Hospital Safety Climate Assessment toward Attitude’s Nurses Based on Sammer’s Model Case study: An academic General and A specialized Hospital in Tehran (Iran)

Katayoun Jahangiri, Parisa Akbaridana, Hasti Borgheipour, Ghazaleh Monazami Tehrani

Abstract


Safety climate has become an important issue in organizational safety management of health systems. The aim of this applied study was assessment safety climate in general and specialized academic hospitals based on Sammer’s model, to introduce a model with the specific framework to assess climate safety in Iranian hospitals, moreover, to reduce medical errors and incidents, also to increase patient safety.
This model consists of seven dimensions: leadership, teamwork, evidence-based practices, communication, learning, justice and patient-centeredness. So a descriptive –comparative study was undertaken through a methodology including 3 phases. Data were collected by a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC) from 217 nurses and an In-depth interview with 52 nurses in both hospitals.
According to the results in the general hospital, leadership, patient-centeredness and learning was recognized as the most effective factors, however, in the specialized hospital, the most important factors were patient-centeredness and justice.
Seven dimensions of Sammer’s model are effective in safety climate assessment, but they are not enough to assess safety climate Iranian hospitals. Adding other factors such as safety and standardized hospital building space, the safety of equipment, physical factors in the workplace, Social and culture factors and terms and conditions governing the hospital settings can help to complete the model and provide an integrated and more consistent one to take an effective step in assessing overall hospital safety climate.

Keywords


Hospital Safety Climate, Patient Safety, Sammer’s Model, Academic Hospital

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References


Fleming M. Patient safety culture measurement and improvement: a" how to" guide. 2005 [cited 8 Sp]; Available from:

http://www.healthcarejobsheet.com/content/17656.

Medline A. Fact Sheet, Medline Retrieved Available at: 50T http://www. nlm. nih. gov/pubs/factsheets/medline. html 50T. Updated in; 2008.

Johnstone M-J, Kanitsaki O. Culture, language, and patient safety: making the link. 2006 [cited 18 5]; 383-8]. Available from:

https://academic.oup.com/intqhc/article/18/5/383/1790524/Culture-language-and-patient-safety-making-the.

Organization WH. Global diffusion of eHealth: making universal health coverage achievable: report of the third global survey on eHealth: World Health Organization; 2017.

AHRQ. reducing error in healthcare: transferring research to practice. 2008; Available from: https://www.ahrq.gov/professionals/quality-patient-safety/index.html.

WHO. 10 facts on patient safety. 2008; Available from: www.who.int/features/factfiles/patient_safety/en/index .html.

Rosser W, Dovey S, Bordman R, White D, Crighton E, Drummond N. Medical errors in primary care: results of an international study of family practice. Canadian Family Physician. 2005;51(3):386-87.

Huang DT, Clermont G, Kong L, Weissfeld LA, Sexton JB, Rowan KM, et al. Intensive care unit safety culture and outcomes: a US multicenter study. International Journal for Quality in Health Care. 2010;22(3):151-61.

Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Quality & Safety. 2003;12(suppl 2):ii17-ii23.

Makary MA, Daniel M. Medical error—the third leading cause of death in the US. Bmj. 2016;353.

Care ACoSaQiH. The State of Patient Safety and Quality in Australian Hospitals 2019. 2019.

Carson-Stevens A, Hibbert P, Williams H, Prosser Evans H, Cooper A, Rees P, et al. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Services and Delivery Research. 2016;4:27

Ebrahimzadeh N, Saravani S, Soltani A, Bazzi M. Hospital survey on patient safety culture in Iran. Journal of Pharmaceutical Sciences and Research. 2017;9(10):1765-67.

Feng X, Bobay K, Weiss M. Patient safety culture in nursing: a dimensional concept analysis. Journal of advanced nursing. 2008;63(3):310-19.

Milligan FJ. Establishing a culture for patient safety–The role of education. Nurse Education Today. 2007;27(2):95-02.

Alzahrani N, Jones R, Abdel-Latif ME. Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals. BMC health services research. 2018;18(1):736.

Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Health Care Management Science. 2007;10(2):139-49.

nMearns KJ, Flin R. Assessing the state of organizational safety—culture or climate? Current Psychology. 1999;18(1):5-17.

Zohar D. Safety climate in industrial organizations: theoretical and applied implications. Journal of applied psychology. 1980;65(1):96.

Kho ME, Perri D, McDonald E, Waugh L, Orlicki C, Monaghan E, et al. The climate of patient safety in a Canadian intensive care unit. Journal of critical care. 2009;24(3):469. e7-. e13.

Guldenmund FW. The nature of safety culture: a review of theory and research. Safety science. 2000;34(1-3):215-57.

Zhang H, Wiegmann DA, Von Thaden TL, Sharma G, Mitchell AA, editors. Safety culture: A concept in chaos? Proceedings of the Human Factors and Ergonomics Society Annual Meeting; 2002: SAGE Publications.

Cox S, Flin R. Safety culture: philosopher's stone or man of straw? Work & stress. 1998;12(3):189-01.

Cooper MD, Phillips RA. Exploratory analysis of the safety climate and safety behavior relationship. Journal of safety research. 2004;35(5):497-12.

Gershon RR, Stone PW, Bakken S, Larson E. Measurement of organizational culture and climate in healthcare. JONA: The Journal of Nursing Administration. 2004;34(1):33-40.

AHRQ. surveys on patient safety culture. agency for healthcare research and quality; 2011; Available from: https://www.ahrq.gov/professionals/quality-patient-safety/index.html.

Nie Y, Mao X, Cui H, He S, Li J, Zhang M. Hospital survey on patient safety culture in China. BMC health services research. 2013;13(1):228.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. What is patient safety culture? A review of the literature. Journal of Nursing Scholarship. 2010;42(2):156-65.

Goodman GR. A fragmented patient safety concept: the structure and culture of safety management in healthcare. Hospital topics. 2003;81(2):22-29.

Marshall DA, Manus DA. A team training program using human factors to enhance patient safety. AORN journal. 2007;86(6):994-11.

Sherwood G, Barnsteiner J. Quality and safety in nursing: A competency approach to improving outcomes: John Wiley & Sons; 2017.

Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54.

Hwang J-I. What are hospital nurses’ strengths and weaknesses in patient safety competence? Findings from three Korean hospitals. International Journal for Quality in Health Care. 2015;27(3):232-38.

Brand SI, Slee KM, Chang Y-H, Cheng M-R, Lipinski CA, Arnold RR, et al. Team strategies and tools to enhance performance and patient safety training: The effect of training on both nursing staff perceptions regarding physician behaviors and patient satisfaction scores in the ED. Journal of Hospital Administration. 2015;4(2):48-53.

Dalton GD, Samaropoulos XF, Dalton AC. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Health policy. 2008;86(2):153-62.

Kaelber DC, Bates DW. Health information exchange and patient safety. Journal of biomedical informatics. 2007;40(6):S40-S5.

Reason J, Hobbs A. Managing maintenance error: a practical guide: CRC Press; 2017.

Ammouri A, Tailakh A, Muliira J, Geethakrishnan R, Al Kindi S. Patient safety culture among nurses. International Nursing Review. 2015;62(1):102-10.

Anbari Z, Jadidi R, Nazari J, Amini S, Khosravi S, Koushki MS, et al. Workforce Perceptions of Hospital Safety Culture: Case of Iran Teaching Hospitals. Journal of Pharmaceutical Research International. 2019:1-10.

Zacher H. Patient Safety-A Psychological Perspective: Walter de Gruyter; 2014.

Hwang J-I, Kim SW, Chin HJ. Patient Participation in Patient Safety and Its Relationships with Nurses' Patient-Centered Care Competency, Teamwork, and Safety Climate. Asian nursing research. 2019;13(2):130-36.

Kutney-Lee A, Stimpfel AW, Sloane DM, Cimiotti JP, Quinn LW, Aiken LH. Changes in patient and nurse outcomes associated with magnet hospital recognition. Medical care. 2015;53(6):550.

Lake ET. The nursing practice environment. Medical Care Research and Review. 2007;64(2_suppl):104S-22S.

Gómez-García T, Ruzafa-Martínez M, Fuentelsaz-Gallego C, Madrid JA, Rol MA, Martínez-Madrid MJ, et al. Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts. BMJ open. 2016;6(8):e012073.




Iranian Journal of Health, Safety and Environment e-ISSN: :2345-5535 Iran university of Medical sciences, Tehran, Iran