Investigating the status of patient safety culture from the perspective of nurses working at Ayatollah Kashani Educational and Medical Center in Isfahan, a case study in 2024

Document Type : Original Article

Authors
reza Karimihoseinabadi 1
Ali Rashidpoor 2
mehrdad sadeghi 3
1 PhD Student, Department of Cultural Management, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran
2 Associate Professor, Department of Cultural Management, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran
3 Assistant Professor, Cultural Management Department, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran.
10.48305/him.2025.43222.1237
Abstract
Introduction: Patient safety is a serious global challenge and a very important aspect of healthcare quality. Unsafe care and services, in addition to imposing hardship on humans, also incur heavy economic costs. The purpose of this study was to investigate patient safety culture among nurses working at Ayaullah Kashani Educational and Medical Center in Isfahan in 1403.

Methods: In this cross-sectional study conducted in 1403, 170 nurses from Ayaullah Kashani Hospital in Isfahan were selected using stratified sampling. Participants completed the demographic questionnaire and the patient safety culture assessment questionnaire. 129 people answered the questionnaires completely. Data analysis was performed using SPSS version 26 software. Findings were presented with an error rate of less than 0.05 as statistically significant.

Results: Among the 12 dimensions of patient safety culture, expectations and management actions towards patient safety and information exchange and transfer have the highest score, and communication and providing feedback on errors have the lowest score among the dimensions of patient safety culture. There is a significant relationship between the current and desired status of patient safety culture in Ayaullah Kashani Hospital, Isfahan. Patient safety culture was significantly related to working hours of more than 40 hours per week and to educational qualifications.

Conclusion: In line with the main mission of hospitals, which is to provide effective and safe services, attention to the culture of patient safety should be a priority in management programs, and in order to increase this culture, the groundwork for improving patient safety should be provided. Special attention should also be paid to the dimensions with low averages in this study in order to improve and strengthen these dimensions.

Keywords: Patient safety culture, nurse, patient safety, educational medical center

Keywords

Subjects

1 . Price WN, Cohen IG. Privacy in the age of medical big data. Nature medicine. 2019;25(1):37-43 .
2 . Yadav MK, Kumari I, Singh B, Sharma KK, Tiwari SK. Probiotics, prebiotics and synbiotics: Safe options for next-generation therapeutics.Applied microbiology and biotechnology. 2022;106(2):505-21 .
3 . Reis CT, Paiva SG, Sousa P. The patient safety culture: a systematic review by characteristics of hospital survey on patient safety culture dimensions. International Journal for Quality in Health Care. 2018;30(9):660-77 .
4 . Ravaghi H, Sajadi HS. Research Priorities for Patient Safety in Iran. Hakim Health Systems Research Journal. 2014;16(4):358-66 .
5 . David G, Gunnarsson CL, Waters HC, Horblyuk R, Kaplan HS. Economic measurement of medical errors using a hospital claims database. Value in Health. 2013;16(2):305-10 .
6 . Donaldson MS, Corrigan JM, Kohn LT. To err is human: building a safer health system: National Academies Press; 2000 .
7 . Pittet D, Donaldson L. Challenging the world: patient safety and health care-associated infection. International journal for quality in health care.2006;18(1):4-8 .
8. Güneş ÜY, Gürlek Ö, Sönmez M. A survey of the patient safety culture of hospital nurses in Turkey. Collegian. 2016;23(2):225-32 .
9 . Hall LH, Johnson J, Watt I, Tsipa A, O’Connor DB. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. PloS one. 2016;11(7):e0159015 .
10 . Jafarpanah M, Rezaei B. Patient safety culture; the strengths and weaknesses: a case study of imam reza hospital of kermanshah. Health and Development Journal. 2019;8(2):197-209 .
11 . Wu G, Mao J, Zhao L, Li Y, Li S, Wu Q. The Association of Patient Safety Culture with Hospital Safety Performance: A Cross-sectional Survey. Health Science Journal. 2019;13(6):1-6 .
12 . Okuyama JHH, Galvão TF, Crozatti MTL, Silva MT. Health professionals’ perception of patient safety culture in a university hospital in São Paulo: A cross-sectional study applying the Hospital Survey on Patient Safety Culture. Sao Paulo Medical Journal. 2019;137:216-22 .
13 . Javad M, Amin G, Mahbobe M, Forooshani R, Abas A, Mohammad A. Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using confirmatory factor analysis method. Hosp J. 2012;11(2):19-30 .
14 . Pourshareiati F, Amrollahi M. Patient safety culture from Rahnemon hospital nurses’ perspective. Occupational Hygine and Health Promotion Journal. 2017;1(1):52-61 .
15 . Sharifi S IA, Hatamipour KH,Sadeghi N,Safabakhsh L. Patient safety culture from the perspective of nurses working in hospitals in Mazandaran province. Iranian Nursing Journal. 2014;27(88):77-87 .
16 . Rezapoor A TKA, Bayat R, Arabloo J, Rezapoor Z. Study of patients' safety culture in Selected Training hospitals affiliated whith Tehran university of medical sciences. Hospital. 2012;11(2):55-64 .
17 . Almasi A, Kalhori RP, Jouybari TA, Goodarzi A, Ahmadi A. Evaluation of patient safety culture in personnel of hospitals in Kermanshah, 2013.Journal of Clinical Research in Paramedical Sciences. 2015;4 .(1)
18 . Salarvand Sh MA, Bahri N,Dalvand P,Moghimian M,Mahmoudi GH,Ebrahimzadeh F. Patient safety culture from the perspective of healthcare
workers. Quarterly Journal of Management/Nursing. 2015;4(4):54-65 .
19 . Baghaei R, Nourani D, Khalkhali H, Pirnejad H. Evaluating Patient Safety Culture in Personnel of Academic Hospitals in Urmia University of
Medical Sciences in 2011. Journal of Urmia Nursing & Midwifery Faculty (2228-6411). 2012;10 .)2 (
20 . Phaghizadeh S, Asoori M. Assessment of nurses viewpoints on patient safety culture in Amol hospitals in Iran, 2012. Preventive Care in Nursing & Midwifery Journal. 2015;4(2):45-55 .
21 . Chen I-C, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC health services research. 2010;10:1-10 .
22 . Alahmadi H. Assessment of patient safety culture in Saudi Arabian hospitals. Quality and Safety in Health Care. 2010;19(5):e17-e .
23 . Westat R, Sorra J, Famolaro T, Dyer MN, Khanna K, Nelson D. Hospital survey on patient safety culture: 2010 User Comparative Database Report. Agency for Healthcare Research and Quality US Department of Health and Human Services. 2010 .
24 . Baldwin Jr DC, Daugherty SR, Tsai R, Scotti Jr MJ. A national survey of residents’ self-reported work hours: thinking beyond specialty. Academic medicine. 2003;78(11):1154-63 .
25 . Shabani Arani M, Tabatabaei S, Mansouri N. Prediction of safety culture based on of dimensions of just culture in of one of the industrial sections of Tehran. Iranian Journal of Ergonomics. 2019;7(1):63-72