Relationship Between Patient Safety Policies and Staff’s Perceptions of Safety Culture During COVID-19 Epidemic in One University Hospital

Main Article Content

Pornticha Nantanukul
Charuwan Tadadej
Pratana Satitvipawee
Pongsakorn Atiksawedparit

Abstract

Background: Patient safety is an important issue in healthcare systems. Safety culture ensures the quality of hospitals and sets the standard for healthcare systems.


Objectives: To study the level of perception of patient safety culture, and factors related to the overall perception of safety in one university hospital during COVID-19epidemic.


Methods: This cross-sectional survey included 284 participants who worked at the university hospital. Data were collected using questionnaires from April 21, 2022, to May 31, 2022, and analyses were performed.


Results: Participants had a high perception of safety culture on 9 out of 12 dimensions (median [range], 4.00 [1.00 - 5.00]). The association between the variables found that the working experience in this hospital (Adjusted OR, 2.85; 95% CI, 1.26 - 6.42), and hospital policies on patient safety (Adjusted OR, 9.5; 95% CI, 1.23 - 73.37) were a statistically significant correlation with the overall perception of patient safety (P < .05).


Conclusions: Personnel in this hospital with working experience had a high level of the overall perception of patient safety. Personnel who were aware of the safety policy and complied with it were likely to have had a high level of the overall perception of patient safety.


 

Article Details

How to Cite
1.
Nantanukul P, Tadadej C, Satitvipawee P, Atiksawedparit P. Relationship Between Patient Safety Policies and Staff’s Perceptions of Safety Culture During COVID-19 Epidemic in One University Hospital. Rama Med J [Internet]. 2023 Dec. 22 [cited 2024 May 14];46(4):19-31. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/264849
Section
Original Articles

References

Øyri SF, Braut GS, Macrae C, Wiig S. Hospital managers’ perspectives with implementing quality improvement measures and a new regulatory framework: a qualitative case study. BMJ Open. 2020;10(12):e042847. doi:10.1136/bmjopen-2020-042847

Huang C, Wang Y, Wu H, Yii-Ching L. Assessment of patient safety culture during COVID-19: a cross-sectional study in a tertiary a-level hospital in China. TQM J. 2021;34(5):1189-1201. doi:10.1108/tqm-01-2021-0024

Satyavanija B. Patient Safety Culture as Perceived by Professional Nurses at a University Hospital in Eastern Region. Master’s thesis. Burapha University; 2017. Accessed August 23, 2023. https://buuir.buu.ac.th/bitstream/1234567890/6522/1/Fulltext.pdf

Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. National Academy Press; 1999.

Feng X. Factors Associated with Nurses’ Perceptions of Patient Safety Culture in One University Hospital in China. Dissertation. Marquette University; 2009.

Kakemam E, Gharaee H, Rajabi MR, et al. Nurses’ perception of patient safety culture and its relationship with adverse events: a national questionnaire survey in Iran. BMC Nurs. 2021;20(1):60. doi:10.1186/s12912-021-00571-w

Suliman MM. Nurses’ Perceptions of Patient Safety Culture in Public Hospitals in Jordan. Dissertation. Case Western Reserve University; 2015. Accessed August 23, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=case1415739033

World Health Organization. Q&As on COVID-19 and related health topics: Coronavirus disease (COVID-19). Published March 28, 2021. Updated March 28, 2023. Accessed August 23, 2023. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19

Sorra J, Gray L, Streagle S, et al. AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. Agency for Healthcare Research and Quality; 2018. Accessed August 23, 2023. https://www.ahrq.gov/sops/quality-patient-safety/patient-safetyculture/hospital/index.html

Karademirler Y, Manav G. Perceptions and factors affecting patient safety culture of employees in pediatric services. J Pediatr Res. 2020;7(4):301-308. doi:10.4274/jpr.galenos.2019.77699

Sukhnim N, Hongsranagon P, Thungthon J. Measuring safety culture attitude of health professionals at King Narai Hospital, Lop Buri Province, Thailand. Journal of Health Research. 2017;27(2):105-109.

Uakarn C, Chaokromthing K, Sintao N. Sample size estimation using Yamane and Cochran and Krejcie and Morgan and Green Formulas and Cohen statistical power analysis by G*Power and comparisons. APHEIT International Journal. 2021;10(2):76-88.

Supachutikul A. Hospital survey on patient safety culture. Published September 11, 2008. Updated September 06, 2013. Accessed October 31, 2023. https://www.gotoknow.org/posts/207975

Khianpo R, Daengthern L. Factors influencing on patient safety culture as perceived by registered nurses in Phrae Hospital. BCNUT J Nurs. 2021;13(1):147-159.

Al Sweleh FS, Al Saedan AM, Al Dayel OA. Patient safety culture perceptions in the college of dentistry. Medicine (Baltimore). 2018;97(2):e9570. doi:10.1097/MD.0000000000009570

Potaya S. Nurses' perception on patient safety culture in a tertiary hospital in Bangkok. Royal Thai Air Force Medical Gazette. 2018;64(3):25-35.

Thawon A, Boonme P, Ketchu K. Registered nurses’ perception on patient safety culture and the development of patient safety in Phayao Hospital. J Health Sci Res. 2014;8(2):6-16.

Wu X, Zheng S, Huang J, Zheng Z, Xu M, Zhou Y. Contingency nursing management in designated hospitals during COVID-19 outbreak. Ann Glob Health. 2020;86(1):70. doi:10.5334/aogh.2918

Chuaytawee J, Songthai N. Factors influencing nurses’ perceptions on patient safety culture in the community hospitals, Phitsanulok province. Journal of Nursing and Health Science. 2017;11(3):42-51.

Extension and Training Office, Kasetsart University. Measures to prevent the Coronavirus 2019. March 03, 2020. Accessed October 31, 2023. https://eto.ku.ac.th/pdf/c19etoku2020.pdf