Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire

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internalnotes 1. Bates DW. Preventing medication errors: a summary. Am J Health Syst Pharm 2007;64(14 Suppl 9):S3–9. 2. Pronovost P, Sexton B. Assessing safety culture: guidelines and recommendations. Qual Saf Health Care 2005;14:231–3. 3. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. National Academies Press, 2000. 4. Sorra J, Nieva VF. Hospital survey on patient safety culture. Agency for Healthcare Research and Quality, 2004. 5. Kar CSC, Hamid HSA. Department of Psychology, International Islamic University Malaysia. http://irep.iium.edu.my/32075/1/ adaptation_of_SAQ_version_1.3_(1).pdf 6. Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14:364–6. 7. Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003;12(Suppl 2):ii17–23. 8. Listyowardojo TA, Nap RE, Johnson A. Variations in hospital worker perceptions of safety culture. Int J Qual Health Care 2012;24:9–15. 9. Sexton J, Thomas E, Grillo S. The Safety Attitudes Questionnaire (SAQ) guidelines for administration. The University of Texas Center of Excellence for Patient Safety Research and Practice, 2003. 10. Nordén-Hägg A, Sexton J, Kälvemark-Sporrong S, et al. Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC Clin Pharmacol 2010;10:1–12. 11. Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006;6:44. 12. Huang DT, Clermont G, Sexton JB, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med 2007;35:165–76. 13. Modak I, Sexton JB, Lux TR, et al. Measuring safety culture in the ambulatory setting: the Safety Attitudes Questionnaire—ambulatory version. J Gen Intern Med 2007;22:1–5. 14. Lee WC, Wung HY, Liao HH, et al. Hospital safety culture in Taiwan: a nationwide survey using Chinese version Safety Attitude Questionnaire. BMC Health Serv Res 2010;10:234. 15. Relihan E, Glynn S, Daly D, et al. Measuring and benchmarking safety culture: application of the safety attitudes questionnaire to an acute medical admissions unit. Ir J Med Sci 2009;178:433–9. 16. Rigobello MCG, De Carvalho REFL, De Bortoli Cassiani SH, et al. The climate of patient safety: perception of nursing professionals. Acta Paul Enferm 2012;25:728–35. 17. Abdou HA, Sabe KM. A baseline assessment of patient safety culture among nurses at Student University Hospital-Egypt. World J Med Sci 2011;6:17–26. 18. Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care 2010;19:592–6. 19. Taylor JA, Pandian R. A dissonant scale: stress recognition in the SAQ. BMC Res Notes 2013;6:302. 20. El-Jardali F, Dimassi H, Jamal D, et al. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res 2011;11:45. 21. Patterson PD, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes questionnaire. Am J Med Qual 2010;25:109–15. 22. Al Khalidi D, Wazaify M. Assessment of pharmacists’ job satisfaction and job related stress in Amman. Int J Clin Pharm 2013;35:821–8. 23. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 2000;320:745–9. 24. Force MV, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm 2006;36:34–41. 25. Williams SD, Phipps DL, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm Pharm 2013;9:80–9. 26. Etchegaray JM, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care 2010;19:e14. 27. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Understanding why medication administration errors may not be reported. Am J Med Qual 1999;14:81–8. 28. Nordén-Hägg A, Kälvemark-Sporrong S, Lindblad AK. Exploring the relationship between safety culture and reported dispensing errors in a large sample of Swedish community pharmacies. BMC Pharmacol Toxicol 2012;13:4. 29. Hofmann DA, Mark B. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Pers Psychol 2006;59:847–69. 30. Kline TJ, Willness C, Ghali WA. Determinants of adverse events in hospitals-the potential role of patient safety culture. J Healthc Qual 2008;30:11–17.
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spelling 12737 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=12737 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal application/pdf Adobe Acrobat Pro DC 20 Paper Capture Plug-in with ClearScan 10 1.6 Adobe Acrobat Pro DC 20.6.20042 2024-08-27 13:47:18 7044-01-FH02-FSK-16-04938.pdf UniSZA Private Access Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire BMJ OPEN Objective: To assess the safety attitudes of pharmacists, provide a profile of their domains of safety attitude and correlate their attitudes with self-reported rates of medication errors. Design: A cross-sectional study utilising the Safety Attitudes Questionnaire (SAQ). Setting: 3 public hospitals and 27 health clinics. Participants: 117 pharmacists. Main outcome measures: Safety culture mean scores, variation in scores across working units and between hospitals versus health clinics, predictors of safety culture, and medication errors and their correlation. Results: Response rate was 83.6% (117 valid questionnaires returned). Stress recognition (73.0±20.4) and working condition (54.8±17.4) received the highest and lowest mean scores, respectively. Pharmacists exhibited positive attitudes towards: stress recognition (58.1%), job satisfaction (46.2%), teamwork climate (38.5%), safety climate (33.3%), perception of management (29.9%) and working condition (15.4%). With the exception of stress recognition, those who worked in health clinics scored higher than those in hospitals (p<0.05) and higher scores (overall score as well as score for each domain except for stress recognition) correlated negatively with reported number of medication errors. Conversely, those working in hospital (versus health clinic) were 8.9 times more likely (p<0.01) to report a medication error (OR 8.9, CI 3.08 to 25.7). As stress recognition increased, the number of medication errors reported increased (p=0.023). Years of work experience (p=0.017) influenced the number of medication errors reported. For every additional year of work experience, pharmacists were 0.87 times less likely to report a medication error (OR 0.87, CI 0.78 to 0.98). Conclusions: A minority (20.5%) of the pharmacists working in hospitals and health clinics was in agreement with the overall SAQ questions and scales. Pharmacists in outpatient and ambulatory units and those in health clinics had better perceptions of safety culture. As perceptions improved, the number of medication errors reported decreased. Group-specific interventions that target specific domains are necessary to improve the safety culture. 5 11 BMJ Publishing Group BMJ Publishing Group 1-9 1. Bates DW. Preventing medication errors: a summary. Am J Health Syst Pharm 2007;64(14 Suppl 9):S3–9. 2. Pronovost P, Sexton B. Assessing safety culture: guidelines and recommendations. Qual Saf Health Care 2005;14:231–3. 3. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. National Academies Press, 2000. 4. Sorra J, Nieva VF. Hospital survey on patient safety culture. Agency for Healthcare Research and Quality, 2004. 5. Kar CSC, Hamid HSA. Department of Psychology, International Islamic University Malaysia. http://irep.iium.edu.my/32075/1/ adaptation_of_SAQ_version_1.3_(1).pdf 6. Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care 2005;14:364–6. 7. Nieva V, Sorra J. Safety culture assessment: a tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003;12(Suppl 2):ii17–23. 8. Listyowardojo TA, Nap RE, Johnson A. Variations in hospital worker perceptions of safety culture. Int J Qual Health Care 2012;24:9–15. 9. Sexton J, Thomas E, Grillo S. The Safety Attitudes Questionnaire (SAQ) guidelines for administration. The University of Texas Center of Excellence for Patient Safety Research and Practice, 2003. 10. Nordén-Hägg A, Sexton J, Kälvemark-Sporrong S, et al. Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC Clin Pharmacol 2010;10:1–12. 11. Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res 2006;6:44. 12. Huang DT, Clermont G, Sexton JB, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Care Med 2007;35:165–76. 13. Modak I, Sexton JB, Lux TR, et al. Measuring safety culture in the ambulatory setting: the Safety Attitudes Questionnaire—ambulatory version. J Gen Intern Med 2007;22:1–5. 14. Lee WC, Wung HY, Liao HH, et al. Hospital safety culture in Taiwan: a nationwide survey using Chinese version Safety Attitude Questionnaire. BMC Health Serv Res 2010;10:234. 15. Relihan E, Glynn S, Daly D, et al. Measuring and benchmarking safety culture: application of the safety attitudes questionnaire to an acute medical admissions unit. Ir J Med Sci 2009;178:433–9. 16. Rigobello MCG, De Carvalho REFL, De Bortoli Cassiani SH, et al. The climate of patient safety: perception of nursing professionals. Acta Paul Enferm 2012;25:728–35. 17. Abdou HA, Sabe KM. A baseline assessment of patient safety culture among nurses at Student University Hospital-Egypt. World J Med Sci 2011;6:17–26. 18. Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care 2010;19:592–6. 19. Taylor JA, Pandian R. A dissonant scale: stress recognition in the SAQ. BMC Res Notes 2013;6:302. 20. El-Jardali F, Dimassi H, Jamal D, et al. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res 2011;11:45. 21. Patterson PD, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes questionnaire. Am J Med Qual 2010;25:109–15. 22. Al Khalidi D, Wazaify M. Assessment of pharmacists’ job satisfaction and job related stress in Amman. Int J Clin Pharm 2013;35:821–8. 23. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 2000;320:745–9. 24. Force MV, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm 2006;36:34–41. 25. Williams SD, Phipps DL, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm Pharm 2013;9:80–9. 26. Etchegaray JM, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care 2010;19:e14. 27. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Understanding why medication administration errors may not be reported. Am J Med Qual 1999;14:81–8. 28. Nordén-Hägg A, Kälvemark-Sporrong S, Lindblad AK. Exploring the relationship between safety culture and reported dispensing errors in a large sample of Swedish community pharmacies. BMC Pharmacol Toxicol 2012;13:4. 29. Hofmann DA, Mark B. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Pers Psychol 2006;59:847–69. 30. Kline TJ, Willness C, Ghali WA. Determinants of adverse events in hospitals-the potential role of patient safety culture. J Healthc Qual 2008;30:11–17.
spellingShingle Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire
summary Objective: To assess the safety attitudes of pharmacists, provide a profile of their domains of safety attitude and correlate their attitudes with self-reported rates of medication errors. Design: A cross-sectional study utilising the Safety Attitudes Questionnaire (SAQ). Setting: 3 public hospitals and 27 health clinics. Participants: 117 pharmacists. Main outcome measures: Safety culture mean scores, variation in scores across working units and between hospitals versus health clinics, predictors of safety culture, and medication errors and their correlation. Results: Response rate was 83.6% (117 valid questionnaires returned). Stress recognition (73.0±20.4) and working condition (54.8±17.4) received the highest and lowest mean scores, respectively. Pharmacists exhibited positive attitudes towards: stress recognition (58.1%), job satisfaction (46.2%), teamwork climate (38.5%), safety climate (33.3%), perception of management (29.9%) and working condition (15.4%). With the exception of stress recognition, those who worked in health clinics scored higher than those in hospitals (p<0.05) and higher scores (overall score as well as score for each domain except for stress recognition) correlated negatively with reported number of medication errors. Conversely, those working in hospital (versus health clinic) were 8.9 times more likely (p<0.01) to report a medication error (OR 8.9, CI 3.08 to 25.7). As stress recognition increased, the number of medication errors reported increased (p=0.023). Years of work experience (p=0.017) influenced the number of medication errors reported. For every additional year of work experience, pharmacists were 0.87 times less likely to report a medication error (OR 0.87, CI 0.78 to 0.98). Conclusions: A minority (20.5%) of the pharmacists working in hospitals and health clinics was in agreement with the overall SAQ questions and scales. Pharmacists in outpatient and ambulatory units and those in health clinics had better perceptions of safety culture. As perceptions improved, the number of medication errors reported decreased. Group-specific interventions that target specific domains are necessary to improve the safety culture.
title Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire
title_full Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire
title_fullStr Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire
title_full_unstemmed Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire
title_short Safety culture perceptions of pharmacists in Malaysian hospitals and health clinics: a multicentre assessment using the Safety Attitudes Questionnaire
title_sort safety culture perceptions of pharmacists in malaysian hospitals and health clinics: a multicentre assessment using the safety attitudes questionnaire