Showing 6 results for Patient Safety
Mahtab Mahboubi, Leili Borimnedjad, Hamid Haghani, Parvin Tatarpour,
Volume 3, Issue 2 (5-2017)
Abstract
Background: Due to their inherent characteristics, neonates hospitalized in the neonatal intensive care units are more often exposed to medication errors and its adverse effects. The aim of this study is to determine the reasons for failure to report Adverse Drug Reaction (ADR) experienced by nurses employed at these units in educational and treatment centers affiliated to the Iran University of Medical Sciences in the city of Tehran in the year 2015.
Methods: This cross-sectional study was conducted by using Gupta and colleagues’ Questionnaire with its validity and reliability verified by the research team in Iran. Data were collected by using the available sampling method in the educational and treatment centers affiliated to Iran University of Medical Sciences, from November 2015 to March 2016. The collected data were analyzed by using SPSS software version 16.
Results: Of 96 nurses taking part in this study, 68 (70.8%) had experienced incidences of adverse drug reactions. However, only 43 of them (44.8%) have reported them. Regarding the reasons for not reporting ADRs, 51 nurses (53.1%) stated difficulty in detecting the incidence of error, 19 (19.8%) stated not having the right to receive remuneration for doing so, 16 (16.7%) stated the shortage of time, and 10 (10.4%) reported lack of effectiveness had they reported it.
Conclusion: Since many complications can be prevented in neonates by timely reporting of these ADRs, it is recommended that removing the impediments in the path of reporting errors should come under consideration as a management and care priority by directors and officials of medical centers.
Ehsan Memarbashi, Omid Zadi Akhuleh, Fatemeh Imani, Ebrahim Nasiri,
Volume 6, Issue 1 (1-2020)
Abstract
Background: Patient safety is one of the principles of health care and evaluation of the patient safety culture motivates to provide safe conditions for patient care. Regarding the invasive procedures and the necessity of special attention to patient safety in the operating room, this study aimed to determine the patient safety culture from the perspective of operating room personnel.
Methods: This research was a descriptive cross-sectional study. The study sample consisted of 206 operating room personnel of Mazandaran educational hospitals who were selected by stratified random sampling. Data collection was performed using the patient safety culture questionnaire and a demographic form. The obtained data were analyzed by descriptive and inferential statistics (Pearson correlation test, one-way ANOVA, independent t-test, and Chi-square test) in SPSS V. 20. The significance level was set at less than 0.05.
Results: Most of the operating room personnel (72.3%) rated the patient safety culture as moderate. Among the dimensions of patient safety culture, “non-punitive response to error” was not favorable (7.4±2) and the dimensions of the “frequency of error reporting” (11.5±2.2), “overall perceptions of patient safety” (15.1±2.4), and “teamwork within units” (15.4±2.9) were rated as favorable. Among the studied variables, there was a significant relationship between occupational groups and safety culture (P=0.04).
Conclusion: Patient safety culture status was moderate from the perspective of most operating room personnel. Considering the greater sensitivity of safety in the operating room, hospital managers should adopt suitable approaches and policies to promote the patient safety culture.
Tahereh Najafi Ghezeljeh, Razieh Karimpour, Soghra Omrani, Shima Haghani, Azita Emami,
Volume 7, Issue 3 (8-2021)
Abstract
Background: Patient Safety (PS) is a priority for all healthcare organizations. Instilling best practices is necessary for PS improvement. This study assessed the effects of Electronic Learning (e-learning) on PS culture among emergency nurses and nursing managers.
Methods: This quasi-experimental study was conducted in March-August 2020 using a two-group pre-test, post-test non-randomized design. The study subjects included 69 nurses who were selected from the emergency rooms and 20 nursing managers of two hospitals in Qazvin City, Iran. They were recruited to the study through census and were non-randomly allocated to either an e-learning or a comparison group. The comparison group received PS-related education through two 1.5-hour lectures on two consecutive days. The experimental group received PS training through a 15-part online course in two months. PS culture was assessed before and 3 months after initiating the intervention. The necessary data were collected through the self-report method using a demographic data questionnaire and the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The obtained data were analyzed by Chi-squared test, Fisher’s Exact test, Independent-Samples t-test, Paired-Samples t-test, and Analysis of Covariance (ANCOVA) in SPSS.
Results: The pre-test mean score of PS culture in the e-learning group was significantly less than that in the comparison group (P=0.002). The mean score of PS culture significantly increased in both research groups after the intervention (P<0.05). Besides, the post-test mean score of PS culture in the e-learning group was significantly greater than that in the comparison group (P<0.001).
Conclusion: E-Learning is more effective than conventional lecturing in improving PS culture among emergency nurses. This method is suggested to be used as an effective approach to PS culture improvement among emergency nurses.
Maryam Ebrahimabadi, Mahmood Karimy, Hossein Poorcheraghi, Vahid Naseri Salahshoor, Andrew Fournier, Ahmadreza Abedi,
Volume 8, Issue 1 (1-2022)
Abstract
Background: Patient safety culture is a critical element in promoting safety and improving the quality of patient care. To enhance this culture, evaluation of the present culture is necessary. This study aims to investigate the dimensions of patient safety culture from the perspective of the staff of Saveh teaching hospitals, Saveh City, Iran.
Methods: This descriptive cross-sectional study was performed in two hospitals affiliated with Saveh University of Medical Sciences in 2019. The research sample consisted of 196 medical staff selected through the proportional stratified sampling method. The study data were collected through the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire and analyzed by the independent t-test and Mann-Whitney test in SPSS software v. 21. The level of significance was set as P<0.05.
Results: Among the 12 dimensions of the questionnaire, intra-organizational teamwork, by taking 76% of the total score (4.12±0.28), was desirable and considered the best dimension. However, teamwork among organizational units, by taking 36.6% of the total score (2.92±0.83), was in the poorest condition. There was a significant relationship between gender and patient safety culture, and women were more responsive to patient safety than men (P<0.05).
Conclusion: According to the study findings, improving patient safety culture and intercommunication between hospital units is necessary. It is recommended to provide a more intimate environment for communication between hospital personnel.
Claire Nierva Herrera, Edinêis de Brito Guirardello,
Volume 10, Issue 3 (8-2024)
Abstract
Background: In global health crises, there is a heightened risk to patient and professional safety. Several studies have evaluated the safety climate, revealing different perceptions among healthcare professionals, often influenced by demographic characteristics. This study aimed to assess the percentage of problematic responses (PPR) for the patient safety climate dimensions and verify whether they differ regarding personal, professional and work unit variables.
Methods: A cross-sectional study was conducted on 325 nursing professionals from a teaching hospital in São Paulo, Brazil, considering a significance level and sampling error of 5%. The subjects were invited through posters with QR codes placed in different units that directed the volunteers to the Google Forms questionnaire. The online format of patient safety climate in healthcare organizations (PSCHO), the Brazilian version and demographic variables were used for data collection from July to October 2021. The data were analyzed using SAS software, version 9.4. A descriptive analysis of the variables and comparison tests such as the Mann-Whitney test, analysis of variance, or the Kruskal-Wallis test were performed, followed by Dunn or Tukey post hoc tests. The data distribution was assessed using the Shapiro-Wilk test at a significance level 0.05.
Results: The nursing professionals reported a high PPR for most dimensions in the overall results, except for the fear of shame, similar to the findings in the adult intensive care unit. The pediatric unit reported lower PPR for fear of shame, overall emphasis on patient safety, psychological safety, collective learning, unit safety norms and senior managers’ engagement. Some dimensions of problematic responses differed according to sex, nursing professional category, work unit, work shift, absence due to health reasons and other employments (P<0.05).
Conclusion: Recognizing and valuing the perception of nursing professionals during the pandemic can offer valuable insights for managers in healthcare organizations. This understanding can assist in enhancing hospital culture and fostering a safer environment for patients and healthcare providers.
Mrs Fatemeh Molaei Tavani, Mrs Parvin Rahmani, Dr Mozhgan Behshid, Dr Zahra Sheikhalipour, Mr Omid Zadi,
Volume 10, Issue 4 (11-2024)
Abstract
Background: Professional autonomy is a crucial component of the nursing profession. It enables nurses to make timely decisions at the patient’s bedside. The competency of human resources, especially nurses, is essential in maintaining patient safety and ensuring high-quality services. This study investigates nurses’ professional autonomy and its association with patient safety competency.
Methods: This descriptive-correlational study was conducted on 200 nurses in educational-therapeutic hospitals affiliated with Tabriz University of Medical Sciences, Tabriz City, Iran, in 2021. They were recruited utilizing stratified random sampling. Data collection tools comprised a demographic questionnaire, professional autonomy questionnaire, and patient safety competency self-evaluation questionnaire. The obtained data were analyzed using descriptive statistics (frequency, percentage, and median), the Mann-Whitney U test, the Kruskal-Wallis test, the Kendall Tau, and Spearman non-parametric correlation coefficients in SPSS software, version 26. P<0.05 was considered significant.
Results: Based on the study of the 200 nurses participating, 120 (60%) experienced a high level of professional autonomy, and 150 (75.0%) reported a moderate level of patient safety competence. There was a strong correlation between the nurses’ professional autonomy and their patient safety competence (P<0.001).
Conclusion: According to the findings, promotion of professional autonomy is directly related to patient safety competence in nurses, which in turn improves the quality of care. It is recommended to adopt appropriate strategies and necessary policies by managers to improve the professional autonomy of nurses.
