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. 2020 Jul-Sep;46(3):236-243.
doi: 10.12865/CHSJ.46.03.04. Epub 2020 Sep 30.

Trends in the Staff's Perception of Patient Safety Culture in Romanian Hospitals

Carmen Tereanu  1 , Aaron Noll  2 , Delia Herghea  3 , Radu Ioan Malancea  4 , Aurel Tinca  5 , Irina Eclemea  6 , Delia Rasnoveanu  7 , Mugurel Stefan Ghelase  8 , Timothy Ryan Smith  9 , Archie A Heddings  10
Affiliations

Trends in the Staff's Perception of Patient Safety Culture in Romanian Hospitals

Carmen Tereanu et al. Curr Health Sci J. 2020 Jul-Sep.

Abstract

Introduction: The IRIS-2 project (2019) expanded the application of the HSOPSC in Romanian hospitals, yet applied, for the first time in the country, in 2014 (IRIS-1). The aim is an update on patient safety culture for staff, by geographic region and overall, by year of survey.

Materials and methods: A cross-sectional study was carried out in voluntary staff in four hospitals in four regions (n. 1,121 staff) and compared with a previous study based on six hospitals in four regions (n. 969 staff). The instrument was the Romanian version of the HSOPSC with 31 items and 9 dimensions. Statistics to analyze trend were computed using "R". Results No significant differences between the proportion of positive response (PPRs) by dimension were observed in IRIS-2 with respect to IRIS-1, with two exceptions: significantly lower PPR for "teamwork across hospital units" (65% versus 73%) and significantly higher PPR for "frequency of events reporting" (65% versus 59%). Four dimensions were well developed and five dimensions needed to be improved. The poorest PPRs were for the "teamwork across hospital units", the "frequency of event reporting" and the "non punitive response to error" dimensions. Besides, one outcome indicator changed through time: the proportion of the staff who did not report any event was significantly lower (64% versus 73%) and the proportion of the staff who reported "1-2 events" was significantly higher (21% versus 15%).

Conclusion: Despite some small progress related to the frequency of events reporting, there is room for further patient safety culture improvement.

Keywords: Patient safety; Romania; culture; trend.

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Conflict of interest statement

None to declare.

Figures

Figure 1
Figure 1
Distribution of the average PPR in IRIS-2, compared to IRIS-1 project (national level)
Figure 2
Figure 2
Distribution of PPRs by dimension, overall
Figure 3a
Figure 3a
Patient safety grade, overall
Figure 3b
Figure 3b
Number of events reported (in the last 12 months), overall
See this image and copyright information in PMC

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