At the Crossroads of the Patients Safety Culture Evaluation and Challenges

Nato Pitskhelauri, Sopio Gvazava, Nino Chikhladze

Abstract


The patient safety is considered as one of the most important components of the quality of health care as well as a global public health issue. Furthermore, the measurement of patient safety culture is one of the main priorities in many countries. The concept of patient safety and quality healthcare is relatively recent in countries of EU Eastern Neighboring Area. In fact, research addressing patients’ safety culture is very limited in Georgia. The main aim of the study is to explore the patient safety culture in Georgian hospitals. The main aim of the study is to explore the patient safety culture in Georgian hospitals. The Hospital Survey on Patient Safety Culture Questionnaire elaborated by Agency for Healthcare Research and Quality has been used for the survey. The highest average of positive answers is in the following three dimensions: ,,Teamwork within Units’’ (85%), ,,Management Support for patient Safety’’ (77%) and ,,Overall Perceptions of Patient Safety’’ (77%).  The lowest Average of positive answers is in the dimension  ,,Nonpunitive Response to Errors’’ (33%).

In the average of the positive responses there was not statistically significant difference between gender (female respondents- 66% and male respondents- 68%; p=0.91), staff positions (physicians - 68%; nurses - 66%; other - 60%; p=0.74), working areas (medicine - 65%,  obstetrics/pediatrics - 69%,  surgery – 74%, radiology – 72%, emergency medicine/ intensive care – 62% , other – 65%,  p=0.83), professional experience (<5 year - 61%,  5-10  year – 72%, 11-15 year – 74%,   ≥15 – 67%, p=0.51). The majority of hospital staff (63,7%) answered that no adverse event has been reported during the last 12 months in their working areas. The current study has enabled to gain the first insights into patient safety culture in Georgian Hospitals and has opened a perspective for future large-scale research.

 


Keywords


Safety culture; Patient safety; Healthcare quality; Hospital survey.

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