Assessing patient safety culture in Tunisian operating rooms: A multicenter study

Mallouli, Manel; Tlili, Mohamed Ayoub; Aouicha, Wiem; Rejeb, M Ben; Zedini, Chekib; Salwa, Amrani; Mtiraoui, Ali; Dhiab, Mohamed Ben; Ajmi, Thouraya

doi:10.1093/intqhc/mzw157

Cited by 28 publications

(45 citation statements)

References 22 publications

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“…In line with other studies [16,30], the next highest scoring dimension was teamwork within hospital units, 63.09%. This means that people like to actively perform and cooperate with their close peers in the same unit.…”

Section: Discussionsupporting

confidence: 89%

Assessment of patient safety culture among paramedical personnel at general and district hospitals, Fayoum Governorate, Egypt

El-Sherbiny

Ibrahim

Wahed

2020

J. Egypt. Public. Health. Assoc.

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Background: Healthcare is a high-risk industry that requires regular assessment of patient safety climate within healthcare organizations. This addresses the organizational cultural issues and explores the association between organizational climate and patient outcomes. This study aimed to assess patient safety culture among paramedical health employees at Fayoum general and district hospitals and to determine factors affecting their perception of patient safety. Methods: A descriptive cross-sectional study was conducted at the general hospital and four district hospitals in Fayoum Governorate, Egypt, among 479 paramedical healthcare workers. The standardized Hospital Patient Safety scale (HSOPSC) that composed of 12 safety culture dimensions was used. Results: The mean total safety score varies according to the participant's position and work area. The total patient safety score was 46.56%. No dimension reported score above 75%. The highest mean composite scores were for organizational learning and continuous improvement (65.36%) and teamwork within hospital units (63.09%). The lowest reported score was for communication openness (17.9%). More perception of safety dimensions was seen in females than males, participants in direct contact with patients, and those with work experience less than 10 years. Conclusion and recommendations: Overall, the degree of patient safety is low at Fayoum public hospitals. No dimension scored above 75%, and 7 out of 12 dimensions scored less than 50%. Hence, continuous monitoring and updating of the ways of incident reporting is highly recommended. This may be done through setting up a web-based incident reporting system accessible for 24 h.

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Section: Discussionsupporting

confidence: 89%

Assessment of patient safety culture among paramedical personnel at general and district hospitals, Fayoum Governorate, Egypt

El-Sherbiny

Ibrahim

Wahed

2020

J. Egypt. Public. Health. Assoc.

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“…These dimensions are "frequency of adverse events reported" (31.43%), "nonpunitive response to errors" (35.36%), and "staffing" (38.43%). These results go hand in hand with several studies [9,17].…”

Section: 43supporting

confidence: 74%

“…In fact, participants who were engaged in risk management committees had a significant higher score of this dimension (21.81 vs 40.19%, p = 0.01). This finding goes hand in hand with results from the PSC survey that was conducted in operating rooms in Tunisia [17].…”

Section: 43mentioning

confidence: 61%

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Patient Safety Culture in Tunisia: Defining Challenges and Opportunities

Mallouli¹,

Aouicha²,

Tlili³

et al. 2018

Vignettes in Patient Safety - Volume 3

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Background: Although adverse events in health care have been a center of attention recently, patient safety culture in primary care is relatively neglected. This study aimed to provide a baseline assessment of patient safety culture in the primary healthcare centers and explore its associated factors. Methods: This is a multicenter cross-sectional descriptive study. It was conducted in the center of Tunisia over a period of 4 months. It surveyed 30 primary healthcare centers, thus 251 staff members. It used the French-validated version of the Hospital Survey on Patient Safety Culture questionnaire. Results: The total number of respondents was 214 participants with a response rate of 85%. The dimension of "teamwork within units" had the highest score (71.47%). Though, three safety dimensions had very low scores, which are "frequency of event reporting," "on-punitive response to errors," and "staffing" with the following percentages 31.43, 35.36, and 38.43%, respectively. As for associated factors, the dimension of "Frequency of reported events" was significantly higher among professionals involved in risk management committees (p = 0.01). Conclusion: This study demonstrated that the level of the patient safety culture needs to be improved in primary healthcare centers in Tunisia. As well, the results obtained highlight the necessity of the implementation of quality management system in primary healthcare centers.

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“…Dimension two (Supervisor/ Manager expectations and actions that promote patient safety) stood out as the best dimension in period I (64.5%) and presented a decrease in period II. However, these values are positive when compared to those of African countries, such as Ethiopia (46%) 36 and Tunisia (35%), 37 and to those of South America (49%) 34 and, before the administrative transition, presented a score higher than the positive percentage values identified in developed countries, such as Saudi Arabia (60.8%). 22 Of the seven questions that cover managerial themes, four showed a reduction in their relative frequencies.…”

Section: /17mentioning

confidence: 76%

Effect of the Administrative Transition of Hospital Management on the Safety Culture in Surgical Units

Batista

Cruz

Lopez

et al. 2020

Texto contexto - enferm.

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Objective: to analyze the safety culture in surgical units of a teaching hospital in different periods of hospital management. Method: this is a descriptive and analytical study developed with health professionals working at a surgical center and at five surgical inpatient units in two different periods of hospital management in southern Brazil. The Hospital Survey on Patient Safety Culture questionnaire was answered by 73 professionals in period I (2014/2015) and by 158 professionals in period II (2017). The analysis was based on descriptive statistics and on inferential analysis and reliability analysis using Cronbach's alpha coefficient; the dimensions were considered strong when the percentage of positive answers was ≥75%. Results: the administrative transition had a positive influence on the “Staffing” and “Handoffs and transitions” dimensions and a negative influence on “Teamwork within units” (p<0.001), with no difference in the remaining nine dimensions. In both periods, no dimension was considered strong; there were no changes with regard to the notification of adverse events and to the overall safety assessment; and the overall reliability of the instrument was satisfactory (0.89). Conclusion: the administrative transition of hospital management had little impact on the dimensions of the organizational safety culture, and there are still challenges in the progressive development of this predictor of patient safety.

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Assessing patient safety culture in Tunisian operating rooms: A multicenter study

Abstract: This study showed that the level of the PSC needs to be improved not only in public hospitals but also in private ones. The obtained results highlight the importance of implementing quality management systems and developing PSC.

Cited by 28 publications

References 22 publications

Assessment of patient safety culture among paramedical personnel at general and district hospitals, Fayoum Governorate, Egypt

Assessment of patient safety culture among paramedical personnel at general and district hospitals, Fayoum Governorate, Egypt

Patient Safety Culture in Tunisia: Defining Challenges and Opportunities

Effect of the Administrative Transition of Hospital Management on the Safety Culture in Surgical Units

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