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Nurses' perceptions about patient safety culture in public hospital in Vietnam
Institution:1. Hanoi Department of Health, No 4 Son Tay, Ba Dinh, Hanoi 100000, Viet Nam;2. Hanoi University of Public Health, 1A Duc Thang road, Bac Tu Liem district, Hanoi 100000, Viet Nam;3. Saint Paul Hospital, No. 12 Chu Van An, Ba Dinh district, Hanoi 100000, Viet Nam;4. Genetal Hospital of Agricultural, Thanh Tri district, Hanoi 100000, Viet Nam;5. Phuc Tho Hospital, Phuc Tho Town, Phuc Tho District, Hanoi 100000, Viet Nam;1. School of Nursing, University of Texas Medical Branch, United States;2. School of Nursing, School of Medicine & Public Health, Wisconsin-Madison, United States;3. School of Nursing, University of Wisconsin-Madison, United States;1. Cardiac Care Unit, Khon Kaen Hospital, Thailand;2. Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Thailand;3. Adult Nursing Department, Faculty of Nursing, Khon Kaen University, Thailand;1. Department of Nursing, I-Shou University, Kaohsiung 82445, Taiwan;2. Management College, I-Shou University, Kaohsiung 82445, Taiwan;3. Division of Endocrinology and Metabolism, Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan;4. Department of Medical, E-Da DaChang Hospital, Kaohsiung, Taiwan;5. Department of Family Medicine and Physical Examination, I-Shou University, Taiwan;1. Florida State University, College of Nursing, 98 Varsity Way, Tallahassee, FL 32306, United States of America;2. Florida State University, College of Health and Human Sciences, 120 Convocation Way, Tallahassee, FL 32306, United States of America;3. Florida State University, College of Medicine, 1115 West Call St, Tallahassee, FL 32306, United States of America
Abstract:AimThis paper is aimed to assess nurses' perceptions of patient safety culture in four public general hospitals in Hanoi, Vietnam.BackgroundPatient safety culture is a vital component in ensuring high quality and safe patient care. Assessment of nurses' perceptions on existing hospital patient safety culture (PSC) is the first step to promote PSC.MethodsThe cross-sectional study surveyed 705 nurses utilizing the validated Hospital Survey on Patient Safety Culture (HSOPSC) in an online format.ResultsThe average positive response rate was high at 72.8 % and varied from 52.9 % to 93.4 %. The strongest areas are teamwork within units (93.7 %) and supervisor/manager expectations and actions promoting patient safety (85.0 %). The areas for improvement are staffing (52.9 %) and non-punitive response to error (57.6 %). The communication openness, staffing, frequency of events reported, lengths of services in hospital and unit are significant factors that predict the overall patient safety grade.ConclusionsInitiatives are necessary to improve response to errors, staffing, and error reporting. Nurse managers could develop and implement interventions and program to improve patient safety, including providing education related to patient safety culture, encouraging staff to notify incidents and avoiding punitive responses.
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