Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi

Background: A healthy safety culture is integral to positive health care. A sound safety climate is required in Obstetrics and Gynecology to prevent adverse outcomes. Objective: The objective of this study was to assess and compare patient safety culture in two departments of Obstetrics and Gynecolo...

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Main Authors: Bindiya Gupta, Kiran Guleria, Renu Arora
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2016;volume=41;issue=3;spage=235;epage=240;aulast=Gupta
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author Bindiya Gupta
Kiran Guleria
Renu Arora
author_facet Bindiya Gupta
Kiran Guleria
Renu Arora
author_sort Bindiya Gupta
collection DOAJ
description Background: A healthy safety culture is integral to positive health care. A sound safety climate is required in Obstetrics and Gynecology to prevent adverse outcomes. Objective: The objective of this study was to assess and compare patient safety culture in two departments of Obstetrics and Gynecology. Materials and Methods: Using a closed-ended standard version of Hospital Survey on Patient Safety Culture (HSOPS), respondents were asked to answer 42 survey items, grouped into 10 dimensions and two outcome variables in two tertiary care teaching hospitals in Delhi. Qualitative data were compared using Fisher's exact test and chi-square test wherever applicable. Mean values were calculated and compared using unpaired t-test. Results: The overall survey response rate was 55%. A positive response rate of 57% was seen in the overall perception of patient safety that ranged from very good to acceptable. Sixty-four percent showed positive teamwork across hospital departments and units, while 36% gave an affirmative opinion with respect to interdepartmental handoffs. However, few adverse events (0-10) were reported in the last 12 months and only 38% of mistakes by doctors were reported. Half of the respondents agreed that their mistakes were held against them. There was no statistical difference in the safety culture between the two hospitals. Conclusions: Although the perception of patient safety and standards of patient safety were high in both the hospitals' departments, there is plenty of scope for improvement with respect to event reporting, positive feedback, and nonpunitive error.
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spelling doaj.art-7cd9e02b6c804b2f8eee6ddecfff1d212022-12-22T03:56:50ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812016-01-0141323524010.4103/0970-0218.183592Patient safety in obstetrics and gynecology departments of two teaching hospitals in DelhiBindiya GuptaKiran GuleriaRenu AroraBackground: A healthy safety culture is integral to positive health care. A sound safety climate is required in Obstetrics and Gynecology to prevent adverse outcomes. Objective: The objective of this study was to assess and compare patient safety culture in two departments of Obstetrics and Gynecology. Materials and Methods: Using a closed-ended standard version of Hospital Survey on Patient Safety Culture (HSOPS), respondents were asked to answer 42 survey items, grouped into 10 dimensions and two outcome variables in two tertiary care teaching hospitals in Delhi. Qualitative data were compared using Fisher's exact test and chi-square test wherever applicable. Mean values were calculated and compared using unpaired t-test. Results: The overall survey response rate was 55%. A positive response rate of 57% was seen in the overall perception of patient safety that ranged from very good to acceptable. Sixty-four percent showed positive teamwork across hospital departments and units, while 36% gave an affirmative opinion with respect to interdepartmental handoffs. However, few adverse events (0-10) were reported in the last 12 months and only 38% of mistakes by doctors were reported. Half of the respondents agreed that their mistakes were held against them. There was no statistical difference in the safety culture between the two hospitals. Conclusions: Although the perception of patient safety and standards of patient safety were high in both the hospitals' departments, there is plenty of scope for improvement with respect to event reporting, positive feedback, and nonpunitive error.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2016;volume=41;issue=3;spage=235;epage=240;aulast=GuptaCommunicationobstetricspatient safetysafety cultureteamwork
spellingShingle Bindiya Gupta
Kiran Guleria
Renu Arora
Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi
Indian Journal of Community Medicine
Communication
obstetrics
patient safety
safety culture
teamwork
title Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi
title_full Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi
title_fullStr Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi
title_full_unstemmed Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi
title_short Patient safety in obstetrics and gynecology departments of two teaching hospitals in Delhi
title_sort patient safety in obstetrics and gynecology departments of two teaching hospitals in delhi
topic Communication
obstetrics
patient safety
safety culture
teamwork
url http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2016;volume=41;issue=3;spage=235;epage=240;aulast=Gupta
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AT kiranguleria patientsafetyinobstetricsandgynecologydepartmentsoftwoteachinghospitalsindelhi
AT renuarora patientsafetyinobstetricsandgynecologydepartmentsoftwoteachinghospitalsindelhi