A Self-Assessment Model for Hospital Safety Culture Maturity
Background Studies on safety culture maturity in health care is very rare, and the existing ones only focus on patients and the use of Manchester Patients Safety Framework (MaPSaF) instrument. The objective of this study is to develop a comprehensive instrument for measuring safety culture maturity...
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| Vydané v: | Journal of public health research Ročník 11; číslo 2 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
London, England
SAGE Publications
10.03.2022
PAGEPress Publications, Pavia, Italy SAGE Publishing |
| Predmet: | |
| ISSN: | 2279-9036, 2279-9028, 2279-9036 |
| On-line prístup: | Získať plný text |
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| Shrnutí: | Background
Studies on safety culture maturity in health care is very rare, and the existing ones only focus on patients and the use of Manchester Patients Safety Framework (MaPSaF) instrument. The objective of this study is to develop a comprehensive instrument for measuring safety culture maturity in hospitals.
Design and methods
This study used a cross-sectional design with three stages. First, we used secondary data analysis from the Hospital Accreditation Commission. Second, evaluation of primary data obtained from safety climate questionnaire. Third, we did focus group discussions, and in-depth interviews for validation of secondary data and development of DUTA-RS website. We analyzed using Structural Equation Modeling (SEM) test.
Results
DUTA-RS instrument contains 1,118 elements based on the first edition of the Indonesian Hospital Accreditation National Standard. Its safety culture maturity is at the proactive level (58.0%), with the highest accreditation levels of proactive (50.8%) and generative (48.7%). The variables affecting the safety culture maturity are situational and safety behavior variables, with leadership, risk management, and safety compliance as the strongest indicators. The weakest indicators of climate are organizational learning and communication. The mean value of climate for primary and secondary data is in the good category and showed in proactive level.
Conclusions
The DUTA-RS as a website to measure the safety culture maturity in accredited hospitals by taking the advantage of the existing information technology of hospital accreditation committee as the benchmark enables improvement of SCML in hospitals. Further studies are required for the development of DUTA-RS website. |
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| Bibliografia: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Ethics approval: This study was approved by the Ethical Committee of the Faculty of Public Health at Universitas Indonesia (approval No. 17 / UN2.F10. D11 / PPM.00.02 / 2020). Availability of data and materials: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Conflict of interest: The authors declare that they have no competing interests, and all authors confirm accuracy. Patients consent for publication: This study is a self-assessment model for the maturity of safety culture in an accredited hospital. Informed consent: The manuscript does not contain any individual person’s data in any form. Contributions: DL, original draft preparation; DL, SS, preparation, conceptualization, methods and design study, acquisition data, analysis and interpretation; FL, SS, AB, investigation, statistic analysis, supervision and critical revision; RM, administration, technical,material support, analysis and interpretation result. All authors: writing, review and editing. All the authors have read and approved the final version of the manuscript and agreed to be accountable for all aspects of the work. |
| ISSN: | 2279-9036 2279-9028 2279-9036 |
| DOI: | 10.4081/jphr.2022.2530 |