Patient safety culture and associated factors in secondary health care of the Capital Region of Denmark: influence of specialty, healthcare profession and gender

Patient safety culture and associated factors in secondary health care of the Capital Region of Denmark: influence of specialty, healthcare profession and gender

BackgroundWe aimed to explore (1) the influence of healthcare professionals' (HCPs’) specialty, profession, gender and length of employment on their perception of six dimensions of patient safety culture (PSC) and (2) the relation between these characteristics and the two dimensions of safety c...

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Bibliographic Details
Published in:BMJ open quality Vol. 11; no. 4; p. e001908
Main Authors: Østergaard, Doris, Madsen, Marlene Dyrløv, Ersbøll, Annette Kjær, Frappart, Helle Søgaard, Kure, Josefine Haahr, Kristensen, Solvejg
Format: Journal Article
Language:English
Published: England British Medical Journal Publishing Group 01-10-2022
BMJ Publishing Group LTD
BMJ Publishing Group
Subjects:
Attitude of Health Personnel
Attitudes
Cross-Sectional Studies
Denmark
Employment
Gender
Humans
management
Medical personnel
Nurses
Original Research
Patient Safety
Physicians
Professions
Quality of care
safety culture
Safety Management
Work environment
Denmark
management
patient safety
safety culture
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Summary:BackgroundWe aimed to explore (1) the influence of healthcare professionals' (HCPs’) specialty, profession, gender and length of employment on their perception of six dimensions of patient safety culture (PSC) and (2) the relation between these characteristics and the two dimensions of safety climate and perception of management.MethodsIn a cross-sectional study, a Danish version of the Safety Attitudes Questionnaire was sent to all HCPs at a large regional hospital organisation. This included hospitals, the Emergency Services, the Regional Pharmacy and the Centre for Diabetes corporations. A total of 30 230 HCPs received the survey. Differences between specialties, professions, gender and years of employment were tested for each dimension of PSC. Differences in mean attitude scores were tested using analysis of variance and differences in having a positive attitude were tested using logistic regression.ResultsIn total, 15 119 (50%) HCPs returned the survey. Significant differences are seen across hospitals and corporations for all dimensions of PSC. The proportion of HCPs with a positive attitude was largest regarding job satisfaction (74.8%) and lowest regarding perception of management (43.9%). Significant differences are seen in physicians' and nurses' perception of PSC in the different specialties within all dimensions of PSC except for the dimension of recognition of stress. Significant differences in positive perception of teamwork climate are seen between anaesthesiologists' (69.4%) and surgeons' (41.7%). No significant gender differences were found between physicians' and nurses' perception of safety climate and of management. In addition, we found an influence of years of employment on PSC.DiscussionSignificant differences were found in HCPs' perception of PSC between corporations, specialties and professions. The lowest proportion of HCPs with a positive perception of PSC was found within the dimensions of safety climate and perception of management. These differences may have implications for teamwork and patient safety.
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ISSN:2399-6641
2399-6641
DOI:10.1136/bmjoq-2022-001908