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Post-Pandemic Patient Safety Culture: A Case from a Large Metropolitan Hospital Group in Taiwan

Author

Listed:
  • Hsing Yu Chen

    (Department of Obstetrics and Gynecology, Taipei City Hospital and Musoon Women’s and Children’s Clinic, Taipei 10491, Taiwan
    These authors have equal contributions to the paper.)

  • Luo Lu

    (Department of Business Administration, National Taiwan University, Taipei 10617, Taiwan)

  • Yi Ming Ko

    (Department of Business Administration, National Taiwan University, Taipei 10617, Taiwan
    These authors have equal contributions to the paper.)

  • Jui Wen Chueh

    (Medical Quality Management Center, Taipei City Hospital, Taipei 10341, Taiwan)

  • Shu Ya Hsiao

    (Medical Quality Management Center, Taipei City Hospital, Taipei 10341, Taiwan)

  • Pa Chun Wang

    (Joint Commission of Taiwan, Taipei 22069, Taiwan)

  • Cary L. Cooper

    (Alliance Manchester Business School, University of Manchester, Manchester M15 6PB, UK)

Abstract

Patient safety is the core goal of medical institutions. The present study focuses on the patient safety culture and staff well-being admit the COVID-19 pandemic. In a large metropolitan hospital group, 337 employees who had participated in the quality improvement interventions completed an anonymous questionnaire of patient safety culture and personal well-being. The multiple regression analyses indicated that managerial role, seniority, female gender and direct contact with a patient were significantly related to the positive attitude on overall or certain dimensions of safety culture. Multivariate analysis also found that dimensions of teamwork climate, safety climate, job satisfaction and stress recognition as patient safety culture predicted staff exhaustion. Finally, comparing with the available institutional historic data in 2018, the COVID group scored higher on the working condition dimension of patient safety culture, but lower on the stress recognition dimension. The COVID group also scored higher on exhaustion. In the post-pandemic era, there seems to be an improvement on certain aspect of the patient safety culture among hospital staff, and the improvement is more prevalent for managers. However, exhaustion is also a poignant problem for all employees. These findings can inform hospital decision-makers in planning and implementing future improvements of patient safety culture and promoting employee well-being and resilience. Our findings also reveal directions for future research.

Suggested Citation

  • Hsing Yu Chen & Luo Lu & Yi Ming Ko & Jui Wen Chueh & Shu Ya Hsiao & Pa Chun Wang & Cary L. Cooper, 2021. "Post-Pandemic Patient Safety Culture: A Case from a Large Metropolitan Hospital Group in Taiwan," IJERPH, MDPI, vol. 18(9), pages 1-18, April.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4537-:d:542842
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    References listed on IDEAS

    as
    1. Jesus Fernandez-Villaverde & Charles I. Jones, 2020. "Macroeconomic Outcomes and COVID-19: A Progress Report," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 51(3 (Fall)), pages 111-166.
    2. Max Denning & Ee Teng Goh & Alasdair Scott & Guy Martin & Sheraz Markar & Kelsey Flott & Sam Mason & Jan Przybylowicz & Melanie Almonte & Jonathan Clarke & Jasmine Winter Beatty & Swathikan Chidambara, 2020. "What Has Been the Impact of Covid-19 on Safety Culture? A Case Study from a Large Metropolitan Healthcare Trust," IJERPH, MDPI, vol. 17(19), pages 1-14, September.
    3. Amelia E. Schlak & Linda H. Aiken & Jesse Chittams & Lusine Poghosyan & Matthew McHugh, 2021. "Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
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    Cited by:

    1. Luo Lu & Yi-Ming Ko & Hsing-Yu Chen & Jui-Wen Chueh & Po-Ying Chen & Cary L. Cooper, 2022. "Patient Safety and Staff Well-Being: Organizational Culture as a Resource," IJERPH, MDPI, vol. 19(6), pages 1-14, March.

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