Kim Alex Ren Jye, Tan Shirin Hui, Kho Irene Khai Yen, Cuki Farahfaiza, Lee Yew Fong, Ngian Hie Ung
Director Office, Sarawak General Hospital, Ministry of Health, Jalan Hospital, Kuching, Sarawak, 93586, Malaysia.
Clinical Research Centre, Sarawak General Hospital, Institute for Clinical Research, National Institutes of Health, Ministry of Health, Jalan Hospital, Kuching, Sarawak, 93586, Malaysia.
Risk Manag Healthc Policy. 2025 Aug 27;18:2799-2811. doi: 10.2147/RMHP.S530072. eCollection 2025.
Patient safety involves proactive and systematic efforts within healthcare settings to prevent harm to patients during medical care. Globally, healthcare organisations prioritise patient safety as a key factor in quality and safety initiatives.
This study aims to investigate the patient safety culture at Sarawak General Hospital (SGH), a tertiary referral hospital in Malaysia.
A cross-sectional study was conducted at SGH from May 2022 to August 2022 using the Safety Attitude Questionnaire (SAQ). The survey included 767 hospital staff members, such as doctors, nurses, pharmacists, and other clinical personnel, achieving a response rate of 84.2% (646 respondents). Statistical analysis was performed using Jamovi 2.3.28.
The overall mean SAQ score was 65.8±15.0, with a positive response rate of 31.3%. Most domain scores were higher than benchmark scores (65.7% to 72.2%), except for the stress recognition domain. Among the domains, job satisfaction recorded the highest mean score (71.7±23.3) and the highest positive response rate (53.4%), indicating high levels of contentment among healthcare workers. Conversely, the working condition domain demonstrates significant room for improvement.
Generally, the patient safety culture at SGH is satisfactory, with most domain scores exceeding benchmark levels.
患者安全涉及医疗机构内为防止医疗护理期间对患者造成伤害而做出的积极主动且系统的努力。在全球范围内，医疗机构将患者安全作为质量与安全举措的关键因素予以优先考虑。
本研究旨在调查马来西亚一家三级转诊医院——砂拉越综合医院（SGH）的患者安全文化。
2022年5月至2022年8月期间，在砂拉越综合医院采用安全态度问卷（SAQ）进行了一项横断面研究。该调查涵盖了767名医院工作人员，如医生、护士、药剂师及其他临床人员，回复率为84.2%（646名受访者）。使用Jamovi 2.3.28进行统计分析。
SAQ总体平均得分为65.8±15.0，积极回复率为31.3%。除压力认知领域外，大多数领域得分高于基准分数（65.7%至72.2%）。在各个领域中，工作满意度的平均得分最高（71.7±23.3），积极回复率也最高（53.4%），表明医护人员的满意度较高。相反，工作条件领域显示出有显著的改进空间。
总体而言，砂拉越综合医院的患者安全文化令人满意，大多数领域得分超过基准水平。
