The relationship between patient safety culture and patient safety competency with adverse events: a multicenter cross-sectional study
Open Access
- 1 November 2022
- journal article
- research article
- Published by Springer Nature in BMC Nursing
- Vol. 21 (1) , 1-8
Abstract
Background: Patient safety culture and patient safety competency could be associated with adverse events (AEs). This study aimed to investigate the associations between nurses’ perceptions of patient safety culture, patient safety competency, and AEs. Methods: A cross-sectional study was carried out among 338 nurses employed in three university hospitals in Qom, Iran between 17 August 2021 and 12 November 2021. Data were collected using three questionnaires: patient safety culture, patient safety competency, and AEs. Data were analyzed using SPSS-21 software. A multiple logistic regression model was used to analyze the data. Results: The results of this study showed that medication errors were significantly associated with “frequency of events reported” (OR = 0.706, P = 0.012), “supervisor/manager expectations and actions promoting patient safety” (OR = 0.733, P = 0.048), and “management support for patient safety” (OR = 0.755, P = 0.012). Pressure ulcers were significantly associated with “supervisor/manager expectations and actions promoting patient safety” (OR = 0.729, P = 0.039), “handoffs and transition” (OR = 0.707, P = 0.034), and “comfort speaking up about patient safety” (OR = 0.614, P = 0.016). Falls were significantly associated with “teamwork within units” (OR = 0.735, P = 0.031), “feedback and communication about error” (OR = 0.756, P = 0.046), and “handoffs and transition” (OR = 0.660, P = 0.012). The use of restraints for ≥8 hr. was significantly associated with “management support for patient safety” (OR = 0.701, P = 0.021). Conclusions: According to the results of this study, AEs are associated with some dimensions of patient safety culture and patient safety competency. Further research is needed to confirm these findings and identify interventions to reduce the occurrence of AEs.Keywords
This publication has 44 references indexed in Scilit:
- Assessment of Patient Safety Culture in Iranian Academic Hospitals: Strengths and WeaknessesJournal of Patient Safety, 2018
- The Relationships Among Perceived Patients' Safety Culture, Intention to Report Errors, and Leader Coaching Behavior of Nurses in Korea: A Pilot StudyJournal of Patient Safety, 2017
- The Relationship Between Patient Safety Culture and Patient OutcomesJournal of Patient Safety, 2015
- Changes in Medical Errors after Implementation of a Handoff ProgramNew England Journal of Medicine, 2014
- Nurse-perceived Patient Adverse Events and Nursing Practice EnvironmentJournal of Preventive Medicine and Public Health, 2014
- The relationship between patient safety culture and adverse events: A questionnaire surveyInternational Journal of Nursing Studies, 2014
- Speaking up for patient safety by hospital-based health care professionals: a literature reviewBMC Health Services Research, 2014
- Hospital survey on patient safety culture in ChinaBMC Health Services Research, 2013
- Factors effective on medication errors: A nursing viewJournal of Research in Pharmacy Practice, 2013
- The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practiceBMJ Quality & Safety, 2012