organization. Who Draft Guidelines for adverse event Reporting and learning systems. WHO; 2005.
- Peters, G.A., Peters, B.J. Medical Error and Patient Safety: Human Factors in Medicine. USA, Taylor & France group; 2008.
- Savage G T, Ford E W. Patient Safety and Health Care Management. Emerald Group Publishing Limited; 2008.
- Nieva V.F. & Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care, 2003; 12(II): ii17â23.
- Page A. Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington DC, National Academy Press; 2004.
- Baghaie R, Noorani D, Khalkhali H, Pirnejad H. A. Study of Employee perception of patientsâsafety culture in Selected Training hospitals affiliated by Uromiyeh university of medical sciences. Uromiyeh nursing, 2012; 10(2): 155-64.
- Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, Roberts PR, Thomas EJ. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC health services Research. 2006; 6(44): 1-10.
- Fleming, M. Patient Safety Culture Measurement and Improvement: A âHow Toâ Guide. Healthcare Quarterly, 2005; 8(Special Issue): 14-19.
- Matsubara S., Hagihara A., Nobutomo K. Development of a patient safety climate scale in Japan. International Journal for Quality in Health Care, 2008; 20(3): 211â220.
- Dabagh A, Akbari E M, Fathi M. Medical Errors in the Health System. Journal of Army University of Medical Sciences of IRAN. 2006; 4(3):957-966. [Article in Persian].
- Hellings J, Schrooten W, Klazinga N S, Vleugels A. Improving patient safety culture. International Journal of Health Care Quality Assurance, 2010; 23(5): 489-506.
- Walston S L, Al-Omar B A, Al-Mutari F A. Factors affecting the climate of hospital patient safety:A study of hospitals in Saudi Arabia. International Journal of Health Care Quality Assurance, 2010; 23(1): 35-50.
- Kim J, An K, Kim M K, Yoon S H. Nursesâ Perception of Error Reporting and Patient Safety Culture in Korea. Western Journal of Nursing Research. 2007; 29(7): 827-44.
- Hasanzadeh A, Alizad S F. Quality in Healthcare. Tahran, social security research institute, 2006. [Book in Persian].
- Bonner, Alice F, Castle, Nicholas G , Aijumen, Handler, Sterem M. Certified nursing assistants, perceptions of nursing home patient safety culture: is there are relationship to clinical outcomes? Journal of the American Medical Directors Association, 2009; 10(1): 11-20.
- Hurwitz B., Sheikh A. Health care errors and patient safety. Oxford, Blackwell Publishing Ltd, 2009: 75-89.
- Linsley P, Mannion R. Risky behaviour and patient safety: a critical culturist perspective. Journal of Health Organization and Management, 2009; 23(5):494-504.
- Moody R F, Pesut D J, Harrington C F, Ronne F M. Creating Safety Culture on Nursing Units: Human Performance and Organizational System Factors That Make a Difference. Journal of Patient Safety. 2006; 2(4): 198-206.
- Hughes, C M, lapane K L. Nursesâ and nursing assistantsâ perceptions of patient safety culture in nursing homes. International Journal for Quality in Health Care, 2006; 18 (4):281-286.
- Moghadasi H, Taheri AS, Hashemi N. Reducing medication errors: Role of computerized physician order entry system. Journal of Health Administration, 2007; 10(27): 57-67. [Article in Persian].
- Effects of Implemented Initiatives on Patient Safety Culture
|
