Hospital management support for patient safety
Abstract
INTRODUCTION: Hospital management support can play an important role in addressing the issue of patient safety. There is increasing concern about patient safety, as it is often linked to a lack of effective managers who can use their influence to change health professionals’ behavior, leading to a decrease in work pressure and medical errors and enhancing patient safety.
MATERIAL AND METHODS: A cross-sectional study was conducted at three private hospitals. The sample (n = 315) consisted of health professionals from different private hospitals in Jeddah, Saudi Arabia. A 40-item questionnaire addressed patient safety, teamwork, collaboration, hospital management support, supervisor support, work pressure, and communication. The quantitative data were analyzed using the Statistical Package for Social Sciences (SPSS) version 23 and the standard multiple regression analysis was the method used to test hypotheses in this study.
RESULTS: The results of this investigation indicate that a significant amount of variance in perceived patient safety (R2 = 0.41) is accounted for by the predictor variables. The most significant predictor of patient safety is teamwork with a β weight of 0.33, followed by work pressure, with a β weight of 0.31, and hospital management support, with a β weight of 0.30.
CONCLUSIONS: This study has shown that patient safety can be improved by enhancing teamwork, collaboration, and communication among health professionals within hospitals. Patient safety can be improved when heads of units or clinical supervisors use their influence to change behavior and implement procedures that support health professionals working together as a team.
Keywords: patient safetyteamworkcollaborationhospital management supportsupervisor supportwork pressurecommunication
References
- Scheepers RA, Boerebach BCM, Arah OA, et al. A systematic review of the impact of physicians' occupational well-being on the quality of patient care. Int J Behav Med. 2015; 22(6): 683–698.
- Han JH, Roh YS. Teamwork, psychological safety, and patient safety competency among emergency nurses. Int Emerg Nurs. 2020; 51: 100892.
- World Health Organization. Patient safety, 2023. [URL address??] (20.01.2024).
- Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022; 376: e067090.
- Nordin A, Nordström G, Wilde-Larsson B, et al. Patient safety culture change over time-health care staffs’ perceptions. Open J Nurs. 2020; 10(03): 320–339.
- Wagner A, Rieger MA, Manser T, et al. WorkSafeMed Consortium. Healthcare professionals' perspectives on working conditions, leadership, and safety climate: a cross-sectional study. BMC Health Serv Res. 2019; 19(1): 53.
- Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009; 53(2): 143–151.
- Sturm H, Rieger MA, Martus P, et al. Do perceived working conditions and patient safety culture correlate with objective workload and patient outcomes: a cross-sectional explorative study from a German university hospital. PLoS One. 2019; 14(1): e0209487.
- Chien SF, Wan TTh, Chen YC. Factors influencing teamwork and collaboration within a tertiary medical center. World J Methodol. 2012; 2(2): 18–23.
- Browne J, Braden CJo. Nursing turbulence in critical care: relationships with nursing workload and patient safety. Am J Crit Care. 2020; 29(3): 182–191.
- World Health Organization. Health workforce, 2022. [URL address??] (20.01.2024).
- Pérez-Francisco DH, Duarte-Clíments G, Del Rosario-Melián JM, et al. Influence of workload on primary care nurses' health and burnout, patients' safety, and quality of care: integrative review. Healthcare (Basel). 2020; 8(1): 12.
- Al Ma'mari Q, Sharour LA, Al Omari O. Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses. Br J Nurs. 2020; 29(1): 28–34.
- Agency for Healthcare Research and Quality 2021 [Internet]. Hospital Survey on patient safety culture Versions 2.0 user's guide. Hospital Survey on Patient Safety Culture: User's Guide. [URL address??] (20.01.2024).
- Center for Healthcare Quality and Safety [Internet]. Safety Attitudes and Safety Climate Questionnaire. Safety Survey - Center for Healthcare Quality and Safety - UTHealth Houston. [URL address??] (20.01.2024).
- Chatterjee S, Hadi AS. Regression analysis by example. John Wiley & Sons 2015.
- Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. J Patient Saf. 2022; 18(1): e351–e361.
- Al-Mugheed K, Bayraktar N. Patient safety attitudes among critical care nurses: A case study in North Cyprus. Int J Health Plann Manage. 2020; 35(4): 910–921.
- Amponsah-Tawaih K, Adu MA. Work pressure and safety behaviors among health workers in ghana: the moderating role of management commitment to safety. Saf Health Work. 2016; 7(4): 340–346.
- Burgener AM. Enhancing communication to improve patient safety and to increase patient satisfaction. Health Care Manag (Frederick). 2020; 39(3): 128–132.
- Alshareef AG, Wraith D, Dingle K, et al. Identifying the factors influencing Saudi Arabian nurses' turnover. J Nurs Manag. 2020; 28(5): 1030–1040.
- Ammouri AA, Tailakh AK, Muliira JK, et al. Patient safety culture among nurses. Int Nurs Rev. 2015; 62(1): 102–110.
- Seo JK, Lee SE. Hospital management, supervisor support and nurse speaking-up behaviours: The mediating role of safety culture perception. J Nurs Manag. 2022; 30(7): 3160–3167.