Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: a national cross-sectional study in Palestinian and Belgian hospitals

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dc.contributor.authorNajjar, Shahenaz
dc.contributor.authorBaillien, Elfi
dc.contributor.authorVanhaecht, Kris
dc.contributor.authorHamdan, Motasem
dc.contributor.authorEuwema, Martin
dc.contributor.authorVleugels, Arthur
dc.contributor.authorSermeus, Walter
dc.contributor.authorSchrooten, Ward
dc.contributor.authorHellings, Johan
dc.contributor.authorVlayen, Annemie
dc.date.accessioned2019-11-06T13:17:08Z
dc.date.available2019-11-06T13:17:08Z
dc.date.issued2018-07-31
dc.description.abstractObjectives To investigate the relationships between patient safety culture (PSC) dimensions and PSC selfreported outcomes across different cultures and to gain insights in cultural differences regarding PSC. Design Observational, cross-sectional study. Setting Ninety Belgian hospitals and 13 Palestinian hospitals. Participants A total of 2836 healthcare professionals matched for profession, tenure and working hours. Primary and secondary outcome measures The validated versions of the Belgian and Palestinian Hospital Survey on Patient Safety Culture were used. An exploratory factor analysis was conducted. Reliability was tested using Cronbach’s alpha (α). In this study, we examined the specific predictive value of the PSC dimensions and its self-reported outcome measures across different cultures and countries. Hierarchical regression and bivariate analyses were performed. Results Eight PSC dimensions and four PSC selfreported outcomes were distinguished in both countries. Cronbach’s α was α≥0.60. Significant correlations were found between PSC dimensions and its self-reported outcome (p value range <0.05 to <0.001). Hierarchical regression analyses showed overall perception of safety was highly predicted by hospital management support in Palestine (β=0.16, p<0.001) and staffing in Belgium (β=0.24, p<0.001). The frequency of events was largely predicted by feedback and communication in both countries (Palestine: β=0.24, p<0.001; Belgium: β=0.35, p<0.001). Overall grade for patient safety was predicted by organisational learning in Palestine (β=0.19, p<0.001) and staffing in Belgium (β=0.19, p<0.001). Number of events reported was predicted by staffing in Palestine (β=−0.20, p<0.001) and feedback and communication in Belgium (β=0.11, p<0.01). Conclusion To promote patient safety in Palestine and Belgium, staffing and communication regarding errors should be improved in both countries. Initiatives to improve hospital management support and establish constructive learning systems would be especially beneficial for patient safety in Palestine. Future research should address the association between safety culture and hard patient safety measures such as patient outcomes.en_US
dc.description.sponsorshipWe particularly acknowledge all participating hospitals and their staff who devoted time to completing the surveys. We extend our gratitude to the Palestinian and Belgian governments for their cooperation and supporting this research.en_US
dc.identifier.citationNajjar S, Baillien E, Vanhaecht K, et al. Similarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: a national cross-sectional study in Palestinian and Belgian hospitals. BMJ Open 2018;8:e021504. doi:10.1136/ bmjopen-2018-021504en_US
dc.identifier.issn2044-6055
dc.identifier.urihttps://dspace.alquds.edu/handle/20.500.12213/4873
dc.language.isoenen_US
dc.titleSimilarities and differences in the associations between patient safety culture dimensions and self-reported outcomes in two different cultural settings: a national cross-sectional study in Palestinian and Belgian hospitalsen_US
dc.typeArticleen_US
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