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Abstract：
BACKGROUND: With the rise in medical errors, establishing a strong safety culture and an effective incident reporting system is crucial. As part of the Saudi National Health Transformation Vision of 2030, multiple projects have been initiated to periodically assess healthcare quality measures and ensure a commitment to continuous improvement. Among these is the Hospital Survey on Patient Safety Culture National Project (HSPSC), conducted regularly by the Saudi Patient Safety Center (SPSC). However, comprehensive tools for assessing reporting culture are lacking. Addressing this gap can enhance reporting, efficiency, and health safety.
OBJECTIVE: This paper aims to investigate the reporting practices among healthcare professionals (HCPs) in Saudi Arabian hospitals and examine the relationship between reporting culture domains and other variables such as hospital bed capabilities and HCPs\' work positions.
METHODS: The study focuses on measuring the reporting culture-related items measures and employs secondary data analysis using information from the Hospital Survey on Patient Safety Culture conducted by the Saudi Center for Patient Safety in 2022, encompassing hospitals throughout Saudi Arabia. Data incorporated seven items in total: four items related to the Response to Error Domain, two related to the Reporting Patient Safety Events Domain, and one associated with the number of events reported in the past 12 months.
RESULTS: The sample for the analyzed data included 145,657 HCPs from 392 hospitals. The results showed that the average positive response rates for reporting culture-related items were between 50% and 70%. In addition, the research indicated that favorable response rates were relatively higher among managerial and quality/patient safety/risk management staff. In contrast, almost half had not reported any events in the preceding year, and a quarter reported only 1 or 2 events. Pearson correlation analysis demonstrates a strong negative correlation between bed capacity and reporting safety events, response to error, and number of events reported (r = -0.935, -0.920, and - 0.911, respectively; p < 0.05), while a strong positive correlation is observed between reporting safety events and response to error (r = 0.980; p < 0.01).
CONCLUSIONS: Almost 75% of the HCPs reported fewer safety events over the last 12 months, indicating an unexpectedly minimal recorded occurrence variance ranging from 0 to 2 incidents.
OBJECTIVE: This paper aims to investigate the reporting practices among healthcare professionals (HCPs) in Saudi Arabian hospitals and examine the relationship between reporting culture domains and other variables such as hospital bed capabilities and HCPs\' work positions.
METHODS: The study focuses on measuring the reporting culture-related items measures and employs secondary data analysis using information from the Hospital Survey on Patient Safety Culture conducted by the Saudi Center for Patient Safety in 2022, encompassing hospitals throughout Saudi Arabia. Data incorporated seven items in total: four items related to the Response to Error Domain, two related to the Reporting Patient Safety Events Domain, and one associated with the number of events reported in the past 12 months.
RESULTS: The sample for the analyzed data included 145,657 HCPs from 392 hospitals. The results showed that the average positive response rates for reporting culture-related items were between 50% and 70%. In addition, the research indicated that favorable response rates were relatively higher among managerial and quality/patient safety/risk management staff. In contrast, almost half had not reported any events in the preceding year, and a quarter reported only 1 or 2 events. Pearson correlation analysis demonstrates a strong negative correlation between bed capacity and reporting safety events, response to error, and number of events reported (r = -0.935, -0.920, and - 0.911, respectively; p < 0.05), while a strong positive correlation is observed between reporting safety events and response to error (r = 0.980; p < 0.01).
CONCLUSIONS: Almost 75% of the HCPs reported fewer safety events over the last 12 months, indicating an unexpectedly minimal recorded occurrence variance ranging from 0 to 2 incidents.
摘要：
背景：随着医疗错误的增加，建立强大的安全文化和有效的事件报告系统至关重要。作为沙特2030年国家健康转型愿景的一部分，已经启动了多个项目，以定期评估医疗质量措施，并确保致力于持续改进。其中包括医院患者安全文化调查国家项目(HSPSC)，由沙特患者安全中心（SPSC）定期进行。然而,缺乏评估报告文化的综合工具。解决这一差距可以加强报告，效率,和健康安全。
目的：本文旨在调查沙特阿拉伯医院医疗保健专业人员（HCP）的报告实践，并研究报告文化领域与其他变量（如病床能力和HCP的工作职位）之间的关系。
方法：该研究的重点是衡量与报告文化相关的项目指标，并使用来自沙特患者安全中心2022年进行的患者安全文化医院调查的信息进行二次数据分析，包括沙特阿拉伯各地的医院。数据总共包含七个项目：与错误域响应相关的四个项目，两个与报告患者安全事件域相关，和一个与过去12个月报告的事件数相关。
结果：分析数据的样本包括来自392家医院的145,657个HCP。结果显示，报告文化相关项目的平均阳性响应率在50％至70％之间。此外,研究表明,在管理人员和质量/患者安全/风险管理人员中,有利的应答率相对较高.相比之下,几乎一半的人在前一年没有报告任何事件，四分之一只报告了1或2个事件。Pearson相关性分析显示床位容量和报告安全事件之间存在很强的负相关。对错误的响应，和报告的事件数（分别为r=-0.935、-0.920和-0.911；p<0.05），同时观察到报告安全性事件和对错误的反应之间存在很强的正相关（r=0.980；p<0.01）。
结论：在过去12个月中，近75%的HCP报告的安全事件较少，表示意外记录的最小事件差异，范围为0到2个事件。
目的：本文旨在调查沙特阿拉伯医院医疗保健专业人员（HCP）的报告实践，并研究报告文化领域与其他变量（如病床能力和HCP的工作职位）之间的关系。
方法：该研究的重点是衡量与报告文化相关的项目指标，并使用来自沙特患者安全中心2022年进行的患者安全文化医院调查的信息进行二次数据分析，包括沙特阿拉伯各地的医院。数据总共包含七个项目：与错误域响应相关的四个项目，两个与报告患者安全事件域相关，和一个与过去12个月报告的事件数相关。
结果：分析数据的样本包括来自392家医院的145,657个HCP。结果显示，报告文化相关项目的平均阳性响应率在50％至70％之间。此外,研究表明,在管理人员和质量/患者安全/风险管理人员中,有利的应答率相对较高.相比之下,几乎一半的人在前一年没有报告任何事件，四分之一只报告了1或2个事件。Pearson相关性分析显示床位容量和报告安全事件之间存在很强的负相关。对错误的响应，和报告的事件数（分别为r=-0.935、-0.920和-0.911；p<0.05），同时观察到报告安全性事件和对错误的反应之间存在很强的正相关（r=0.980；p<0.01）。
结论：在过去12个月中，近75%的HCP报告的安全事件较少，表示意外记录的最小事件差异，范围为0到2个事件。
