PMID- 33845822
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210416
IS  - 1472-6955 (Print)
IS  - 1472-6955 (Electronic)
IS  - 1472-6955 (Linking)
VI  - 20
IP  - 1
DP  - 2021 Apr 12
TI  - Nurses' perception of patient safety culture and its relationship with adverse 
      events: a national questionnaire survey in Iran.
PG  - 60
LID - 10.1186/s12912-021-00571-w [doi]
LID - 60
AB  - BACKGROUND: Patient safety culture is an important factor in determining 
      hospitals' ability to address and reduce the occurrence of adverse events (AEs). 
      However, few studies have reported on the impact of nurses' perceptions of 
      patient safety culture on the occurrence of AEs. Our study aimed to assess the 
      association between nurses' perception of patient safety culture and their 
      perceived proportion of adverse events. METHODS: A cross-sectional survey was 
      carried out among 2295 nurses employed in thirty-two teaching hospitals in Iran. 
      Nurses completed the Persian version of the hospital survey of patients' safety 
      culture between October 2018 and September 2019. RESULTS: Positive Response Rates 
      of overall patient safety culture was 34.1% and dimensions of patient safety 
      culture varied from 20.9 to 43.8%. Also, nurses estimated that the occurrence of 
      six adverse events varied from 51.2-63.0% in the past year. The higher nurses' 
      perceptions of "Staffing", "Hospital handoffs and transitions", "Frequency of 
      event reporting", "Non-punitive response to error", "Supervisor expectation and 
      actions promoting safety", "Communication openness", "Organizational learning 
      continuous improvement", "Teamwork within units", and "Hospital management 
      support patient safety" were significantly related to lower the perceived 
      occurrence at least two out of six AEs (OR = 0.69 to 1.46). CONCLUSIONS: Our 
      findings demonstrated that nurses' perception regarding patient safety culture 
      was low and the perceived occurrence of adverse events was high. The research has 
      also shown that the higher level of nurses' perception of patient safety culture 
      was associated with lowered occurrence of AEs. Hence, managers could provide 
      prerequisites to improve patient safety culture and reduce adverse events through 
      different strategies, such as encouraging adverse events' reporting and holding 
      training courses for nurses. However, further research is needed to assess how 
      interventions addressing patient safety culture might reduce the occurrence of 
      adverse events.
FAU - Kakemam, Edris
AU  - Kakemam E
AUID- ORCID: 0000-0001-7721-6924
AD  - Department of Health Services Management, School of Management and Medical 
      Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
FAU - Gharaee, Hojatolah
AU  - Gharaee H
AUID- ORCID: 0000-0002-9354-4175
AD  - District Health Center of Hamadan City, Hamadan University of Medical Sciences, 
      Hamadan, Iran.
FAU - Rajabi, Mohamad Reza
AU  - Rajabi MR
AD  - Department Cardiology, Faculty of Medicine, Shahed University, Tehran, Iran.
FAU - Nadernejad, Milad
AU  - Nadernejad M
AD  - Health Management and Economics Research Center, Iran University of Medical 
      Sciences, Tehran, Iran.
FAU - Khakdel, Zahra
AU  - Khakdel Z
AUID- ORCID: 0000-0003-3149-0623
AD  - Health Management and Economics Research Center, Iran University of Medical 
      Sciences, Tehran, Iran.
AD  - Health Management and Economics Research Center, Isfahan University of Medical 
      Sciences, Isfahan, Iran.
FAU - Raeissi, Pouran
AU  - Raeissi P
AUID- ORCID: 0000-0003-0296-704X
AD  - Department of Health Services Management, School of Health Management and 
      Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
FAU - Kalhor, Rohollah
AU  - Kalhor R
AUID- ORCID: 0000-0002-6146-8761
AD  - Social Determinants of Health Research Center, Research Institute for Prevention 
      of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 
      Iran. r.kalhor@yahoo.com.
AD  - Health Services Management Department, School of Public Health, Qazvin University 
      of Medical Sciences, Shahid Bahonar Blv, Qazvin, Iran. r.kalhor@yahoo.com.
LA  - eng
PT  - Journal Article
DEP - 20210412
PL  - England
TA  - BMC Nurs
JT  - BMC nursing
JID - 101088683
PMC - PMC8042945
OTO - NOTNLM
OT  - Adverse events
OT  - Iran
OT  - Nurses
OT  - Patient safety
OT  - Patient safety culture
COIS- None of the authors has a conflict of interest with respect to the authorship and 
      or publication of this manuscript.
EDAT- 2021/04/14 06:00
MHDA- 2021/04/14 06:01
PMCR- 2021/04/12
CRDT- 2021/04/13 05:34
PHST- 2020/10/20 00:00 [received]
PHST- 2021/03/16 00:00 [accepted]
PHST- 2021/04/13 05:34 [entrez]
PHST- 2021/04/14 06:00 [pubmed]
PHST- 2021/04/14 06:01 [medline]
PHST- 2021/04/12 00:00 [pmc-release]
AID - 10.1186/s12912-021-00571-w [pii]
AID - 571 [pii]
AID - 10.1186/s12912-021-00571-w [doi]
PST - epublish
SO  - BMC Nurs. 2021 Apr 12;20(1):60. doi: 10.1186/s12912-021-00571-w.