Document Type: Original Article
AJA University of Medical Sciences, Tehran, Iran
NEZAJA Health and Treatment Office, Tehran, Iran
Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Comprehensive Rehabilitation Center of Amal Charity, Tehran, Iran
Background: Today, patient safety is an important issue in providing hospital services. Any failure in this area can cause undesirable consequences.
Objective: The present study evaluated the status of patient safety culture in Educational Hospitals of Tehran, Iran.
Methods: This cross-sectional study surveyed 205 therapeutic and diagnostic personnel of three Tehran hospitals selected using the clustered method; samples were collected in a randomized manner. To examine patient safety culture, the standard questionnaire of patient safety culture with 12 dimensions was used. Data was analyzed using SPSS software.
Results: In the 12 dimensions of patient safety culture, exchange of data, expectations, and organization management had the lowest means of 3.28 (±0.87), and 3.32 (±0.74) among the various aspects of patient safety culture. Additionally, the two dimensions of teamwork within the organization’s units and frequency of reporting events with means of 3.71 (±0.79) and 3.73 (±0.7) had the highest means among the studied 12 dimensions of patient safety culture. The total mean of patient safety culture in the studied hospitals was 3.5 (±0.5).
Conclusion: Increasing the attention paid to patient safety culture will lead to the development and progress of hospitals in the country and will guide them toward becoming patient-friendly hospitals. Those dimensions which had low mean values in this study should be paid more attention so as to promote and protect them.
- James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
- Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-154. doi:10.1136/postgradmedj-2012-131168.
- Makary MA, Daniel M. Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139.
- Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-10. doi:10.1136/bmjqs-2014-003675.
- Thomson S, Osborn R, Squires D, Jun M. International profiles of health care systems 2012: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2012/Nov/1645_Squires_intl_profiles_hlt_care_systems_2012.pdf. Published 2012.
- Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Health Care Manag Sci. 2007;10(2):139-149.
- Morello RT, Lowthian JA, Barker AL, McGinnes R, Dunt D, Brand C. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-18. doi:10.1136/bmjqs-2011-000582.
- Trzeciak S, Rivers E. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J. 2003;20(5):402-405.
- DiCuccio MH. The relationship between patient safety culture and patient outcomes: a systematic review. J Patient Saf. 2015;11(3):135-142. doi:10.1097/PTS.0000000000000058.
- Aiken LH, Sermeus W, Van den Heede K, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012;344:e1717. doi:10.1136/bmj.e1717.
- Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care. 2003;12(suppl 2):ii17-ii23.
- Sorra J, Nieva VF. Hospital survey on patient safety culture. Agency for Healthcare Research and Quality; 2004.
- Azami-Aghdash S, Azar FE, Rezapour A, Azami A, Rasi V, Klvany K. Patient safety culture in hospitals of Iran: a systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29:251.
- Salarvand S, Moayyed Kazemi A, Bahri N, et al. Assessing medical staff’s view of patient safety culture. Iranian Journal of Nursing Vision. 2015;4(3):54-64.
- Nourmoradi H, Kazemi M, Pirmoradi F, et al. Hospital Patient Safety Culture in Developing Countries: A Comparative Study in Ilam City, Iran. Br J Med Med Res. 2015;10(5):1-8.
- Moghri J, Akbari Sari A, Rahimi Forooshani A, Arab M. Patient safety culture status in general hospitals affiliated to Tehran University of Medical Sciences (Persian). Hakim Research Journal. 2013;16(3):243-250.
- Nasiripour AA, Jafari S. The relationship of quality improvement and patient safety with performance indicators in Shahid Beheshti University of Medical Science teaching hospitals (Persian). Journal of Payavard Salamat. 2016;10(4):311-319.
- 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.
- Alahmadi H. Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care. 2010;19(5):1-5. doi:10.1136/qshc.2009.033258.
- Salavati S, Fanoosi T, Dehghan D, Tabesh H. Nurses’ perspectives on patient safety culture. Iran J Nurs. 2013;26(84):24-33.
- Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-384.
- Bodur S, Filiz E. A survey on patients safety culture in primary healthcare services in Turkey. Int J Qual Health Care. 2009;21(5):348-355. doi:10.1093/intqhc/mzp035.