ArticleBMJ open2022
Patient safety culture and its determinants among healthcare professionals at a cluster hospital in Malaysia: a cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- Quality of life and patient safety: the impact of the work environment on the well-being of medical staff in ICU settings.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026Article
- Safety culture in paediatric emergency departments: a cross-sectional study among healthcare professionals.BMJ open · 2025Article
- Perception of patient safety culture among perioperative staff: exploring the roles of individual factors and organizational factors.BMC health services research · 2025Article
- Status and Factors Associated With Patient Safety Culture in Traditional Chinese Medicine Institutions: A Cross-Sectional Study.Health care science · 2025Article
- Empowering Culture Change and Safety on the Journey to Zero Harm With Huddle Cards.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Patient safety attitude among intensive care unit physicians and nurses: a multi-center study in Egypt.The Journal of the Egyptian Public Health Association · 2025Article
- Patient safety competency and it associated with teamwork and psychological safety among emergency nurses in Iran.Scientific reports · 2025Article
- Safety Culture Evaluation in Sarawak General Hospital: A Cross-Sectional Study Using Safety Attitude Questionnaire (SAQ).Risk management and healthcare policy · 2025Article
- What inhibits "speaking up" for patient safety among healthcare workers? A cross-sectional study in Malaysia.Human resources for health · 2024Article
- Influence of work-related stress on patient safety culture among nurses in a tertiary hospital: a cross-sectional study.BMC nursing · 2024Article
- Perceptions of medical error among general practitioners in rural China: a qualitative interview study.BMJ open quality · 2023Article
- Patient safety culture and associated factors among nurses working at public hospitals in Gamo Zone, Southern Ethiopia.BMC health services research · 2023Article
- Patient Safety Culture in a Tertiary Hospital: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Understanding the Relationship Between Critical Care Nurses' Perception of Patient Safety Culture and Adverse Events.SAGE open nursingArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the baseline level and mean score of every domain of patient safety culture among healthcare professionals at a cluster hospital and identify the determinants associated with patient safety culture.
methodsThis cross-sectional study was conducted at a cluster hospital comprising one state and two district hospitals in Malaysia. The safety culture was assessed using the Safety Attitude Questionnaire (SAQ), which is a validated questionnaire. Using proportionate stratified random sampling, 1814 respondents were recruited, and we used the independent t-test, Pearson's χ
resultsOnly 23.9% of the respondents had positive patient safety culture levels (SAQ score ≥75%); the overall mean score was 67.82±10.53. The job satisfaction dimension had the highest percentage of positive responses (67.0%), with a mean score of 76.54±17.77. The factors associated with positive patient safety culture were age (OR 1.03, p<0.001), gender (OR 1.67, p=0.001), education level (OR 2.51, p<0.001), work station (OR 2.02, p<0.001), participation in patient safety training (OR 1.64, p=0.007), good perception of the incident reporting system (OR 1.71, p=0.038) and a non-blaming (OR 1.36, p=0.013) and instructive (OR 3.31, p=0.007) incident reporting system.
conclusionsHealthcare professionals at the cluster hospital showed unsatisfactory patient safety culture levels. Most of the respondents appreciated their jobs, despite experiencing dissatisfaction with their working conditions. The priority for changes should involve systematic interventions to focus on patient safety training, address the blame culture, improve communication, exchange information about errors and improve working conditions.
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