Assessment of patient safety culture in two emergency departments in Australia: a cross sectional study

Alshyyab, Muhammad Ahmed; Albsoul, Rania Ali; Kinnear, Frances; Saadeh, Rami; Alkhaldi, Sireen M.; Borkoles, Erika; FitzGerald, Gerard

doi:10.1108/tqm-01-2022-0013

Cited by 5 publications

(5 citation statements)

References 49 publications

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“…In this study, the frequency of event reporting was the areas with the lowest average positive response rate of (57.47%). This finding is supported by the previous study conducted in Switzerland [ 39 ], in Australia [ 40 ].…”

Section: Discussionsupporting

confidence: 91%

Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia

Beyene Shashamo,

Endashaw Yesera,

Girma Abate

et al. 2023

BMC Health Serv Res

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Background Patient safety culture is the prevention of errors and adverse effects to patients associated with health care delivery. It is a vital component in the provision of quality care. In healthcare settings where there is a safety culture, the people (providers, staff, administrators, and patients/families) are engaged, encouraged, and supported to make care safer. Though it is an essential component in the provision of quality care, little is known about its level, contributory, and hindering factors from the nurses’ perspectives. This study aimed to assess patient safety culture and associated factors among nurses working at public Hospitals in Gamo Zone, Southern Ethiopia. Methods This institution-based cross-sectional study was conducted among 398 nurses working at public hospitals in Gamo Zone. Data were collected by pretested, well-structured self-administered questionnaire from June 1 to 30, 2022. The collected data were checked, coded, and entered into Epi-data version 4.6.0.2 and were exported to SPSS version 25 for analyses. Bivariable and multivariable logistic regression was done to identify independent factors associated with patients’ safety culture. Results This study revealed that 202(50.8%), 95% CI: (46%—56%) of the participants had indicated good patient safety culture. From factors analysis, having an educational status of a bachelor’s degree and above [AOR = 2.26, 95%CI: (1.13—4.52)], working in a surgical ward [AOR = 5.48, 95%CI: (1.96—15.34)], not being blamed when medical errors happened [AOR = 3.60, 95%CI: (1.82 – 7.14)], and working 40 up to 49 h per week [AOR = 0.30, 95%CI: (0.13 – 0.74)] were identified to be significantly associated with good patient safety culture. Conclusion Based on the study findings, it could be observed that good patient safety culture was indicated only by half of the study participants. Implementing actions that support dimensions of patient safety culture, and creating opportunities for continuous educational advancement is recommended. Moreover, Hospital administrators, nurses’ directors, and healthcare policy-makers should work in collaboration to improve the patient safety culture, and also it would be better to create a blame-free environment to promote event reporting practices.

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Section: Discussionsupporting

confidence: 91%

Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia

Beyene Shashamo,

Endashaw Yesera,

Girma Abate

et al. 2023

BMC Health Serv Res

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“…et al (2018), Asadi et al (2019), Al-Shyyab et al (2023), Najar et al Aouicha et al (2021), and Buchenek et al (2023), teamwork in organizational units obtained the highest score(23, 28,(30)(31)(32).Their results are consistent with the results of the present study.The results also revealed a statistically signi cant relationship between safety culture, level of education, and employment history of emergency department nurses. In the study byMalak et al (2022) revealed a statistically signi cant relationship between the patient safety culture and the level of education of emergency nurses in Jordanian hospitals(33).…”

supporting

confidence: 90%

Evaluating the relationship between safety culture and the quality of patient handover between the ambulance and emergency department from the viewpoints of hospital emergency nurses and emergency medical personnel in northwest Iran

Alidokht,

Mohamadi,

Dadkhah

2024

Preprint

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Aims: The present study aimed to evaluate the relationship between safety culture and the quality of patient handover between the ambulance and emergency. Background: Evaluating the patient safety culture significantly affects the quality of patient handover, medical, and care services in different hospital units, especially the emergency department. Methods: The present correlational study was conducted on all nurses working in the emergency departments of educational-medical centers (N=220) and medical emergency personnel of Ardabil city (N=92) using the census method. The data were collected using the Leif et al. (2018) Hospital Survey on Patient Safety Questionnaire and the Golling et al. (2022) Quality of Patient Handover between Ambulance and Emergency Department Questionnaire. The collected data were analyzed in SPSS software (26) using descriptive statistics, independent t-test, analysis of variance, Pearson correlation coefficients, and linear regression logistic model. Results: The results revealed that the quality of patient safety culture in emergency nurses (90.5%) and emergency medical personnel (89.1%) was at a moderate level. The mean patient safety culture in emergency nurses (17.75±151.43) was higher than in emergency medical personnel (148.37±18.48) and this difference was statistically significant (P<0.04). The quality of patient handover among emergency nurses (71.7%) and emergency medical personnel (83.7%) was also moderate and it was statistically significant (P<0.04). There was a positive and significant correlation between the patient safety culture and the quality of patient handover between the ambulance and emergency department (P<0.01). The stepwise multiple linear regression model showed that "teamwork between organizational units" was a stronger predictor than other variables in the quality of patient handover between the ambulance and emergency department. Conclusion: The results revealed that by increasing the level of patient safety culture in emergency nurses, the quality of patient handover increases. Therefore, it is recommended that the policymakers in the health area take the necessary measures by holding briefing workshops to promote the culture of patient safety and strengthen teamwork among the emergency department personnel.

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“…It reflects how and when a health-care organization has met specific international standards that may provide sustainability and quality service (Wagner et al , 2012). Nonetheless, CQS for both patients and staff will be recognized only if it is embraced by the people who work in the organization (Alshyyab et al , 2022).…”

Section: Introductionmentioning

confidence: 99%

Organizational learning, quality and safety culture in patient care: comparing Colombia and the Kingdom of Saudi Arabia

Santa,

Morante,

Tegethoff

et al. 2024

IJQSS

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Purpose The purpose of this study is to determine the interactions between factors such as organizational learning, feedback about errors, punitive response to errors and communication quality in hospitals in the Kingdom of Saudi Arabia and Colombia when adopting a culture of quality and safety (CQS) in patient care. Design/methodology/approach Based on a literature review, a self-administered questionnaire was developed and used to collect data from 417 Saudi respondents affiliated with hospitals and 483 Colombian respondents at the beginning of the pandemic. Structural equation modeling is used in this study to test the hypothesized relationships. Findings The results show a solid and significant predictive relationship between feedback about errors and the CQS in both countries (Colombia: b = 0.55, p < 0.001; KSA: b = 0.44, p < 0.001), but a very low and insignificant predictive relationship between no punitive response to errors and CQS (Colombia: b = –0.02, p > 0.05; KSA: b = 0.05, p > 0.05). Practical implications This study demonstrates the importance of organizational learning in fostering a CQS in the health-care sector in the Kingdom of Saudi Arabia and Colombia. Recent unprecedented policy actions motivated by the COVID-19 pandemic, such as social distancing, lockdowns and safety practices enforcement, have further highlighted this concern. Moreover, attention to the dimensions addressed in this study is required for accreditation purposes in organizations seeking to promote a CQS. Overall, this research highlights the vital role of safety and quality practices among health-care organizations, which has significant policy implications, especially in the current period of high uncertainty. Originality/value This paper contributes to the theory and practice in the health-care sector by extending the current knowledge of the impact of the quality of communications, non-punitive response to errors and feedback about errors in organizational learning and safety culture, and by presenting a novel, quantitative methodology seldom used for these topics.

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Assessment of patient safety culture in two emergency departments in Australia: a cross sectional study

Cited by 5 publications

References 49 publications

Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia

Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia

Evaluating the relationship between safety culture and the quality of patient handover between the ambulance and emergency department from the viewpoints of hospital emergency nurses and emergency medical personnel in northwest Iran

Organizational learning, quality and safety culture in patient care: comparing Colombia and the Kingdom of Saudi Arabia

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