Skip to main content
SpringerLink
Log in
Book cover

Congress of the International Ergonomics Association

IEA 2018: Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) pp 41–53Cite as

Patient Safety Culture in Education and Treatment Centers: Regional Subcultures

  • Conference paper
  • First Online:

  • 1693 Accesses

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 819))

Abstract

Background: There is increasing interest to prevent patient injury as the main value in healthcare institutes. However, many patients are still in danger while they receive care services. One factor which influences patient safety is national culture. However, there is no evidence of regional subculture contributions. The aim of this study was to investigate the relation of two different regional subcultures on patient safety culture in education and treatment centers (medical universities hospitals).

Methods: This cross-sectional study assessed the relationship of two regional subcultures in Iran (Turk and Kurd) on patient safety culture. Four education and treatment centers affiliated to Zanjan (Turk subculture) and Ilam (Kurd subculture) were investigated. A sample of 421 nurses, laboratory, and radiology staffs participated in this study. Two kinds of data gathering tools were used, including hospital survey on patient safety culture questionnaire (HSOPSC), and Hofstede’s cultural values. Besides descriptive statistics, analytical statistics tests were used at .05 confidence level, including Chi-square, Mann-Whitney, and Linear regression.

Results: Positive response of the dimensions of HSOPSC questionnaire has not been more than 75% (patient safety strength). The total scores of HSOPSC for Turks and Kurds were significantly different (p-value = .016). Moreover, comparing the results of HSOPSC and Hofstede’s cultural values questionnaires showed significant coloration (p-value = .01) between patient safety culture and three dimensions of Hofstede’s cultural.

Conclusions: It seems regional subculture has its own contribution to patient safety culture. Therefore, considering subculture values as predictors will be helpful to improve patient safety culture.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Smits M, Christiaans-Dingelhoff I, Wagner C, van der Wal G, Groenewegen PP (2008) The psychometric properties of the ‘Hospital Survey on Patient Safety Culture’ in Dutch hospitals. BMC Health Serv. Res. 8(1):230

    Article  Google Scholar 

  2. Bodur S, Filiz E (2009) A survey on patient safety culture in primary healthcare services in Turkey. Int J Qual Health Care 21(5):348–355

    Article  Google Scholar 

  3. Ilan R, Fowler R (2005) Brief history of patient safety culture and science. J Crit Care 20(1):2–5

    Article  Google Scholar 

  4. Clarke S (2006) The relationship between safety climate and safety performance: a meta-analytic review. Educ Publ Found 11(4):315–327

    Google Scholar 

  5. World Health Organization (2008) Summary of the Evidence on Patient Safety: Implications for research. World Health Alliance for Patient Safety, Geneva. http://whqlibdoc.who.int/publications/2008/9789241596541_eng.pdf

  6. Myer GS, Denham CR, Angood PB et al (2010) Safe Practices for Better Healthcare—2010 Update: A Consensus Report. National Quality Forum, Washington, DC. http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=25690

  7. Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD (1995) The quality in Australian health care study. Med J Aust 163(9):458–471

    Google Scholar 

  8. Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ et al (2000) Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 38(3):261–271

    Article  Google Scholar 

  9. World Health Organization. Call for More Research on Patient Safety. http://www.who.int/mediacentre/news/releases/2007/pr52/en/index.html

  10. Moghaddasi H, Sheikhtaheri A, Hashemi N (2007) Reducing medication errors: role of computerized physician order entry system. J Health Adm 10(27):57–67 (in Persian)

    Google Scholar 

  11. Pfeiffer Y, Manser T (2010) Development of the German version of the hospital survey on patient safety culture: dimensionality and psychometric properties. Saf Sci 48(10):1452–1462

    Article  Google Scholar 

  12. Sorra JS, Dyer N (2010) Multilevel psychometric properties of the AHRQ hospital survey on patient safety culture. BMC Health Serv Res 10(1):199

    Article  Google Scholar 

  13. US Department of Health, Services H, Human Services US Department of Health, Human Services (2010) Agency for healthcare research and quality. National Healthcare quality report, pp 2635–2645

    Google Scholar 

  14. Wiegmann DA, Zhang H, von Thaden T, Sharma G, Mitchell A (2002) A synthesis of safety culture and safety climate research. University of Illinois at Urbana-Champaign, Savoy

    Google Scholar 

  15. Sorra JS, Nieva VF (2004) Hospital Survey on Patient Safety Culture. (Prepared by Westat, under Contract No 290-96-0004). AHRQ Publication No 04-0041. Agency for Healthcare Research and Quality, Rockville

    Google Scholar 

  16. Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T (2010) Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf 6(4):226–232

    Article  Google Scholar 

  17. Moghri J, Arab M, Saari AA, Nateqi E, Forooshani AR, Ghiasvand H et al (2012) The psychometric properties of the Farsi version of “Hospital survey on patient safety culture” in Iran’s hospitals. Iran J Public Health 41(4):80–86

    Google Scholar 

  18. Mohamed S, Ali TH, Tam W (2009) National culture and safe work behaviour of construction workers in Pakistan. Saf Sci 47(1):29–35

    Article  Google Scholar 

  19. Noort MC, Reader TW, Shorrock S, Kirwan B (2016) The relationship between national culture and safety culture: Implications for international safety culture assessments. J Occup Organ Psychol 89(3):515–538

    Article  Google Scholar 

  20. Carnino A (2002) Management of safety, safety culture and self-assessment. Apostilha do Curso Básico de Treinamento profissional em segurança Nuclear da Agência Internacional de Energia Atômica, Instituto Militar de Engenharia, Rio de Janeiro

    Google Scholar 

  21. Lenartowicz T, Roth K (2001) Does subculture within a country matter? A cross-cultural study of motivational domains and business performance in Brazil. J Int Bus Stud 32(2):305–325

    Article  Google Scholar 

  22. Ghaderzadeh A (2012) Intercultural sensitivity in ethnic communities of Iran: study of Turks and Kurds in the city of Ghorveh. J Soc Sci 121–156

    Google Scholar 

  23. McSweeney B (2002) Hofstede’s model of national cultural differences and their consequences: a triumph of faith-a failure of analysis. Hum Relat 55(1):89–118

    Article  Google Scholar 

  24. Mansouri Sepehr RMH, Shekarriz J, Nejati V (2013) Evaluation of factor analysis and reliability of questionnaire of cultural values in organization. Q J Career Organ 5(15):57–71

    Google Scholar 

  25. Flin R, Winter J, Sarac C, Raduma M (2009) Report for Methods and Measures Working Group of WHO Patient Safety. Human Factors in Patient Safety: Review of Topics and Tools. World Health Organization, Geneva

    Google Scholar 

  26. El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R (2010) The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care 22(5):386–395

    Article  Google Scholar 

  27. Ballangrud R, Hedelin B, Hall-Lord ML (2012) Nurses’ perceptions of patient safety climate in intensive care units: a cross-sectional study. Intensive Crit Care Nurs 28(6):344–354

    Article  Google Scholar 

  28. Sorra J, Gray L, Streagle S, Famolaro T, Yount N, Behm J (2016) AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. (Prepared by Westat, under Contract No HHSA290201300003C). AHRQ Publication No 2016

    Google Scholar 

  29. Baghaee R, Nourani D, Khalkhali H, Pirnejad H (2012) Evaluating patient safety culture in personnel of academic hospitals in Urmia University of medical sciences in 2011. J Urmia Nursing Midwifery Fac 10(2):155–164

    Google Scholar 

  30. Hamdan M, Saleem AA (2013) Assessment of patient safety culture in Palestinian public hospitals. Int J Qual Health Care 25(2):167–175

    Article  Google Scholar 

  31. Wang X, Liu K, You L-M, Xiang J-G, Hu H-G, Zhang L-F et al (2014) The relationship between patient safety culture and adverse events: a questionnaire survey. Int J Nursing Stud 51(8):1114–1122

    Article  Google Scholar 

  32. Alahmadi H (2010) Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care 19(5):e17-e

    Google Scholar 

  33. Latifi F (2005) Culture of Iranian Organizations. In: 3rd International Conference Management, Tehran (in Persian)

    Google Scholar 

  34. Wu M (2006) Hofstede’s cultural dimensions 30 years later: a study of Taiwan and the United States. Intercult Commun Stud 15(1):33

    MathSciNet  Google Scholar 

  35. Burke MJ, Chan-Serafin S, Salvador R, Smith A, Sarpy SA (2008) The role of national culture and organizational climate in safety training effectiveness. Eur J Work Organ Psychol 17(1):133–152

    Article  Google Scholar 

  36. Itoh K, Abe T, Andersen H (2002) A survey of safety culture in hospitals including staff attitudes about incident reporting. In: Proceedings of the workshop on the investigation and reporting of incidents and accidents, Glasgow

    Google Scholar 

Download references

Acknowledgments

The authors would like to express their highest appreciation to Zanjan University of Medical Science which sponsored the study [Grant Number: A-11-44-4], and friendly cooperation of the education and treatment centers personnel participants in the present study.

Author information

Authors and Affiliations

  1. Zanjan University of Medical Sciences, 4515786349, Zanjan, Iran

    Mehdi Mirzaei, Shirazeh Arghami, Ali Mohammadi & Koorosh Kamali

Authors
  1. Mehdi Mirzaei
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shirazeh Arghami
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ali Mohammadi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Koorosh Kamali
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shirazeh Arghami .

Editor information

Editors and Affiliations

  1. University of the Republic of San Marino, San Marino, San Marino

    Sebastiano Bagnara

  2. Centre for Clinical Risk Management and Patient Safety, Tuscany Region, Florence, Italy

    Riccardo Tartaglia

  3. Centre for Clinical Risk Management and Patient Safety, Tuscany Region, Florence, Italy

    Sara Albolino

  4. Fraunhofer FKIE, Bonn, Nordrhein-Westfalen, Germany

    Thomas Alexander

  5. International Ergonomics Association, Tokyo, Japan

    Yushi Fujita

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Mirzaei, M., Arghami, S., Mohammadi, A., Kamali, K. (2019). Patient Safety Culture in Education and Treatment Centers: Regional Subcultures. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 819. Springer, Cham. https://doi.org/10.1007/978-3-319-96089-0_5

Download citation

Publish with us

Policies and ethics

Search

Navigation