ArticleBMC health services research2026
Assessment of patient safety culture among physicians in public hospitals in Djibouti: a cross-sectional study.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient safety culture is a key determinant of care quality and organisational resilience, particularly in resource-limited settings. In Djibouti, evidence on physicians’ perceptions remains scarce despite their central role in incident reporting and clinical governance. This study aimed to assess the patient safety culture among physicians working in public hospitals in Djibouti. METHODOLOGY: A cross-sectional descriptive study was conducted from September 2024 to March 2025 in the four main public hospitals of Djibouti City. Physicians completed the validated French version of the Hospital Survey on Patient Safety Culture (HSOPSC) developed by the Agency for Healthcare Research and Quality (AHRQ). Negatively worded items were reverse-coded in accordance with AHRQ recommendations. Descriptive statistics were used to calculate positive response rates across the ten HSOPSC dimensions, and internal consistency was evaluated using Cronbach’s alpha.
resultsA total of 105 valid responses were analysed (response rate: 75.5%). Overall perception of patient safety was excellent for 43% of physicians. The lowest scores were observed for staffing adequacy (22%), non-punitive response to error (25%), frequency of event reporting (26%), and communication openness (30%). Teamwork within units showed comparatively higher positive responses (56–71%). Cronbach’s alpha values ranged from −0.27 to 0.84 across dimensions, with an overall reliability of 0.88.
conclusionsPhysicians’ perceptions reveal a fragmented patient safety culture characterised by limited communication openness, inadequate staffing, and very low incident reporting. Strengthening reporting systems, promoting non-punitive approaches, and improving organisational communication are essential to fostering a safer clinical environment. These findings provide baseline evidence to support ongoing reforms in Djibouti’s public hospital system.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.