Share This Article:

A Comparative Assessment of Patient Safety Culture between Iranian Selected Hospitals and Agency for Healthcare Research and Quality (AHRQ) Report

Abstract Full-Text HTML XML Download Download as PDF (Size:2528KB) PP. 3037-3044
DOI: 10.4236/health.2014.621342    3,040 Downloads   3,581 Views   Citations

ABSTRACT

Establishing a culture of patient safety can be effective in reducing the incidence of medical errors and solving concerns of safety inadequacy in health systems. The purpose of this study was to assess the culture of patient safety in the selected hospitals, and compare the results with published reports of AHRQ. This study was approved by the Ethical Committee of BPUMS. The subjects signed the informed consent form to participle in the study. Confidentiality was maintained throughout the study reports. Cross-sectional study was conducted in 2012; the study sample was composed of 364 staffs working at two selected hospitals affiliated to Bushehr University of Medical Sciences. Hospital Survey on Patient Safety Culture was used to collect data. Descriptive statistical analysis was used to analyze the data. No reports of events in both studied hospitals and benchmark were accounted for the most of the reported errors, although this indicator in studied hospitals was nearly 23% higher than that of the benchmark report. The highest patient safety grade in studied hospitals and benchmark was “acceptable” and “very good”, respectively. The highest percentage of positive response to patient safety dimension was organization learning and then teamwork within units in studied hospitals. Teamwork within units also was the highest average percent in benchmark report. Non-punitive response to errors had the lowest positive percentage of participant responses in both studies. To achieve the patient safety culture, we do not need to blame individual and apply punitive approach when errors occur. This makes person accept responsibility for their actions honestly and report errors in a timely manner to prevent reoccurrence of similar errors.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Azmal, M. , Omranikho, H. , Goharinezhad, S. , Kalhor, R. , Dehcheshmeh, N. and Farzianpour, F. (2014) A Comparative Assessment of Patient Safety Culture between Iranian Selected Hospitals and Agency for Healthcare Research and Quality (AHRQ) Report. Health, 6, 3037-3044. doi: 10.4236/health.2014.621342.

References

[1] El-Jardali, F., Sheikh, F., Garcia, N.A., Jamal, D. and Abdo, A. (2014) Patient Safety Culture in a Large Teaching Hospital in Riyadh: Baseline Assessment, Comparative Analysis and Opportunities for Improvement. BMC Health Services Research, 14, 122.
http://dx.doi.org/10.1186/1472-6963-14-122
[2] Wilson, A.M. (2001) Understanding Organisational Culture and the Implications for Corporate Marketing. European Journal of Marketing, 35, 353-367.
http://dx.doi.org/10.1108/03090560110382066
[3] Cooper, M.D. (2000) Towards a Model of Safety Culture. Safety Science, 36, 111-136.
http://dx.doi.org/10.1016/S0925-7535(00)00035-7
[4] Sorensen, J. (2002) Safety Culture: A Survey of the State-Of-The-Art. Reliability Engineering & System Safety, 76, 189-204.
http://dx.doi.org/10.1016/S0925-7535(00)00035-7
[5] Wamuziri, S. (2006) Safety Culture in the Construction Industry. Proceedings of the Institute of Civil Engineers (ICE)— Municipal Engineer, 159, 167-174.
http://dx.doi.org/10.1680/muen.2006.159.3.167
[6] Colla, J., Bracken, A., Kinney, L. and Weeks, W. (2005) Measuring Patient Safety Climate: A Review of Surveys. Quality and Safety in Health Care, 14, 364-366.
http://dx.doi.org/10.1136/qshc.2005.014217
[7] Kohn, L.T., Corrigan, J.M. and Donaldson, M.S. (2000) To Err Is Human: Building a Safer Health System. A Report of the Committee on Quality of Health Care in America, Institute of Medicine, National Academy Press, Washington DC.
[8] Lindberg, L., Judd, K. and Snyder, J. (2008) Developing a Safety Culture with Front-Line Staff. Hospitals & Health Networks/AHA, 82, 84-85.
[9] Vázquez, J.A.P.C.Y. (2011) Patient Safety: A New Paradigm for a Health System? Cirugía y Cirujanos, 79, 281-282.
[10] Nieva, V. and Sorra, J. (2003) Safety Culture Assessment: A Tool for Improving Patient Safety in Healthcare Organizations. Quality and Safety in Health Care, 12, ii17-ii23.
http://dx.doi.org/10.1136/qhc.12.suppl_2.ii17
[11] Piotrowski, M.M. and Hinshaw, D.B. (2002) The Safety Checklist Program: Creating a Culture of Safety in Intensive Care Units. Joint Commission Journal on Quality and Patient Safety, 28, 306-315.
[12] Driver, T.H., Katz, P.P., Trupin, L. and Wachter, R.M. (2014) Responding to Clinicians Who Fail to Follow Patient Safety Practices: Perceptions of Physicians, Nurses, Trainees, and Patients. Journal of Hospital Medicine, 9, 99-105.
http://dx.doi.org/10.1002/jhm.2136
[13] Grote, G. and Künzler, C. (2000) Diagnosis of Safety Culture in Safety Management Audits. Safety Science, 34, 131-150.
http://dx.doi.org/10.1016/S0925-7535(00)00010-2
[14] Agency for Healthcare Research and Quality (2011) Hospital Survey on Patient Safety Culture. 2011 User Comparative Database Report Contract No. 11-0030.
[15] www.ahrq.gov
[16] Fajardo-Dolci, G., Rodríguez-Suárez, J., Arboleya-Casanova, H., Rojano-Fernández, C., Hernández-Torres, F. and Santacruz-Varela, J. (2011) Patient Safety Culture in Healthcare Professionals. Cirugía y Cirujanos, 78, 522-527.
[17] Baghaei, R., Norani, D., Khalkhali, H.R. and Pirnejad, H. (2011) Assessment of Patient Safety Culture in Health Care Workers of Education Hospitals of Urmia University of Medical Sciences. Journal of Urmia University of Medical Sciences, 10, 155-164. (In Persian)
[18] Thurman, A. (2001) Institutional Responses to Medical Mistakes: Ethical and Legal Perspectives. Kennedy Institute of Ethics Journal, 11, 147-156.
http://dx.doi.org/10.1353/ken.2001.0018
[19] Mikusová, V., Rusnáková, V., Nad’ová, K., Boroňová, J. and Bet’ková, M. (2012) Patient Safety Assessment in Slovak Hospitals. International Journal of Collaborative Research on Internal Medicine & Public Health (IJCRIMPH), 4, 1236-1244.
[20] Abdi, J., Maleki, M.R. and Khosravi, A. (2011) Staff’s Preception of Patient Safety Culture in Selected Hospitals of Tehran University of Medical Sciences. Payesh, 10, 19. (In Persian)
[21] Hellings, J., Schrooten, W., Klazinga, N. and Vleugels, A. (2007) Challenging Patient Safety Culture: Survey Results. International Journal of Health Care Quality Assurance, 20, 620-632.
http://dx.doi.org/10.1108/09526860710822752
[22] Amiresmaili, M.R., Tourani, S. and Barati, O. (2010) Measuring Safety Culture and Setting Priorities for Action at an Iranian Hospital. Al Ameen Journal of Medical Sciences, 3, 237-245.
[23] Bodur, S. and Filiz, E. (2009) A Survey on Patient Safety Culture in Primary Healthcare Services in Turkey. International Journal for Quality in Health Care, 21, 348-355.
http://dx.doi.org/10.1093/intqhc/mzp035
[24] Leonard, M., Graham, S. and Bonacum, D. (2004) The Human Factor: The Critical Importance of Effective Teamwork and Communication in Providing Safe Care. Quality and Safety in Health Care, 13, i85-i90.
http://dx.doi.org/10.1136/qshc.2004.010033

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.