Conference Paper

A Cross-National Study on Healthcare Safety Climate and Staff Attitudes to Disclosing Adverse Events between China and Japan

DOI: 10.1007/978-3-642-11750-3_4 Conference: Human Error, Safety and Systems Development, 7th IFIP WG 13.5 Working Conference, HESSD 2009, Brussels, Belgium, September 23-25, 2009, Revised Selected Papers
Source: DBLP


The present paper reports comparative results of safety climate in healthcare and staff attitudes to error reporting and interaction
with patients between China and Japan. Using two language versions of questionnaire, we collected response data from hospital
staff in China (in 2008) and Japan (in 2006). Significant differences were observed in most dimensions of safety climate between
these two countries, though not in the same direction in terms of positive or negative nature. In contrast, there was a uniform
national difference in staff attitudes to error reporting. Chinese doctors and nurses being significantly less willing than
their Japanese colleagues to engage in any action or interaction with patients after an adverse event, regardless of the severity
of the event. Finally, we discuss possible sources of these differences in safety climate and staff attitudes between the
two countries, and some implications for improving healthcare safety climate.

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