Perception of patient safety and associated factors among health staff: A cross-sectional study in some hospitals in Vietnam

Objectives: Patient safety is a global challenge of preventing and mitigating medical errors which might harm patients during their course of treatment and care. This research aimed to assess the perception of patient safety culture and its associated factors among health staff in some hospitals in Vietnam.

Methods: A cross-sectional study was conducted in three hospitals in Vietnam with a total of 763 heath staff. This study used the Hospital Patient Safety Scale developed by the American Health and Quality Research Organization. Bivariate and multivariate regression were used to analyze the association between the overall perception of patient safety culture among health staff.

Results: The overall perception of patient safety among health staff in three hospitals was on the average positive response at 39.19% with a score of 3.93. Among the 12 dimensions of patient safety culture, “Feedback and communication about errors” had the highest average positive response (92.5%) with a score of 4.25, however, “Frequent of event reported” scored the lowest percentage of positive responses (20.71%) with a score of 2.49. There are two factors of department and position being found to have significant association with overall positive responses. Staffs who worked at the subclinical department are more likely to have overall positive responses than those who worked at the administration department, with an adjusted odds ratio of 2.76 (95% CI = 1.22 – 3.86). Nurses were less likely to have overall positive responses than doctors, with an adjusted odds ratio of 0.65 (95% CI = 0.45 – 0.95).

Conclusion: This study reported that “Frequent of event reported” aspects that need to be improved because they are strongly related to patient safety culture and to knowledge exchange among health staff. It has been suggested that hospitals should deliver patient safety training courses and establish a supportive learning environment to improve these challenges.

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