跳至主要内容

A Comparative Assessment of Patient Safety Culture between Iranian Selected Hospitals and Agency for Healthcare Research and Quality (AHRQ) Report

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52781#.VKNeqMnQrzE

Establishing a culture of patient safety can be effective in reducing the incidence of medical errors and solving concerns of safety inadequacy in health systems. The purpose of this study was to assess the culture of patient safety in the selected hospitals, and compare the results with published reports of AHRQ. This study was approved by the Ethical Committee of BPUMS. The subjects signed the informed consent form to participle in the study. Confidentiality was maintained throughout the study reports. Cross-sectional study was conducted in 2012; the study sample was composed of 364 staffs working at two selected hospitals affiliated to Bushehr University of Medical Sciences. Hospital Survey on Patient Safety Culture was used to collect data. Descriptive statistical analysis was used to analyze the data. No reports of events in both studied hospitals and benchmark were accounted for the most of the reported errors, although this indicator in studied hospitals was nearly 23% higher than that of the benchmark report. The highest patient safety grade in studied hospitals and benchmark was “acceptable” and “very good”, respectively. The highest percentage of positive response to patient safety dimension was organization learning and then teamwork within units in studied hospitals. Teamwork within units also was the highest average percent in benchmark report. Non-punitive response to errors had the lowest positive percentage of participant responses in both studies. To achieve the patient safety culture, we do not need to blame individual and apply punitive approach when errors occur. This makes person accept responsibility for their actions honestly and report errors in a timely manner to prevent reoccurrence of similar errors.
Cite this paper
Azmal, M. , Omranikho, H. , Goharinezhad, S. , Kalhor, R. , Dehcheshmeh, N. and Farzianpour, F. (2014) A Comparative Assessment of Patient Safety Culture between Iranian Selected Hospitals and Agency for Healthcare Research and Quality (AHRQ) Report. Health, 6, 3037-3044. doi: 10.4236/health.2014.621342.
 

[1] El-Jardali, F., Sheikh, F., Garcia, N.A., Jamal, D. and Abdo, A. (2014) Patient Safety Culture in a Large Teaching Hospital in Riyadh: Baseline Assessment, Comparative Analysis and Opportunities for Improvement. BMC Health Services Research, 14, 122.
http://dx.doi.org/10.1186/1472-6963-14-122
[2] Wilson, A.M. (2001) Understanding Organisational Culture and the Implications for Corporate Marketing. European Journal of Marketing, 35, 353-367.
http://dx.doi.org/10.1108/03090560110382066
[3] Cooper, M.D. (2000) Towards a Model of Safety Culture. Safety Science, 36, 111-136.
http://dx.doi.org/10.1016/S0925-7535(00)00035-7
[4] Sorensen, J. (2002) Safety Culture: A Survey of the State-Of-The-Art. Reliability Engineering & System Safety, 76, 189-204.
http://dx.doi.org/10.1016/S0925-7535(00)00035-7
[5] Wamuziri, S. (2006) Safety Culture in the Construction Industry. Proceedings of the Institute of Civil Engineers (ICE)— Municipal Engineer, 159, 167-174.
http://dx.doi.org/10.1680/muen.2006.159.3.167
[6] Colla, J., Bracken, A., Kinney, L. and Weeks, W. (2005) Measuring Patient Safety Climate: A Review of Surveys. Quality and Safety in Health Care, 14, 364-366.
http://dx.doi.org/10.1136/qshc.2005.014217
[7] Kohn, L.T., Corrigan, J.M. and Donaldson, M.S. (2000) To Err Is Human: Building a Safer Health System. A Report of the Committee on Quality of Health Care in America, Institute of Medicine, National Academy Press, Washington DC.
[8] Lindberg, L., Judd, K. and Snyder, J. (2008) Developing a Safety Culture with Front-Line Staff. Hospitals & Health Networks/AHA, 82, 84-85.
[9] Vázquez, J.A.P.C.Y. (2011) Patient Safety: A New Paradigm for a Health System? Cirugía y Cirujanos, 79, 281-282.
[10] Nieva, V. and Sorra, J. (2003) Safety Culture Assessment: A Tool for Improving Patient Safety in Healthcare Organizations. Quality and Safety in Health Care, 12, ii17-ii23.
http://dx.doi.org/10.1136/qhc.12.suppl_2.ii17
[11] Piotrowski, M.M. and Hinshaw, D.B. (2002) The Safety Checklist Program: Creating a Culture of Safety in Intensive Care Units. Joint Commission Journal on Quality and Patient Safety, 28, 306-315.
[12] Driver, T.H., Katz, P.P., Trupin, L. and Wachter, R.M. (2014) Responding to Clinicians Who Fail to Follow Patient Safety Practices: Perceptions of Physicians, Nurses, Trainees, and Patients. Journal of Hospital Medicine, 9, 99-105.
http://dx.doi.org/10.1002/jhm.2136
[13] Grote, G. and Künzler, C. (2000) Diagnosis of Safety Culture in Safety Management Audits. Safety Science, 34, 131-150.
http://dx.doi.org/10.1016/S0925-7535(00)00010-2
[14] Agency for Healthcare Research and Quality (2011) Hospital Survey on Patient Safety Culture. 2011 User Comparative Database Report Contract No. 11-0030.
[15] www.ahrq.gov
[16] Fajardo-Dolci, G., Rodríguez-Suárez, J., Arboleya-Casanova, H., Rojano-Fernández, C., Hernández-Torres, F. and Santacruz-Varela, J. (2011) Patient Safety Culture in Healthcare Professionals. Cirugía y Cirujanos, 78, 522-527.
[17] Baghaei, R., Norani, D., Khalkhali, H.R. and Pirnejad, H. (2011) Assessment of Patient Safety Culture in Health Care Workers of Education Hospitals of Urmia University of Medical Sciences. Journal of Urmia University of Medical Sciences, 10, 155-164. (In Persian)
[18] Thurman, A. (2001) Institutional Responses to Medical Mistakes: Ethical and Legal Perspectives. Kennedy Institute of Ethics Journal, 11, 147-156.
http://dx.doi.org/10.1353/ken.2001.0018
[19] Mikusová, V., Rusnáková, V., Nad’ová, K., Boroňová, J. and Bet’ková, M. (2012) Patient Safety Assessment in Slovak Hospitals. International Journal of Collaborative Research on Internal Medicine & Public Health (IJCRIMPH), 4, 1236-1244.
[20] Abdi, J., Maleki, M.R. and Khosravi, A. (2011) Staff’s Preception of Patient Safety Culture in Selected Hospitals of Tehran University of Medical Sciences. Payesh, 10, 19. (In Persian)
[21] Hellings, J., Schrooten, W., Klazinga, N. and Vleugels, A. (2007) Challenging Patient Safety Culture: Survey Results. International Journal of Health Care Quality Assurance, 20, 620-632.
http://dx.doi.org/10.1108/09526860710822752
[22] Amiresmaili, M.R., Tourani, S. and Barati, O. (2010) Measuring Safety Culture and Setting Priorities for Action at an Iranian Hospital. Al Ameen Journal of Medical Sciences, 3, 237-245.
[23] Bodur, S. and Filiz, E. (2009) A Survey on Patient Safety Culture in Primary Healthcare Services in Turkey. International Journal for Quality in Health Care, 21, 348-355.
http://dx.doi.org/10.1093/intqhc/mzp035
[24] Leonard, M., Graham, S. and Bonacum, D. (2004) The Human Factor: The Critical Importance of Effective Teamwork and Communication in Providing Safe Care. Quality and Safety in Health Care, 13, i85-i90.
http://dx.doi.org/10.1136/qshc.2004.010033                  eww141231lx
标签：

评论

发表评论

此博客中的热门博文

Electron Spin and Proton Spin in the Hydrogen and Hydrogen-Like Atomic Systems

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52202#.VIj7tMnQrzE Author(s) Stanisław Olszewski * Affiliation(s) Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, Poland . ABSTRACT The mechanical angular momentum and magnetic moment of the electron and proton spin have been calculated semiclassically with the aid of the uncertainty principle for energy and time. The spin effects of both kinds of the elementary particles can be expressed in terms of similar formulae. The quantization of the spin motion has been done on the basis of the old quantum theory. It gives a quantum number n = 1/2 as the index of the spin state acceptable for both the electron and proton ...
发表评论
阅读全文

Incorporation of High-Altitude Balloon Experiment in High School Science Classrooms

High-altitude balloon is a balloon, filled usually with helium or hydrogen that ascends into an area called “near space” or stratosphere. The most common type of high-altitude balloons are weather balloons. Other purposes include use as a platform for experiments in the upper atmosphere. Modern balloons generally contain electronic equipment such as radio transmitters, cameras, or satellite navigation systems, such as GPS receivers. The mission of the High-Altitude Balloon Experiment (HABE) is to acquire supporting data, validate enabling technologies, and resolve critical acquisition, tracking, and pointing (ATP) and fire control issues in support of future space-based precision pointing experiments. The use of high-altitude balloons offers a relatively low-cost, low-vibration test platform, a recoverable and reusable payload, worldwide launch capability, and a 'near- space' emulation of the future space systems operational scenarios. More recently, several university...
1 条评论
阅读全文

Fermented Brown Sugar Residue Prolongs the Caenorhabditis elegans Lifespan via DAF-16

Fermented brown sugar residue (FBSR) is generated in the course of purifying biomass ethanol from the yeast fermentation products of brown sugar. It contains abundant nutrition and is used in various industrial applications including as fertilizer and feed. Meanwhile, brown sugar has attracted attention as a health food and is thought to prevent cardiovascular diseases, hypertension, and brain stem diseases. Furthermore, polyphenol, contained in brown sugar, reduces oxidative stress and inhibits glucose absorption. DAF-16 is a transcription factor regulated downstream of the insulin signaling pathway and is one of the main factors contributing to aging and lifespan in C. elegans . Therefore, to determine the precise roles of the DAF-16 transcription factor in stress tolerance and life span, it is necessary to elucidate the signaling pathways involved in DAF-16 activation. This study was designed to elucidate the molecular mechanisms controlling the physiological stress toleran...
发表评论
阅读全文