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Open Access Survey and analysis of patient safety culture in a county hospital

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This article is Open Access under the terms of the Creative Commons CC BY-NC licence.

Objective: This study aimed to survey patient safety culture in a county hospital and to provide evidence for strategies to improve patient safety culture.

Methods: Nine hundred and thirty-two medical staff in a county hospital were surveyed with use of the Hospital Survey on Patient Safety Culture. Information was analyzed by one-way ANOVA and multiple linear regression analysis.

Results: Nine hundred and thirty-two questionnaires were distributed, of which 661 of those returned were valid. The subscale-level results showed that the positive response rate for “teamwork across units” was higher than 75.0%, indicating it was an area of strength. Five areas ‐ “nonpunitive response to error,” “staffing,” “communication openness,” “overall perceptions of patient safety,” and “frequency of event reporting” ‐ had potential for improvement, with a positive responsive rate lower than 50%. Twenty-nine percent of respondents gave their work area a patient safety grade of “excellent” or “very good.” Further, 60.1% of respondents had reported no event in the previous 12 months. Multiple linear regression analysis indicated that position and number of years working in this hospital were the factors influencing patient safety culture.

Conclusion: Patient safety culture in the county hospital has potential for improvement, ­especially in the areas of “nonpunitive response to error,” “staffing,” “overall perceptions of patient safety,” “communication openness,” and “frequency of event reporting.”

Statement of Significance: It has been recognized for almost 20 years that safety culture is important in ensuring high-quality and safe care. This article describes the results of a patient safety culture survey undertaken in one Chinese county hospital, which distributed the Hospital Survey on Patient Safety Culture to 932 health care staff. It reaffirms that there is still a long way to go until hospitals have successfully established positive safety cultures. In terms of relevance, we believe the findings will be most useful to the hospital where the study was undertaken. Many of the recommendations in the discussion should be useful for the hospital.
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Keywords: Patient safety; primary health care; safety culture

Document Type: Research Article

Affiliations: 1: The Second Outpatient Depart­ment, Peking University Third Hospital, Beijing 100096, China 2: Peking University Third Hospital Yanqing Hospital, Beijing 102100, China

Publication date: 01 December 2017

This article was made available online on 16 August 2017 as a Fast Track article with title: "Survey and analysis of patient safety culture in a county hospital".

More about this publication?
  • Family Medicine and Community Health (FMCH) is an open-access journal focusing on subjects that are common and relevant to family medicine/general practice and community health. The journal publishes relevant content across disciplines such as epidemiology, public health, social and preventive medicine, research and evidence based medicine, community health service, patient education and health promotion and health ethics. The journal has a specific focus on the management of chronic illness particularly diabetes, ischaemic heart disease, chronic heart failure, hypertension, bronchial asthma, chronic obstructive airways disease and common mental illness. FMCH is published by Compuscript http://www.compuscript.com on behalf of the Chinese General Practice Press http://www.chinagp.net.

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