Post-pandemic Patient Safety Culture: A Case from a large Metropolitan Hospital Group in Taiwan

Hsing-Yu Chen, Luo Lu, Yi-Ming Ko, Jui-Wen Chueh, Shu-Ya Hsiao, Pa-Chun Wang, Cary L Cooper

Research output: Contribution to journalArticlepeer-review


Patient safety is the core goal of medical institutions. The present study focuses on the patient safety culture and staff well-being admit the COVID-19 pandemic. 337 employees in a large metropolitan hospital group who had participated in the quality improvement interventions completed an anonymous questionnaire of patient safety culture and personal well-being. The multiple regression analyses indicated that managerial role, seniority, female gender and direct contact with patient were significantly related to the positive attitude on overall or certain di-mensions of safety culture. Multivariate analysis also found that dimensions of teamwork cli-mate, safety climate, job satisfaction, and stress recognition as patient safety culture predicted staff exhaustion. Finally, comparing with the available institutional historic data in 2018, the COVID group scored higher on the working condition dimension of patient safety culture, but lower on the stress recognition dimension. The COVID group also scored higher on exhaustion. In the post-pandemic era, there seems to be an improvement on certain aspect of the patient safety culture among hospital staff, and the improvement is more prevalent for managers. However, exhaustion is also a poignant problem for all employees. These findings can inform hospital decision-makers in planning and implementing future improvements of patient safety culture and promoting employee well-being and resilience. Our findings also reveal directions for future research.
Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
Publication statusAccepted/In press - 22 Apr 2021


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