Patient Safety Culture: Current Status and Associated Fators Among Healthcare Workers at Kien An Hospital – Hai Phong, Vietnam - A Cross-Sectional Study

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Abstract

Objective: Patient safety culture (PSC) is a critical determinant of healthcare quality. This study aimed to assess the current status of PSC among healthcare workers at Kien An Hospital, Hai Phong, Vietnam, and identify associated factors. Methods: A cross-sectional survey was conducted using the 12dimension hospital survey on patient safety culture (HSOPSC). A total of 324 healthcare professionals (physicians, nurses, and allied healthcare staff) participated. Data were analyzed using descriptive statistics and multivariable logistic regression. Results: The overall positive response rate across the 12 HSOPSC dimensions was 81.5%. The highest positive response rate was observed in the “Teamwork within units” dimension (98.5%), whereas the lowest was in “Non-punitive response to error” dimension (55.6%). Statistical analysis of PSC revealed significant differences between physicians and nurses in two dimensions: “Feedback and communication about error” with OR = 1.92 (95% CI: 1.66–2.52; p < 0.05) and “Overall perceptions of patient safety.” With OR = 0.12 (95% CI: 0.16–0.89; p < 0.01). Conclusion: Healthcare workers at Kien An Hospital report a relatively high level of positive PSC per-ception. Interventions should prioritize improving the non-punitive response to error system to foster a culture of reporting and learning.

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