Safety culture and barriers to medication errors reporting : a comparison between accredited and non-accredited hospitals /
Accreditation has been embraced by many healthcare providers as a means to embark upon a journey towards safer care. As a systemic intervention, accreditation is expected to have a positive effect on safety culture and consequently, safety behaviour (e.g. error reporting). However, evidence of its a...
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| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
Kuala Lumpur:
Kulliyyah of Islamic Revealed Knowledge and Human Sciences, International Islamic University Malaysia,
2014
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| Subjects: | |
| Online Access: | Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. |
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| Summary: | Accreditation has been embraced by many healthcare providers as a means to embark upon a journey towards safer care. As a systemic intervention, accreditation is expected to have a positive effect on safety culture and consequently, safety behaviour (e.g. error reporting). However, evidence of its ability to enhance a safety culture and patient safety promoting behaviour, especially from the local perspective, remains inconclusive. It is therefore the aim of this study to investigate the safety culture and barriers towards medication administration errors (MAE) reporting among nurses taking into consideration the accreditation status of the hospital to which they are employed. A survey, which consists of the MSAQ (Che Kar, 2013) and the Barriers to MAE reporting scale (Wakefield et al., 1999), was administered to nurses (n=169, with 76.1% response rate) of two public hospitals in the East Peninsula of Malaysia, of which both medical institutions possessed different accreditation statuses. Data were analysed using descriptive statistics, independent t-test and Pearson correlation. Results indicated that there was no significant difference in overall safety culture levels between accredited (mean=73.25) and non-accredited hospitals (mean=74.25, t(120)=.357, p=.722). Job satisfaction was the only safety dimension which was positively perceived by nurses (mean>75) for both hospitals. All barriers towards MAE reporting were significantly lower in the accredited hospital in comparison to the non-accredited hospital (p<.05). Administrative response emerged as the major barrier towards medication error reporting in both hospitals, followed by fear, reporting effort, and disagreement over the definition of error. Moreover, a correlation analysis shows that there was an association between safety culture and barriers to MAE reporting in the accredited hospital which was not detected in its non-accredited counterpart.(p<.05). Although the present study shows that accreditation status was not related to safety culture levels in hospitals within local context, nurses in the accredited hospital did perceive fewer barriers in reporting medication errors more so in comparison to the non-accredited hospital. The association between safety culture and barriers to MAE reporting in the accredited hospital thus demonstrated the positive influence of the former in overcoming the latter. |
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| Physical Description: | xii, 68 leaves : ill. ; 30cm. |
| Bibliography: | Includes bibliographical references (leaves 54-59). |