Patient Safety in Europe – the size of the problem and proposals for action

Horch, Kerstin

doi:10.1093/eurpub/ckw168.063

Cited by 1 publication

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“…Means of improving patient safety culture have come to be seen as an important priority for the pursuit of quality medical services at hospitals worldwide. The World Health Organization has indicated that patient safety is an attribute of quality healthcare (Alves and Guirardello, 2016;Horch and Horch, 2016). The world standard concept of patient safety in hospitals has been drawn from medical procedures found in United States, Europe, Australia, and Latin America (Alves and Guirardello, 2016;Horch and Horch, 2016;Lee et al, 2016;Twigg et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…The World Health Organization has indicated that patient safety is an attribute of quality healthcare (Alves and Guirardello, 2016;Horch and Horch, 2016). The world standard concept of patient safety in hospitals has been drawn from medical procedures found in United States, Europe, Australia, and Latin America (Alves and Guirardello, 2016;Horch and Horch, 2016;Lee et al, 2016;Twigg et al, 2016). In 2017, the 19th National Congress of the Communist Party of China called for the improvement of the healthcare system in hospitals in China, to create a safer patient environment and to improve patient-oriented medical services.…”

Section: Introductionmentioning

confidence: 99%

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Key drivers of promoting patient safety culture from the perspective of medical staff at a tertiary hospital in China

Huang

et al. 2022

TQM

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PurposeUnderstanding the antecedents of patient safety culture among medical staff is essential if hospital managers are to promote explicit patient safety policies and strategies. The factors that influence patient safety culture have received little attention. The authors aim to investigate the antecedents of patient safety culture (safety climate) in relation to medical staff to develop a comprehensive approach to improve patient safety and the quality of medical care in China.Design/methodology/approachThe Chinese version of the Safety Attitudes Questionnaire (CSAQ) was used to examine the attitudes toward patient safety among physicians and nurses. This medical staff was asked to submit the intra-organizational online survey via email. A total of 1780 questionnaires were issued. The final useable questionnaires were 256, yielding a response rate of 14.38%. One-way analysis of variance (ANOVA) was employed to test if different sex, supervisor/manager, age, working experience, and education result in different perceptions. Confirmatory factor analysis (CFA) was used to verify the structure of the data. Then linear regression with forward selection was performed to obtain the essential dimension(s) that affect the safety culture (safety climate).FindingsThe CFA results showed that 26 CSAQ items measured 6 safety-related dimensions. The linear regression results indicated that working conditions, teamwork climate, and job satisfaction had significant positive effects on safety culture (safety climate).Practical implicationsHospital managers should put increased effort into essential elements of patient-oriented safety culture, such as working conditions, teamwork climate, and job satisfaction to develop appropriate avenues to improve the quality of delivered medical services as well as the safety of patients.Originality/valueThis study focused on the contribution that the antecedents of patient safety culture (safety climate) make with reference to the perspective of medical staff in a tertiary hospital in China.

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