engleski

How to improve patient safety culture in Croatian hospitals?

Patient safety culture (PCS) has a crucial impact on the safety practices of healthcare delivery systems. Th e purpose of this study was to assess the state of PSC in Croatian hospitals and compare it with hospitals in the United States. Th e study was conducted in three public general hospitals in Croatia using the Croatian translation of the Hospital Survey of Patient Safety Culture (HSOPSC). A comparison of the results from Croatian and American hospitals was performed using a T- square test. We found statistically signifi cant diff erences in all 12 PSC dimensions. Croatian responses were more positive in the two dimensions of Handoff s and Transitions and Overall Perceptions of Patient Safety. In the remaining ten dimensions, Croatian responses were less positive than in US hospitals, with the most prominent areas being Nonpunitive Response to Error, Frequency of Events Reported, Communication Openness, Teamwork within Units, Feedback & Communication about Error, Management Support for Patient Safety, and Staffi ng. Our fi ndings show that PSC is significantly lower in Croatian than in American hospitals, particularly in the areas of Nonpunitive Response to Error, Leadership, Teamwork, Communication Openness and Staffi ng. Th is suggests that a more comprehensive system for the improvement of patient safety within the framework of the Croatian healthcare system needs to be developed. Our fi ndings also help confi rm that HSOPSC is a useful and appropriate tool for the assessment of PSC. HSOPSC highlights the PSC components in need of improvement and should be considered for use in national and international benchmarking.

Patient safety – standards ; Surveys and questionnaires ; Organizational culture ; Croatia ; Social problems ; Quality of health care ; Hospitals ; Benchmarking

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