Comparing patient safety culture in primary, secondary and tertiary hospitals in Ghana
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Ghana Medical Journal
Abstract
Objective: This study compared patient safety culture among health professionals in tertiary, secondary and primary
hospitals.
Design: We conducted a cross-sectional survey among thirteen primary, secondary and tertiary hospitals in Ghana. A
structured questionnaire was administered to 1,656 health professionals. Data were analysed using descriptive statis tics and One-Way Analysis of Variance (ANOVA).
Setting: This study was conducted in the Greater Accra, Bono and Upper East regions, representing the southern,
middle and northern ecological zones, respectively.
Participants: Health professionals
Main outcome measures: The primary outcome was patient safety culture.
Results: Five patient safety culture dimensions were rated moderate positive response, while five were rated high
positive response. We found a statistically significant difference in patient safety culture across primary, secondary
and tertiary hospitals (p < 0.05). For instance, the mean difference between tertiary and secondary hospitals was sta tistically significant (p < 0.05). Additionally, the mean difference between tertiary and primary hospitals was statisti cally significant (p < 0.05). There was also a significant difference in the means between secondary and primary
hospitals (p < 0.05).
Conclusion: This study has demonstrated a variation in patient safety culture across Ghana’s tertiary, secondary and
primary hospitals. Therefore, healthcare managers and professionals should prioritise patient safety.
Description
Research Article
Keywords
Levels of care, patient safety culture, adverse event, Ghana