Patient Safety Culture and Associated Factors among Health Care Providers in Government and Private Hospitals, Bahir Dar, Northwest Ethiopia. 2022.

Abstract

Abstract Background: Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. Patient safety in a health care setting is now a major global concern. Millions of people suffer disabling injuries or death directly related to medical care. Particularly in developing countries, patient harm is a global public health problem. To the best of our knowledge evidence are limited regarding patient safety culture in Ethiopia, especially in the study settings. Therefore, this study is designed to assess Patient safety culture and associated factors among healthcare providers in government and private healthcare providers. Objective: This study aimed to assess patient safety culture and associated factors among healthcare providers in government and private hospitals, Bahir Dar city, Northwest, Ethiopia, 2022. Methods and materials: Institutional- based cross-sectional study was conducted from May to June 30, 2022, among public and private health care providers in Bahir Dar city. Simple random sampling with self-administered hospital survey on Patient Safety Culture (HSOPSC) tool was used to select 450 study participants. The collected data was entered into Epi Data version 4.6 and exported to SPSS version 26 for further analysis. Chi-square test, Bi-variable, and multivariable logistic regressions were done to determine the association between variables. Result: A total of 448 health care providers with a response rate of 99.6% participated. The overall prevalence of good patient safety culture was 50.9%(95%CI: 46.2,55.6%).This study found significant difference in patient safety culture between government and private healthcare providers(x2=22.6,df=1,p=0.000). Types of hospital(AOR=0.37(95%CI:(0.21,0.68), ,profession(AOR=2.16(95%CI:(1.02,4.62), job satisfaction(AOR=0.19,95%CI:(0.12,0.30), participated in patient safety programs(AOR=2.69:(95%CI: 1.53,4.75), and providing necessary equipments and materials at the time of giving care(AOR=2.05(95%CI: 1.18,3.55%), and work shift (AOR= 0.47( 95%CI: 0.25,0.93) were variables that found significantly associated with patient safety culture among healthcare providers. Conclusion: The prevalence of patient safety culture was relatively low. There is difference in patient safety culture between private and government healthcare providers. But no difference in no punitive response to error, and hospital handoffs and transition of sub-dimension of patient safety culture. Types of a hospital, profession, job satisfaction, participation in patient safety programs, and providing necessary equipment and materials at the time of giving care and work shift were determinant factors for patient safety culture. Therefore, it is better to design patient safety improvement strategies for both government and private healthcare providers.