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Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one-sample correlational survey.

AIMS AND OBJECTIVES
This study aimed to assess the perceptions of clinical practitioners (CPs) regarding the different dimensions of patient safety (PS) culture in their respective hospitals and examine the work-related predictors of PS culture perceptions.


BACKGROUND
PS is seen as a progressively critical focus in healthcare areas worldwide. Saudi Arabia aims to improve healthcare quality by providing access to healthcare for its increasing population. Hence, constantly assessing the PS culture of healthcare facilities in the country is imperative.


DESIGN
One-sample correlational survey design.


METHODS
The Hospital Survey of Patients' Safety Culture was used to survey the total population sample of 181 healthcare practitioners in a Saudi hospital from December 2018 to January 2019. Strengths and weaknesses on PS culture were identified as perceived by the CPs. Regression analysis was performed to identify the work-related predictors of PS culture perceptions. The study followed the STROBE guideline (see Supplementary File 1).


RESULTS
Nine of the 12 dimensions measured were identified as PS culture weaknesses, including "management support for patient safety" (49.2%), "teamwork across unit" (44.2%), "frequency of events reporting" (43.1%), "communication openness" (41.3%), "overall perception of patient safety" (38.7%), "supervisor/manager expectations and actions promoting patient safety" (32.9%), "staffing" (23.7%), "hospital handoffs and transitions" (19.6%) and "non-punitive response to errors" (15.8%). None of the dimensions were identified as strengths by the respondents. Working hours per week and staff position were identified as significant predictors.


CONCLUSIONS
The study underscores the urgent need to improve the PS culture of the hospital.


RELEVANCE TO CLINICAL PRACTICE
Hospital administrators should highlight initiatives on positive PS impact plan for CPs and patients, such as monitoring, reporting, and strictly adhering to hospital activities that reduce the risks associated with exposure to medical care. This article is protected by copyright. All rights reserved.