Predictors and outcomes of patient safety culture in hospitals

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dc.contributor.author Dimassi, Hani
dc.contributor.author El-Jardali, Fadi
dc.contributor.author Jamal, Diana
dc.contributor.author Jaafar, Maha
dc.contributor.author Hemadeh, Nour
dc.date.accessioned 2015-09-30T07:40:00Z
dc.date.available 2015-09-30T07:40:00Z
dc.date.copyright 2011
dc.date.issued 2015-09-30
dc.identifier.issn 1472-6963 en_US
dc.identifier.uri http://hdl.handle.net/10725/2208
dc.description.abstract Background Developing a patient safety culture was one of the recommendations made by the Institute of Medicine to assist hospitals in improving patient safety. In recent years, a multitude of evidence, mostly originating from developed countries, has been published on patient safety culture. One of the first efforts to assess the culture of safety in the Eastern Mediterranean Region was by El-Jardali et al. (2010) in Lebanon. The study entitled "The Current State of Patient Safety Culture: a study at baseline" assessed the culture of safety in Lebanese hospitals. Based on study findings, the objective of this paper is to explore the association between patient safety culture predictors and outcomes, taking into consideration respondent and hospital characteristics. In addition, it will examine the correlation between patient safety culture composites. Methods Sixty-eight hospitals and 6,807 respondents participated in the study. The study which adopted a cross sectional research design utilized an Arabic-translated version of the Hospital Survey on Patient Safety Culture (HSOPSC). The HSOPSC measures 12 patient safety composites. Two of the composites, in addition to a patient safety grade and the number of events reported, represented the four outcome variables. Bivariate and mixed model regression analyses were used to examine the association between the patient safety culture predictors and outcomes. Results Significant correlations were observed among all patient safety culture composites but with differences in the strength of the correlation. Generalized Estimating Equations for the patient safety composite scores and respondent and hospital characteristics against the patient safety grade and the number of events reported revealed significant correlations. Significant correlations were also observed by linear mixed models of the same variables against the frequency of events reported and the overall perception of safety. Conclusion Event reporting, communication, patient safety leadership and management, staffing, and accreditation were identified as major patient safety culture predictors. Investing in practices that tackle these issues and prioritizing patient safety is essential in Lebanese hospitals in order to improve patient safety. In addition, further research is needed to understand the association between patient safety culture and clinical outcomes. en_US
dc.language.iso en en_US
dc.title Predictors and outcomes of patient safety culture in hospitals en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200603781
dc.author.woa N/A en_US
dc.author.department Pharmacy en_US
dc.description.embargo N/A en_US
dc.relation.journal BMC health services research en_US
dc.journal.volume 11 en_US
dc.journal.issue 1 en_US
dc.article.pages 45 en_US
dc.identifier.doi http://dx.doi.org/10.1186/1472-6963-11-45 en_US
dc.identifier.ctation El-Jardali, F., Dimassi, H., Jamal, D., Jaafar, M., & Hemadeh, N. (2011). Predictors and outcomes of patient safety culture in hospitals. BMC health services research, 11(1), 45. en_US
dc.author.email hani.dimassi@lau.edu.lb
dc.identifier.url http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-11-45

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