A Bahasa Melayu version (HSOPSC-BM) evaluation of patient safety culture in public hospitals in Malaysia: A multicentre assessment / Safaridah Anuar
Introduction: Implementation of patient safety culture in an organization with the aim to improve patient safety outcome has received worldwide attention. Patient safety also reflects quality care in general. As patient safety continues to be a concern especially in hospital care, safety culture...
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis |
| Published: |
2019
|
| Subjects: | |
| Online Access: | http://studentsrepo.um.edu.my/11438/4/safaridah.pdf http://studentsrepo.um.edu.my/11438/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Introduction: Implementation of patient safety culture in an organization with the aim
to improve patient safety outcome has received worldwide attention. Patient safety also
reflects quality care in general. As patient safety continues to be a concern especially in
hospital care, safety culture is a target for patient safety improvements as recommended
by the Institute of Medicine. In this study, Hospital Survey on Patient Safety Culture
questionnaire was used to evaluate patient safety culture in public hospitals in Malaysia.
Methodology: This study was divided into two phases. Phase one was testing the
validity and reliability of HSOPSC-Bahasa Melayu (HSOPSC-BM). It was a cross
sectional survey with purposive sampling and involved 700 participants. The original
HSOPSC which has 12 dimensions and 42 items underwent a thorough process of
validation. Confirmatory and exploratory factor analyses were assessed using Statistical
Package of Social Science (SPSS version 21) and Analysis of Moment Structure
(AMOS version 22). Phase two assessed patient safety culture among staff in public
hospitals in Malaysia using validated HSOPSC-BM. It was a cross sectional study with
700 participants who were selected from four hospitals using quota sampling.
Descriptive analysis was done followed by inferential analysis using SPSS. Three
outcome measures which were patient safety score, patient safety grade and number of
events reported were investigated for its relationship with safety culture dimensions
using regression analysis. Result: The Content Validity Index was excellent (CVI-0.9).
A final 9 dimensions and 30 items were retained in the hypothetical model of HSOPSCBM. Results of goodness of fit for the hypothetical model were of χ2 (df) of =770(369)
with p value of <0.005, CFI=0.8, RMSEA=0.7 and P ratio=0.85.The overall Cronbach’s
iv
Alpha for the new construct is 0.88. In Phase two of the study, 89% of participants gave
valid responses. Among safety culture dimensions, Organizational Learning scored the
highest with 87% positive response rate whilst Non-Punitive Response to Error scored
the lowest with 4.3%. In regression analysis testing mean patient safety score showed
that medical officers are 4.9 times more likely to practice safety culture compared to
other profession and socio-demographic and job related characteristics [OR 4.87 (95%
CI: 1.31, 18.15, p<0.05)] Similarly, medical officers were 2.3 times more likely to
report 1-2 incidence reporting compared to other groups (OR 2.33 [1.23,4.41], p<0.05)
Discussion/Conclusion: In the Phase 1 study, HSOPSC-BM didn’t replicate similar
construct as the original HSOPSC. However, it was considered appropriate for use in
the Malaysia healthcare setting. In phase two, it was noted patient safety practice
requires a lot of improvements. Medical officers are practising safety culture better than
other profession or socio-demographic and job-related characteristics. In conclusion,
patient safety culture should be introduced into medical curriculum to educate students
before they embark into their real career. Implementation of remedial measures based
on findings from patient safety surveys using HSOPSC-BM could improve the quality
of health services in Malaysia. |
|---|