Staff perceptions of patient safety culture in general surgery departments in Turkey

Abstract

BackgroundThe first step towards establishing and improving patient safety culture in hospitals is measuring patient safety culture perceptions of staff. Few studies have examined the perception of patient safety culture in general surgery departments.ObjectivesThe objective of this study was to evaluate patient safety culture and patient safety grade in general surgery departments and to examine the relation between the patient safety culture and the patient safety grade.MethodsThis study examined patient safety culture and patient safety grades of 124 staff in seven surgery departments of a hospital in Turkey. The staff completed the hospital survey on patient safety culture and answered questions about their professional characteristics. One-way ANOVA, Independent-samples t test, corrected chi-square test, multiple correspondence analysis and Eta co-efficient were used in statistical analyses.ResultsThe patient safety dimension of “teamwork within units” had the highest mean and percentage of positive responses. The “frequency of events reported” and “non-punitive response to errors” had the lowest means and percentages of positive responses. Participants with resident or nurse positions, < age 31 years, with < 6 years of professional experience, and 60 or more work hours/week, had significantly more negative perceptions of patient safety culture than other participants. Patient safety grades and the dimensions of “management support for patient safety” and “overall perceptions of patient safety” had significantly high Eta coefficients.ConclusionFrequency of events reported and non-punitive responses to errors should be improved, and participants' characteristics should be considered at improvement efforts in general surgery departments. The dimesions with low means suggest opportunities for improvement.

Perceptions of Patient Safety Culture and Medication Error Reporting among Early- and Mid-Career Female Nurses in South Korea

“…Patient safety culture is a crucial part of organizational culture in which healthcare providers recognize patient safety performance as the highest priority measure to prevent patient harm [ 3 , 7 ]. Furthermore, patient safety culture includes the manner in which healthcare providers are expected to behave, what attitudes and activities are appropriate, and what patient safety procedures are rewarded or prohibited [ 8 , 9 , 10 ]. Establishing robust patient safety culture has been found to significantly reduce the number of medical errors reported in healthcare organizations, as well as rates of re-admission and infection [ 11 , 12 , 13 ].…”

Nursing research priorities in critical care in Brazil: Delphi Study

“…Therefore, it is essential that these instruments demonstrate acceptable levels of reliability and validity when studied ( 20 ) . The development of these research studies presents results that, in the medium term, help guide the direction of the safety policies, easing the construction of a positive safety culture, committed to patient safety ( 21 - 22 ) .…”

Cultura de segurança do paciente em hospitais públicos de ensino: estudo comparativo

“…A culpabilização individual é o que mais inibe os profissionais a apontarem os erros, desencadeando a subnotificação 6,10,15 . O medo que os profissionais possuem acerca da punição pode estimular a subnotificação, resultando na dificuldade institucional em mensurar a qualidade do cuidado ofertado e em proporcionar estratégias de melhorias em voga à segurança do paciente 8,15 .…”

“…Na avaliação da CSP como uma etapa chave para o incremento de estratégias factíveis ao cuidado seguro, pesquisas recentes realizadas na Croácia, Omã, Turquia, Malásia e Brasil apontam cultura punitiva relacionada aos erros; inadequação do número de pessoal/trabalhadores; elevado estresse no ambiente de trabalho e; necessidade de desenvolvimento de ações que transponham o trabalho seguro prescrito, sugerindo que existem demandas à melhorias [8][9][10][11][12] .…”