PHÂN TÍCH ĐỊNH TÍNH CÁC YẾU TỐ ẢNH HƯỞNG ĐẾN VĂN HÓA AN TOÀN NGƯỜI BỆNH TẠI THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objective: To analyze selected factors influencing patient safety culture at Go Vap District Hospital and Le Van Viet Hospital in Ho Chi Minh City. Materials and methods: A qualitative study was conducted using 12 in-depth interviews with purposively selected participants. Results: Five groups of factors influencing patient safety culture were identified: (1) leadership and management systems; (2) relationships and communication; (3) the healthcare workforce situation; (4) healthcare workers’ satisfaction; and (5) the impact of the COVID-19 pandemic. Close attention from hospital leadership, together with positive attitudes and commitment among healthcare workers toward patient safety, were identified as facilitating factors. Conversely, workforce shortages, work overload, suboptimal staff satisfaction in terms of income, recognition, and equipment, and the impact of the COVID-19 pandemic were identified as barriers. Regulatory and policy-related factors, as well as relationships and communication, exerted both positive and negative influences. All in-depth interview participants (100%) agreed on the important role of leadership attention and the adverse impact of the COVID-19 pandemic on patient safety culture. Conclusion: It is necessary to improve medical incident reporting systems toward greater anonymity and convenience, reduce workload pressure, enhance remuneration and equipment, and strengthen two-way communication between hospital leadership and healthcare workers in order to maintain and improve patient safety culture.