The Relationship between Patient Safety Culture and Compliance with Patient Safety Indicators Staff in Emergency Departments of Teaching Hospital, Tabriz University

Abstract

Abstract: Introduction: Research conducted in the area of patient safety suggests that the probability of occurrence of medical errors in the emergency unit is more than other units. Therefore, evaluating the factors, which are probably associated with occurrence of these problems in the emergency unit, is essential. The current research was conducted to The relationship between patient safety culture and compliance with patient safety indicators staff in emergency departments of teaching hospital, Tabriz University of Medical Sciences. Methodology: This research is a descriptive study. It was conducted using convenient sampling method. The research subjects included all nurses working in emergency units of educational and therapeutic centers affiliated to Tabriz University of Medical Sciences (N = 192). All subjects completed the HSOPSC (hospital survey on patient safety culture) questionnaire and and monitoring the compliance with patient safety indicators were also conducted through a checklist designed based on the safety indicators communicated by the Ministry of Health. the collected data were analyzed using SPSS software. Findings: Based on the research findings, 78.6% of nurses working in emergency units did not report any error during the last 12 months, and 52.1% of nurses working in emergency units reported that observing the safety principles in the units is at the acceptable level. Based on the research findings, the score of 8 dimensions out of 12 dimensions of the patient safety culture is under 50%. Then team work dimension in units with 66.15 was found as the most powerful dimension and the non-punishment response to errors with 18.57% was found as the weakest dimension of the patient safety culture in this research. Patient safety indicators are also considered by nurses working in emergency departments. Conclusion: As one of the most important findings of this research was lack of reporting error by emergency unit nursing staff, it seems that some actions need to be taken so that employees can report their errors without fear of being reproached. Paying attention to role of management and leadership plays key role in creating such a climate. On the other hand, considering the safety indicators of the patient by the nurses working in the emergency department, there must be a grounding in creating a positive safety culture