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. 2022 Oct;11(4):e001908.
doi: 10.1136/bmjoq-2022-001908.

Patient safety culture and associated factors in secondary health care of the Capital Region of Denmark: influence of specialty, healthcare profession and gender

Doris Østergaard  1   2 , Marlene Dyrløv Madsen  3 , Annette Kjær Ersbøll  4 , Helle Søgaard Frappart  5 , Josefine Haahr Kure  5 , Solvejg Kristensen  3
Affiliations

Patient safety culture and associated factors in secondary health care of the Capital Region of Denmark: influence of specialty, healthcare profession and gender

Doris Østergaard et al. BMJ Open Qual. 2022 Oct.

Abstract

Background: We aimed to explore (1) the influence of healthcare professionals' (HCPs') specialty, profession, gender and length of employment on their perception of six dimensions of patient safety culture (PSC) and (2) the relation between these characteristics and the two dimensions of safety climate and perception of management.

Methods: In a cross-sectional study, a Danish version of the Safety Attitudes Questionnaire was sent to all HCPs at a large regional hospital organisation. This included hospitals, the Emergency Services, the Regional Pharmacy and the Centre for Diabetes corporations. A total of 30 230 HCPs received the survey. Differences between specialties, professions, gender and years of employment were tested for each dimension of PSC. Differences in mean attitude scores were tested using analysis of variance and differences in having a positive attitude were tested using logistic regression.

Results: In total, 15 119 (50%) HCPs returned the survey. Significant differences are seen across hospitals and corporations for all dimensions of PSC. The proportion of HCPs with a positive attitude was largest regarding job satisfaction (74.8%) and lowest regarding perception of management (43.9%). Significant differences are seen in physicians' and nurses' perception of PSC in the different specialties within all dimensions of PSC except for the dimension of recognition of stress. Significant differences in positive perception of teamwork climate are seen between anaesthesiologists' (69.4%) and surgeons' (41.7%). No significant gender differences were found between physicians' and nurses' perception of safety climate and of management. In addition, we found an influence of years of employment on PSC.

Discussion: Significant differences were found in HCPs' perception of PSC between corporations, specialties and professions. The lowest proportion of HCPs with a positive perception of PSC was found within the dimensions of safety climate and perception of management. These differences may have implications for teamwork and patient safety.

Keywords: management; patient safety; safety culture.

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Conflict of interest statement

Competing interests: None declared.

References

    1. Nieva VF, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003;12 Suppl 2:17ii–23. 10.1136/qhc.12.suppl_2.ii17 - DOI - PMC - PubMed
    1. Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf 2014;23:359–72. 10.1136/bmjqs-2013-001848 - DOI - PMC - PubMed
    1. DiCuccio MH. The relationship between patient safety culture and patient outcomes: a systematic review. J Patient Saf 2015;11:135–42. 10.1097/PTS.0000000000000058 - DOI - PubMed
    1. Lee SE, Scott LD, Dahinten VS, et al. . Safety culture, patient safety, and quality of care outcomes: a literature review. West J Nurs Res 2019;41:279–304. 10.1177/0193945917747416 - DOI - PubMed
    1. De Bienassis K, Kristensen S, Burtscher M. Assessments of patient safety culture in OECD countries. In: Culture as a cure, 2020.

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