Studying patient safety from viewpoints of physicians and nurses: A case of a district hospital in central Taiwan in 2017

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Yi-Fang Li, Yii-Ching Lee, Jiunn-I Shieh, Chih-Hsuan Huang, Kuan-Kai Huang, Chia-Hui Yu, Hsin-Hung Wu

2021 Journal of Quality Vol. 28 Issue 5 Article Cited by 1 Quartile

Abstract

Positive safety culture can reduce medical errors and provide a safer and better-quality care environment. However, relying on a positive organizational culture is not enough. For a newly established medical institution, benchmarking is essential in order to improve the competitiveness quickly. The research is mainly based on the physicians and nurses in a newly established district hospital in central Taiwan in 2017. However, in order to carry out the benchmarking and provide indicators for the progress and improvement of the case hospital, physicians and nurses from another two medical institutions (a medical center and a regional teaching hospital) in central Taiwan are included for benchmarking. This study uses the internal survey results from the Chinese version of the Safety Attitudes Questionnaire (SAQ) developed by the Joint Commission of Taiwan to measure patient safety culture in this case hospital. Descriptive statistics, nonparametric statistics, and analysis of variance are employed to evaluate whether there is a difference among the dimensions of the patient safety culture for physicians and nurses. A comparative study is performed with two additional medical institutions in central Taiwan through analysis of variance. The results show that the current advantages of the case hospital are in safety climate, job satisfaction, and work-life balance. In the post hoc analysis, it is found that the case hospital is more satisfied than the other hospitals in terms of job satisfaction and work-life balance. Through the investigation and analysis of the safety culture of the newly established district hospital in central Taiwan, hospital management can make immediate improvements and adjustments in patient safety to avoid medical negligence of physicians and nurses during the work to maintain patient safety. © 2021, Chinese Society for Quality. All rights reserved.

Affiliations

Department of Business Administration, National Changhua University of Education, Taiwan; Department of Health Business Administration, HungKuang University, Taiwan; Superintendent Office, BenTang Cheng Ching Hospital, Taiwan; Department of M-Commerce and Multimedia Applications, Asia University, Taiwan; School of Business Administration, Hubei University of Economics, China; Medical Administration Office, Chang-Hua Hospital, Ministry of Health and Welfare, Taiwan; School of Nursing, Chung Shan Medical University, Taiwan; Chung Shan Medical University Hospital, Taiwan; Faculty of Education, State University of Malang, Indonesia