Abstract:
Introduction
Patient safety culture (PSC) is an essential component of
the care quality. An important contribution to the
evaluation of hospital culture and the enhancement of
PSC is the HSOPSC questionnaire elaborated by the
Agency for Healthcare Research and Quality (AHRQ) [1].
The questionnaire displays reliable psychometric
characteristics and has been validated in more than 20
countries.
Objective
This study aimed to assess the patient safety culture
among hospital staff using the Bulgarian version of
Hospital Survey on Patient Safety Culture (B-HSOPSC) and
explore the areas of deficiencies and opportunities for
improvement regarding this issue.
Methods
A national cross-sectional survey was conducted using a
special developed Internet-based software platform. The
questionnaire for assessment of Hospital Survey on
Patient Safety Culture (HSOPSC) includes 42 questions,
organized in 12 domains. To the Bulgarian version of BHSOPSC
two new items were added [2]. In total, 545
healthcare professionals from hospitals in different
regions of Bulgaria were enrolled. The data were
exported to SPSS 17.0 statistical software and analyzed
with descriptive statistics.
Results
In general, results show positive assessments
of patient safety culture, regardless of few of
exceptions. The dimensions "Handoffs and
transitions" and „Supervisor/manager
expectations and actions promoting safety "
showed the highest mean values, respectively
3.76+0.79 and 3.64+0.79, whereas the
"Staffing" and "Non-punitive response to
error" have received the lowest mean values,
respectively 2.79+0.60 and 2.99+0.89.
Conclusion
For the first time in Bulgaria, with the aid of a
web-based platform to report adverse events
and errors in medical practice, the level of
hospital patient safety was measured. Special
attention should be paid to the staff turnover
in hospital, as well as the introduction of a
patient safety reporting system in our country.
References
1. Sorra JS, Nieva VF. Hospital Survey on Patient Safety
Culture. Rockville, MD: Agency for Healthcare Research
and Quality; 2004. [Accessed January 23,2020].
2. Stoyanova, R., Dimova, R., Tarnovska, M., & Boeva, T.
(2018). Linguistic validation and cultural adaptation of
Bulgarian version of hospital survey on patient safety
culture (HSOPSC). Open access Macedonian journal of
medical sciences, 6(5):925-930.
Description:
Dept, of Health management and health economic, Medical University Plovdiv, Bulgaria. Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltare
