ArticleClujul medical (1957)2018
Survey on patient safety culture in the Republic of Moldova: a baseline study in three healthcare settings.
Article in Clujul medical (1957), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 23 citations in OpenAlex.
- The relationship between patient safety culture and attitudes toward incident reporting among registered nurses.BMC health services research · 2025Article
- Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study.BMC nursing · 2025Article
- Communication openness and nosocomial infection reporting: the mediating role of team cohesion.BMC health services research · 2022Article
- The Safety Culture of The Ljubljana Community Health Centre's Employees.Zdravstveno varstvo · 2021Article
- Perception of Patient Safety Culture among Hospital Staff.Zdravstveno varstvo · 2021Article
- Baseline Patient Safety Culture in Cameroon: Setting a Foundation for Trauma Quality Improvement.The Journal of surgical research · 2020Article
- Comparing patient safety culture in Bulgarian, Croatian and American hospitals - preliminary results.Medicine and pharmacy reports · 2019Article
- Family Doctors' Perception of Patient Safety Issues in Rural Versus Urban Primary Healthcare Facilities.Current health sciences journalArticle
Corrections and comments
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Authors and funding
12 authors at 10 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe Republic of Moldova is a small ex-soviet country in the Central Eastern European group of states, whose official language is Romanian. In countries with limited resources, quality improvement in healthcare and patient safety are very challenging. This study aims to identify which areas of the patient safety culture (PSC) need prompt intervention.
methodsA cross-sectional study was conducted in three Moldovan healthcare settings, using the Romanian translation of the US Hospital Survey on Patient Safety Culture HSOPSC. Descriptive statistics were carried out, based on the responses from n. 929 staff. Percentages of positive responses (PPRs) by item (41 items) and composite (12 PSC areas) were computed.
resultsMost respondents were nurses (53%), followed by doctors (35%). The main work areas were: primary care (27%), medical specialties (20%), gynecology and obstetrics (16%), and general surgery (11%). The highest composite PPRs were for: teamwork within units (80%), feedback & communication about error, organizational learning-continuous improvement and supervisor/manager expectations & actions promoting patient safety (78%), and management support for patient safety (75%). The lowest composites were for: frequency of events reported (57%), non-punitive response to errors (53%), communication openness (51%) and staffing (37%).
conclusionOur results suggest that staffing issues should be tackled to provide safe care. Staff avoid to openly report adverse events and/or discuss errors, likely because a poor understanding of the potential of these events for learning and because of fear of blame or punitive actions. Future research should check psychometrics of the Romanian version of the HSOPSC applied to Moldovan staff.
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