An exploration of patient safety culture in Kuwait hospitals: a qualitative study of healthcare professionals' perspectives

被引:8
作者
Al Hamid, Abdullah [1 ]
Malik, Aisha [2 ]
Alyatama, Shahad [2 ]
机构
[1] Univ Birmingham, Sch Pharm, Birmingham B15 2TT, W Midlands, England
[2] Univ Hertfordshire, Sch Life & Med Sci, Hatfield, Herts, England
关键词
healthcare professionals; Kuwait; patient safety culture; qualitative; SECONDARY; IMPACT;
D O I
10.1111/ijpp.12574
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Objective Patient safety culture (PSC) represents a key component of the quality of care offered by healthcare professionals. Therefore, it is crucial to understand the factors that influence the implementation of a safe culture. This study explored the knowledge and attitudes of healthcare professionals in Kuwait towards the factors that might affect the PSC. Methods A qualitative study using semi-structured interviews with healthcare professionals was conducted between February and June 2018 at two major hospitals in Kuwait. Both hospitals had been accredited and have been applying the safety programmes recommended by the Kuwaiti Ministry of Health. Participants were purposively selected where 20 healthcare professionals were interviewed. The interviewees comprised of six physicians, six clinical pharmacists, six nurses and two members of the patient safety committee. Inclusion criteria involved healthcare professionals who had more than 1-year clinical experience, have interest in patient safety and had a good level of English. Interviews were audio-recorded and transcribed verbatim. Thematic analysis of the interview transcripts was conducted to identify the emergent themes. Key findings Thematic analysis of the interviews yielded three major themes related to 'management', 'regulations and policies' and 'healthcare professionals'. Management issues included managerial support, resources, safety environment and staff training. Regulations and policies highlighted issues related to policies and procedures and incident reporting system. Healthcare professionals' theme covered factors related to knowledge, communication and teamwork among healthcare professionals. Conclusions This study gave insight into how healthcare professionals perceive the current PSC in Kuwait. Despite their positive attitudes and knowledge towards patient safety, various barriers were reported that hinder optimal PSC. These barriers were related to support, staffing, resources and response to error.
引用
收藏
页码:617 / 625
页数:9
相关论文
共 46 条
[1]  
Agency for Healthcare Research and Quality, 2018, SURV PAT SAF CULT RE
[2]   Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study [J].
Aiken, Linda H. ;
Sloane, Douglas M. ;
Bruyneel, Luk ;
Van den Heede, Koen ;
Griffiths, Peter ;
Busse, Reinhard ;
Diomidous, Marianna ;
Kinnunen, Juha ;
Kozka, Maria ;
Lesaffre, Emmanuel ;
McHugh, Matthew D. ;
Moreno-Casbas, M. T. ;
Rafferty, Anne Marie ;
Schwendimann, Rene ;
Scott, P. Anne ;
Tishelman, Carol ;
van Achterberg, Theo ;
Sermeus, Walter .
LANCET, 2014, 383 (9931) :1824-1830
[3]  
Al-Ahmadi TA, 2009, J EGYPT PUBLIC HEAL, V84, P479
[4]  
Al-Mandhari Ahmed, 2014, Oman Med J, V29, P264, DOI 10.5001/omj.2014.70
[5]   Assessment of patient safety culture in Saudi Arabian hospitals [J].
Alahmadi, H. A. .
QUALITY & SAFETY IN HEALTH CARE, 2010, 19 (05)
[6]   Baseline assessment of patient safety culture in public hospitals in Kuwait [J].
Ali, Hayfaa ;
Ibrahem, Samaa Zenhom ;
Al Mudaf, Buthaina ;
Al Fadalah, Talal ;
Jamal, Diana ;
El-Jardali, Fadi .
BMC HEALTH SERVICES RESEARCH, 2018, 18
[7]   An evaluation of patient safety culture in a secondary care setting in Kuwait [J].
Alqattan, Hamad ;
Cleland, Jennifer ;
Morrison, Zoe .
JOURNAL OF TAIBAH UNIVERSITY MEDICAL SCIENCES, 2018, 13 (03) :272-280
[8]   Knowledge, attitude and practices of pharmacovigilance and adverse drug reaction reporting among pharmacists working in secondary and tertiary governmental hospitals in Kuwait [J].
Alsaleh, Fatemah M. ;
Alzaid, Sherifah W. ;
Abahussain, Eman A. ;
Bayoud, Tania ;
Lemay, Jacinthe .
SAUDI PHARMACEUTICAL JOURNAL, 2017, 25 (06) :830-837
[9]  
Aspden P., 2004, PATIENT SAFETY
[10]  
Babiker Amir, 2014, Sudan J Paediatr, V14, P9