Institutional Practices of a Private Hospital in Saudi Arabia: An Initiative to Improve the Hospital’s Safety Culture

J. L. Abella
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Abstract

Introduction: Study findings pertain to a private healthcare facility in the Eastern Region of Saudi Arabia, which highlighted its healthcare organization’s implementation of hospital-wide approach aimed at promoting culture change to enhance patient safety. Patient safety is a vital component of quality health care. Health care organizations continually strive for improvement, leading to a growing recognition of the importance of establishing a safe culture, most especially within the Kingdom of Saudi. Materials and Methods: The hospital's culture of safety was investigated using a descriptive research design. The study further discusses how the hospital was able to improve the safety culture within the confines of their organization by instituting several programs which forms as the framework of the hospital’s commitment to safety. The study covers all the healthcare professional of the hospital (clinical and non-clinical) to provide their perception on the topic. Results: This study yielded more than sixty percent (60%) response rate for three consecutive years which strongly supports the findings of the study. The institution’s safety culture has dramatically improved from 2017’s result of 46.4%, 58.6% (2018) and 74.4% in 2019 after engaging an organizational intervention which includes; leadership patient safety walk rounds, good catch campaign, improvement projects, adoption of lean management, continuous organization learning and development, quality accreditation and an intensified leadership support. A number of dimensions contributed to the highest perception of patient safety, including teamwork within and across units, organizational learning and continuous quality improvement, management support for patient safety, and an increase in the perception of overall patient safety culture by staff. Conclusion: The result suggested that the commitment of all healthcare professionals within the organization and an active engagement of managers and executives will absolutely result to positive change in the institution’s culture of safety.
沙特阿拉伯一家私立医院的制度实践:改善医院安全文化的倡议
简介:研究结果涉及沙特阿拉伯东部地区的一家私人医疗机构,该机构强调了其医疗机构实施全院范围的方法,旨在促进文化变革,以提高患者安全。患者安全是高质量卫生保健的重要组成部分。保健组织不断努力改进,使人们日益认识到建立安全文化的重要性,尤其是在沙特王国。材料与方法:采用描述性研究设计对医院安全培养进行调查。该研究进一步讨论了医院如何能够在其组织范围内通过制定几个项目来改善安全文化,这些项目形成了医院对安全承诺的框架。该研究涵盖了医院的所有医疗保健专业人员(临床和非临床),以提供他们对该主题的看法。结果:本研究连续3年的应答率均在60%以上,有力地支持了本研究的发现。该机构的安全文化在2017年的46.4%、58.6%(2018年)和74.4%的基础上有了显著改善,其中包括:领导病人安全巡视、抓好运动、改进项目、采用精益管理、持续的组织学习和发展、质量认证和加强领导支持。许多方面有助于患者安全的最高感知,包括单位内部和跨单位的团队合作,组织学习和持续质量改进,对患者安全的管理支持,以及员工对整体患者安全文化的感知的增加。结论:结果表明,组织内所有医疗保健专业人员的承诺和管理人员和高管的积极参与绝对会导致机构安全文化的积极变化。
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