Patient Safety Culture in 2 Public Hospitals in Vietnam

Tran, Ha Thi Nhi; Thanh, Pham Quoc; Tran, Huong Lien; Nguyen, Hung D.; Nguyen, Thi Thanh Ngan; Bui, Ha Thi Thu

doi:10.1097/ncq.0000000000000597

Cited by 5 publications

(14 citation statements)

References 19 publications

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“…The findings are comparable to other studies in various countries like Ethiopia, Saudi Arabia, Switzerland, the US, China, Brazil, and Vietnam. 13 , 15–20 …”

Section: Discussionmentioning

confidence: 99%

“… 25 , 57 Enhancing communication on patient safety through education, coaching and supervision has been proven effective in another study in Vietnam. 13 It is important to understand physicians’ and nurses’ expectations, values, and norms about distinct cultures in health care and engage them in open communication about patient safety. Improved PSC can be obtained by encouraging open communication, creating mutual trust, and establishing a shared perception of how important PSC is and the need to gain confidence in the effectiveness of preventative measures among health professional groups.…”

Section: Discussionmentioning

confidence: 99%

“…Literature has revealed that the most frequent positive safety culture aspects reported in hospitals in different countries including Ethiopia, Saudi Arabia, Switzerland, the US, China, Brazil, Yemen and Vietnam were “organizational learning and continuous improvement”, “teamwork within units”, “feedback and communication about errors”; “communication openness”, while the most frequent negative dimensions were “non-punitive responses to an error”, “staffing”; “handoffs and transitions”; “overall perceptions of safety”, and “frequency of event reporting”. 13 , 15–21 Nonpunitive response to errors often had the lowest scores and teamwork across units often had the highest scores. 9 , 18 , 21 Other research has also indicated that sharing and trust in safety culture are communicated in a health institution with a positive safety culture assessment, which serves to support work performance.…”

Section: Introductionmentioning

confidence: 99%

“…[12][13][14] Literature has revealed that the most frequent positive safety culture aspects reported in hospitals in different countries including Ethiopia, Saudi Arabia, Switzerland, the US, China, Brazil, Yemen and Vietnam were "organizational learning and continuous improvement", "teamwork within units", "feedback and communication about errors"; "communication openness", while the most frequent negative dimensions were "non-punitive responses to an error", "staffing"; "handoffs and transitions"; "overall perceptions of safety", and "frequency of event reporting". 13,[15][16][17][18][19][20][21] Nonpunitive response to errors often had the lowest scores and teamwork across units often had the highest scores. 9,18,21 Other research has also indicated that sharing and trust in safety culture are communicated in a health institution with a positive safety culture assessment, which serves to support work performance.…”

Section: Introductionmentioning

confidence: 99%

“…43 Research has shown the variation of PSC among hospitals which depends on the hospital autonomous status, level, and bed size. [12][13][14] The strongest areas are often "teamwork within units", and "organizational learning/continuous improvement". The poorest areas are typically "staffing", "non-punitive response to error", and "handoff and transition".…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Perceptions About Patient Safety Culture Between Physicians and Nurses in Public Hospitals in Vietnam

Tran¹,

Thanh²,

Tran³

et al. 2022

RMHP

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Introduction Patient safety culture (PSC) is a vital component in ensuring high-quality and safe patient care. Assessment of physicians’ and nurses’ perceptions of existing hospital PSC is the first step to promoting PSC. This paper is aimed to assess physicians’ and nurses’ perceptions of PSC in 5 public general hospitals in Hanoi, Vietnam. Methods This cross-sectional study surveyed 410 physicians and 824 nurses utilizing the validated Hospital Survey on Patient Safety Culture in an online format. Results The composite positive physician’s perception of PSC varied from 47.8 to 89.6% with the lowest composite score of patient safety for “staffing” (47.8%) and the highest composite score for “teamwork within units” (89.6%). The composite positive responses for perception among nurses varied from 51.3 to 94.2% with the lowest composite score of patient safety for “staffing” (51.3%) and the highest composite score for “teamwork within units” (94.2%). Conclusion The mean scores for “supervisor/manager expectations”; “staffing”, “management support for patient safety”, “teamwork across units”, “handoffs and transitions” among nurses were significantly higher than that among physicians (p<0.05). About two-thirds of physicians and nurses reported no event in the past 12 months (62.8 and 71.7%, respectively). The nurses reported significantly higher patient grades (every good and excellent) than physicians (75% vs 67.1%, p <0.001). Hospitals could develop and implement intervention programs to improve patient safety, including providing interventions on teamwork and communication, encouraging staff to notify incidents, and avoiding punitive responses.

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“…The findings are comparable to other studies in various countries like Ethiopia, Saudi Arabia, Switzerland, the US, China, Brazil, and Vietnam. 13 , 15–20 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of Perceptions About Patient Safety Culture Between Physicians and Nurses in Public Hospitals in Vietnam

Tran¹,

Thanh²,

Tran³

et al. 2022

RMHP

View full text Add to dashboard Cite

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Nurses' perceptions about patient safety culture in public hospital in Vietnam

Ha¹,

Thanh²,

Huong³

et al. 2023

Applied Nursing Research

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Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam

Trang,

Ha,

Vui

et al. 2024

Health Policy and Planning

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The prevalence of common perinatal mental disorders in Vietnam ranges from 16.9% to 39.9%, and substantial treatment gaps have been identified at all levels. This paper explores constraints to the integration of maternal and mental health services at the primary healthcare level and the implications for the health system’s responsiveness to the needs and expectations of pregnant women with mental health conditions in Vietnam. As part of the RESPONSE project, a three-phased realist evaluation study, we present Phase One findings which employed systematic and scoping literature reviews, and qualitative data collection (focus groups and interviews) with key health system actors, in Bac Giang province, Vietnam, to understand the barriers to maternal mental healthcare provision, utilisation, and integration strategies. A four-level framing of the barriers to integrating perinatal mental health services in Vietnam was used in reporting findings, which comprised individual, socio-cultural, organisational, and structural levels. At the socio-cultural and structural levels, these barriers included: cultural beliefs about the holistic notion of physical and mental health, stigma towards mental health, biomedical approach to healthcare services, absence of comprehensive mental health policy, and a lack of mental health workforce. At the organisational level, there was absence of clinical guidelines on the integration of mental health in routine antenatal visits, a shortage of staff, and poor health facilities. Finally, at the provider level, a lack of knowledge and training on mental health was identified. The integration of mental health into routine antenatal visits at the primary care level has the potential help to reduce stigma towards mental health and improve health system responsiveness by providing services closer to the local level, offering prompt attention, better choice of services, and better communication while ensuring privacy and confidentiality of services. This can improve the demand for mental health services and help reduce the delay of care-seeking.

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Patient Safety Culture in 2 Public Hospitals in Vietnam

Cited by 5 publications

References 19 publications

Comparison of Perceptions About Patient Safety Culture Between Physicians and Nurses in Public Hospitals in Vietnam

Comparison of Perceptions About Patient Safety Culture Between Physicians and Nurses in Public Hospitals in Vietnam

Nurses' perceptions about patient safety culture in public hospital in Vietnam

Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam

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