Patient safety culture and its determinants among healthcare professionals at a cluster hospital in Malaysia: a cross-sectional study

Patient safety culture and its determinants among healthcare professionals at a cluster hospital in Malaysia: a cross-sectional study

ObjectiveTo assess the baseline level and mean score of every domain of patient safety culture among healthcare professionals at a cluster hospital and identify the determinants associated with patient safety culture.MethodsThis cross-sectional study was conducted at a cluster hospital comprising on...

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Bibliographic Details
Published in:BMJ open Vol. 12; no. 8; p. e060546
Main Authors: Ismail, Aniza, Khalid, Siti Norhani Mazrah
Format: Journal Article
Language:English
Published: London British Medical Journal Publishing Group 22-08-2022
BMJ Publishing Group LTD
BMJ Publishing Group
Series:Original research
Subjects:
clinical governance
Collaboration
Cross-sectional studies
Drug stores
health & safety
Health facilities
Health Services Research
Hospitals
Likert scale
Medical errors
Patient safety
Perceptions
quality in health care
Questionnaires
Safety management
Sample size
Working conditions
Malaysia
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Summary:ObjectiveTo assess the baseline level and mean score of every domain of patient safety culture among healthcare professionals at a cluster hospital and identify the determinants associated with patient safety culture.MethodsThis cross-sectional study was conducted at a cluster hospital comprising one state and two district hospitals in Malaysia. The safety culture was assessed using the Safety Attitude Questionnaire (SAQ), which is a validated questionnaire. Using proportionate stratified random sampling, 1814 respondents were recruited, and we used the independent t-test, Pearson’s χ2 test and multiple logistic regression analysis for data assessment.ResultsOnly 23.9% of the respondents had positive patient safety culture levels (SAQ score ≥75%); the overall mean score was 67.82±10.53. The job satisfaction dimension had the highest percentage of positive responses (67.0%), with a mean score of 76.54±17.77. The factors associated with positive patient safety culture were age (OR 1.03, p<0.001), gender (OR 1.67, p=0.001), education level (OR 2.51, p<0.001), work station (OR 2.02, p<0.001), participation in patient safety training (OR 1.64, p=0.007), good perception of the incident reporting system (OR 1.71, p=0.038) and a non-blaming (OR 1.36, p=0.013) and instructive (OR 3.31, p=0.007) incident reporting system.ConclusionsHealthcare professionals at the cluster hospital showed unsatisfactory patient safety culture levels. Most of the respondents appreciated their jobs, despite experiencing dissatisfaction with their working conditions. The priority for changes should involve systematic interventions to focus on patient safety training, address the blame culture, improve communication, exchange information about errors and improve working conditions.
Bibliography:Original research
ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2021-060546