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Patient Safety Culture in 2 Public Hospitals in Vietnam: A Mixed Method Study
Ha Thi Nhi Tran1, Thanh Quoc Pham, Huong Lien Tran
1Hanoi Department of Health, Ba Dinh, Hanoi, Vietnam (Dr H. T. N. Tran); Hanoi University of Public Health, North Tu Liem, Hanoi, Vietnam (Mr Pham and Dr Bui); Saint Paul Hospital, Ba Dinh, Hanoi, Vietnam (Ms H. L. Tran and Dr H. D. Nguyen); and Phuc Tho Hospital, PhucTho, Hanoi, Vietnam (Dr T. M. Nguyen).
Background:
Patient safety culture is an important measure in assessing the quality of care. There is a growing need to establish a patient safety culture in hospitals. This study explored the perception of health professionals on patient safety culture in 2 public hospitals in Hanoi, Vietnam.
Method:
A mixed-methods study with an online Hospital Survey on Patient Safety Culture (HSOPSC) and qualitative data collection was conducted in Hanoi. The HSOPSC was validated in Vietnam before using it.
Results:
A total of 626 health professionals, including physicians and nurses, were involved in the survey, and 49 of them participated in in-depth interviews and focus group discussions. The average positive response of patient safety culture composites was high at 85.2% and varied from 49.4% to 97.9%. The strongest areas were teamwork within units (91.3%) and organizational learning/continuous improvement (88.4%), and the areas that needed improvement were staffing (49.4%) and nonpunitive response to error (53.1%).
Conclusion:
The centralized incident reporting, management with peer involvement on event reporting, and continuous quality improvement should be routinely embedded by hospital leaders down to unit managers and all staff.
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