Patient safety attitudes of frontline healthcare workers in Lahore: A multicenter study
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Show full item recordEditorial
Professional Medical Publications
Materia
Communications Culture Frontline Hospitals Patient safety
Date
2021-11-20Referencia bibliográfica
Arkam J... [et al.]. Patient safety attitudes of frontline healthcare workers in Lahore: A multicenter study. Pak J Med Sci. 2022;38(1):40-46. doi: [https://doi.org/10.12669/pjms.38.1.4964]
Sponsorship
University of Health Sciences (UHS) Lahore, Punjab, PakistanAbstract
Objectives: To evaluate patient safety attitudes of the frontline health workers in hospitals of Lahore,
Pakistan.
Methods: A self-administered Safety Attitudes Questionnaire (SAQ) survey was deployed in five hospitals
across Lahore, Pakistan (July 2019 to June 2020). A total of 1250 consecutive consenting nurses and
postgraduate trainee physicians of under five years working experience were recruited. Assessment for each
of the six subdomains (teamwork climate, safety climate, job satisfaction, stress recognition, perception
of management, working conditions) was done on a 0-100 scale. Multivariate analyses examined their
relationship with job cadre (nurses and physicians), duration of respondents’ work experience (< 2 years,
3 - 4 years, > 4 years), and hospital sector (private and public).
Results: The response rate was 97% (1212 individuals; 765 nurses, 447 physicians). Nurses scored less than
physicians in teamwork climate (-2.4, 95% CI -4.5 – -0.2, p=0.02) and stress recognition (-10.6, 95% CI
-13.5 – -7.7, p<0.001), but more in perception of management (4.2, 95% CI 1.5 – 6.8, p=0.002) and working
conditions (3.4, 95% CI 0.66 – 6.2, p=0.01). Increasing work experience was related to greater scores in all
subdomains. Private hospitals scored generally higher than public ones.
Conclusion: Duration of job experience was positively correlated with patient safety attitudes of hospital
staff. These finding could serve as the baseline to shape staff perceptions by cadre in both public and
private sector hospitals.