Department of Health Systems Management and Health Economics, College of Medicine and Health Science, School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia.
PLoS One. 2024 Nov 7;19(11):e0313321. doi: 10.1371/journal.pone.0313321. eCollection 2024.
Patient safety is an essential component of healthcare quality. Despite enormous advances in medical knowledge, many adverse events continue to endanger patient safety. Although mixed-method studies are necessary to gain a deeper understanding of safety culture, few studies provide practical evidence of patient safety culture and associated factors in Ethiopia. This study aimed to assess patient safety culture and associated factors among healthcare professionals in public hospitals in Bahir Dar City, Northwest Ethiopia.
A cross-sectional study design was employed, in triangulation with qualitative methodologies, from March 10 to April 10, 2022. A stratified sampling technique was used to select 420 study participants from three public hospitals. A standardized tool measuring 12 patient safety culture composites was used for data collection. Purposive sampling was employed in the qualitative study. Bi-variable and multivariable linear regression analyses were performed using SPSS version 23, with significance set at a 95% confidence interval and a p-value of <0.05. Content analysis was utilized in the qualitative study.
The overall patient safety culture score was 47.6% (95% CI: 42.7, 52.5). Age (β = 1.196, 95% CI: (0.968, 1.322), patient safety training (β = 0.168, 95% CI: 0.040, 0.297), working in pediatric wards (β = 0.236, 95% CI: 0.099, 0.370), and resource availability (β = 0.346, 95% CI: 0.220, 0.473) were significantly associated with patient safety culture. The in-depth interviews identified infrastructure, communication barriers, lack of management support, poor governance, healthcare professionals' knowledge, skills, and attitudes, and patient involvement during treatment as factors affecting patient safety.
This study concludes that the patient safety culture in the studied hospitals is suboptimal, falling below the acceptable threshold. Enhancing resource availability, providing continuous patient safety training, improving communication systems, and fostering a supportive management environment are essential steps towards building a safer healthcare system.
患者安全是医疗质量的重要组成部分。尽管医学知识取得了巨大进步，但许多不良事件仍在威胁着患者安全。尽管混合方法研究对于深入了解安全文化是必要的，但在埃塞俄比亚，很少有研究提供患者安全文化和相关因素的实际证据。本研究旨在评估巴塞尔达尔市公立医疗机构医护人员的患者安全文化和相关因素。
采用横断面研究设计，并结合定性方法，于 2022 年 3 月 10 日至 4 月 10 日进行。采用分层抽样技术从三家公立医院中选择 420 名研究对象。使用衡量 12 项患者安全文化综合指标的标准化工具进行数据收集。定性研究采用目的性抽样。使用 SPSS 版本 23 进行双变量和多变量线性回归分析，置信区间为 95%，p 值<0.05。定性研究采用内容分析法。
总体患者安全文化评分 47.6%（95%CI：42.7，52.5）。年龄（β=1.196，95%CI：（0.968，1.322））、患者安全培训（β=0.168，95%CI：0.040，0.297）、在儿科病房工作（β=0.236，95%CI：0.099，0.370）和资源可用性（β=0.346，95%CI：0.220，0.473）与患者安全文化显著相关。深入访谈确定了影响患者安全的因素，包括基础设施、沟通障碍、缺乏管理支持、不良治理、医护人员的知识、技能和态度，以及治疗过程中的患者参与。
本研究表明，研究医院的患者安全文化欠佳，低于可接受水平。增加资源可用性、提供持续的患者安全培训、改善沟通系统以及营造支持性的管理环境是建立更安全医疗体系的必要步骤。
