Citation
Alharbi, Mohammed Fayez J
(2021)
Exploring patient safety culture assessment among healthcare professionals in hospitals of Riyadh, Saudi Arabia.
Doctoral thesis, Universiti Putra Malaysia.
Abstract
Patient safety is an essential and vital component of healthcare quality. Despite constant
vigilance, healthcare providers face many challenges in today’s healthcare environment
in trying to keep patients safe. More people have died from medical errors than from
automobile accidents, breast cancer, or acquired immunodeficiency syndrome (AIDS).
Therefore, patient safety problems have become a major concern for healthcare
organizations around the world in both rich and poor countries. Medical errors are
becoming one of the leading causes of death as a result of the lack of validated tools that
are suitable for assessing patient safety culture in Saudi hospitals. This is an important issue
to investigate because doctors and nurses have been shown to have discrepant safety
attitudes. It is on the basis of these concerns that this study intends to explore the extent
to which patient safety culture practices are followed in Saudi Arabia hospitals. The
study also probes the possible causes of the medical errors. The study goes further to
assess- based on the medical staff standpoint and the international healthcare standards if
the current measures are valid and reliable for use with the workforce in Saudi Arabian
hospitals. Methodologically, the study employed qualitative method based on case study
approach. The participants of the study that consisted of eight doctors and eight nurses from
emergency departments of four selected hospitals in Riyadh, Saudi Arabia were selected
through purposive sampling. Data were collected from face-to-face interviews which lasted
for 60 minutes at the respective hospitals in doctor’s rooms and staff lounges during break
time of each participant. They were interviewed about their involvements in the patient
safety culture by their respective hospitals. The interview was conducted using the
interview guide set by the researcher. Secondary sources (document analysis) were also
used as a data source. NVIVO version 12 was used to manage, shape, and analyze the
interview data. The study reveals that the major issues regarding patient safety are
compliance based on awareness among medical personnel and work culture in the
hospital. The issues also include validity and reliability of tool documentation and
traceability, adequacy of patient safety measures, number of patients’ complaints, and
the adaptation of safety measure by medical personnel. The study further reveals that the
causes of medical errors are negligence and lack of discipline by medical staff, and lack
of communication/ miscommunication between medical staff and patient. The study
further elucidates that element that can help eliminate and mitigate errors are clear
hospital policy and awareness training to medical staff. Based on the results, it is
recommended that skilled health personnel should be given priority in being taken in as
part of the medical staff. Furthermore, communication between the patients and medical
staff should be enhanced. Finally, awareness among the medical staff should be
enhanced to improve patient safety.
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