A 2013-2019 Comparative Study of Patient Safety Culture at 16 Hospitals in Shimane, Japan
Author(s)
Endo S1, Hirose M2
1Shimane University Hospital, Izumo, 32, Japan, 2Kobe University Graduate School of Medicine, Izumo, 32, Japan
Presentation Documents
OBJECTIVES: This study aims to examine the difference of patient safety culture between 2013 and 2019 at 16 hospitals in a rural prefecture of Japan.
METHODS: Questionnaire surveys were conducted at 16 hospitals (average number of beds:238 [50 to 600]; average number of staff:377 [49 to 1,700]) in 2013 and 2019 with using a Hospital Survey on Patient Safety Culture (HSOPSC) sheet developed by the United States Agency for Healthcare Research and Quality (AHRQ). It consists of 12 factors (42 items) based on four categories (communication, organizational activity and understanding, education/learning and number of reports).
RESULTS: The numbers of valid respondents were 2977 (doctors: 215, nurses: 1638, clinical staff: 493, office workers: 364) in 2013 and 3451 (doctors: 235, nurses: 1797, clinical staff: 618, office workers: 492) in 2019, respectively. The average positive response rates (PRRs) of 12 dimensions in 2019 was 53.1 and increased by 0.3%, compared with that in 2013. Out of 12 dimensions, PRRs of 8 dimensions increased and three of them including D 1: Communication openness, D 8: comprehensive understanding of safety, and D 10: Supervisor/manager expectations and actions promoting safety extremely changed. On the contrary, D 3: Frequency of events reported, D 4: Hands-off and transitions, and D 12: Teamwork within units declined. The 12-dimension average PRR by occupation increased by 4.3% and PRRs for physicians and clinical staff increased by 2.4%, respectively. The PRRs for Nurses and clerical staff were unchanged.
CONCLUSIONS: Compared PRRs between 2013 and 2019, the average PRRs of dimensions related to 'organization' increased, meanwhile the PRRs of dimensions related to 'communication' decreased. Improving the working environment is therefore likely to create a patient safety culture.
Conference/Value in Health Info
Value in Health, Volume 26, Issue 11, S2 (December 2023)
Code
HSD27
Disease
No Additional Disease & Conditions/Specialized Treatment Areas