ArticleBMC health services research2022
Assessing patient safety culture in 15 intensive care units: a mixed-methods study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Assessment of safety culture in adults and paediatric critical care units in governmental hospitals in Kuwait: a cross-sectional study.BMJ open · 2026Article
- Exploring how organizational support shapes nurses' clinical leadership: evidence from Tunisia.BMC nursing · 2026Article
- Healthcare professionals' perception of equipment and infrastructure as determinants of quality in anesthesia and intensive care units.Frontiers in medicine · 2026Article
- Psychometric properties of the Persian version of the intra-hospital transport safety scale in intensive care.SAGE open medicine · 2026Article
- The effect of hospital safety climate on nurses' turnover intention: the mediating role of work engagement.Frontiers in public health · 2026Article
- Effects of Implementing an ICU Discharge Readiness Checklist onHealthcare (Basel, Switzerland) · 2025Article
- Patient safety culture in resource-limited healthcare settings: A multicentre survey.PloS one · 2025Article
- An exploration of patient safety culture in NICUs: a convergent parallel mixed-method study.BMC health services research · 2024Article
- Impact of an educational intervention on patient safety culture among gynecology-obstetrics' healthcare professionals.BMC health services research · 2024Article
- A retrospective analysis of adverse events reported by Tunisian intensive care units' professionals.BMC health services research · 2024Article
- Exploring Safety Culture in the ICU of a Large Acute Teaching Hospital through Triangulating Different Data Sources.Healthcare (Basel, Switzerland) · 2023Article
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10 authors.
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Abstract
backgroundWithin hospitals, intensive care units (ICUs) are particularly high-risk areas for medical errors and adverse events that could occur due to the complexity of care and the patients' fragile medical conditions. Assessing patient safety culture (PSC) is essential to have a broad view on patient safety issues, to orientate future improvement actions and optimize quality of care and patient safety outcomes. This study aimed at assessing PSC in 15 Tunisian ICUs using mixed methods approach.
methodsA cross-sectional mixed methods approach using a sequential explanatory design was conducted from December 2019 to January 2020. The first quantitative stage was conducted in 15 ICUs belonging to the two university hospitals in the region of Sousse (Tunisia). All the 344 healthcare professionals (clinical staff) working for more than 1 month in these ICUs were contacted in order to take part in the study. In the second qualitative stage 12 participants were interviewed based on purposive sampling.
resultsAll of the PSC dimensions had a score of less than 50%. The developed dimension was 'teamwork within units' (48.8%). The less developed dimensions were 'frequency of event reporting' (20.8%), 'communication openness' (22.2%) and 'non-punitive response to error' (19.7%). Interviews' thematic analysis revealed four main themes including "Hospital management/system failure", "Teamwork and communication", "Error management" and "Working conditions".
conclusionThis research revealed that PSC is still in need of improvement and provided a clearer picture of the patient safety issues that require specific attention. Improving PSC through the use of quality management and error reporting systems may help to improve patient safety outcomes.
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