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_aT Fil R729.8
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_aCarbajosa, Luzgel C.
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_aPatient safety culture in Perpetual Help Medical Center - BiƱan :
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_btowards the development of proposed training program /
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_cLuzgel C. Carbajosa
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_axvi, 135 pages
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_aThesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 2017.;A thesis presented to the faculty of the College of Nursing Graduate Program, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing.
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_aABSTRACT. The delivery of quality and safe patient care is one of the most essential goals for all health care organizations, but in reality patient safety is also one of the utmost challenging and critical component in the provision of patient care. Since time immemorial up to date, issues and concerns about patient safety are indeed seriously apparent and a growing concern among healthcare professionals, healthcare organizations, and the public. As best indicated in the 1999 Institute of Medicine (IOM) report To Err is Human: Building a Safer Health System, which shows that at least 44,000 people, and perhaps as many as 98,000 people die in hospitals each year as a result of medical errors that could have been prevented (Graban, 2016). Due to innumerable aspects to improve patient safety and quality, the researcher find it more important to have an in-depth exploration of the possible factors or root causes why this patient safety issues and concerns recurs and still counting despite standard policies and procedures are in place. Moreover, the appropriateness of the research topic to the researcher's nature of work and the unrelenting support from the Perpetual Help Medical Center - Binan management has motivated the researcher to pursue this research endeavour. Hence, the conduct of this study was decided to materialize in order to assess the perception of allied medical health professionals by determining their demographic profiles, their perception towards patient safety culture at unit-level, hospital-level and outcome variables. Also, in order to test significant difference on the perceived patient safety culture of the respondents at the unit & hospital-level when grouped according to their demographic profile variables. Finally, in order to develop patient safety training programs based from the research findings. The findings of this study served as a guide in the development of patient safety training programs. A survey involving 139 allied health medical professionals was conducted at Perpetual Help Medical Center - Binan from March 2017 up to the first week of April 2017. The main instrument used in the study was the Hospital Survey on Patient Safety Culture (HSOPSC), an adapted questionnaire with permission from the Agency Healthcare Research And Quality (AHRQ). After tabulation, data were treated 2010 version of Microsoft Excel for descriptive statistics while Statistical Package for the Social Sciences (SPSS) version 19.0 was utilized for inferential statistics. Results showed that majority of the respondents are Female, Advance Beginner in terms of length of work experience. Expert in terms of length of service in hospital and belong to the Nursing Department. Perceived Unit-level patient safety culture aspects considered as strength were Organizational Learning Continuous Improvement; Teamwork within Units; Feedback and communication About Error while Supervisor/manager Expectations and Actions Promoting Safety; Communication Openness are considered as average. On the other hand, the perceived Hospital-level patient safety culture aspects considered as average were Hospital Management Support for Patient Safety and Teamwork across Hospital Unit. On the other hand, Hospital Handoffs and Transitions are perceived as weakness. The Perceived Safety cultures at outcome variables are the following: a. An average over-all perception safety; b. An average frequency of event reporting; c. Very Good Patient Safety Grade of the Hospital Unit, and d. One to two (1 to 2) events reported in the past 12 months. The study also revealed that the perceived patient safety culture at unit level was found to have no significant difference in the aspects of Organizational Learning Continuous Improvement; Communication Openness; Feedback and communication About Error; and Staffing, while there is a significant difference in the Supervisor/manager Expectations and Actions Promoting Safety; Teamwork within Units, and Nonpunitive response to error when respondents were grouped according to sex. Furthermore, there is no significant difference in the aspects of Supervisor/manager Expectations and Actions Promoting Safety; Organizational Learning Continuous Improvement; Teamwork within Units; Communication Openness, and Nonpunitive response to error while there is a significant difference in the aspect of Feedback and communication About Error; ans Staffing when respondents were grouped according to work area. In addition to this, there is no significant difference in all aspects when respondents were grouped according to length of work experience and length of service in the hospital. Likewise, there is no significant difference in the perceived hospital-level patient safety culture in all aspects when the respondents were grouped according to sex, work area, length of work experience and service to the hospital. The findings suggest that the respondent's perception towards patient safety culture can be substantially improved. Therefore, development of appropriate patient safety culture training can enhance their attitudes and perceptions towards safety culture.
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