1.Hospital survey on patient safety culture in Sarawak General Hospital: A cross sectional study
Alex Kim Ren Jye ; Chin Zin Hing ; Sharlyn Peter ; Priscilla Bartholomew ; Josephine Senok
The Medical Journal of Malaysia 2019;74(5):385-388
Introduction: Patient safety is defined as ‘the prevention of
harm caused by errors of commission and omission’.
Patient safety culture is one of the important determining
factor in safety and quality in healthcare. The purpose of this
study is to assess the views and perceptions of health care
professionals about patient safety culture in Sarawak
General Hospital (SGH).
General Hospital (SGH).
Methods: A cross-sectional study, using the ‘Hospital
Survey on Patient Safety Culture (HSOPSC)’ questionnaire
was carried out in 2018 in SGH. Random sampling was used
to select a wide range of staff in SGH. A self-administered
questionnaire was distributed to 500 hospital staff
consisting of doctors, nurses, pharmacist and other clinical
and non-clinical staff, conducted from March to April 2018. A
total of 407 respondents successfully completed the
questionnaire. Therefore, the final response rate for the
survey was 81.4%. This study used SPSS 22.0 for Windows
and Hospital Data Entry and Analysis Tool that works with
Microsoft Excel developed by United States Agency for
Healthcare Research and Quality (AHRQ) to perform
statistical analysis on the survey data.
Results: Majority of the respondents graded the overall
patient safety as acceptable (63.1%) while only 3.4% graded
as excellent. The overall patient safety score was 50.1% and
most of the scores related to dimensions were lower than
the benchmark scores (64.8%). Generally, the mean positive
response rate for all the dimensions were lower than
composite data of AHRQ, except for “Organizational
Learning – Continuous Improvement”, which is also the
highest positive response rate (80%), higher than AHRQ data
(73%). The result showed that SGH has a good opportunity
to improve over time as it gains experience and accumulates
knowledge. On the other hand, the lowest percentage of
positive responses was “Non-punitive response to error”
(18%), meaning that most of the staff perceived that they will
be punished for medical error.