Volume 28, Issue 93 And 94 (April- June 2015)                   IJN 2015, 28(93 And 94): 42-54 | Back to browse issues page

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Dehghani M, Hayavie Haghighi M, Salimi J, Khorami F. Culture of Patient Safety from Nurses’ Perspective. IJN 2015; 28 (93 and 94) :42-54
URL: http://ijn.iums.ac.ir/article-1-2071-en.html
1- Lecturer, Medical Record Education, Health information management research center, lecturer of Department of health information technology, Faculty of Para- Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2- PhD Student, Health Information Management, School of Para medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ٭)Corresponding author). Tel: +989177041089 Email:hayavi2005@gmail.com
3- BS, Mother & child welfare research center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
4- PhD Student, Health Information Management, School of Para medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (7637 Views)


Background & Aim: Patient safety is a major concern for health care organizations. The first step to improve culture of patient safety is its assessment. Accordingly this study was performed with the aim of assessing culture of patient safety from nurses’ perspective in the hospitals affiliated to Hormozgan University of Medical Sciences.

Material & Methods: It was a descriptive cross-sectional study. The sample consisted of 190 nurses working in educational hospitals of Hormozgan province who were recruited by stratified random sampling in 2012. Data was collected by Hospital Survey on Patient Safety Culture questionnaire (HOSPIC) and analyzed by independent T. test, one-way ANOVA and Post hoc test of LSD using SPSS- PC (v. 16).

Results: Among the different dimensions of patient safety culture, the lowest score was related to the number of employees and its related issues (40.25%) and the highest score was related to team work in the unit (85.60%). In the past 12 months, 63 nurses (35.7%) did not report any errors and 53 nurses (30.1%) reported only 1 or 2 error. Significant differences was seen between the score of different dimensions of patient safety culture and nurses’ work experience, the type of employment, hospitals, and the amount of working hours (p <0.05).

Conclusion: Regarding the findings, it is suggested that managers and policy makers identify the factors involved in patient safety culture and improve the working environment, and promote supportive organizational climate in hospitals. Farther research is needed to detect the causes of nurses' failure to report medical errors.

Full-Text [PDF 1508 kb]   (3167 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/01/12 | Accepted: 2015/04/8 | Published: 2015/04/8

1. Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Hospital survey on patient safety culture: 2011 user comparative database report: Agency for Healthcare Research and Quality; 2011.
2. Akbari Sari A, Doshmangir L. [An overview of methods for identifying and measuring adverse events in healthcare and their strengths and weaknesses]. Hospital. 2009; 8(2):51-6.
3. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. Bmj. 2001; 322(7285):517-9. [DOI:10.1136/bmj.322.7285.517] [PMID] [PMCID]
4. Kellogg VA, Havens DS. Adverse events in acute care: an integrative literature review. Research in nursing & health. 2003; 26(5):398-408. [DOI:10.1002/nur.10103] [PMID]
5. Pronovost P, Weast B, Holzmueller C, Rosenstein B, Kidwell R, Haller K, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Qual safety Health Care. 2003; 12(6):405-10. [DOI:10.1136/qhc.12.6.405] [PMCID]
6. Clarke S. Perceptions of organizational safety: implications for the development of safety culture. J Organ Behav. 1999; 20(2):185-98. https://doi.org/10.1002/(SICI)1099-1379(199903)20:2<185::AID-JOB892>3.0.CO;2-C [DOI:10.1002/(SICI)1099-1379(199903)20:23.0.CO;2-C]
7. Abdi J, Maleki M, Khosravi A. [Staff perceptions of patient safety culture in hospitals of University Tehran]. Payesh. 2011; 10(4):411-9.
8. Pizzi L, Goldfarb N, Nash D. Promoting a culture of safety. AHRQ Publication No. 01-E058. 2001.
9. Kristensen S, Bartels P. Use of Patient Safety Culture Instruments and Recommendations. European Society for Quality in Healthcare Office for Quality Indicators. 2010.
10. Ravaghi H. [Evaluation of organs culture.Clinical Governance congress] Tehran 2010.
11. Pronovost PJ, Weast B, Bishop K, Paine L, Griffith R, Rosenstein BJ, et al. Senior executive adopt-a-work unit: a model for safety improvement. Jt Comm J Qual Patient Saf. 2004; 30(2):59-68. [DOI:10.1016/S1549-3741(04)30007-9]
12. Warburton RN. Patient safety— how much is enough? Health policy. 2005; 71(2):223-32. [DOI:10.1016/j.healthpol.2004.08.009] [PMID]
13. Hyde P, Braithwaite J, Fitzgerald A, Øvretveit J. Understanding and improving patient safety: the psychological, social and cultural dimensions. J Health Organ Manag. 2009;23(6):581-96. [DOI:10.1108/14777260911001617] [PMID]
14. Mossavi A, [The role ofclinicalgovernanceinthePatientBill of Rights]. Journalof Medical Ethics. 2012;(5)18:162-81.
15. Mayo AM, Duncan D. Nurse perceptions of medication errors: what we need to know for patient safety. J Nurs Care Qual. 2004; 19(3):209-17. [DOI:10.1097/00001786-200407000-00007]
16. Benner P, Sheets V, Uris P, Malloch K, Schwed K, Jamison D. Individual, practice, and system causes of errors in nursing: a taxonomy. J Nurs Adm. 2002;32(10):509-23. [DOI:10.1097/00005110-200210000-00006] [PMID]
17. Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. International Journal for Quality in Health Care. 2005; 17(1):15-22. [DOI:10.1093/intqhc/mzi015] [PMID]
18. Krizek TJ. Surgical error: ethical issues of adverse events. Arch Surg. 2000; 135(11):1359-66. [DOI:10.1001/archsurg.135.11.1359] [PMID]
19. Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units: Human Performance andOrganizational System Factors That Make a Difference. Journal of Patient Safety 2006; 2(4): 198-206. [DOI:10.1097/01.jps.0000242978.40424.24]
20. Bonner AF, Castle NG, Men A, Handler SM. Certified nursing assistants' perceptions of nursing home patient safety culture: is there a relationship to clinical outcomes? J Am Med Dir Assoc. 2009; 10(1):11-20. [DOI:10.1016/j.jamda.2008.06.004] [PMID]
21. Rashidian A, Eccles MP, Russell I. Falling on stony ground? A qualitative study of implementation of clinical guidelines' prescribing recommendations in primary care. Health policy. 2008; 85(2):148-61. [DOI:10.1016/j.healthpol.2007.07.011] [PMID]
22. Rezapoor A, Tanoomand Khoushehmehr A, Bayat R, Arabloo J, Rezapoor Z. [Study of patients' safety culture in Selected Training hospitals affiliated whith Tehran university of medical sciences]. Hospital. 2012;11(2):55-64.
23. Canadian Patient Safety Institute Perceptions of Patient Safety Culture in Six Canadian Healthcare Organizations. Canada: Canadian Patient Safety Institute. 2008
24. Izadi AR, Drikvand J, Ebrazeh A. [The Patient Safety Culture in Fatemeh Zahra Hospital of Najafabad, Iran]. Director General. 2013; 9(6):907.
25. Agharahimi Z, Mostofi M, Jafari M, Raesi Ahmad A. [Evaluation of staff attitudes about patients' safety culture in Noor & Ali Asghar hospitals in Isfahan-2011]. Hospital. 2012;11(3):17-26.
26. Jones K, 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. AHRQ2008. URL: http://www ahrq gov/downloads/pub/advances2.2.
27. El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care. 2010; 22(5):386-95. [DOI:10.1093/intqhc/mzq047] [PMID]
28. Snijders C, Kollen BJ, van Lingen RA, Fetter WP, Molendijk H, Group NS. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis*. Crit Care Med. 2009; 37(1):61-7. [DOI:10.1097/CCM.0b013e31819300e4] [PMID]
29. Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007; 20(7):620-32. [DOI:10.1108/09526860710822752] [PMID]
30. Bodur S, Filiz E. A survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health Care. 2009;21(5):348-55. [DOI:10.1093/intqhc/mzp035] [PMID]
31. Chen I-C, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res. 2010; 10(1):152. [DOI:10.1186/1472-6963-10-152] [PMID] [PMCID]
32. Bodur S, Filiz E. Validity and reliability of Turkish version of. BMC Health Serv Res. 2010; 10(1):28. [DOI:10.1186/1472-6963-10-28] [PMID] [PMCID]
33. Sorra JS, Neiva VF .Hospital survey on patient safety culture. Rockville, MD: Agency for Health care Research and Quality , 2004; 04: 41.
34. Mwachofi A, Walston SL, Al-Omar BA. Factors affecting nurses' perceptions of patient safety. Int J Health Care Qual Assur. 2011; 24(4):274-83. [DOI:10.1108/09526861111125589] [PMID]
35. Singer SJ, Gaba D, Geppert J, Sinaiko A, Howard S, Park K. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Safety Health Care. 2003; 12(2):112-8. [DOI:10.1136/qhc.12.2.112] [PMCID]

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