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Interdisciplinary Differences in Patient Safety Culture within a Teaching Hospital in a South East Asia
  • Karthikayini Krishnasamy,
  • Maw Pin Tan,
  • Mohd Idzwan Zakaria
Karthikayini Krishnasamy
Universiti Malaya
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Maw Pin Tan
University of Malaya
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Mohd Idzwan Zakaria
Universiti Malaya
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Abstract

Background: Patient safety represents a global issue which leads to potentially avoidable morbidity and mortality. This study aimed to determine the inter-professional differences in patient safety culture in a tertiary university hospital. Method: A cross-sectional study using the Safety Attitude Questionnaire (SAQ) self-administered electronically in the English and Malay languages to evaluate safety culture domains. A positive percentage agreement score of 60% was considered satisfactory. Comparisons were made between clinicians, nurses, allied health professionals, ward attendants and support staff. Results: Of 6562 potential respondents, 5724 (80.4%) completed the questionnaire; 3930 (74.5%) women, 2263 (42.9%) nurses, and 1812 (34.2%) had 6-10 years of working experience. The mean overall positive percentage agreement scores were 66.2 (range=31.1 to 84.7%), with job satisfaction (72.3±21.9%) and stress recognition (58.3±25.6%) representing the highest and lowest mean domain scores respectively. Discussion: Differences were observed between all five job categories. Linear regression analyses revealed that the other four job categories scored lower in teamwork, safety culture, job satisfaction, and working conditions compared to nurses. Conclusions: The overall mean SAQ score was above the satisfactory level, with unsatisfactory percentage agreement scores in the stress recognition domain. Interventions to improve patient safety culture should be developed, focusing on stress management.

Peer review status:ACCEPTED

17 Nov 2020Submitted to International Journal of Clinical Practice
19 Nov 2020Submission Checks Completed
19 Nov 2020Assigned to Editor
20 Nov 2020Reviewer(s) Assigned
06 Dec 2020Review(s) Completed, Editorial Evaluation Pending
10 Feb 20211st Revision Received
11 Feb 2021Assigned to Editor
11 Feb 2021Submission Checks Completed
17 Feb 2021Reviewer(s) Assigned
12 Mar 2021Review(s) Completed, Editorial Evaluation Pending
17 Apr 20212nd Revision Received
19 Apr 2021Submission Checks Completed
19 Apr 2021Assigned to Editor
20 Apr 2021Reviewer(s) Assigned
22 Apr 2021Review(s) Completed, Editorial Evaluation Pending
03 May 2021Editorial Decision: Accept