George Liu|Weiwei Liu|Yuanyuan Wang|Zhihong Zhang|Peng Wang
Patient safety culture in China: a case study in an outpatient setting in Beijing
La Trobe University|Peking University|Peking University Third Hospital|Peking University|Peking University Third Hospital|Peking University|Peking University Third Hospital|Peking University|Peking University Third Hospital
h3objectivesh3 investigate patient safety culture outpatient setting beijing explore meaning implications safety culture perspective health workers patients h3methodsh3 mixed methods approach involving questionnaire survey indepth interviews adopted among 410 invited staff members 318 completed hospital survey patient safety culture hsopc patient safety culture described using 12 subscale scores intersubscale correlation analysis anova stepwise multivariate regression analyses performed identify determinants patient safety culture scores interviewees included 22 patients selected opportunity sampling 27 staff members selected purposive sampling interview data analysed thematically h3resultsh3 survey respondents perceived high levels unsafe care personally reported events lack communication openness identified major safety culture problem perception penalty greatest barrier encouragement error reporting cohesive teamwork within units found area strength conversely served protective defensive mechanism medical practice low levels trust providers consumers lack management support constituted obstacle building positive patient safety culture h3conclusionsh3 study china demonstrates punitive approach error still widespread despite increasing awareness unsafe care managers slow acknowledging importance building positive patient safety culture strong teamwork within units common area strength could fuel concealment errors