Science Journal of Public Health
Volume 5, Issue 3, May 2017, Pages: 224-229
Received: Feb. 20, 2017;
Accepted: Mar. 7, 2017;
Published: Mar. 27, 2017
Views 1699 Downloads 75
Sathasivam Sridharan, Directorate of Healthcare Quality and Safety, Ministry of Health, Colombo, Sri Lanka
Mohamed Abdul Cader Mohamed Refai, National Programme for Tuberculosis control and Chest Diseases, Ministry of Health, Colombo, Sri Lanka
Nusliha Anwar, Directorate of Healthcare Quality and Safety, Ministry of Health, Colombo, Sri Lanka
Malavige Kaushalya Kumari, Directorate of Healthcare Quality and Safety, Ministry of Health, Colombo, Sri Lanka
The objective of this study is to assess the factors that affect the patient safety programme in government hospitals of Sri Lanka. Method: A hospital based cross sectional descriptive study was conducted at the selected line ministry hospitals as they have established Quality Management Units. The study population was the administrative and clinical staff at these hospitals who had been employed at the hospital for at least 6 months and they should be working on a permanent basis. A self-administered questionnaire was used to collect the data collection. It contains two parts. First part deals with the perception on patient safety programme. It consists patient safety programme as dependent variable and five independent variables (organizational safety culture, leadership, communication, team structure and work environment) with 45 questions. The second part comprised six questions on socio-economic characteristics. Results: 327 members participated in his study. Out of that, 242(74%) were female, 74(22.6%) were male and 11(3.4%) didn’t mention the gender. Leadership has the highest mean value of independent variables and work environment has the second highest mean. Patient safety programme shows highest correlation with team structure (0.255), and lowest with work environment (0.200). Organizational safety culture has the correlation of 0.253 with patient safety programme which is an important factor next to team structure. Communication has the correlation of 0.231 and leadership has the value of 0.221, and both have significant correlation with patient safety programme. Conclusion: All assessed independent variables such as team structure, organizational safety culture, leadership, communication and work environment significantly affect the patient safety programme. Team structure and organizational safety culture have the highest correlation with patient safety programme.
Mohamed Abdul Cader Mohamed Refai,
Malavige Kaushalya Kumari,
Factors Affecting Patient Safety Programme in Government Hospitals of Sri Lanka, Science Journal of Public Health.
Vol. 5, No. 3,
2017, pp. 224-229.
WHO. What is Patient safety, www.who.int/patientsafety /education/curriculum /who_mc_topic-1.pdf. 2009.
World Health Organization-WHO (2015). Regional strategy for patient safety in the WHO South-East Asia Region 2016-2025. WHO Regional Office for South-East Asia.
Ruwanpura R. Litigation against medical practitioners: facts and myths. Galle Medical journal. 2009 vol.
M. Amarapathy, S. Sridharan, R. Perera, Y. Handa. Factors Affecting Patient Safety Culture In A Tertiary Care Hospital In Sri Lanka. International Journal Of Scientific & Technology Research Volume 2, Issue 3, March 2013.
Alahmadi H. A. Assessment of patient safety culture in Saudi arabian Hospitals. British Medical Journal. 2009 vol.
Linda Emanuel, Don Berwick, James Conway, John Combes, Martin Hatlie, Lucian Leape, James Reason, Paul Schyve, Charles Vincent,; Merrilyn Walton, (n.d.). What is exactly patient safety? Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment), Agency for Healthcare Research and Quality; 2008 Aug. www.ahrq.gov/downloads/pub/advances2/vol1/advances.
Ulrich, B. & Kear, T. Patient safety & patient safety culture; Foundation of excellent healthcare delivery. Nephrology Nursing Journal, 41 (5), 2014.
Pauley A. P, Pauley J. F, Establishing a Culture of Patient Safety, American Society of Quality Press, 2012.
Institute of Medicine (IOM) "To Err is Human" Report 2000.
HealthGrades, Patient Safety in Americal Hospitals Study, March 2011, http://www.healthgrades.com/business/img/HealthGradesPatientSafetyIn AmericanHopsitalsStudy2012.pdf.
Sir Liam Donaldson, Pauline Philip. Patient safety a global priority. Bull World Health Organ vol.82 n.12 Genebra Dec. 2004.
Institute of Medicine, The safe Initiative and Health Literacy: A Workshop, December 2010, -http://www.iom.edu/2012/The-Safe-Use-Initiative-and-Health-Literacy-A-Workshop.aspx.
S. D. Scott, L E Hirschinger, K. R. Cox, M. McCoig, J. Brandt, L. W. Hall Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions Qual Saf Health Care 2010;19:1 3-8..(Scott, 2009).
Christopher P. Landrigan, M. D., M. P. H., Gareth J. Parry, Ph. D., Catherine B. Bones, M. S. W., Andrew D. Hackbarth, M. Phil., Donald A. Goldmann, M. D., and Paul J. Sharek, M. D., M. P. H. Temporal Trends in Rates of Patient Harm Resulting from Medical Care. N. Engl J. Med 2010; 363: 2124-2134 November 25, 2010.
Vincent C., (2010). Patient Safety. London: Wiley-Blackwell.
Obama, H. Clinton. Making Patient Safety the Centerpiece of medical liability reform. The New England Journal of Medicine 354(21): 2205-8. 2006 May 25.
World Health Organization- Europe – on Patient safety 2009.
Somatunga L. C, Sridharan S, Refai M. A. C. M, Malavige K. K, Gamini L. P. S. Factors Influencing Continuous Quality Improvement Programme In Government Hospitals Of Sri Lanka. International Journal Of Scientific & Technology Research Volume 4, Issue 06, June 2015.
V. F. Nieva, J. Sorra. Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Quality & - Qual Saf Health Care 2003, volume 12.
Peter Lee, Kellie Allen, Michael Daly. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf 2012; 21: 84-88, volume 21.
AD. Auerbach, NL. Sehgal, MA. Blegen. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. BMJ Qual Saf 2012; volume 21.
David P. Baker, Rachel Day, Eduardo Salas. Teamwork as an Essential Component of High-Reliability Organizations. Health services research.9 June 2006.
Baker DP, Gustafson S, Beaubien JM, Salas E, Barach P. Medical Team Training Programs in Health Care. In: Henriksen K, Battles JB, Marks ES, et al., Editors. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 4. Programs, Tools, and Products. Rockville, MD: Agency for Healthcare Research and Quality; 2005;4:253.
Marcia Kirwan, P. Anne Scott. The impact of the work environment of nurses on patient safety outcomes: A. multi-level modelling approach. International journal of nursing studies. February 2013 Volume 50, Issue 2, Pages 253–263.