American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: http://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2021, 9(1), 20-28
DOI: 10.12691/ajnr-9-1-4
Open AccessArticle

Exploring Strength Areas of Patient Safety Culture Improvement in KAMC, Makkah, Saudi Arabia

Mohammed Ahmed Hazazi1, and Ameerah Mohamed Noor Qattan2

1Nursing Services Administration, King Abdullah Medical City, Makkah, Saudi Arabia

2Faculty of Economics and Administration, King Abdulaziz University, Jeddah- Saudi Arabia

Pub. Date: November 29, 2020

Cite this paper:
Mohammed Ahmed Hazazi and Ameerah Mohamed Noor Qattan. Exploring Strength Areas of Patient Safety Culture Improvement in KAMC, Makkah, Saudi Arabia. American Journal of Nursing Research. 2021; 9(1):20-28. doi: 10.12691/ajnr-9-1-4

Abstract

Background: Patient safety culture is an extremely important aspect and a crucial issue in health services. Assessing patient safety culture is a fundamental in obtaining first-hand information on healthcare settings that will help to identify positive areas and shortcomings in patient safety practices that require future improvement. Objective: This study aims to investigate the strengths area of patient safety culture improvement. Also, this study evaluates employees’ perceptions concerning patient safety culture. Subjects and Methods: A mixed methodology and cross-sectional design was used to achieve the aim of the study. Hospital Survey on Patient Safety Culture questionnaire was used to collect data from 350 front line health care providers at specialized hospital, Makkah, Saudi Arabia. Results: The highest rated Patient safety culture dimensions from health care staff perspective was teamwork within units and across the unit, supervisor/ manager expectations and actions promoting patient safety and over all perception of patient safety. The lowest rated dimension was non punitive response to errors, Communication openness, and frequency of events reported. The most of the participants given excellent or very good score in overall patient safety grade, and the majority of the respondents never reported any events during last 12 months. The study statistically proved the relationship between patient safety culture and area of work and number of events reported. In this study result showed that there is significantly difference exist between 12 dimensions of composite items with patient’s safety culture. Conclusion and Recommendations: This study found the strengths and areas of improvements of patient safety culture in the hospital. The good leadership support, effective communication, sufficient staffing, team work, open communication about errors and adequate working hours can improve patient safety culture. This study recommends the health care leaders to create an institutional strategic plan to improve patient safety programs in hospital settings.

Keywords:
culture improvement patient safety

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Alshammari, F. (2019). ‘A survey of hospital healthcare professionals’ perceptions toward patient safety culture in Saudi Arabia’, International Journal of Africa Nursing Sciences, 11, p. undefined-undefined.
 
[2]  Abdou, H. A. and Saber, K. M. (2010). A Baseline Assessment of Patient Safety Culture among Nurses at Student University Hospital.
 
[3]  Hughes, C. M. and Lapane, K. L. (2006). ‘Nurses’ and nursing assistants’ perceptions of patient safety culture in nursing homes’, International Journal for Quality in Health Care, 18(4), pp. 281-286.
 
[4]  Alshammari, F. (2019). ‘A survey of hospital healthcare professionals’ perceptions toward patient safety culture in Saudi Arabia’, International Journal of Africa Nursing Sciences, 11, p. undefined-undefined.
 
[5]  Anbori, A. (2010). ‘Patient satisfaction and loyalty to the private hospitals in Sana’a, Yemen’, International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 22(4), pp. 310-315.
 
[6]  Chen, I.-C. and Li, H.-H. (2010). ‘Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC)’, BMC health services research, 10, p. 152.
 
[7]  Nordin, A. (2013). ‘Health care staffs’ perception of patient safety culture in hospital settings and factors of importance for this’, 28-40.
 
[8]  Skagerström, J. (2017). ‘Patient involvement for improved patient safety: A qualitative study of nurses’ perceptions and experiences’, Nursing Open, 4(4), pp. 230-239.
 
[9]  Mitchell, P. H. (2008). ‘Defining Patient Safety and Quality Care’, in Hughes, R. G. (ed.) Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US) (Advances in Patient Safety). Available at: http://www.ncbi.nlm.nih.gov/books/NBK2681/ (Accessed: 30 August 2020).
 
[10]  Patient safety culture | Australian Commission on Safety and Quality in Health Care (2017). Available at: https://www.safetyandquality.gov.au/our-work/indicators- measurement-and-reporting/patient-safety-culture (Accessed: 31 August 2020).
 
[11]  Sorra, J. S, Nieva, V. F. (2004). ‘Pilot study reliability and validity of the hospital survey on patient safety’. In Technical report prepared by Westat under Contract No. 290-96-004 Rockville, MD: Agency for Healthcare Research and Quality.
 
[12]  Saunders, M. N. K., Lewis, P. and Thornhill, A. (2009) Research methods for business students. 5th ed. New York: Prentice Hall.
 
[13]  Eiras, M. (2014). ‘The hospital survey on patient safety culture in Portuguese hospitals: instrument validity and reliability’, International Journal of Health Care Quality Assurance, 27(2), pp. 111-122.
 
[14]  Rao, M., Thota, D. and Srinivas, P. (2014). ‘A Study to Assess Patient Safety Culture amongst a Category of Hospital Staff of a Teaching Hospital’.
 
[15]  Hellings, J. (2007). ‘Challenging patient safety culture: survey results’, International Journal of Health Care Quality Assurance, 20(7), pp. 620-632.
 
[16]  Rajalatchumi, A., Ravikumar, T. S., Muruganandham, K., Thulasingam, M., Selvaraj, K., & Reddy, M. M. (2018). Perception of patient safety culture among healthcare providers in a tertiary care hospital, South India. Journal of Natural Science, Biology and Medicine, 9, 14-18.
 
[17]  Ghobashi, M. M. (2014). ‘Assessment of Patient Safety Culture in Primary Health Care Settings in Kuwait’, Epidemiology, Biostatistics and Public Health, 11(3).
 
[18]  El-Jardali, F. (2014). ‘Patient safety culture in a large teaching hospital in Riyadh: baseline assessment, comparative analysis and opportunities for improvement’, BMC health services research, 14, p. 122.
 
[19]  Elmontsri, M. et al. (2017). ‘Status of patient safety culture in Arab countries: a systematic review’, BMJ Open, 7(2), p. e013487.
 
[20]  Pronovost, P. J. (2003). ‘Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center’, Quality & Safety in Health Care, 12(6), pp. 405-410.
 
[21]  Taher, S. et al. (2014). ‘Safety climate in dialysis centers in Saudi Arabia: a multicenter study’, Journal of Patient Safety, 10(2), pp. 101-104.
 
[22]  Aljadhey, H., Al-Babtain, B., Mahmoud, M. A., Alaqeel, S., & Ahmed, Y. (2016). Culture of Safety among Nurses in a Tertiary Teaching Hospital in Saudi Arabia | Tropical Journal of Pharmaceutical Research. Available at: https://www.ajol.info/index.php/tjpr/article/view/133752 (Accessed: 14 October 2020).
 
[23]  Al-Awa, B., Jacquery, A., Almazrooa, A., Habib, H., Al-Noury, K., El Deek, B., et al. (2011). Benchmarking the post-accreditation patient safety culture at King Abdulaziz University Hospital. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086642/ (Accessed: 14 October 2020).
 
[24]  Mekonnen, A. B. (2017). ‘Hospital survey on patient safety culture in Ethiopian public hospitals: a cross-sectional study’, Safety in Health, 3(1), p. 11.
 
[25]  Wami, S. D. (2016). ‘Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers’ view in Jimma zone Hospitals, Southwest Ethiopia’, BMC health services research, 16, p. 495.
 
[26]  Al-Ahmadi, T. A. (2009). ‘Measuring Patient Safety Culture in Riyadh’s Hospitals: A Comparison between Public and Private Hospitals’, The Journal of the Egyptian Public Health Association, 84(5-6), pp. 479-500.
 
[27]  Abdelhai, R., Abdelaziz, S. and Ghanem, N. (2012). Assessing Patient Safety Culture and Factors Affecting It among Health Care Providers at Cairo University Hospitals. Available at: /paper/Assessing-Patient-Safety-Culture-and-Factors-It-at- Abdelhai-Abdelaziz/10b42a94dfa551ba919f238a51549b839673aa6a (Accessed: 14 October 2020).
 
[28]  Leape, L. L. (2002). ‘Reporting of adverse events’, The New England Journal of Medicine, 347(20), pp. 1633-1638.
 
[29]  Chegini, Z. et al. (2020). ‘The impact of patient safety culture and the leader coaching behaviour of nurses on the intention to report errors: a cross-sectional survey’, BMC nursing, 19, p. 89.
 
[30]  Falco, K. (2013). ‘Perceptions of Hospital Patient Safety Culture in Department of Veterans Affairs Station 593 Southern Nevada’, p. 89.
 
[31]  Agharahimi, Z. (2012). ‘Evaluation of staff attitudes about patients’ safety culture in Noor & Ali Asghar hospitals in Isfahan-2011’, Journal of Hospital, 11(3), pp. 17-26.
 
[32]  Albalawi, A., Kidd, L. and Cowey, E. (2020). ‘Factors contributing to the patient safety culture in Saudi Arabia: a systematic review’, BMJ open, 10(10), p. e037875.
 
[33]  Kumbi, M. et al. (2020). Patient Safety Culture and Associated Factors Among Health Care Providers in Bale Zone Hospitals, Southeast Ethiopia: An Institutional Based Cross-Sectional Study, Drug, Healthcare and Patient Safety. Dove Press.
 
[34]  Siddharth, V., Koushal, V. K. and Goyal, V. (2017). ‘Patient Safety is the Need of the Hour: A Study in Nursing Department of a Tertiary Care Teaching Hospital’, International Journal of Research Foundation of Hospital and Healthcare Administration, 5(2), pp. 55-59.
 
[35]  Stavrianopoulos. (2014). The development of patient safety culture | Insight Medical Publishing. Available at: https://www.hsj.gr/medicine/the-development-of-patient-safety- culture.php?aid=3262 (Accessed: 14 October 2020).
 
[36]  Farokhzadian, J., Dehghan Nayeri, N. and Borhani, F. (2018). ‘The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses’, BMC Health Services Research, 18.