Background: Patient safety culture is an essential part of quality health care delivery and is now a major global concern. Patient safety culture is defined as the attitudes, values, beliefs and perspective staff share within the organization. Therefore, present study aimed to evaluate patient safety culture and associated causes among the health care workers. Methods: A cross sectional study was carried out using a predesigned questioner hospital survey on patient safety culture (HSOPSC) from June to July, 2021. A total 1590 employees submitted the questioner form. Results: The overall positive patient safety culture was 77.52 percent. Ninety-six percent of staff agreed about staff help each other during busy timings. On logistic regression analysis, regularly work review (β=0.14,95%, P=0.000), patient safety culture affects when work place is rushed (β= 0.32,95%, P=0.000), staff feel like their mistakes are held against them (β= 0. 14, P=0.000), HOD takes action to address patient safety concerns that are brought in attention (β=0.15, P=0.000), staff speak up when they see something that negatively affects (β=0.08, P=0.04), good corporation and coordination with hospital’s other department (β=0.11, P=0.02), during the shift changes important information is left out (β= 0.14, P=0.000) and fall preventive measures are taken while transferring patients (β=0.08,P=0.01) were significantly associated with the level of patient safety culture. Conclusion: Patient safety culture assessments, helps the healthcare organizations to become aware of present status of the organization in regards to areas which needed to urgent attention, weaknesses, existing present safety problems, the gap which creates the patient safety issues and helps the organization to improve their errors.
BACKGROUND: To measure the quality of the intangible aspects of services has become a great challenge for healthcare personnel. Quality of services has been a constant issue and associated with the growth of healthcare in the ambit of market share and profit. To do an improvement in the services quality service providers need to focus on patient satisfaction. OBJECTIVES: To find out the influencing factors of patient satisfaction from the perception of patients relate to service quality and to propose a model of patient satisfaction from the pragmatic approach. MATERIALS AND METHODS: Cross-sectional study was followed. Study was conducted in Gujarat and 1491 healthcare beneficiaries were included in this. A pre-designed and semi-structured questionnaire was used to assess the objectives of the study. RESULTS: The ratio of patient retention and clinical outcomes is impacted by the satisfaction level of patient satisfaction. Efficient, time-bound, and patient-centered health care delivery plays a significant role. Procedures of treatment, staff manners, accessibility & cleanliness, staff expertise, staff communication& care, financial affordability, hospital infrastructure, timing, and punctuality have shown a positive impact on patient satisfaction except for the financial aspect. And hence, all the stated factors land closer to 0.600, apart from the awareness aspect. An in-depth study found that unethical practices and financial affordability are counted as factors responsible for dissatisfaction. CONCLUSION: A higher level of patient satisfaction leads to loyalty to the organization. Availability of excellent quality of services, ethical approach, treatment transparency, procedure, and overlapping check-ups are noteworthy predictors of patient satisfaction. Appropriate action plans need to be suggested to enhance care, security, time treatment, and basic facilities in healthcare settings.
Background: COVID-19 has forced us to alter, or perhaps it’s better said that we have had to adapt. Within the Indian context, telemedicine has the potential to extend access to quality healthcare for all Indians. New evidence and technological improvements in the Telecovid application were to spot the role of its services to screening, monitoring, and follow-up of the patients during the COVID-19 outbreak. Subjects and Methods: U. N. Mehta Institute of Cardiology and Research Center has developed “TELECOVID”. Platform with the help of HOPS by SLK Techlab, the software. Telecovid study was started from the second wave of COVID 19 pandemic from 20th April 2021 to 27th May 2021; 24x7 hours. Patients were treated on OPD and admission according to the institutional standard protocol which follows the guideline of the Indian Council of Medical Research. Results: Total 1249 COVID patients were attended in “COVID-19 screening OPD”. There were 729(58%) males and 520(42%) females. Out of 182 admitted patients, 168(92.31%) were discharged and 14(7.69%) were expired. More numbers of patients (83%) came from urban and only 17% were from the rural area. Comorbidities like hypertension were seen in a total of 97(7.77%), diabetes mellitus-II 52(4.16%) patients were suffered. Ischemic heart disease was seen in only 10(0.8%). Conclusion: There is an untapped opportunity to build our ‘UNM telemedicine’ application into a world-class teleconsultation platform. This is potential by incorporating it within the larger healthcare ecosystem that connects hospitals, clinics, pharmacies, laboratories, diagnostic centers, and doctors who deal with in-person consultations.
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