Practices Used to Improve Patient Safety Culture Among Healthcare Professionals in a Tertiary Care Hospital.

Autor:	Bashir H; Department of Public Health, Health Services Academy, Islamabad, Pakistan., Barkatullah M; Department of Public Health, Health Services Academy, Islamabad, Pakistan., Raza A; Department of Public Health, Health Services Academy, Islamabad, Pakistan., Mushtaq M; Department of Epidemiology and Biostatistics, Health Services Academy, Islamabad, Pakistan., Khan KS; Department of Pharmacy, Quaid e Azam University, Islamabad, Pakistan., Saber A; School of Health and Life Sciences, Glasgow Caledonian University, London, UK., Ahmad S; Akson College of Pharmacy, Mirpur University of Science and Technology, Kashmir, Pakistan.
Jazyk:	angličtina
Zdroj:	Global journal on quality and safety in healthcare [Glob J Qual Saf Healthc] 2024 Feb 12; Vol. 7 (1), pp. 9-14. Date of Electronic Publication: 2024 Feb 12 (Print Publication: 2024).
DOI:	10.36401/JQSH-23-10
Abstrakt:	Introduction: A patient safety culture primarily refers to the values, beliefs, attitudes, and behaviors within a healthcare setup in a community that assists in prioritizing patient safety and encouraging the reporting of errors and near-misses in that facility. There is a direct impact of patient safety culture on how well patient safety and quality improvement programs work. The aim of this cross-sectional descriptive study was to investigate the practices to improve patient safety culture and adverse event reporting practices among healthcare professionals in a tertiary care hospital located in Mirpur Azad Jammu and Kashmir. Methods: In the non-probability convenience sampling of this cross-sectional study, Divisional Headquarters Teaching Hospital in Mirpur, Azad Kashmir used the Agency for Healthcare Research and Quality Surveys on Patient Safety Culture Hospital Survey to collect data about the perceptions of healthcare professionals regarding patient safety culture within their hospital to assess the trends of patient safety culture by obtaining longitudinal data. A pre-validated questionnaire that has undergone a rigorous trial of testing to maximize the reliability and accuracy of the outcomes was distributed among clinical staff (healthcare professionals who interact with patients on a daily basis, such as nurses, doctors, pharmacists, and laboratory technicians) and administrative staff (medical superintendent, deputy medical superintendent, assistant medical superintendent, heads of departments). Results: A total of 312 questionnaires were returned (response rate, 76%). The study found that the dimension "supervisor/manager expectation and action promoting safety" had the highest positive response rate (65.16%), and "nonpunitive response" had the lowest (27.4%). Higher scores in "nonpunitive response to error" were associated with lower rates of medication errors, pressure ulcers, and surgical site infections, and higher scores in "frequency of event reporting" were associated with lower rates of medication errors, pressure ulcers, falls, hospital-acquired infections, and urinary tract infections. Conclusion: We suggest that in order for hospital staff to continue providing excellent, clinically safe treatment, a well-structured hospital culture promoting patient safety is necessary. Moreover, further study is needed to determine strategies to improve patient safety expertise and awareness, and lower the frequency of adverse occurrences. Competing Interests: Sources of Support: None. Conflict of Interest: None.
Databáze:	MEDLINE
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