Institutional Practices of a Private Hospital in Saudi Arabia: An Initiative to Improve the Hospital’s Safety Culture

Document Type : Research Paper

Author

Al Khafji National Hospital, Eastern Region Kingdom of Saudi Arabi, Learning and Development Manager.

Abstract

Introduction:
Study findings pertain to a private healthcare facility in the Eastern Region of Saudi Arabia, which highlighted its healthcare organization’s implementation of hospital-wide approach aimed at promoting culture change to enhance patient safety. Patient safety is a vital component of quality health care. Health care organizations continually strive for improvement, leading to a growing recognition of the importance of establishing a safe culture, most especially within the Kingdom of Saudi.
Materials and Methods:
The hospital's culture of safety was investigated using a descriptive research design. The study further discusses how the hospital was able to improve the safety culture within the confines of their organization by instituting several programs which forms as the framework of the hospital’s commitment to safety. The study covers all the healthcare professional of the hospital (clinical and non-clinical) to provide their perception on the topic.
Results:
This study yielded more than sixty percent (60%) response rate for three consecutive years which strongly supports the findings of the study. The institution’s safety culture has dramatically improved from 2017’s result of 46.4%, 58.6% (2018) and 74.4% in 2019 after engaging an organizational intervention which includes; leadership patient safety walk rounds, good catch campaign, improvement projects, adoption of lean management, continuous organization learning and development, quality accreditation and an intensified leadership support. A number of dimensions contributed to the highest perception of patient safety, including teamwork within and across units, organizational learning and continuous quality improvement, management support for patient safety, and an increase in the perception of overall patient safety culture by staff.
Conclusion:
The result suggested that the commitment of all healthcare professionals within the organization and an active engagement of managers and executives will absolutely result to positive change in the institution’s culture of safety.
 

Keywords


  1. World health organization. The World Health Report 2008: Primary Health Care Now More Than Ever. (Online). Available from: https://www.who.int/whr/2008/ whr08_ en.pdf (Accessed 19 November 2020).
  2. Joint commission international. The Essential Role of Leadership in Developing A Safety Culture. (Online). Available from: https://www. jointcommission.org/assets/1/18/SEA_57_Safety_Culture_Leadership_0317.pdf (Accessed 19 November 2020).
  3. Agency for healthcare research and quality agency for healthcare research and quality. The Essential Role of Leadership in Developing A Safety Culture. (Online). Available from: https://www.ahrq.gov/sites/ default/ files/ wysiwyg/professionals/quality-patient-safety/ patientsafetyculture/hospital/resources/infotranshsops.pdf (Accessed 19 November 2020).
  4. Paguio, Jenniffer, Pajarillo, Edmund. Safety culture and safety attitudes of nurses in the National University Hospital. Philippine Journal of Nursing. 2016;86: 10-16.
  5. Theodosios S. The Development of Patient Safety Culture. Health Science Journal. 2012;6(2): 207.
  6. Firth-cozens J. Organizational Trust: The keystone to patient safety. Quality & safety in health care. 2004;13(13): 56-61.
  7. National safety council. National Safety Council. (Online). Available from: http://www. nsc.org/ workplacetrainingdocuments/near-miss- reporting-systems. pdf (Accessed 3 Nov 2020).
  8. Barnard D, Dumkee M, Bains B, Gallivan B. Implementing a Good Catch program in an integrated health system Healthcare. HealthcQ. 2006; 9(9):
  9. Tucker  A, Edmondson  C. Why Hospitals Don’t Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change California Management Review. California management review. 2003;45(2): 55-72.
  10. Hosford, B. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1): 9-19.
  11. Kuwaiti, A. The Impact of Accreditation on Enhancing Patient Safety and Improving the Quality-of-Care Indicators at King Fahd Hospital of the University, Saudi Arabia. (Online). Available from: https://www. hilarispublisher. com/ proceedings/the-impact-of- accreditation- on-enhancing -patient-safety-and-improving-the-quality-of-care-indicators-at-king- fahd- hospit-28895. html (Accessed 3 Nov 2020).
  12. Amr A. Online library Wiley. (Online). Available from: 10.5694/mja14.00198 (Accessed 3 Nov 2020).
  13. Pearl R. KevinMDcom (Online). Available from: https://www. kevinmd. com/ blog/ 2014/02/4-reasons-hospitals-dangerous-places.html (Accessed 3 Nov 2020).
  14. Alswat K, Abdalla RA, Titi MA, Bakash M, Mehmood F, Zubairi B, Jamal D, El-Jardali F. Improving patient safety culture in Saudi Arabia (2012–2015): trending, improvement and benchmarking. BMC Health Services Research. 2017 Dec;17(1):1-4.
  15.  Joint commission international. PSNet . (Online). Available from: https:// psnet.ahrq. gov/ primer/culture-safety. (Accessed 13 June 2021).
  16. AHRQ. PSNet. (Online). Available from: https://psnet.ahrq.gov/primer/ culture- safety (Accessed 13 June 2021).
  17. Elden N, Ismail A. The Importance of Medication Errors Reporting in Improving the Quality of Clinical Care Services. Global journal of health science. 2016;8(8): .
  18. Wallace SC, Mamrol C, Finley E. Promote a culture of safety with good catch reports. Pa Patient Saf Advis. 2017.
  19. Sorra J, et al. AHRQ. (Online). Available from:  http:// www. ahrq.gov/ professionals/quality-patientsafety/ patientsafetyculture/ hospital/ index.html. Accessed 13 June 2021).
  20. AHRQ. (Online). Available from: http://www.ahrq.gov/qual/patientsafetyculture. (Accessed 13 June 2021).
  21. International Council of Nurses. (Online). Available from: https: //www. icn.ch/nursing-policy/ nursing-definitions. (Accessed 13 June 2021).
  22. Taheri, M, Arabameri, E. The effect of sleep deprivation on choice reaction time and anaerobic power of college student athletes. AJSM. 2012; 3(1): 15-20.
  23. Lockley, S, Barger, K, Ayas, T. Effects of health care provider work hours and sleep deprivation on safety and performance. JCI. 2007;33(11): 7-18
  24. National Hospital Standards. Saudi Central Board for Accreditation of Healthcare Institutions (CBAHI) 2015.
  25. Birkhäuer J, Gaab J, Kossowsky J, Hasler S, Krummenacher P, Werner C. Trust in the health care professional and health outcome: A meta-analysis. PloS one, (2017); 12(2), e0170988. https://doi.org/10.1371/journal.pone.0170988
  26. Safety institute. Safety Resources and Tools to Promote a Safe Healthcare Delivery Environment for Patients. (Online). Available from: https:// www. premiersafetyinstitute.org/safety-topics-az/ healthcare-associated-infections-hais/ hai/ (Accessed 19 Nov 2020).