Patient safety culture in resource-limited healthcare settings: A multicentre survey.
<h4>Objective</h4>To assess healthcare professionals' perceptions of patient safety culture and to examine variations across clinical units in Eastern Ethiopian public hospitals.<h4>Methods</h4>A cross-sectional study was conducted using the Hospital Survey on Patient Sa...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2025-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0326320 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839647625621536768 |
|---|---|
| author | Gelana Fekadu Rachel Muir Georgia Tobiano Aman Edao Bime Michael J Ireland Andrea P Marshall |
| author_facet | Gelana Fekadu Rachel Muir Georgia Tobiano Aman Edao Bime Michael J Ireland Andrea P Marshall |
| author_sort | Gelana Fekadu |
| collection | DOAJ |
| description | <h4>Objective</h4>To assess healthcare professionals' perceptions of patient safety culture and to examine variations across clinical units in Eastern Ethiopian public hospitals.<h4>Methods</h4>A cross-sectional study was conducted using the Hospital Survey on Patient Safety Culture (HSoPSC 2.0) tool. Analysis of variance and ordinal logistic regression analyses were performed. Results were presented as mean differences and an adjusted odds ratio (AOR) with a 95% confidence interval (CI), and statistical significance was set at a p-value < 0.05. Content analysis was performed for data provided through the open-ended response option.<h4>Results</h4>A total of 582 questionnaires were returned, yielding a response rate of 85%. Overall positive patient safety culture score was 47% (95% CI: 41-53%). Intensive care units (ICUs) scored significantly lower on patient safety culture dimensions compared to other clinical units. Factors contributing to the patient safety ratings included Midwives (AOR = 0.20, 95% CI: 0.06-0.71, p = 0.013), Organisational learning and continuous improvement (AOR = 1.35, 95% CI: 1.04-1.76, p = 0.025), Supervisor, manager, or clinical leader support for patient safety (AOR = 1.41, 95% CI: 1.06-1.89, p = 0.02), and Hospital management support for patient safety (AOR = 1.28, 95% CI: 1.00-1.63, p = 0.049). The challenges in ensuring patient safety included the absence of patient safety incident reporting systems, severe resource constraints, limited awareness regarding patient safety, ineffective communication, poor management support, and a blame-oriented organisational culture.<h4>Conclusions</h4>Significant improvement in patient safety culture in Ethiopian public hospitals, especially in the ICU, is critically needed to mitigate healthcare risks and ensure patient safety. Addressing these issues requires targeted patient safety training, strong leadership support, and adequate resource allocation. Further exploration of ICU-specific patient safety insights and validation of the HSoPSC 2.0 tool within the Ethiopian healthcare context should be undertaken to ensure cultural and contextual relevance. |
| format | Article |
| id | doaj-art-e8f3a81c782c4f398828f3b7af30f3d5 |
| institution | Matheson Library |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-e8f3a81c782c4f398828f3b7af30f3d52025-06-30T05:31:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032632010.1371/journal.pone.0326320Patient safety culture in resource-limited healthcare settings: A multicentre survey.Gelana FekaduRachel MuirGeorgia TobianoAman Edao BimeMichael J IrelandAndrea P Marshall<h4>Objective</h4>To assess healthcare professionals' perceptions of patient safety culture and to examine variations across clinical units in Eastern Ethiopian public hospitals.<h4>Methods</h4>A cross-sectional study was conducted using the Hospital Survey on Patient Safety Culture (HSoPSC 2.0) tool. Analysis of variance and ordinal logistic regression analyses were performed. Results were presented as mean differences and an adjusted odds ratio (AOR) with a 95% confidence interval (CI), and statistical significance was set at a p-value < 0.05. Content analysis was performed for data provided through the open-ended response option.<h4>Results</h4>A total of 582 questionnaires were returned, yielding a response rate of 85%. Overall positive patient safety culture score was 47% (95% CI: 41-53%). Intensive care units (ICUs) scored significantly lower on patient safety culture dimensions compared to other clinical units. Factors contributing to the patient safety ratings included Midwives (AOR = 0.20, 95% CI: 0.06-0.71, p = 0.013), Organisational learning and continuous improvement (AOR = 1.35, 95% CI: 1.04-1.76, p = 0.025), Supervisor, manager, or clinical leader support for patient safety (AOR = 1.41, 95% CI: 1.06-1.89, p = 0.02), and Hospital management support for patient safety (AOR = 1.28, 95% CI: 1.00-1.63, p = 0.049). The challenges in ensuring patient safety included the absence of patient safety incident reporting systems, severe resource constraints, limited awareness regarding patient safety, ineffective communication, poor management support, and a blame-oriented organisational culture.<h4>Conclusions</h4>Significant improvement in patient safety culture in Ethiopian public hospitals, especially in the ICU, is critically needed to mitigate healthcare risks and ensure patient safety. Addressing these issues requires targeted patient safety training, strong leadership support, and adequate resource allocation. Further exploration of ICU-specific patient safety insights and validation of the HSoPSC 2.0 tool within the Ethiopian healthcare context should be undertaken to ensure cultural and contextual relevance.https://doi.org/10.1371/journal.pone.0326320 |
| spellingShingle | Gelana Fekadu Rachel Muir Georgia Tobiano Aman Edao Bime Michael J Ireland Andrea P Marshall Patient safety culture in resource-limited healthcare settings: A multicentre survey. PLoS ONE |
| title | Patient safety culture in resource-limited healthcare settings: A multicentre survey. |
| title_full | Patient safety culture in resource-limited healthcare settings: A multicentre survey. |
| title_fullStr | Patient safety culture in resource-limited healthcare settings: A multicentre survey. |
| title_full_unstemmed | Patient safety culture in resource-limited healthcare settings: A multicentre survey. |
| title_short | Patient safety culture in resource-limited healthcare settings: A multicentre survey. |
| title_sort | patient safety culture in resource limited healthcare settings a multicentre survey |
| url | https://doi.org/10.1371/journal.pone.0326320 |
| work_keys_str_mv | AT gelanafekadu patientsafetycultureinresourcelimitedhealthcaresettingsamulticentresurvey AT rachelmuir patientsafetycultureinresourcelimitedhealthcaresettingsamulticentresurvey AT georgiatobiano patientsafetycultureinresourcelimitedhealthcaresettingsamulticentresurvey AT amanedaobime patientsafetycultureinresourcelimitedhealthcaresettingsamulticentresurvey AT michaeljireland patientsafetycultureinresourcelimitedhealthcaresettingsamulticentresurvey AT andreapmarshall patientsafetycultureinresourcelimitedhealthcaresettingsamulticentresurvey |