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PATIENT SAFETY CULTURE: THE CASE OF AN EDUCATION AND RESEARCH HOSPITAL

Year 2023, Volume: 5 Issue: 2, 224 - 240, 31.07.2023
https://doi.org/10.55050/sarad.1297905

Abstract

This study aims to examine the positive perception levels of patient safety culture among the healthcare workers of a training and research hospital. This study is research in cross-sectional and descriptive design. The study was conducted with 326 healthcare workers aged 19 to 63 years at a training and research hospital in İstanbul. Safety culture in the hospital was assessed using the Turkish version of the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality (AHRQ). Convenience sampling method was used to select the study group. Before the research, the required sample size was examined using G*Power (3.1.9.7) program. According to the power analysis (95% confidence (1-α), 0.05 (α) significance level, 95% test power (1-β) and effect size=0.56, two-tailed), the smallest sample size was determined as 104. Based on the expectation of missing data or irregular response, data were collected from 326 participants. IBM’s SPSS version 24 package program for Windows was used for all statistical analyses. The results were evaluated at 95% confidence interval and α=0.05 significance level. The overall mean score for positive perception of patient safety culture was 50.62±13.3% (95% confidence interval: 50.62-52.07). Among the 12 dimensions, the dimension with the highest percentage of positive responses defining it as the only strength was teamwork within hospital units. The dimensions identified as weaknesses were staffing, non-punitive response to errors, frequency of reporting errors, keeping communication open, hospital interventions and change, and feedback and communication about errors, respectively. Many healthcare workers have negative perceptions of the patient safety culture in their organizations. Hospital managers must create a positive safety culture based on mutual trust and open communication, prioritizing patient safety and promoting preventive approaches.

References

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  • Badgery-Parker, T., Pearson, S. A., Dunn, S., & Elshaug, A. G. (2019). Measuring hospital-acquired complications associated with low-value care. JAMA Internal Medicine, 179(4), 499–505. https://10.1001/jamainternmed.2018.7464
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  • Batalha, E. M. S. D. S., & Melleiro, MM. (2015). Cultura de segurança do paciente em um hospital de ensino: diferenças de percepção existentes nos diferentes cenários dessa instituição. Texto & Contexto-Enfermagem, 24, 432–441. https://doi.org/10.1590/0104-07072015000192014
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HASTA GÜVENLİĞİ KÜLTÜRÜ: BİR EĞİTİM ARAŞTIRMA HASTANESİ ÖRNEĞİ

Year 2023, Volume: 5 Issue: 2, 224 - 240, 31.07.2023
https://doi.org/10.55050/sarad.1297905

Abstract

Bu çalışmanın amacı bir eğitim araştırma hastanesi sağlık çalışanlarının hasta güvenliği kültürü olumlu algı düzeylerini incelemektir. Bu çalışma kesitsel ve tanımlayıcı türde bir araştırmadır. Araştırma İstanbul ilinde bir eğitim ve araştırma hastanesinde çalışan yaşları 19 ile 63 yaş arasında değişen 326 sağlık çalışanı ile yürütülmüştür. Hastanedeki güvenlik kültürü, Sağlık Araştırma ve Kalite Ajansı (AHRQ) tarafından geliştirilen ve Hasta Güvenliği Kültürü Hastane Anketi Türkçe versiyonu kullanılarak değerlendirilmiştir. Çalışma grubunun seçiminde olasılığa dayalı olmayan kolayda örnekleme yöntemi seçilmiştir. Araştırma öncesinde gerekli örneklem büyüklüğü G*Power (3.1.9.7) programı kullanılarak incelenmiştir. Güç analizinde %95 güven (1-α), 0,05 (α) anlamlılık düzeyinde, %95 test gücü (1-β) ve d=0.56 (orta etki) etki büyüklüğü, çift kuyruklu iki bağımsız ortalamalar arasındaki fark t testi (iki grup) analizine göre en küçük örnek sayısı 104 olarak belirlenmiştir. Eksik veri veya düzensiz yanıt beklentisine dayanarak 326 katılımcıdan veri toplanmıştır. Tüm istatistiksel analizler için Windows için IBM SPSS (Statistical Package for Social Sciences) 24 sürümü paket programı kullanılmıştır. Sonuçlar %95’lik güven aralığında, α=0.05 anlamlılık düzeyinde değerlendirilmiştir. Hasta güvenliği kültürüne ilişkin olumlu algı için genel ortalama puan %50,62±13,3(%95 güven aralığı: 50,62-52,07). 12 boyut arasında tek güçlü yön olarak tanımlayan olumlu yanıt yüzdesinin en yüksek olduğu boyut, hastane ünite içi ekip çalışmasıdır. Zayıf yönler olarak tanımlanan boyutlar ise sırası ile personel sağlama, hataya karşı cezalandırıcı olmayan yanıt, hataların raporlanma sıklığı, iletişimin açık tutulması, hastane müdahaleleri ve değişim ile hatalar hakkında geribildirim ve iletişimdir. Birçok sağlık çalışanı, kurumlarındaki hasta güvenliği kültürüne yönelik olumsuz algılara sahiptir. Hastane yöneticilerinin, hasta güvenliğine en yüksek önceliğin verilmesi ve önleyici yaklaşımların teşvik edilmesi yoluyla karşılıklı güvene dayalı, açık iletişimi esas alan pozitif bir güvenlik kültürü yaratmaları gerekir.

References

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  • Ajzen, İ. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179¬–211. https://doi.org/10.1016/0749-5978(91)90020-T
  • Alonso-Sardón, M., Sáez-Lorenzo, M., Chamorro, A. J., Fernández-Martín, L. C., İglesias-de-Sena, H., González-Núñez, V., ... & Mirón-Canelo, J. A. (2022). Adverse Effects in Patients with İntellectual and Developmental Disabilities Hospitalized at the University Clinical Hospital. Journal of Personalized Medicine, 12(11), 1898. https://doi.org/10.3390/jpm12111898
  • Anderson, J. G., Ramanujam, R., Hensel, D. J., & Sirio, C. A. (2010). Reporting trends in a regional medication error data-sharing system. Health Care Management Science, 13, 74–83. https://doi.org/10.1007/s10729-009-9111-1
  • Antonakos, I., Souliotis, K., Psaltopoulou, T., Tountas, Y., & Kantzanou, M. (2021). Patient safety culture assessment in primary care settings in Greece. In Healthcare (9), 7, 880. MDPI. https://doi.org/10.3390/healthcare9070880
  • Arabloo, J., Rezapour, A., Ebadi, F. A. F., & Mobasheri, Y. (2012). Measuring patient safety culture in İran using the Hospital survey on patient safety culture (HSOPS): an exploration of survey reliability and validity. İnternational Journal of Hospital Research 1(1),15–27.
  • Astier-Peña, M. P., Torijano-Casalengua, M. L., Olivera-Cañadas, G., Silvestre-Busto, C., Agra-Varela, Y., & Maderuelo-Fernández, J. Á. (2015). Are Spanish primary care professionals aware of patient safety?. The European Journal of Public Health, 25(5), 781–787. https://doi.org/10.1093/eurpub/ckv066
  • Badgery-Parker, T., Pearson, S. A., Dunn, S., & Elshaug, A. G. (2019). Measuring hospital-acquired complications associated with low-value care. JAMA Internal Medicine, 179(4), 499–505. https://10.1001/jamainternmed.2018.7464
  • Baker, G. R., Norton, P. G., Flintoft, V., Blais, R., Brown, A., Cox, J., ... & Tamblyn, R. (2004). The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Cmaj, 170(11), 1678–1686. https://doi.org/10.1503/cmaj.1040498
  • Basson, T., Montoya, A., Neily, J., Harmon, L., & Watts, B. V. (2021). İmproving patient safety culture: a report of a multifaceted intervention. Journal of Patient Safety, 17(8), e1097–e1104.
  • Batalha, E. M. S. D. S., & Melleiro, MM. (2015). Cultura de segurança do paciente em um hospital de ensino: diferenças de percepção existentes nos diferentes cenários dessa instituição. Texto & Contexto-Enfermagem, 24, 432–441. https://doi.org/10.1590/0104-07072015000192014
  • Batalha, E. M. S. D. S., & Melleiro, MM. (2017). Gestão hospitalar e cultura de segurança do paciente na percepção da equipe de enfermagem. Rev. Baiana Saúde Pública, 40(2016). https://doi.org/10.22278/2318-2660.2016.v40.n0.a2670
  • Berber, N., & Sarı, M. (2010). Kavramsal değişime dayalı öğretim stratejilerinin fizik dersine yönelik bazı duyuşsal özelliklerin gelişimine etkisi. Ahi Evran Üniversitesi Kırşehir Eğitim Fakültesi Dergisi, 11(2), 45–64.
  • Boan, D. M., Nadzam, D., & Clapp Jr, J. R. (2012). The impact of variance in perception of the organization on capacity to improve in hospital work groups. Group Dynamics: Theory, Research, and Practice, 16(3), 206. https://psycnet.apa.org/doi/10.1037/a0028547
  • Bodur, S., & Filiz, E. (2010). Validity and reliability of Turkish version of hospital survey on patient safety culture and perception of patient safety in public hospitals in Turkey. BMC Health Services Research, 10, 28–39.
  • Carver, N., Gupta, V., & Hipskind, J. E. (2022). Medical error. İn StatPearls [İnternet]. Stat Pearls Publishing.
  • Clapper, T. C., & Ching, K. (2020). Debunking the myth that the majority of medical errors are attributed to communication. Medical Education, 54(1), 74–81. https://doi.org/10.1111/medu.13821
  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd Ed.). hillsdale, NJ: Lawrence Earlbaum Associates.
  • Colla, J. B., Bracken, A. C., Kinney, L. M., & Weeks, W. B. (2005). Measuring patient safety climate: a review of surveys. BMJ Quality & Safety, 14(5), 364–366. https://doi.org/10.1136/qshc.2005.014217
  • Eltarhuni, A. S., Tawfeeq, H. O., & El-Abidi, J. S. (2020). Assessment of patient safety culture in benghazi children's hospital from the viewpoint of nursing staff. Libyan Journal of Medical Sciences, 4(4), 179.
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  • Frank JR, Brien S, (2008). The Safety Competencies: Enhancing Patient Safety Across the Health Professions. Ottawa, ON: Canadian Patient Safety Institute.
  • Frankel, A. S., Leonard, M. W., & Denham, C. R. (2006). Fair and just culture, team behavior, and leadership engagement: The tools to achieve high reliability. Health Services Research, 41(4p2), 1690–1709.
  • Frellick, M. (2016). Medical Error İs Third Leading Cause of Death in US Marcia Frellick. Medscape.
  • Gözlu, K., & Kaya, S. (2016). Patient safety culture as perceived by nurses in a Joint Commission İnternational Accredited Hospital in Turkey and its comparison with Agency for Healthcare Research and Quality Data. Journal of Patient Safety & Quality İmprovement, 4(4), 441–449.
  • Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A. M., ... & Aiken, L. H. (2014). Nurses’ shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety. Medical care, 52(11), 975. https://doi.org/10.1097/MLR.0000000000000233
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There are 58 citations in total.

Details

Primary Language Turkish
Subjects Behaviour-Personality Assessment in Psychology, Health Care Administration
Journal Section Research Article
Authors

Arzu Bulut 0000-0001-7362-5667

Halil Şengül 0000-0001-5745-0369

Züleyha Çelik 0009-0005-4600-6760

Early Pub Date July 8, 2023
Publication Date July 31, 2023
Submission Date May 16, 2023
Published in Issue Year 2023 Volume: 5 Issue: 2

Cite

APA Bulut, A., Şengül, H., & Çelik, Z. (2023). HASTA GÜVENLİĞİ KÜLTÜRÜ: BİR EĞİTİM ARAŞTIRMA HASTANESİ ÖRNEĞİ. Sağlık Ve Sosyal Refah Araştırmaları Dergisi, 5(2), 224-240. https://doi.org/10.55050/sarad.1297905


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