Why Did They Fail? Investigating The Eight Invalid Dimensions of Patient Safety Culture: Mixed Method Research
Dublin Core
Title
Why Did They Fail? Investigating The Eight Invalid Dimensions of Patient Safety Culture: Mixed Method Research
Subject
anonymous reporting, management of communication, mixed method, patient safety culture
Description
Resistance to adopting patient safety culture practices or technologies can hinder improvements in patient safety. This
study contributes to enhancing the understanding of patient safety culture (PSC) assessment by identifying the specific
factors that render some PSC dimensions invalid and offering actionable recommendations for improvement in healthcare
settings. Primary data were gathered using a mixed method of explanatory sequential design, with quantitative data
collection and analysis followed by qualitative data collection and analysis. The study was conducted in the leading
Private Hospital XYZ, one of the private hospital groups internationally accredited with Joint Commission International
with a 110-patient bed capacity. Among the 12 dimensions, only feedback communication about error, handoffs and
transitions, and teamwork across units were determined to be valid and reliable. Therefore, eight dimensions, including
communication openness, continuous improvement, frequency of error reported, management support, overall patient
safety, supervisor/manager expectation, and staffing were explored further through a focus group discussion (FGD).
Delving into quantitative and qualitative insights has identified critical nuances that extend beyond mere quantitative
metrics. The qualitative insights gleaned from healthcare professionals through the FGD illuminated the nuanced human
aspects of safety culture that traditional measurements may overlook.
study contributes to enhancing the understanding of patient safety culture (PSC) assessment by identifying the specific
factors that render some PSC dimensions invalid and offering actionable recommendations for improvement in healthcare
settings. Primary data were gathered using a mixed method of explanatory sequential design, with quantitative data
collection and analysis followed by qualitative data collection and analysis. The study was conducted in the leading
Private Hospital XYZ, one of the private hospital groups internationally accredited with Joint Commission International
with a 110-patient bed capacity. Among the 12 dimensions, only feedback communication about error, handoffs and
transitions, and teamwork across units were determined to be valid and reliable. Therefore, eight dimensions, including
communication openness, continuous improvement, frequency of error reported, management support, overall patient
safety, supervisor/manager expectation, and staffing were explored further through a focus group discussion (FGD).
Delving into quantitative and qualitative insights has identified critical nuances that extend beyond mere quantitative
metrics. The qualitative insights gleaned from healthcare professionals through the FGD illuminated the nuanced human
aspects of safety culture that traditional measurements may overlook.
Creator
Felicia Setiawan, Ferdi Antonio
Source
DOI: 10.7454/jki.v27i2.1287
Publisher
Universitas Indonesia
Date
2024
Contributor
Sri Wahyuni
Rights
pISSN 1410-4490; eISSN 2354-9203
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Felicia Setiawan, Ferdi Antonio, “Why Did They Fail? Investigating The Eight Invalid Dimensions of Patient Safety Culture: Mixed Method Research,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/10953.