The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses

Abstract Background Adverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of advers...

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Main Authors: Saeideh Moosavi, Mohammad Amerzadeh, Mohammad Azmal, Rohollah Kalhor
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Patient Safety in Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13037-023-00369-6
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author Saeideh Moosavi
Mohammad Amerzadeh
Mohammad Azmal
Rohollah Kalhor
author_facet Saeideh Moosavi
Mohammad Amerzadeh
Mohammad Azmal
Rohollah Kalhor
author_sort Saeideh Moosavi
collection DOAJ
description Abstract Background Adverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of adverse events, and the relationship between them in Qazvin's hospitals in Iran. Methods The present study is a descriptive-analytical study conducted in six hospitals in Qazvin, Iran, in 2020. The study population was nurses working in Qazvin hospitals. We collected data via a patient safety culture questionnaire and an adverse event checklist. Three hundred sixty nurses completed questionnaires. Multiple logistic regression was used to investigate the relationship between variables. Results The highest mean of patient safety culture was related to the organizational learning dimension (3.5, SD = .074) and feedback and communication about errors (3.4, SD = 0.82). The participants gave the lowest score to dimensions of exchanges and transfer of information (2.45,=0.86) and management support for patient safety (2.62,Sd = 0.65). Management's support for patient safety, general understanding of patient safety culture, teamwork within organizational units, communication and feedback on errors, staff issues, and information exchange and transfer were significant predictors of adverse events. Conclusion This study confirms patient safety culture as a predictor of adverse events. Healthcare managers should provide the basis for improving the patient safety culture and reducing adverse events through methods such as encouraging the reporting of adverse events and also holding training courses for nurses.
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spelling doaj.art-f50a2e4f51e74051a27336322d0edad42023-07-30T11:22:19ZengBMCPatient Safety in Surgery1754-94932023-07-011711710.1186/s13037-023-00369-6The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nursesSaeideh Moosavi0Mohammad Amerzadeh1Mohammad Azmal2Rohollah Kalhor3Student Research Committee, School of Public Health, Qazvin University of Medical SciencesSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesSchool of Medicine, Bushehr University of Medical ServicesSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesAbstract Background Adverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of adverse events, and the relationship between them in Qazvin's hospitals in Iran. Methods The present study is a descriptive-analytical study conducted in six hospitals in Qazvin, Iran, in 2020. The study population was nurses working in Qazvin hospitals. We collected data via a patient safety culture questionnaire and an adverse event checklist. Three hundred sixty nurses completed questionnaires. Multiple logistic regression was used to investigate the relationship between variables. Results The highest mean of patient safety culture was related to the organizational learning dimension (3.5, SD = .074) and feedback and communication about errors (3.4, SD = 0.82). The participants gave the lowest score to dimensions of exchanges and transfer of information (2.45,=0.86) and management support for patient safety (2.62,Sd = 0.65). Management's support for patient safety, general understanding of patient safety culture, teamwork within organizational units, communication and feedback on errors, staff issues, and information exchange and transfer were significant predictors of adverse events. Conclusion This study confirms patient safety culture as a predictor of adverse events. Healthcare managers should provide the basis for improving the patient safety culture and reducing adverse events through methods such as encouraging the reporting of adverse events and also holding training courses for nurses.https://doi.org/10.1186/s13037-023-00369-6Patient safety cultureAdverse eventsHospital
spellingShingle Saeideh Moosavi
Mohammad Amerzadeh
Mohammad Azmal
Rohollah Kalhor
The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
Patient Safety in Surgery
Patient safety culture
Adverse events
Hospital
title The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
title_full The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
title_fullStr The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
title_full_unstemmed The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
title_short The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
title_sort relationship between patient safety culture and adverse events in iranian hospitals a survey among 360 nurses
topic Patient safety culture
Adverse events
Hospital
url https://doi.org/10.1186/s13037-023-00369-6
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