Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu

Introduction: Patient safety is a fundamental and critical dimension of quality health care. Globally it is becoming a major challenge in achieving universal health coverage. The challenge is even more serious in Low and Middle-Income Countries like Nepal because safety-related harm is more in thes...

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Main Authors: Sabitra Poudel, Menuka Aryal, Narayani Paudel
Format: Article
Language:English
Published: Karnali Academy of Health Sciences 2019-11-01
Series:Journal of Karnali Academy of Health Sciences
Online Access:http://jkahs.org.np/jkahs/index.php/jkahs/article/view/83
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author Sabitra Poudel
Menuka Aryal
Narayani Paudel
author_facet Sabitra Poudel
Menuka Aryal
Narayani Paudel
author_sort Sabitra Poudel
collection DOAJ
description Introduction: Patient safety is a fundamental and critical dimension of quality health care. Globally it is becoming a major challenge in achieving universal health coverage. The challenge is even more serious in Low and Middle-Income Countries like Nepal because safety-related harm is more in these countries rather than in developed countries. This study aims to assess patient safety culture among nurses. Methods:  A descriptive cross-sectional study was conducted at Kathmandu Medical College Public Limited to assess the Patient Safety Culture within the organization among nurses. The data was collected using the Agency for Health Care Research and Quality (AHRQ) Hospital survey on patient safety culture questionnaire. The mean score was calculated in different dimensions and the Mann-Whitney U test was used to assess the association between safety dimension and demographic variables. Result:  Among 12 areas of patient safety, teamwork within units and organizational learning had the highest mean score whereas the lowest reported score was in staffing followed by the supervisor’s expectation and action promoting patient safety. While rating the extent of patient safety, 84% of respondents reported it as average in the organization. The study showed a significant association of management support, organizational learning, and frequency of event reported with the age of respondents and overall perception of patient safety and hands-off/transition with working area. Conclusion: Since the patient safety culture is average within the organization, attention needs to be paid to make it adequate in all areas of safety.  Keywords: Hospital, Nurses, Patient safety culture, Safety.  DOI: https://doi.org/10.3126/jkahs.v2i3.26656
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spelling doaj.art-11430eb482e44b6991424742e88c59032023-10-31T15:48:11ZengKarnali Academy of Health SciencesJournal of Karnali Academy of Health Sciences2616-00642676-13272019-11-0123Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in KathmanduSabitra Poudel0Menuka AryalNarayani Paudel1Kathmandu Medical CollegeKathmandu Medical College, Kathmandu University Introduction: Patient safety is a fundamental and critical dimension of quality health care. Globally it is becoming a major challenge in achieving universal health coverage. The challenge is even more serious in Low and Middle-Income Countries like Nepal because safety-related harm is more in these countries rather than in developed countries. This study aims to assess patient safety culture among nurses. Methods:  A descriptive cross-sectional study was conducted at Kathmandu Medical College Public Limited to assess the Patient Safety Culture within the organization among nurses. The data was collected using the Agency for Health Care Research and Quality (AHRQ) Hospital survey on patient safety culture questionnaire. The mean score was calculated in different dimensions and the Mann-Whitney U test was used to assess the association between safety dimension and demographic variables. Result:  Among 12 areas of patient safety, teamwork within units and organizational learning had the highest mean score whereas the lowest reported score was in staffing followed by the supervisor’s expectation and action promoting patient safety. While rating the extent of patient safety, 84% of respondents reported it as average in the organization. The study showed a significant association of management support, organizational learning, and frequency of event reported with the age of respondents and overall perception of patient safety and hands-off/transition with working area. Conclusion: Since the patient safety culture is average within the organization, attention needs to be paid to make it adequate in all areas of safety.  Keywords: Hospital, Nurses, Patient safety culture, Safety.  DOI: https://doi.org/10.3126/jkahs.v2i3.26656 http://jkahs.org.np/jkahs/index.php/jkahs/article/view/83
spellingShingle Sabitra Poudel
Menuka Aryal
Narayani Paudel
Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu
Journal of Karnali Academy of Health Sciences
title Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu
title_full Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu
title_fullStr Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu
title_full_unstemmed Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu
title_short Assessment of Patient Safety Culture among Nurses at a Tertiary Level Hospital in Kathmandu
title_sort assessment of patient safety culture among nurses at a tertiary level hospital in kathmandu
url http://jkahs.org.np/jkahs/index.php/jkahs/article/view/83
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AT narayanipaudel assessmentofpatientsafetycultureamongnursesatatertiarylevelhospitalinkathmandu