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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Safety climate in dialysis centers in Saudi Arabia: A multicenter study
Journal of Patient Safety, Volume 10, No. 2, Year 2014
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Description
OBJECTIVE: The aim of this study was to assess the safety climate as perceived by nurses and physicians in the dialysis units in Saudi Arabia. METHODS: This is a cross-sectional survey-based multicenter study using the Safety Climate Scale, which assesses the perception by staff of the prevailing climate of safety. We used 17 items in this survey. These could be further divided into 3 summative categories: (a) handling of errors and safety concerns (9 items), (b) leadership emphasis of safety (7 items), and (c) overall safety recommendation (1 item). The survey uses 5 Likert scale options (1, disagree strongly; 2, disagree slightly; 3, neutral; 4, agree slightly; and 5, agree strongly). RESULTS: There were 509 respondents - a response rate of 76.6% and 53.3% among nurses and physicians, respectively. The internal consistency using Cronbach α was 0.899. The overall mean (SD) of satisfaction with safety climate was higher among the nurses than the physicians (4.13 [1.1] and 4.05 [1.7], respectively; P = 0.029).The overall agreement rate was 73.8%, with more nurses than physicians agreeing that safety climate prevails the dialysis center (75.4% versus 72.1%, respectively; P = 0.047).The respondents perceived a stronger commitment to safety from their clinical area leaders than from senior leaders in the organization (76.2% and 72.4%, respectively).In addition, the physicians gave lower scores to more questions than the nurses particularly in 3 areas, namely, "leadership is driving us to be a safety-centered institution" (71.5% versus 76.5%; P = 0.037), "I am encouraged by my colleagues to report any patient safety concerns I may have" (67.4% versus 84.7%; P = 0.03), and "I know proper channels to ask questions about safety" (69.6% versus 87.2%; P = 0.002).The scores by the physicians in all the 3 summative categories were again less than the scores by the nurses, but this did not reach a statistical significance. CONCLUSIONS: The nurses had higher perceptions of a prevailing safety climate than the physicians. There was a perception of a stronger commitment to safety from their clinical area leaders than from senior leaders in the organization. Senior management needs to relay their commitments to safety more effectively especially to physicians and to open clear and easily accessible channels for communication for safety issues. Copyright © 2014 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Taher, Saadi M.
Saudi Arabia, Riyadh
King Abdulaziz Medical City - Riyadh
Hejaili, Fayez Faleh
Saudi Arabia, Riyadh
King Saud Bin Abdulaziz University for Health Sciences
Karkar, Ayman M.
Saudi Arabia, Dammam
Kanoo Kidney Center
Shaheen, Faissal Abdulraheem M.
Saudi Arabia, Jeddah
King Fahd General Hospital
Barahmien, Majdah
Saudi Arabia, Riyadh
Prince Salman Center for Kidney Disease
Alsaran, Khalid
Saudi Arabia, Riyadh
Prince Salman Center for Kidney Disease
Jondeby, Mohamed Shami
Saudi Arabia, Riyadh
Riyadh Military Hospital
Suleiman, Mohammed H.
Saudi Arabia, Riyadh
Riyadh Military Hospital
Al-Khader, Abdullah Ahmed
Saudi Arabia, Riyadh
King Saud Bin Abdulaziz University for Health Sciences
Statistics
Citations: 9
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1097/PTS.0000000000000111
ISSN:
15498417
e-ISSN:
15498425
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative