Patient Safety Behavior in Physicians: How is it Predicted?

• Main Authors: Maryam Yaghoubi, Marzieh Javadi, Saied Karimi, Elham Ehsani
• Format: Article
• Language: English
• Published: Baqiyatallah University of Medical Sciences 2016-05-01
• Series: Hospital Practices and Research
• Subjects: patient safety; physicians; Behavior; Hospitals
• Online Access: http://www.jhpr.ir/article_31961_636eeb2211ff15a0669d50e1dea95b8d.pdf

<strong>Background:</strong> Patient safety is a serious global public health issue. Estimates show that every day many patients are harmed while receiving hospital care. Health care staff plays a key role in providing quality and safe patient care, especially physicians who are main members of the medical team and a critical element in patient safety efforts. <br /><strong>Objective:</strong> The current study used a Theory of Planned Behavior (TPB) framework to investigate predictors of patient safety intentions and behavior of physicians. <br /><strong>Methods:</strong> This descriptive analytical study was conducted in 8 hospitals with 52 physicians participating. A researcher-designed questionnaire was prepared to investigate patient safety behaviors and behavior constructs of physicians based on the guidelines of constructing a TPB Questionnaire: Conceptual and Methodological Considerations. The content validity and reliability of the questionnaire were confirmed. Binary logistic regression analysis was performed using SPSS₁₈. <br /><strong>Results:</strong> The total mean score of physician safety behavior indicated that 3.8±0.92. 42% of physicians reported their safety behavior at a good level. There was no significant difference between the patient safety function of physicians in public and private hospitals (P=0.8) and working in medical or surgical wards (P=0.4). Among TPB constructs, “normative beliefs” had the greatest influence on physician intention for safety behaviors (wald=3.828, P=0.05). <br /><strong>Conclusion:</strong> The results showed that “normative beliefs” had the greatest influence on physician intention for safety behaviors; therefore, it seems that patient safety must be the most important concern of all health care staff, specifically managers and executives throughout health care centers.