Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC)

College of Management, Yuan Ze University, TaoYuan, Taiwan.
BMC Health Services Research (Impact Factor: 1.71). 06/2010; 10(1):152. DOI: 10.1186/1472-6963-10-152
Source: PubMed


Patient safety is a critical component to the quality of health care. As health care organizations endeavour to improve their quality of care, there is a growing recognition of the importance of establishing a culture of patient safety. In this research, the authors use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to assess the culture of patient safety in Taiwan and attempt to provide an explanation for some of the phenomena that are unique in Taiwan.
The authors used HSOPSC to measure the 12 dimensions of the patient safety culture from 42 hospitals in Taiwan. The survey received 788 respondents including physicians, nurses, and non-clinical staff. This study used SPSS 15.0 for Windows and Amos 7 software tools to perform the statistical analysis on the survey data, including descriptive statistics and confirmatory factor analysis of the structural equation model.
The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%, slightly higher than the average positive response rate for the AHRQ data (61%). The results showed that hospital staff in Taiwan feel positively toward patient safety culture in their organization. The dimension that received the highest positive response rate was "Teamwork within units", similar to the results reported in the US. The dimension with the lowest percentage of positive responses was "Staffing". Statistical analysis showed discrepancies between Taiwan and the US in three dimensions, including "Feedback and communication about error", "Communication openness", and "Frequency of event reporting".
The HSOPSC measurement provides evidence for assessing patient safety culture in Taiwan. The results show that in general, hospital staffs in Taiwan feel positively toward patient safety culture within their organization. The existence of discrepancies between the US data and the Taiwanese data suggest that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different cultural settings.

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    • "Also, similar to Grant et al. (2006), and Kim et al. (2007), they found " Nonpunitive response to error " as the lowest dimensional positive score among PSC dimensions [48] [45] [46]. In an evaluation of PSC, Chen & Li (2010), in addition of demonstrating that health care staff think positively regarding patient safety, recognized some distinctive features in culture of workers thus, they considered this differences as nature of any different culture ; hence, depend on case adaptive changes on measurement tools would be necessary [50]. Ausserhofer et al. (2011), by highlighting nurses' perception with the aim of describing error reports and prevailing actions executing by nurses in hospital settings concluded that staff's behaviors with regard to adverse events and errors were established in a low level of PSC; further, attaching PSC with routine procedures and practices seems to be necessary [51]. "
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    ABSTRACT: Patient safety culture (PSC) has been considered less than its significance within high risk health care facilities so far. The aim of this study was to firstly compare PSC among psychiatric, general, and critical/intensive care systems then, focus on common weaknesses between Middle East countries. The study design was cross-sectional which was executed by using of a two stage sampling frame. Researchers had 298 questionnaire completed (RR=62%) among three groups comprising nurses, nurse’s aides, and laboratory personnel. The Farsi version of Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was employed in this study. Descriptive statistics, and One Way ANOVA were used aiming to analyze collected data by using of SPSS 20. The highest percent of composite mean scores in Specialized, Psychiatric, and Generals were 61.49%, 56.67%, and 55.69% respectively. Common weakest dimensions of PSC among the three groups of hospitals included: Non-punitive response to error (24.3%), Staffing (32.18%), and Communication openness (42.44%). There were no significant differences among means and variences of the three groups of hospitals. It can be concluded that health care systems may have no differences in PSC correspond to disparities in amount of risk and job pressure. An implication of this study is the possibility that PSC is mostly local, although some weaknesses between our study and Middle East seemed to be symmetrical.
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    • "Ainsi, l'incidence de ces évène­ ments indésirables varie entre 2,9 % à 16 % selon les publications. La majorité d'entre eux serait évitable selon les experts[2,3]. Il ressort aussi, que ces EI constituent une cause fréquente de mortalité comme aux États­Unis où ils représentent la huitième cause de décès, avec 44 000 à 98 000 morts par an[1]. Dans les pays en voie de déve­ loppement, malgré la rareté des données épidémiolo­ giques relatives aux EI survenant dans les établissements de soins, l'ampleur et la gravité de ces EI semblent être importantes[4]. "

    Full-text · Article · Jun 2015
    • "The results of this study are in conformation with the results of the study by Chen and [Table 2]. Li with respect to safety culture in Taiwan in which there was 64% positive answer for safety culture.[9] Moreover, the study by Baghaei et al. showed 23% excellent and very good and 52% acceptable safety culture score.[10] "
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    ABSTRACT: Background: The improvement of patient safety conditions in the framework of clinical service governance is one of the most important concerns worldwide. The importance of this issue and its effects on the health of patients encouraged the researcher to conduct this study to evaluate patient safety management in the framework of clinical governance according to the nurses working in the intensive care units (ICUs) of the hospitals of the east of Tehran, Iran in 2012. Materials and Methods: This descriptive study, which was based on census method, was conducted on 250 nurses sampled from the hospitals located in the east of Tehran. For the collection of data, a researcher-made questionnaire in five categories, including culture, leadership, training, environment, and technology, as well as on safety items was used. To test the validity of the questionnaire, content validity test was conducted, and the reliability of the questionnaire was assessed by retest method, in which the value of alpha was equal to 91%. Results: The results showed that safety culture was at a high level in 55% of cases, safety leadership was at a high level in 40% cases and at a low level in 2.04% cases, safety training was at a high level in 64.8% cases and at a low level in 4% cases, safety of environment and technology was at a high level in 56.8% cases and at a low level in 1.6% cases, and safety items of the patients in their reports were at a high level in approximately 44% cases and at a low level in 6.5% cases. The results of Student's t-test (P < 0.001) showed that the average score of all safety categories of the patients was significantly higher than the average points. Conclusions: Diligence of the management and personnel of the hospital is necessary for the improvement of safety management. For this purpose, the management of hospitals can show interest in safety, develop an events reporting system, enhance teamwork, and implement clinical governance plans.
    No preview · Article · May 2014 · Iranian journal of nursing and midwifery research
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