Creating a Better Patient Safety Culture in Taiwan: The Viewpoints of Physicians and Registered Nurses

Huang, Chih–Hsuan; Wu, Hsin‐Hung; Lee, Yii-Ching; Li, Li; Wu, Cheng-Feng

doi:10.15171/hpr.2017.29

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…The evaluation showed that while the teamwork factor received a positive rating, given that its overall score was >75%, the same did not occur for the safety-climate factor. Two other surveys carried out within Cypriot public hospitals, in one of which the participants were exclusively nurses working in an ICU, yielded a positive overall teamwork score; in contrast, the scores were quite low in another survey of obstetric staff [11][12][13][14]. Both the teamwork climate and job satisfaction were high in the ICU, possibly due to the way the department operates and to the possibly greater autonomy of the nursing staff.…”

Section: Discussionmentioning

confidence: 95%

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Correlation Between Teamwork and Patient Safety in a Tertiary Hospital in Cyprus

Georgiou¹,

Merkouris²,

Hadjibalassi³

et al. 2021

Cureus

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Background Over time, the multidimensional nature of the safety culture in the healthcare field has led to great efforts to improve quality and create tools aiming at enhancing safety. In particular, emphasis has been placed on teamwork and the safety climate. There is a strong relationship between these two complex elements, which interact to improve the safety climate and reduce patient-safety issues. In this study, “teamwork” includes the perceptions of the health professionals collaborating within a health team to provide safe patient care, and “safety climate” refers to the professional commitment to patient safety. Objective This article assesses health professionals’ perceptions of both patient-safety issues and teamwork in their hospital work environment after the development and implementation of a comprehensive quality-assurance system. Methods This descriptive correlation study is based on anonymous and self-completed questionnaires obtained after the development and implementation of a comprehensive quality assurance system in the wards and departments of Nicosia General Hospital. The research sample consisted of the health professionals who participated in the working groups that implemented the quality assurance system. We used the questionnaire’s sociodemographic data and the Safety Attitudes Questionnaire (SAQ) developed in the Deepening our Understanding of Quality Improvement in Europe program, focusing on two factors: Teamwork and the safety climate. Results While teamwork received a positive score (>75%), the same did not occur for the safety climate (68.60%). Women typically rated the safety climate more positively than men, who mostly gave negative ratings (p = 0.005). There was a statistically significant difference (p = 0.011) in the scores between participants aged 24-44 and those aged 45-54, with the latter reporting higher teamwork scores. The participants’ educational levels also played important roles in their responses, with university graduates (BSc) providing more positive teamwork scores than those with a master’s degree (p = 0.018). Conclusions Our research revealed that the health professionals of Nicosia General Hospital perceived the teamwork climate as positive, in contrast to the safety climate. The results highlight the need not only to intervene in all the areas covered by the SAQ to improve the safety climate but also to keep encouraging teamwork to obtain better results.

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Section: Discussionmentioning

confidence: 95%

“…As other surveys from around the world also have revealed, the internal consistency of the teamwork perception rate is relatively low as opposed to the safety-climate rate [ 13 - 16 ].…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Teamwork and Patient Safety in a Tertiary Hospital in Cyprus

Georgiou¹,

Merkouris²,

Hadjibalassi³

et al. 2021

Cureus

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“…Physicians and nurses are the core staff of each healthcare organization and their performance would directly influence quality of care and patient safety [2], [6], [7]. However, the patient safety culture perceived by physicians and nurses from a state-owned hospital or a private hospital might be somewhat different.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of a State-Owned and A Private Regional Hospitals in Taiwan by Safety Attitudes Questionnaire from Viewpoints of Physicians and Nurses

Huang¹

2018

JOAMS

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This study evaluates if physicians and nurses perceive the patient safety culture differently in a stateowned and a private regional hospitals in central Taiwan by using the data of six dimensions of safety attitudes questionnaire in 2016. Mann-Whitney U test for two independent samples is used to compare if the perceptions from physicians and nurses are significantly different with  = 0.05 for both hospitals. The results show that physicians and nurses do not have different perceptions in safety climate, perceptions of management, and job satisfaction statistically. However, physicians and nurses in the private regional hospital have better perceptions in teamwork climate and stress recognition significantly. In contrast, physicians and nurses in the state-owned hospital have better working conditions statistically.  Index Terms-patient safety culture, safety attitudes questionnaire, private regional hospital, state-owned regional hospital, Mann-Whitney U test for two independent samples 232

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“…Physicians and nurses are the core staffs in each healthcare organization because they contact patients directly and have direct influences on quality of care and patient safety [5], [9], [10]. Lee et al [11] summarized that it is essentially important to track the performance of patient safety culture on a timely basis in order for hospital management to gain insights by addressing the deficiencies to continuously enhance patient safety culture.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Trends of Patient Safety Culture from Viewpoints of Physicians and Nurses Based on Safety Attitudes Questionnaire of a State-Owned Regional Hospital in Taiwan

Wu¹,

Shieh²,

Hsieh³

et al. 2018

JOAMS

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Regularly assessing the perceptions of physicians and nurses in patient safety culture is critically important to enhance patient safety and reduce medical errors in healthcare organizations because physicians and nurses are the core staffs in healthcare organizations. This study uses six dimensions of safety attitudes questionnaire to examine whether or not physicians and nurses perceive differently in patient safety culture in 2016 and 2017. Mann-Whitney U test for two independent samples is used to compare if the perceptions of physicians and nurses in 2016 and 2017 are different statistically. The results show that physicians and nurses do not have different perceptions in safety climate, perceptions of management, and job satisfaction. Stress recognition has been improved from 2016 to 2017. On the contrary, teamwork climate and working conditions are getting worse from 2016 to 2017. Therefore, hospital management needs to pay much attention to improve teamwork climate and working conditions for physicians and nurses in order to improve patient safety and reduce medical errors in this state-owned regional hospital.  Index Terms-patient safety culture, safety attitudes questionnaire, state-owned regional hospital, Mann-Whitney U test for two independent samples

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Creating a Better Patient Safety Culture in Taiwan: The Viewpoints of Physicians and Registered Nurses

Cited by 4 publications

References 14 publications

Correlation Between Teamwork and Patient Safety in a Tertiary Hospital in Cyprus

Correlation Between Teamwork and Patient Safety in a Tertiary Hospital in Cyprus

A Comparative Study of a State-Owned and A Private Regional Hospitals in Taiwan by Safety Attitudes Questionnaire from Viewpoints of Physicians and Nurses

Assessing the Trends of Patient Safety Culture from Viewpoints of Physicians and Nurses Based on Safety Attitudes Questionnaire of a State-Owned Regional Hospital in Taiwan

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