Patient Safety Culture among Physicians at Public Hospitals in Sana’a, Yemen: A Retrospective Cross-Sectional Study
DOI:
https://doi.org/10.65693/masj.2023.v2i1.26الكلمات المفتاحية:
patient safety culture, public hospitals, Sana’a Yemen.الملخص
Background: Patient safety is a critical component to the quality of health care, represents a global public health problem which affects countries at all levels of development. Healthcare organizations endeavour to improve their quality of care. Aims of study were to explore the patient safety culture among physicians according to AHRQ (Agency of Health Research and Quality) dimensions, to determine grade of patient safety at public hospitals, and to determine the rate of event reports.
Methods: A retrospective cross-sectional study, using hospital survey on patient safety culture to measure the 12 dimensions of the patient safety culture at public hospitals in Sana’a, Yemen. SPSS 20. was used for statistical analysis, descriptive analysis, and ANOVA f-test.
Results: Out of 384 physicians, positive response rate was (66%), revealing acceptable level of patient safety. The highest positive response rate was team-work within units (69.1%) while the lowest positive responses was nonpunititve response to errors (29.8%). Majority of respondents did not record any event report during the past 12 months. The results showed that hospital physicians had weak perception toward patient safety culture.
Conclusion: Patient safety is a low priority at public hospitals, there is a tendency for under-reporting of errors. To create a culture of safety and improvement, fear of blame must eliminate, and to create a climate of open communication, continuous learning and focus on leadership should be considered.
المراجع
1- World alliance for patient safety: Summary of the evidence on patient safety: Implications for research. WHO, WHO Press, Geneva 2008. 136p. ISBN 978 92 4 159654
2- Fadi El-Jardali, Hani Dimassi, Diana Jamal, Maha Jaafar, Nour Hemadeh. Predictors and outcomes of patient safety culture in hospital. BMC Health Services Research, 2011; 24(11): 45.
3- Greek Medicine -The Hippocratic Oath. (2002). Exhibitions. Retrieved April 3, 2014, from http://www.nlm.nih.gov/hmd/greek/greek_oath.html
4- Emanuel, L., Berwick, D., Conway, J., Combes, J., Hatlie, M., Leape, L, Et.al. What exactly is patient safety. Advances in patient safety: new directions and alternative approaches, 2008. 1, 1-17.
5- Rockville M. hospital survey on patient safety. Agency for health care research and quality, 2007. Available at: http//:www.ahrq.gov last accessed 2013(May- Aug).
6- AHRQ. Preparing and Analyzing Data and Producing Reports. 2004, September 1. Text. Retrieved April 28, 2014, from http://www.ahrq.gov/professionals/qualitypatientsafety/patientsafetyculture/hospital/userguide/hospcult7.html
7- AHRQ Hospital Survey on Patient Safety Culture. 2014, March. Text. Retrieved April 2, 2014, from http://www.ahrq.gov/professionals/quality-patientsafety/patientsafetyculture/hospital/
8- Flin R: Measuring safety culture in healthcare: a case for accurate diagnosis. Safety Sci, 2007, 45:653-667.
9- Hellings J, Schrooten W, Klazinga N, Vleugels A: Challenging patient safety culture: survey results. International Journal of Health Care Quality Assurance, 2007, 20(7):620-632.
10- Bradley EH, Curry LA, Webster TR, Mattera JA, Roumanis SA, Radford MJ, McNamara RL, Barton BA, Berg DN, Krumholz HM. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006; 113: 1079–1085.
11- Achakzai, Haroon. Research proposal for Assessing Patient Safety Culture in Public Hospitals under the Essential Package of Hospital Services in Afghanistan. 2014.
12- AlAhmadi, H. Measuring Patient Safety Culture in Riyadh's Hospitals: A Comparison between Public and Private Hospitals. Egypt Public Health Assoc. 2009. 84:479-500.
13- Aboul-Fotouh A.M., Ismail N.A., EzElarab H.S. and Wassif G.O.: Assessment of patient safety culture among healthcare providers at a teaching hospital in Cairo, Egypt. Eastern Mediterranean Health Journal EMHJ. 2012.Vol. 18 No. 4
14- Hamdan Motasem, AbedAlra'oof Saleem. Assessment of patient safety culture in Palestinian public hospitals. International journal for quality in health care, 2013; 25.2. 2013: 167-175.
15- Fatemeh Moussavi, Javad Moghri, Yavar Gholizadeh, Atiyeh Karami, Sedigheh Najjari, Reza Mehmandust, Mehdi Asghari, Habib Asghari. Assessment of patient safety culture among personnel in the hospitals associated with Islamic Azad University in Tehran in 2013. Electronic Physician. 2013;5(3):664-671].
16- Mikušová, Veronika, et al. "Patient Safety Assessment in Slovak Hospitals." International Journal of Collaborative Research on Internal Medicine & Public Health, 2012. 4.6.
17- Sorra JS, Nieva VF. Hospital survey on patient safety culture. AHRQ Publication. Agency for Healthcare Research and Quality, 2004. No. 04-0041. Rockville, MD.
18- Chen, I-Chi, and Hung-Hui Li. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture. BMC Health Services Research.2010. 10.1: 152.
19- Yanli Nie, Xuanyue Mao, Hao Cui, Shenghong He, Jing Li and Mingming Zhang. Hospital survey on patient safety culture in China. BMC Health Services Research, 2013, 13.1:228
20- Smits M, Christiaans-Dingelhoff I, Wagner C, Wal G, Groenewegen PP: The psychometric properties of the “Hospital Survey of Patient Safety Culture” in Dutch hospitals. BMC Health Services Research 2008, 8.
21- Sutker WL, The physician’s role in patient safety: What’s in it for me? Proceedings - Baylor University Medical Center 2008, 21.
22- Bodur S, Filiz E: A survey on patient safety culture in primary healthcare services in Turkey. International Journal for Quality in Health Care, 2009,21:348-sss355.
23- Alyahawi, A., Al-Wesabi, M., & ALKaf, A. (2022). Antimicrobial susceptibility of Acinetobacter clinical isolates among ICU Patients in Sana’a City, Yemen. Journal of 21 September University for Medical and Applied Sciences, 1(1). https://doi.org/10.65693/masj.2022.v1i1.14
24- Al-Wesabi, M., & Shamlan, M. (2022). The Effect of Applying Infection Prevention and Control Standards in Sana’a Governorate Hospitals at the Level of Reducing the Spread of Diseases and Epidemics. Journal of 21 September University for Medical and Applied Sciences, 1(1). https://doi.org/10.65693/masj.2022.v1i1.17
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