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<header class="entry-header"> <h1 class="entry-title" itemprop="headline">Global Perspectives on Patient Safety Culture</h1> <div class="entry-meta"> <span class="posted-on"><time class="entry-date published" datetime="2024-10-08T17:57:16+05:30" itemprop="datePublished">October 8, 2024</time></span> <span class="byline">by <span class="author vcard" itemprop="author" itemtype="https://schema.org/Person" itemscope><a class="url fn n" href="https://public-health.blog/archive/author/public-health/" title="View all posts by public-health" rel="author" itemprop="url"><span class="author-name" itemprop="name">public-health</span></a></span></span> </div> </header> <div class="entry-content" itemprop="text"> <p><span style="font-weight: 400;">The safety of patients is one of the major aspects of healthcare quality globally. Evaluating the patients’ safety and their outcomes is equally important to guarantee that they achieve a proper healthcare service delivery without experiencing harm within the healthcare organizations. The following article outlines various stakeholders’s views and approaches to patient safety culture across different regions and contexts across the globe. As such, by exploring and synthesizing the findings of various papers, the goal of this blog is to synthesize the major emergent trends, specific issues, and efficient practices that care delivery organizations utilize to develop sustainable patient safety cultures.</span></p> <h3><b>The Importance of Patient Safety Culture</b><b><br /> </b></h3> <p><span style="font-weight: 400;">Patient safety culture refers to how the organizational structure, as well as health workers in the system, thinks, feels, and behaves about patient safety. This determines how safety is addressed, focused on, and implemented as a core component of day-to-day clinical operations. ES is effective when there are aspects like clarity, promotion of language understanding and media communications, learning promotion, integrating people in the working group as a team, and non-reprimanding measures taken when facing mistakes. On the other hand, a poor aspect of safety culture contributes to avoidable failure to report adverse occurrences and poor cooperation, which increases the possibility of medical mistakes, thus hurting the quality of patient care.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Yearwise Publication Trend on <b>“<a href="https://public-health.blog/publication-trends/index/patient safety" target="_blank" title="patient safety - yearwise publication trends">patient safety</a>”</b></h2> </div> </div><div class="results-container"><div class="chart-block" style="padding:15px;"> <div class="left"> <div id="results" class="results"></div> </div> <div class="right"> <div class="chart-container"><canvas id="publicationChart"></canvas></div> </div> <div class="keywordsdiv"> <div style="text-align:center;"><b>Find publication trends on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-stats"></span> </div> </div></div></div><div class="inside-article"><style> table { margin: 0 0 1.5em; 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According to the findings made in the Bale Zone hospitals, the overall percentage score given by healthcare providers regarding the level of patient safety culture is viewed to be low. Hypotheses like working hours, safety program enrollment, and reporting of accidents are critical to the safety culture of organizations. On the other hand, efforts that have been made to raise communication openness and teamwork in hospitals are considered probable opportunities for the improvement of patient safety.</span></p> <h4><b>Ghana</b></h4> <p><span style="font-weight: 400;">From studies done in the Upper East region of Ghana, there is a moderate understanding of patient safety culture among the healthcare providers. Cooperation within teams and sub-teams and also organizational learning are rather popular, which proves well-developed internal cooperation and a focus on quality improvement. That said, redistribution of staffing and non-punitive measures towards mistakes rank low, which we can consider as underdeveloped. Therefore, the steps of eliminating blame culture and encouraging reporting of errors are useful steps toward the creation of a safer healthcare system.</span></p> <h4><b>Switzerland</b></h4> <p><span style="font-weight: 400;">University Hospital in Switzerland describes a situation where safety culture is relatively weak but differs across departments. Employees of the emergency department express satisfaction with teamwork and managerial involvement in the sphere of patient safety. Nevertheless, issues of cross-department collaboration and communication regarding an adverse event remain problematic. This research also revealed the necessity of focused approaches aimed at bettering relationships and handoffs among different departments to increase the protective factors for patients.</span></p> <h4><b>India</b></h4> <p><span style="font-weight: 400;">In the context of South India, a cross-sectional study with tertiary care hospitals after the execution of safety measures revealed desirable trends in patient safety culture. Encouraging figures are recorded most within the interactional dimensions of teamwork and organizational learning, showing that safety interventions have started to ‘grow seeds’. However, there is still much that remains to be done in areas such as hand-off, transitions, and communication openness to impressively construct a fuller safety culture.</span></p> <h4><b>Sweden</b></h4> <p><span style="font-weight: 400;">From the revealed peculiarities of the study of the patient safety culture in Sweden, it is possible to conclude that professional experience and specific contexts related to certain departments play an important role in the formation of safety perceptions. The study also confirms that long-term employees or those with significant experience in the emergency care facility record better overall patient safety performances. Nevertheless, the psychiatric care units and management support for safety indicate a lower rating, and this implies that more emphasis is required to address safety issues.</span></p> <h4><b>Tunisia</b></h4> <p><span style="font-weight: 400;">In Tunisia, a cross-sectional study in a university hospital reveals poor patient safety culture. The ratings are higher in the aspects of reporting the number of adverse events, thus appearing to be aware of safety concerns. Still, the safety care personnel received significantly less support from the management, which indicates that the organization’s development of support could significantly improve. A culture change that fosters the importance of safety at the organizational level and in its relationships with patients is key to the improvement of safety in Tunisian hospitals and clinics.</span></p> <h4><b>Oman</b></h4> <p><span style="font-weight: 400;">Results of the patient safety culture assessment of Oman have found an overall positive response, which is closely related to countries like the USA and Taiwan. Interestingly, the strengths of the culture include organizational learning and continuous improvement, but non-punitive responses to errors are not as advanced. Consequently, one must sustain efforts in the reinforcement of fresh knowledge and establish a culture where mistakes can be reported and discussed with equality to enhance organizational safety culture.</span></p> <h3><b>Common Themes and Challenges</b><b><br /> </b></h3> <p><span style="font-weight: 400;">In all these contexts, the following themes and issues are evident: Collaboration within the units and organizational learning are also generally endorsed, as patient safety is recognized as a valued global concept by all countries surveyed. Nevertheless, the subdomains most often indicate lower scores, including staffing, hand-offs and transitions, and non-punitive responses to mistakes.</span></p> <h4><b>Staffing</b></h4> <p><span style="font-weight: 400;">Lack of manpower remains a commonplace issue, which hinders the achievement of the necessary levels of safety. This paper reveals that understaffing breeds work overload, staff fatigue, and high risk, hence the need to implement measures that can guarantee adequate staffing.</span></p> <h4><b>Non-Punitive Response to Errors</b></h4> <p><span style="font-weight: 400;">Developing a blameless culture that will encourage patients to report cases of adverse events to healthcare providers and ensure that the providers themselves are not punished is very important. Such an environment facilitates accountability and the analysis of adverse events vital for enhancing the safety of a patient.</span></p> <h4><b>Communication and Feedback</b></h4> <p><span style="font-weight: 400;">To have positive results, communication has to flow freely, and there must be feedback concerning the errors made. Research has found that, when access to communication resources for the reporting of errors and the reception of constructive criticism is provided to healthcare providers, the providers’ overall safety culture becomes far more effective.</span></p> <h4><b>Organizational Learning</b></h4> <p><span style="font-weight: 400;">Hence, patient safety can be said to underlie the ability to continue learning or to enhance learning and practice. Research studies demonstrate that organizations with vigorous educational and training activities, as well as quality improvement programs, have enhanced safety cultures.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Recent Publications on <b>“<a href="https://public-health.blog/recent-publications/index/patient safety" target="_blank" rel="noopener" title="patient safety - yearwise publication list">patient safety</a>”</b></h2> </div> </div> <div class="pb-main"><div class="article-scroll"><div id="results_recent" class="results"></div></div><div class="keywordsdiv" style="margin: 0px 15px;margin-top:20px;"> <div style="text-align:center;"><b>Find publications on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 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<script> function decodeString(str) { str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); return str; } function displayResults_recent(papers) { var resultsContainer = document.getElementById('results_recent'); if (!papers || papers.length === 0) { resultsContainer.innerHTML = '<p>No recent publications found.</p>'; return; } papers.forEach(paper => { var publicationBlock = document.createElement('div'); publicationBlock.className = 'publication-block'; var title_de = decodeString(paper.title); var publicationHTML = ` <div style="margin-bottom: 10px;line-height: 24px;"><a href="${paper.url}" target="_blank" title="${title_de}">${title_de}</a></div> <p><strong>Issue Release:</strong> ${paper.publishedDate}</p> `; publicationBlock.innerHTML = publicationHTML; resultsContainer.appendChild(publicationBlock); }); } function displayKeywordPapers(keywords) { var resultsContainer = document.getElementById('keyword-papers'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://public-health.blog/recent-publications/index/${key_replace}" target="_blank" title="${key} - publication list">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var recent_papers = [ { "title": "SIMPLE procedures: Survey of Internal Medicine Providers\\\\\\' Limitations and Experiences with procedures and medical procedure services.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38946024", "publishedDate": "2024" }, { "title": "Systemic oncological therapy in breast cancer patients on dialysis.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38946836", "publishedDate": "2024" }, { "title": "Nursing students\\\\\\' lived experiences with using AIDET in patient communication: A qualitative study in the Philippines.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38947298", "publishedDate": "2024" }, { "title": "ONC206 targeting ClpP induces mitochondrial dysfunction and protective autophagy in hepatocellular carcinoma cells.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38944913", "publishedDate": "2024" }, { "title": "Efficacy\u00a0of fractional radiofrequency in the treatment of erythematous capillary rosacea: A split-face study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38943266", "publishedDate": "2024" }, { "title": "Implementation of Robot-assisted Urologic Surgeries using Hugo\u2122 RAS System in a High-volume Robotic \\\\\\\"Da vinci Xi\\\\\\\" Center: outcomes and initial experience.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38945486", "publishedDate": "2024" }, { "title": "Evaluation of artificial intelligence-generated drug therapy communication skill competencies in medical education.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38953544", "publishedDate": "2024" }, { "title": "A nurse-led model of care to improve access to contraception and abortion in rural general practice: Co-design with consumers and providers.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38953531", "publishedDate": "2024" }, { "title": "Cenobamate: real-world data from a retrospective multicenter study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954033", "publishedDate": "2024" }, { "title": "A CASE SERIES: UNIPORTAL VATS EXCISION OF PERICARDIAL CYSTS IN SYMPTOMATIC PATIENTS.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954403", "publishedDate": "2024" }, { "title": "A Long-Term Safety and Tolerability Study of TV-46000 for Subcutaneous Use in Patients with Schizophrenia: A Phase 3, Randomized, Double-Blinded Clinical Trial.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954317", "publishedDate": "2024" }, { "title": "Pharmacotherapeutic options for metabolic dysfunction-associated steatotic liver disease: where are we today?", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954663", "publishedDate": "2024" }, { "title": "Efficacy, Safety, Satisfaction, Adherence to Treatment With Nano-Formulated Cysteamine Tranexamic Acid Cream to Treat Melasma.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954613", "publishedDate": "2024" }, { "title": "Prophylactic exchange-transfusion in sickle cell disease pregnancy: TAPS2 feasibility randomized controlled trial.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954844", "publishedDate": "2024" }, { "title": "A new classification for emergency critically ill patients and analysis of their adverse events during intrahospital transport: A cluster analysis.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38955501", "publishedDate": "2024" }, { "title": "Exploring the safety reporting culture among healthcare practitioners in Saudi hospitals: a comprehensive 2022 national study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38943125", "publishedDate": "2024" }, { "title": "A stepped-wedge randomised controlled trial to assess efficacy and cost-effectiveness of a care-bundle to prevent falls in older hospitalised patients.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38251740", "publishedDate": "2024" }, { "title": "Update on iron supplementation in patients with cancer-related anemia.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38949158", "publishedDate": "2024" }, { "title": "The Applicability of Polyetheretherketone and Titanium Mesh in Cranioplasty: A Retrospective Comparative Analysis.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38949256", "publishedDate": "2024" }, { "title": "Early approach for the iatrogenic vesico-vaginal fistula repair: a video case report.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38950535", "publishedDate": "2024" } ]; var keywordsArray = ["Patient Safety Culture","Healthcare Quality","Safety Initiatives","Global Healthcare","Non-Punitive Error Reporting","Organizational Learning","Interdisciplinary Collaboration","Staffing Challenges","Safety Audits"]; displayResults_recent(recent_papers); displayKeywordPapers(keywordsArray); // function stripslashes(str) { // if (typeof str === 'string') { // return str.replace(/\/g, ''); // } // } </script></p> <h3><b>Strategies for Improvement</b></h3> <p><span style="font-weight: 400;">To address these challenges and foster a positive patient safety culture, healthcare organizations can adopt several strategies: To address these challenges and foster a positive patient safety culture, healthcare organizations can adopt several strategies:</span></p> <h4><b>Enhanced Training Programs</b></h4> <p><span style="font-weight: 400;">Because introducing change in safety culture is one of the most challenging tasks in any organization, healthcare organizations should invest in training that targets patient safety, teamwork, and interprofessional communication.</span></p> <h4><b>Leadership Support</b></h4> <p><span style="font-weight: 400;">The leadership of the organization must be committed to the improvement of patient safety. Management should embody safe practices, encourage safety activities, and encourage the selection and promotion of safe practices.</span></p> <h4><b>Systematic Reporting and Analysis</b></h4> <p><span style="font-weight: 400;">Good systems of adverse event reporting and analysis can be of immense value in finding the causes of the events and how best to counter them. This approach can improve the rates of reporting safety-related information excluding punitive actions.</span></p> <h4><b>Interdisciplinary Collaboration</b></h4> <p><span style="font-weight: 400;">Enhancing collaboration of interdisciplinary across the different organizational departments and teamwork can advance the flow of communication and coordination, hence benefiting the organization.</span></p> <h4><b>Regular Safety Audits</b></h4> <p><span style="font-weight: 400;">Using safety audits and safety assessments that need to be carried out frequently can assist in tracking the overall progress as well as noting the positives and negatives of safety that need to be enhanced.</span></p> <h3><b>Conclusion</b></h3> <p><b></b><span style="font-weight: 400;">The World Health Organization has established that patient safety culture is one of the major factors that define the quality of health service delivery globally. Alone, there are basic issues that are seen in almost all the studies, like better staffing, non-punitive reporting of errors, and communication. Specifically, if these challenges are explicitly addressed with the help of corresponding measures, healthcare organizations will be able to establish a more effective patient safety culture. Sustaining this learning will go a long way in enhancing the achievement of this goal, thus making care for patients safer throughout the world. This will require leadership support and teamwork across disciplines.</span></p> <p></p> <h3><b>References</b></h3> <ol> <li>Kumbi, M., Hussen, A., Lette, A., Nuriye, S. and Morka, G., 2020. <a href="https://www.tandfonline.com/doi/full/10.2147/DHPS.S198146">Patient safety culture and associated factors among health care providers in bale zone hospitals, southeast ethiopia: An institutional based cross-sectional study.</a> <i>Drug, Healthcare and Patient Safety</i>, pp.1-14.</li> <li>Thibaut, B., Dewa, L.H., Ramtale, S.C., D’Lima, D., Adam, S., Ashrafian, H., Darzi, A. and Archer, S., 2019. <a href="https://bmjopen.bmj.com/content/9/12/e030230.abstract">Patient safety in inpatient mental health settings: a systematic review.</a> <i>BMJ open</i>, <i>9</i>(12), p.e030230.</li> <li>Akologo, A., Abuosi, A.A. and Anaba, E.A., 2019. <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221208">A cross-sectional survey on patient safety culture among healthcare providers in the Upper East region of Ghana.</a> <i>PloS one</i>, <i>14</i>(8), p.e0221208.</li> <li>Ricklin, M.E., Hess, F. and Hautz, W.E., 2019. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446463/">Patient safety culture in a university hospital emergency department in Switzerland–a survey study.</a> <i>GMS journal for medical education</i>, <i>36</i>(2).</li> <li>Rajalatchumi, A., Ravikumar, T.S., Muruganandham, K., Thulasingam, M., Selvaraj, K., Reddy, M.M. and Jayaraman, B., 2018. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812066/">Perception of patient safety culture among health-care providers in a tertiary care hospital, South India.</a> <i>Journal of natural science, biology, and medicine</i>, <i>9</i>(1), p.14.</li> <li>Danielsson, M., Nilsen, P., Rutberg, H. and Årestedt, K., 2019. <a href="https://journals.lww.com/journalpatientsafety/fulltext/2019/12000/A_National_Study_of_Patient_Safety_Culture_in.18.aspx">A national study of patient safety culture in hospitals in Sweden.</a> <i>Journal of patient safety</i>, <i>15</i>(4), pp.328-333.</li> <li>Cheikh, A.B., Bouafia, N., Mahjoub, M., Ezzi, O., Nouira, A. and Njah, M., 2016. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5267781/">Patient’s safety culture among Tunisian healthcare workers: results of a cross sectional study in university hospital.</a> <i>The Pan African Medical Journal</i>, <i>24</i>.</li> <li>Al-Mandhari, A., Al-Zakwani, I., Al-Kindi, M., Tawilah, J., Dorvlo, A.S. and Al-Adawi, S., 2014. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4137582/">Patient safety culture assessment in Oman. </a><i>Oman medical journal</i>, <i>29</i>(4), p.264.</li> <li>Ghobashi, M.M., El-Ragehy, H.A.G., Mosleh, H. and Al-Doseri, F.A., 2014. <a href="https://riviste.unimi.it/index.php/ebph/article/view/18028">Assessment of patient safety culture in primary health care settings in Kuwait.</a> <i>Epidemiology, Biostatistics, and Public Health</i>, <i>11</i>(3).</li> <li>Mahran, S.M. and Ibrahim, S.A.E.A., 2016. <a href="http://chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://d1wqtxts1xzle7.cloudfront.net/73579877/10.11648.j.ajns.20160502.13-libre.pdf?1635151545=&response-content-disposition=inline%3B+filename%3DPatient_Safety_Culture_and_Application_o.pdf&Expires=1728393912&Signature=Y4U~k7saGG~UmMtI54x~LU8e-w88T5lweBIJpPYamWj4kGRtL0axJkzsGeo2UbeFPI-Jjc90~atgnOD6fe7Bhv5S4TRNeVeiBg9h~VpJ4iZJ5mxYARSmfjwJdVDhGp8wLF82zKpcIfBGKIdtNOxuLwlIvAx2h0BkoIuhXyGPiWtd0S5MIJYqvOD2JanjEz7VgYUpouV5agh5ST-WlWd-fm49UiLj4ogOfxG2k05AV4adkbKsxFZHBSlr-Gty39uHBed67y7CwG9Q7G54OuVZSn8FNtL4qLTq0q5dPd1S3a8rx~rruplkv4yFBE-1fiQSb6JY7tyyfEU8WIIcjCaq6w__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA">Patient safety culture and application of medication safety rules as perceived by nurses.</a> <i>Am J Nurs Sci</i>, <i>5</i>(2), pp.52-58.</li> </ol> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Top Experts on “<b style="color:#000;font-size:22px;">patient safety</b>“</h2> </div> </div><div class="author-main"><div id="results_author"></div><div style="text-align: center;"><a class="register-button" href="https://public-health.blog/expert-search" target="_blank" rel="noopener">Find experts on any field</a></div></div><div class="inside-article" style="background: none;border: none;box-shadow: none;margin-top: -70px;"> <style> .author-block { padding: 15px; 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