Acta clinica Croatica, Vol. 55. No. 3., 2016.
Original scientific paper
https://doi.org/10.20471/acc.2016.55.03.04
How to improve patient safety culture in Croatian hospitals?
Ivan Šklebar
orcid.org/0000-0002-4557-7626
; Sveti Duh University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
Jadranka Mustajbegović
; University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
Duška Šklebar
; Bjelovar General Hospital, Department of Neurology, Bjelovar, Croatia
Marijan Cesarik
; Požega County Hospital, Department of Neurology, Požega, Croatia
Milan Milošević
; University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
Hana Brborović
; University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
Krunoslav Šporčić
; Vinkovci General Hospital, Department of Anesthesiology and Intensive Care, Vinkovci, Croatia
Petar Petrić
; Požega County Hospital, Department of Internal Medicine, Požega, Croatia
Ino Husedžinović
; University of Zagreb, School of Dental Medicine, Zagreb, Croatia
Abstract
Patient safety culture (PCS) has a crucial impact on the safety practices of healthcare delivery systems. The purpose of this study was to assess the state of PSC in Croatian hospitals and compare it with hospitals in the United States. The study was conducted in three public general hospitals in Croatia using the Croatian translation of the Hospital Survey of Patient Safety Culture (HSOPSC). A comparison of the results from Croatian and American hospitals was performed using a T-square test. We found statistically significant differences in all 12 PSC dimensions. Croatian responses were more positive in the two dimensions of Handoffs and Transitions and Overall Perceptions of Patient Safety. In the remaining ten dimensions, Croatian responses were less positive than in US hospitals, with the most prominent areas being Nonpunitive Response to Error, Frequency of Events Reported, Communication Openness, Teamwork within Units, Feedback & Communication about Error, Management Support for Patient Safety, and Staffing. Our findings show that PSC is significantly lower in Croatian than in American hospitals, particularly in the areas of Nonpunitive Response to Error, Leadership, Teamwork, Communication Openness and Staffing. This suggests that a more comprehensive system for the improvement of patient safety within the framework of the Croatian healthcare system needs to be developed. Our findings also help confirm that HSOPSC is a useful and appropriate tool for the assessment of PSC. HSOPSC highlights the PSC components in need of improvement and should be considered for use in national and international benchmarking.
Keywords
Patient safety – standards; Surveys and questionnaires; Organizational culture; Croatia; Social problems; Quality of health care
Hrčak ID:
172396
URI
Publication date:
9.11.2016.
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