The survey of patient safety culture among nurses in hospitals affiliated to Zahedan university of medical sciences in 2014

Document Type : Original Article

Authors

• Mahdieh Sarhadi ¹
• Hojat Sheikhbardsiri ²
• Ali Navideyan ³
• Razieh Sarhadi ⁴
• Asma Abdollahyar ¹

¹ Msc Nursing, Zahedan Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

² Department of Nursing, Sirjan University of Medical Sciences, Kerman, Iran

³ Assistant Professor, Zahedan Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

⁴ Msc Economic, Zahedan University of Economical Sciences, Zahedan, Iran

Abstract

Introduction: Surveying and diagnosing patient safety culture is a key step to improve the health and patient safety culture, which generally is provided by surveying of providers and measuring globally. So the present study aimed to survey and evaluate patient safety culture among nurses in hospitals affiliated to Zahedan university of medical science.
Methods: This descriptive-analytical, cross-sectional study was conducted in 2014. In order to collect data, a questionnaire was developed to survey patient safety culture on 400 nurses in hospitals related to Zahedan university of medical sciences. The results were analyzed using SPSS software. The required tests such as T-test, ANOVA, and Spearman correlation coefficient were used.
Results: The results of the present study showed that the score of patient safety culture for each aspect of it was low. Findings also showed that items such as general perception to patient safety, management support, and organizational learning and permanent promotion in Khatam ol Anbia, Ali Ibn Abi Taleb, and Bu Ali hospitals had the highest scores, while hospital patient transfer and exchange of information, manager’s actions, expectation to promote patient safety, and related issues to staffs had the lowest scores
Conclusion: Patient safety care is necessary for providing an appropriate and efficient healthcare. So the organizations which provide healthcare services must establish a comprehensive and regular system based on the processes of patient safety promotion to decrease errors. They should also be responsive to injured people through establishing a patient safety culture and maintaining appropriate organizational mechanisms.

Keywords

• Patient safety culture
• Nurses

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References

1. Nekoei-Moghadam M, Amiresmaili M. Measuring safety culture in hospitals affiliated to Kerman University of medical sciences. Proceedings of the first regional conference on clinical governance manual. Golestan University of Medical Sciences; 2009. [In Persian]

2. Tehrani H, Saber M, Shojaee Zadeh D, Shokoohi M, Majlesi F. Patient safety culture among healthcare providers: A Survey at a teaching hospital in Kerman, Iran. European Journal of Scientific Research 2013; 116 (2): 251-8.

3. Jafarjalal E, Jafarpour H, Dehghan Nayeri N, Haghani H. Relationship between perceptions of organizational culture with patients’ safety behavior among nurses in Babol. Hayat 2013; 19(3): 5-16. [In Persian]

4. van Gaal BG, Schoonhoven L, Vloet LC, Mintjes JA, Borm GF, Koopmans RT, et al. The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial. Int J Nurs Stud 2010; 47(9): 1117-25.

5. Ebadi Fard Azar F, Rezapoor A, Tanoomand Khoushehmehr A, Bayat R, Arabloo J, Rezapoor Z. Study of patients’ safety culture in selected training hospitals affiliated with Tehran university of medical sciences. Hospital 2012;11(2): 55-64. [In Persian]

6. Shahrabadi R, Moeini B, Roshanai G, Dashti S, Kafami V, Haghighi M. Assessing Hamadan’s nurses perceptions of patient safety culture’s dimensions.Hospital 2013; 12(4): 83-90. [In Persian]

7. Croll Z, Coburn A, Pearson K. Promoting a Culture of Safety: Use of the hospital survey on patient safety culture in critical access hospitals. 2012. Available from: http://flexmonitoring.org/documents/BriefingPaper30-Patient-Safety-Culture-CAHs.pdf

8. Friesen MA, Farquhar MB, Hughes R. The nurse’s role in promoting a culture of patient safety. American Nurses Association (ANA) Continuing Education, Center for American Nurses; 2005.

9. Hospital survey on patient safety culture. The patient safety group [internet]. Available from: https://www.patientsafetygroup.org/survey/index.cfm?sample=1 (accessed 18 January 2012).

10. Van de Castle B, Kim J, Pedreira ML, Paiva A, Goossen W, Bates DW. Information technology and patient safety in nursing practice: an international perspective. Int J Med Inform 2004; 73(7-8): 607-14.

11. Institute of Medicine. Crossing the quality chasm a new health system for the 21st century. Washington, DC: National Academy Press; 2001.

12. Abdi J, Maleki M, Khosravi A. Staff perceptions of patient safety culture in select hospitals of Tehran university of medical sciences. Payesh 2011; 10(4): 411-9. [In Persian]

13. Masror D, Heydarikhayat N , Joolaee S. Assessing patient safety events and it’s correlation with nurse - physician interaction from nurses’ view. Quarterly Journal of Nursing Management 2012; 1(2): 37-45. [In Persian]

14. Hannah KL, Schade CP, Lomely DR, Ruddick P, Bellamy G. Hospital administrative staff vs. nursing staff responses to the AHRQ hospital survey on patient safety culture. 2005. Available from: http://www.ahrq.gov/downloads/pub/advances2/vol2/advances-hannah_23.pdf

15. Ausserhofer D, Schubert M, Desmedt M, Blegen MA, De Geest S, Schwendimann R. The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey. Int J Nurs Stud 2013; 50(2): 240-52.

16. Izadi AR, Drikvand J, Ebrazeh A. The patient safety culture in Fatemeh Zahra hospital of Najafabad, Iran. Health Information Management 2013; 9(6): 895-907. [In Persian]

17. Mahfoozpour S, Ainy E, Mobasheri F, Faramarzi A. Patients’ safety culture status among educational hospitals of Shahid Beheshti University of Medical Sciences in 2011. Pejouhandeh 2012; 17(3): 134-41. [in Persian]

18. Baghaee R, Nourani D, Khalkhali HR, Pirnejad HA. Evaluating patient safety culture in personnel of academic hospitals in Urmia university of medical sciences in 2011. Journal of Nursing and Midwifery Urmia 2012; 10(2): 155-64. [In Persian]

19. Nekoei-Moghadam M, Amiresmaili M. Does safety climate make sense in hospitals of a developing country? Electronic Physician 2012; 4(2): 544-50.

20. Bahrami MA, Montazeralfaraj R, Chalak M, Dehghani Tafti A, Ahmadi Tehrani G, Entezarian Ardakani S. Patient safety culture challenges: survey results of iranian educational hospitals. Middle-East Journal of Scientific Research 2013; 14(5): 641-9.

21. Mohamadi Zaidi E, Hidarnia A, Niknami S. Measuring safety climate in the workplace: construction, reliability and validity. Payesh 2011; 10(2): 157-65. [In Persian]

22. Fajardo-Dolci G, Rodríguez-Suárez J, Arboleya-Casanova H, Rojano-Fernández C, Hernández-Torres F, Santacruz-Varela J. Patient safety culture in healthcare professionals. Cir Cir 2010; 78(6): 522-7.

23. The Health Foundation. Does improving safety culture affect patient outcomes? [internet]. 2011. Available from: http://www.health.org.uk/publications/does-improving-safety-culture-affect-patient-outcomes/

24. Tayebi J, Nasiripour A, Maleki A, Raeisi M, Mahmoudi P, Azimi L. Evaluation sataf safety Attitude in a education and health center. Iranian Journal of Health in Work 2010; 7(4): 25-31. [In Persian]

25. Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics: Int J Gynaecol Obstet 2007; 98(3): 212-6.

26. Aboul-Fotouh AM, Ismail NA, Ez Elarab HS, Wassif GO. Assessment of patient safety culture among healthcare providers at a teaching hospital in Cairo, Egypt. East Mediterr Health J 2012; 18(4): 372-7.

27. Moghri J, Arab M, Akbari Saari A, Nateqi E, Rahimi Forooshani A, Ghiasvand H, et al. The psychometric properties of the farsi version of “hospital survey on patient safety culture” In Iran’s hospitals. Iran J Public Health 2012; 41(4): 80-6.

28. Agharahimi Z, Mostofi M, Jafari M, Raesi AR. Evaluation of staff attitudes about patients’ safety culture in Noor & Ali Asghar hospitals in Isfahan-2011. Houspital 2012; 11(3): 17-26. [In Persian]

29. Pronovost PJ, Weast B, Holzmueller CG, Rosenstein BJ, Kidwell RP, Haller KB, et al. Evaluation of the culture safety: survey of clinicians and managers in an academic medical center. Quality and safety in health care. Qual Saf Health Care 2003; 12(6): 405-10.

30. Salavati S, Fanoosi T, Dehghan D, Tabesh H. Nurses’ perspectives on patient safety culture. Iran Journal of Nursing 2013; 26(84): 24-33. [In Persian]

31. Howard L. Validating the competing values model as a representation of organizational cultures. The International Journal of Organizational Analysis 1998; 6(3): 231-50.

32. Cooper MD. Towards a model of safety culture. Saf Sci 2000; 36(2): 111-36.

33. Sammer CE, James BR. Patient safety culture: the nursing unit leader’s role. Online J Issues Nurs 2011; 16(3): 3.

34. Moghri J, Ghanbarnezhad A, Moghri M, Rahimi Forooshani A, Akbari Sari A, Arab M. Validation of Farsi version of hospital survey on patient safety culture questionnaire, using confirmatory factor analysis method. Hospital 2012; 11(2):19-30. [In Persian]

35. Abasi A, Nasiripoor A, Tofigi S, Behnampoor N. Regarding the implementation of managed care guidelines for evaluation prior to elective surgical care quality: Proceedings of the first regional conference on clinical governance manual. Clinical governance Staff. Golestan University of Medical Sciences and Health Services 2009; 33-5. [In Persian]

36. Draper DA, Felland LE, Liebhaber A, Melichar L. The role of nurses in hospital quality improvement [internet]. 2008. Available from: http://www.hschange.com/CONTENT/972/

37. Yaghobi Far MA, Takbiri A, Haghgoshaye E, Tabarraye Y. The survey of patient safety culture and recognizing its weaknesses and strengths in Sabzevar hospitals: 2011. Quarterly Journal of Sabzevar University of Medical Sciences 2013; 20(2): 154-64. [ In Persian]

38. El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in Lebanese hospital: a study at baseline. Int J Qual Health Care 2010; 22(5): 386-95.

39. Jones KJ, Skinner A, Xu L, Sun J, Mueller K. The AHRQ hospital survey on patient safety culture: A Tool to plan and evaluate patient safety programs. 2007. Available from: http://www.ahrq.gov/downloads/pub/advances2/vol2/advances-jones_29.pdf

40. Mahfoozpour S, Mojdekar R. Attitudes of health care providers toward teamwork, safety climate and knowledge transfer through team collaboration in an educational medical center in Tehran, 2009. Journal of Shahid Beheshti School of Nursing & Midwifery 2011; 22(76): 35-41. [In Persian]

41. Fujita S, Seto K, Kitazawa T, Matsumoto K, Hasegawa T. Characteristics of unit-level patient safety culture in hospitals in Japan: a cross-sectional study. BMC Health Serv Res 2014; 14: 508.

42. Alahmadi HA. Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care 2010; 19(5): e17.

43. Mikušová V, Rusnáková V, Naďová K, Boroňová J, Beťková M. Patient safety assessment in Slovak hospitals. International Journal of Collaborative Research on Internal Medicine & Public Health 2012; 4(6): 1236-44.

44. Bidgoli M, Shahre S, Kebriaie A, Siedi H, Sarafraze Z. Review of patient safety in health centers in the city of Kashan. Health Promotion Management 2011; 1(1): 62-72. [In Persian]

45. Chandraharan E, Arulkumaran S. Clinical governance. Obstetrics, Gynaecology & Reproductive Medicine 2007; 17(7): 222-4.

46. Moghery J. Accreditation of questionnaire of patient safety culture in hospital and assessing patient safety culture from health care personnel viewpoint [Master thesis]. Tehran: Tehran University of Medical Sciences, Health School; 2010. [In Persian]