Awareness, Knowledge, Attitude, and Practice of Patient Safety CultureAmong Care Providers and Managers in a Tertiary Health Institutionin Nigeria

Introduction:the safety of patients or clients remains a priority public health issue worldwide.patient safety culture (psc) is a core quality assurance strategy in healthcare deliverysystems. therefore, it is crucial for key stakeholders in the healthcare setting toperceive the concept. the present study determined the awareness, level of knowledge,attitude, and practice of psc among care providers and managers in a tertiary healthfacility in nigeria.materials and methods:this descriptive survey was carried out within june to november in 2016. datacollection was conducted via a self-administered structured questionnaire survey (qs),focus group discussions (fgd), and key informant interviews (kii). stratified andconvenient sampling techniques were used for qs, fgd, and kii, respectively. the datawere analyzed using spss software (version 22), and associations were determinedthrough the chi-square test and t-test. a p-value of < 0.05 was considered statisticallysignificant.results:the awareness, attitude, and practice of psc were slightly above average. theknowledge of the availability of psc unit affected the scores of 3 of the 12 studied psccomposites, namely feedback and communication about the error, nonpunitiveresponse to error, and management support (p<0.05). the overall psc level of the careproviders and managers was reported as 62.3%. the rate of psc was within the rangeof 28-72% based on fgd. according to kii, the awareness and practice of psc werereported as 100% and 60%, respectively.conclusion:based on the obtained results of the current study, it was apparently demonstrated thelow awareness, attitude, and practice of psc resulting in the low functionality of psc.therefore, it is required to take comprehensive educational and institutional measuresaiming at the improvement of positive psc. management commitment to safety is a keyelement in this regard.