| Title of the article, author, year and country |
Rigobello MCG, Carvalho REFL, Guerreiro JM, Motta APG, Atila E, Gimenes FRE (2017). The perception of the patient safety climate by professionals of the emergency department25 |
| Study type |
Quantitative, descriptive, cross-sectional study. |
| Study objective |
To assess the patient safety climate from the perspective of health professionals working in the emergency department of a hospital in Brazil. |
| Population and sample |
The study sample consisted of 125 health professionals. |
| Instruments used |
The Safety Attitudes Questionnaire (SAQ) - Short Form 2006, validated and adapted to Portuguese. |
| Results |
Most participants were female (57.6%) and had worked at the emergency department for over ten years (56.8%); 49.6% were nurses. The participants demonstrated satisfaction with their work and dissatisfaction with the management of issues related to patient safety. The final mean score on the SAQ was < 75 (59.71 ± 14.82), indicating that the participants' perceptions of the safety climate were negative. The participants' perceptions were negative for all analyzed variables, regardless of gender, professional experience in the emergency department and position held, suggesting the need for improvements in terms of patient safety in the emergency department. None of the analyzed variables showed statistical significance. Regarding the SAQ domains, the results of five of the six domains indicated the need for improvement: in teamwork, safety culture, the recognition of stress, the management of the emergency room and the hospital, and the working conditions. |
| Title of the article, author, year and country |
Burström L, Letterstål A, Engström M-L, Berglund A, Enlund M (2014). The patient safety culture as perceived by staff at two different emergency departments before and after introducing a flow-oriented working model with team triage and lean principles: a repeated cross-sectional study26 |
| Study type |
Cross-sectional study |
| Study objective |
To study the patient safety culture in the emergency department at two different hospitals before and after a quality improvement (QI) project aimed at increasing patient safety. |
| Population and sample |
Several professional groups participated, most of them nurses, with a prevalence in the age group from 25 to 44 years. In all groups, most health professionals had 1 to 5 years of professional experience, except the nurses from the municipal hospital, who mostly had more than 21 years of professional experience. The predominant duration of years of professional experience at the emergency department was 1 to 5 years |
| Instruments used |
The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was used before and after a quality improvement project aimed at improving patient safety in the emergency department of two hospitals, a municipal hospital and a university hospital, in two different cities in central Sweden |
| Results |
At the municipal hospital, a difference was observed in two dimensions, teamwork and open communication, with a higher score in patient follow-up. At the university hospital, a higher patient follow-up score was obtained. The most valued factor to ensure a culture of patient safety in both hospitals was teamwork |
| Title of the article, author, year and country |
Alzahrani, N, Jones R, Abdel-Latif ME (2018). Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals27 |
| Study type |
Cross-sectional study |
| Study objective |
To investigate the attitudes of doctors and nurses towards the patient safety culture in emergency services in two Saudi hospitals |
| Population and sample |
Sample consisting of 503 doctors and nurses working in the emergency department |
| Instruments used |
The Safety Attitudes Questionnaire (SAQ) was used for data collection |
| Results |
The mean score for each SAQ dimension was <75%, indicating that nurses and physicians generally had less positive attitudes towards patient safety, particularly in the stress recognition dimensions (58.1%) and perceptions at the hospital management level (56.9%). Nurses showed lower scores in the perception of teamwork (p < 0.01), while physicians showed lower scores in working conditions than nurses (p < 0.01). There was a significant correlation between the number of reported errors and teamwork climate, job satisfaction and working conditions |
| Title of the article, author, year and country |
Van Noord IV, Wagner C, Van Dyck C, Twisk JWR, De Bruijne MC (2014). Is culture associated with patient safety in the emergency department? A study of staff perspectives2828 Van Noord IV, Wagner C, Van Dyck C, Twisk JWR, De Bruijne MC. Is culture associated with patient safety in the emergency department? A study of staff perspectives. Int J Qual Health Care 2014; 26(1):64-70. |
| Study type |
Cross-sectional study |
| Study objective |
To investigate the associations between dimensions of patient safety culture and levels of patient safety, as reported by an emergency department team, and compare these associations between nurses and physicians |
| Population and sample |
Sample consisting of 480 nurses, 159 physicians and 91 other emergency department professionals from 33 Dutch central hospitals |
| Instruments used |
The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was used for data collection |
| Results |
Most participants had worked in the emergency department for less than ten years. In the non-adjusted analyses, all dimensions of patient safety culture were positively associated with the reported level of patient safety and six of these associations with patient safety were statistically significant after adjustment (teamwork, frequency of adverse event reporting, open communication, feedback on and learning from errors, hospital management support for patient safety). Differences were found between the perceptions of nurses and physicians in two dimensions (frequency of notification of adverse events and hospital management support regarding patient safety). The perception of physicians in relation to the culture of patient safety in the emergency department was more positive than that of nurses, who consider the lack of cooperation between team members as the most negative aspect, interfering with patient safety |
| Title of the article, author, year and country |
Tourani S, Hassani M, Ayoubian A, Habibi M, Zaboli R (2015). Analyzing and prioritizing the dimensions of patient safety culture in emergency wards using the TOPSIS technique2929 Tourani S, Hassani M, Ayoubian A, Habibi M, Zaboli R. Analyzing and prioritizing the dimensions of patient safety culture in emergency wards using the TOPSIS technique. Global J Health Sci 2015; 7(4):143-150. |
| Study type |
Analytical-descriptive and cross-sectional study |
| Study objective |
To analyze aspects of patient safety culture in the emergency department of hospitals affiliated with Tehran University of Medical Science |
| Population and sample |
Sample consisting of 270 doctors and nurses |
| Instruments used |
For data collection, the standard Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire was used |
| Results |
There was a significant relationship between the dimensions performance, teamwork, feedback, knowing how to deal with errors and support from managers (p ≤ 0.05). The total score of the patient safety culture in most hospitals was at an average level of three. The maximum score was five. The results of the multivariate analysis of decision-making indicated that human, managerial, organizational and environmental factors were at the top of the priorities in descending order. The nurses, for the most part, indicated that human factors are the most effective and important in improving patient safety culture in the emergency department. The results showed that the expectations and performance of the hierarchical superior and the hospital management support were at a medium level; 30% of the participants reported that their superior did not pay attention to their recommendations to improve patient safety and 52% of the nurses stated that their superior supported them when they performed a task based on the principles of the patient safety culture; 17% reported improving patient safety is assumed to be a critical factor that has to do with all levels of management of the emergency department. In other words, each hierarchical superior must create a support environment in their section, such as the implementation of safety programs and training courses |
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Source: Authors.