وليد محمد أحمد الحربي

مجال
التميز

تميز دراسي و بحثي

البحوث المنشورة

البحث (1):

عنوان البحث:

Assessment of Patient Safety
Culture in an Adult Oncology Department in Saudi Arabia

رابط إلى البحث:

Click Here  

تاريخ النشر:

    04/01/2018

موجز عن البحث:

Objectives: We
sought to evaluate patient safety culture across different healthcare
professionals from different countries of origin working in an adult oncology
department in a medical facility in Saudi Arabia.

Methods: This
cross-sectional survey of 130 healthcare staff (doctors, pharmacists, nurses)
was conducted in February 2017. We used the Hospital Survey of Patient Safety
Culture (HSOPSC) to examine healthcare staff perceptions of safety culture.

Results: A
total of 127 questionnaires were returned, yielding a response rate of 97.7%.
Eight out of 12 HSOPSC composites were considered areas for improvement
(percent positivity < 50.0%). Significantly different mean scores were
observed across the three professional groups in all 12 HSOPSC composites.
Doctors tended to rate patient safety culture significantly more positively
than nurses or pharmacists. Nurses scored significantly lower than
pharmacists in the majority of HSOPSC composites. No significant differences
in patient safety culture composite scores were observed between Saudi/Gulf
Cooperation Council (GCC) and nonSaudi/GCC groups. Regression analysis showed
that the frequency of reported events is predicted by feedback and
communication about errors, and teamwork across units. Perception of patient
safety is associated with respondents’ profession and teamwork across units.

Conclusions: This
study brings to the fore the assumption that all healthcare professionals
have a shared understanding of patient safety. We urge healthcare leaders and
policy makers to look at patient safety culture at this granular level in
their contexts and use this information to develop strategies and training to
improve patient safety culture.

16/10/2018

Objective

Adverse events which result from medication errors are
considered to be one of the most frequently encountered patient safety issues
in clinical settings. We undertook a qualitative investigation to identify and
explore factors relating to medication error in an adult oncology department in
Saudi Arabia from the perspective of healthcare professionals.

Methods

This was a qualitative study
conducted in an adult oncology department in Saudi Arabia. After obtaining
required ethical approvals and written consents from the participants,
semi-structured interviews and focus group discussions were carried out for
data collection. A stratified purposive sampling strategy was used to recruit
medical doctors, pharmacists, and nurses. NVivo Pro version 11 was used for
data analyses. Inductive thematic analysis was adopted in the primary coding of
data while secondary coding of data was carried out deductively applying the
Hospital Survey of Patient Safety Culture (HSOPSC) framework.

Result

The total number of participants
were 38. Majority of the participants were nurses (n = 24), females (n = 30),
and not of Saudi nationality (n = 31) with an average age of 36 years old.
Causes of medication errors were categorized into 6 themes. These causes were
related teamwork across units, staffing, handover of medication related
information, accepted behavioural norms, frequency of events reported, and
non-punitive response to error.

Conclusion

There were numerous causes for
medication errors in the adult oncology department. This means substantive
improvement in medication safety is likely to require multiple, inter-relating,
complex interventions. More research should be conducted to examine
context-specific interventions that may have the potential to improve
medication safety in this and similar departments.

المؤتمرات العلمية:

المؤتمر (1):

عنوان المؤتمر:

8th National Scottish Medical Education
Conference

تاريخ الإنعقاد:

26 – 27 /04/ 2018

مكان
الإنعقاد:

Edinburgh. UK

طبيعة المشاركة:

Poster presentation

عنوان المشاركة:

Assessment of Patient Safety
Culture in an Adult Oncology Department in Saudi Arabia

ملخص المشاركة:

Introduction:
Patient safety
refers to the prevention of harm to patients in the healthcare system. Many
scholars have assessed patient safety culture in different contexts,
including Arab countries. However, previous studies have typically included diverse
healthcare providers, but do not compare patient safety culture perceptions
across different professional groups. To address these gaps, we conducted a
baseline assessment of the patient safety culture in a specific tertiary care
department (adult oncology) in a public hospital in Saudi Arabia.

Methods: This study used the previously-validated, 12
dimension Hospital Survey on Patient Safety Culture (HSOPSC) (AHRQ, 2004) to
identify if there are differences and similarities in perceptions of patient safety
culture between doctors, pharmacists, and nurses, and between Saudi/Gulf
Cooperation Council (GCC) and non-Saudi/GCC groups of healthcare staff.

Result:  127 of
130 questionnaires were returned (yielding 97.7% response rate).  Eight out of the twelve HSOPSC composites
were considered areas for improvement (percent positivity < 50%).
Significantly different mean scores were observed across the three
professional groups on all 12 HSOPSC composites. Doctors tended to rate
patient safety culture significantly more positively than nurses or
pharmacists.  Nurses scored
significantly lower than pharmacists in the majority of HSOPSC composites. No
significant differences in patient safety culture composite scores were observed
between Saudi/Gulf Cooperation Council GCC and non-Saudi/GCC groups.
Regression analysis showed that frequency of events reported is predicted by
feedback and communication about errors, and teamwork across units.

Conclusion:
This
study challenges the assumption that healthcare professionals have a shared
understanding of patient safety.  We
urge healthcare leaders and policy makers to look at patient safety culture
at this granular level in their contexts, and to use this information to
develop strategies and training to improve patient safety culture.