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. 2024 Nov 7;19(11):e0313321.
doi: 10.1371/journal.pone.0313321. eCollection 2024.

Assessment of patient safety culture and associated factors among healthcare professionals in public hospitals of Bahir Dar City, Northwest Ethiopia: A mixed-methods study

Daniel Atinafu  1 , Gebremariam Getaneh  1 , Getachew Setotaw  1
Affiliations

Assessment of patient safety culture and associated factors among healthcare professionals in public hospitals of Bahir Dar City, Northwest Ethiopia: A mixed-methods study

Daniel Atinafu et al. PLoS One. .

Abstract

Background: Patient safety is an essential component of healthcare quality. Despite enormous advances in medical knowledge, many adverse events continue to endanger patient safety. Although mixed-method studies are necessary to gain a deeper understanding of safety culture, few studies provide practical evidence of patient safety culture and associated factors in Ethiopia. This study aimed to assess patient safety culture and associated factors among healthcare professionals in public hospitals in Bahir Dar City, Northwest Ethiopia.

Methods: A cross-sectional study design was employed, in triangulation with qualitative methodologies, from March 10 to April 10, 2022. A stratified sampling technique was used to select 420 study participants from three public hospitals. A standardized tool measuring 12 patient safety culture composites was used for data collection. Purposive sampling was employed in the qualitative study. Bi-variable and multivariable linear regression analyses were performed using SPSS version 23, with significance set at a 95% confidence interval and a p-value of <0.05. Content analysis was utilized in the qualitative study.

Results: The overall patient safety culture score was 47.6% (95% CI: 42.7, 52.5). Age (β = 1.196, 95% CI: (0.968, 1.322), patient safety training (β = 0.168, 95% CI: 0.040, 0.297), working in pediatric wards (β = 0.236, 95% CI: 0.099, 0.370), and resource availability (β = 0.346, 95% CI: 0.220, 0.473) were significantly associated with patient safety culture. The in-depth interviews identified infrastructure, communication barriers, lack of management support, poor governance, healthcare professionals' knowledge, skills, and attitudes, and patient involvement during treatment as factors affecting patient safety.

Conclusions: This study concludes that the patient safety culture in the studied hospitals is suboptimal, falling below the acceptable threshold. Enhancing resource availability, providing continuous patient safety training, improving communication systems, and fostering a supportive management environment are essential steps towards building a safer healthcare system.

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Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Fig 1
Fig 1. Hospital’s overall patient safety grade among healthcare professionals in Bahir Dar City public hospitals, Northwest Ethiopia, 2022 (N = 393).
See this image and copyright information in PMC

References

    1. Organization WH. Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care: World Health Organization; 2021.
    1. Safety WP. Global priorities for patient safety research. 2009. - PubMed
    1. Slawomirski L, Auraaen A, Klazinga NS. The economics of patient safety: strengthening a value-based approach to reducing patient harm at national level. 2017.
    1. Reddy N. Prevention of errors in health care-patient (Medical customer) safety. Journal of Basic and Clinical Research. 2017;4(2):20.
    1. Endalamaw A, Dessie G, Biresaw H, Belachew A, Amare D, Workineh Y, et al. Medication errors in Ethiopia: systematic review and meta-analysis. 2020.