Iranian Nurses’ Perception of Patient Safety Culture


mohammad amin bahrami 1 , 2 , Mahjabin Chalak 3 , Razieh Montazeralfaraj 2 , * , Arefeh Dehghani Tafti 4

1 Department of Healthcare Management, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran

2 Hospital Management Research Center, Shahid Sadoughi Hospital, Yazd, IR Iran

3 Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran

4 Department of Epidemiology and Biostatistics, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran

How to Cite: bahrami M A, Chalak M, Montazeralfaraj R, Dehghani Tafti A. Iranian Nurses’ Perception of Patient Safety Culture, Iran Red Crescent Med J. 2014 ; 16(4):e95989. doi: 10.5812/ircmj.11894.


Iranian Red Crescent Medical Journal: 16 (4); e95989
Published Online: April 05, 2014
Article Type: Research Article
Received: July 03, 2019
Accepted: August 19, 2013




Background:: In recent decades, patient safety has become a high priority health system issue, due to the high potential of occurring adverse events in health facilities.

Objectives:: This study was aimed to survey patient safety culture in 2 Iranian educational hospitals.

Materials and Methods:: In a descriptive, cross-sectional survey, a hospital survey on patient safety culture, was used in two teaching hospitals in Yazd, Iran during 2012. Study population was comprised of the same hospitals' nurses. Stratified-random sampling method was used and distributed among a total of 340 randomly-selected nurses from different units. From all distributed questionnaires, 302 ones were answered completely and afterwards analyzed using SPSS 17. Dimensional- and item-level positive scores were used for results reporting. Additionally descriptive statistics (mean and standard deviation), independent sample t-test and ANOVA were sued for data analyzing.

Results:: Research findings demonstrated that both hospitals had low to average scores in all dimensions of patient safety culture. Non-punitive response to error, staffing and frequency of events reported had the lowest positive scores of patient safety dimensions with scores 15.26, 19.26, 16.65, 30 and 32.87, 31.10 respectively in Shahid Sadoughi and Shahid Rahnemoon Hospitals. Also only 29.20 and 28.80 percent of nurses in Shahid Sadoughi and Shahid Rahnemoon Hospitals, respectively, evaluated the patient safety grade of their hospital as “excellent” and “very good”. Indeed, the studied hospitals had a statistical difference in 3 dimensions of patient safety culture (frequency of events reported, organizational learning and staffing). (P ≤ 0.05)

Conclusions:: Our study results were indicating of the challenge of weak patient safety culture, in educational hospitals. Therefore, the issue should be integrated to all policy makers and managerial initiatives in our health system, as a top priority.


Patients Patient Safety Nurses Hospital

© 2014, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.


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