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

Abstract

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.

Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect on patients' outcomes

“…In relation to healthcare providers' patient safety culture, the current study results showed a preintervention increase in the level of weakness and need for potential improvement in all HSPSC domains and this is in line with a study by El‐Sherbiny et al 16 about patient safety culture among paramedical personnel at Fayoum public hospitals in Egypt. The latter study concluded that the degree of patient safety is low as all HSPSC domains had scored less than 75%, and seven out of 12 dimensions scored less than 50% and recommended that proper incident reporting is a key for improving safety culture.…”

Assessment of patient safety culture perception among healthcare workers in intensive care units of Alexandria Main University Hospital, Egypt

“…It is near to the score of 24.0% reported by Salem et al in 2019 [15]. However, lower than scores reported by studies in Jordan 2015 [28] and in Egypt 2020 [19]. The low score of this composite indicates that the majority of patients' problems occur during shift exchanges.…”

“…The composite score for "Frequency of Events Reported" composite was 28.6%. Similarly, El-Sherbiny et al in 2020, [19] reported a score of 30.4%. However, lower score (6.0%) was reported by Salem et al in 2019.…”

“…However, studies conducted in year 2017 in Cairo [17] and Iran, [18] showed higher scores (62.0%) and (57.7%) respectively [17,18]. Also, higher scores were reported in studies implemented on the level of the hospital rather than ICUs; such as El-Sherbiny et al in 2020 [19], with score of 46.5%. Similar pattern of higher scores were found in Arab countries such as; Ghobashi et al in 2014 [20] with score of 69.0%, El-Jardali et al in 2010 [21] with score of 61.5% and Alahmadi in 2010 [22] with score of 61.0%.…”

sSURGICAL SAFETY AND ADVERSE EVENTS IN THE OPERATING ROOMS OF OBSTETRIC DEPARTMENT AT AL-AZHAR UNIVERSITY HOSPITAL

“…Components related with a low pace of unfriendly functions were lacking revealing and insufficient documentation inside the clinic clinical records. The examination featured the need to improve the patient wellbeing society among medical care suppliers at Ain Shams University clinics and to build up their eagerness to act to decrease quiet mischief (El-Sherbiny et al, 2020).…”