DIFFERENCES IN ATTITUDES ON PATIENT SAFETY CULTURE BETWEEN PHYSICIANS AND NURSES
- VernacularTitle:ЭМЧ БА СУВИЛАГЧИЙН ҮЙЛЧЛҮҮЛЭГЧИЙН АЮУЛГҮЙ БАЙДЛЫН СОЁЛД ХАНДАХ ХАНДЛАГЫГ ХАРЬЦУУЛАН СУДАЛСАН НЬ
- Author:
Enkhtuul B
1
;
Erdenekhuu N
1
Author Information
1. Mongolian National University of Medical Sciences
- Publication Type:Journal Article
- Keywords:
Patient safety, organizational safety culture, staff attitude
- From:Innovation
2017;11(1):24-29
- CountryMongolia
- Language:Mongolian
-
Abstract:
BACKGROUND
Patient safety has become a matter of interest to healthcare professionals, governments and
researchers worldwide. During the last decade, many studies have been conducted to assess
the prevalence, severity and causes of a large variety of different types of adverse events in
hospitals, as well as the effectiveness of various approaches to enhance safety. In Mongolia,
it is also an arguable point, mistakes and errors associated with physicians, hospital staffs and
healthcare organizations has been occurring frequently in recent years. Our main aim is to find
difference between physicians and nurses’ attitude on patient safety culture.
METHODS
The study included 3 tertiary hospitals from Ulaanbaatar city, Mongolia with a total of 122
respondents; all hospital staff. The Hospital Survey on Patient Safety Culture (HSOPSC)
Questionnaire from AHRQ (Agency for Healthcare Research and Quality) was used. AHRQ
methods, Pearson’s Chi-squared test, pairwise proportion test (p≤ 0,05) were used for statistical
analysis.
RESULTS
Patient safety in hospitals was evaluated as positive by 62.3% of healthcare workers. The highest
scores were obtained in specific dimensions as teamwork within unit (77.3%), unit’s team
learning from occurred adverse events (71%). Per our survey, health care workers considered
non-punitive response to error (20.6%) and communication openness (27.7%) as being weak
areas. In surveyed hospitals, physicians and nurses had a significantly different outlook at
communication, adverse events reporting and management support. Physicians reported fewer
errors than nurses.
CONCLUSION
Doctors rated safety culture less positively than nurses in some dimensions of patient safety
culture- feedback and communication about error, transition and handoffs, management
support for patient safety and teamwork across units. This result could indicate a need for more
intensive interventions in certain areas of patient safety culture and is certainly an area for future
research inquiry.